Skip to main content
Log in

Blood pressure-to-height ratio as a screening tool for hypertension in children

  • Research Paper
  • Published:
Indian Pediatrics Aims and scope Submit manuscript

Abstract

Objective

To test whether blood pressure-to-height ratio (BPHR) can be used to screen for hypertension in children.

Methods

Data regarding blood pressure and other variables was recorded for 2702 school children between the ages of 10-16 years as a part of a nutritional survey.

Results

The optimal thresholds for defining hypertension in boys were 0.76 for systolic BPHR and 0.50 for diastolic BPHR; the respective threshold in girls were 0.80 and 0.52.

Conclusion

BPHR can be used as an effective screening test for diagnosing both hypertension and prehypertension in children aged 10–16 years.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lande MB. Systemic Hypertension. In:Robert M. Kleigman, eds. Nelson-Textbook of Pediatrics, 20th edition. Philadelphia: Elseviers Saunders Publishers; 2015. p. 2294–2303.

    Google Scholar 

  2. Sorof J, Daniels S. Obesity hypertension in children: a problem of epidemic proportions. Hypertension. 2002;40:441–7.

    Article  CAS  PubMed  Google Scholar 

  3. Stergiou GS, Giovas PP, Kollias A, Rarra VC, Papagiannis J, Georgakopoulos D, et al. Relationship of home blood pressure with target-organ damage in children and adolescents. Hypertens Res. 2011;34:640–4.

    Article  PubMed  Google Scholar 

  4. Rapsomaniki E, Shah A, Perel P, Denaxas S, George J, Nicholas O, et al. Prognostic models for stable coronary artery disease based on electronic health record cohort of 102023 patients. Eur Heart J. 2014;35:844–52.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematicreview and metaregression analysis. Circulation. 2008;117:3171–80.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Lu Q, Ma CM, Yin FZ, Liu BW, Lou DH, Liu XL. How to simplify the diagnostic criteria of hypertension in adolescents. J Hum Hypertens. 2011;25:159–63.

    Article  CAS  PubMed  Google Scholar 

  7. Rabbia F, Rabbone I, Totaro S, Testa E, Covella M, Berra E, et al. Evaluation of blood pressure/height ratio as an index to simplify diagnostic criteria of hypertension in Caucasian adolescents. J Hum Hypertens. 2011;25:623–4.

    Article  CAS  PubMed  Google Scholar 

  8. Ejike CE. Blood pressure to height ratios as simple, sensitive and specific diagnostictools for adolescent (pre)hypertension in Nigeria. Ital J Pediatr. 2011;30:27:30.

    Google Scholar 

  9. Galescu O, George M, Basetty S, Predescu I, Mongia A, Ten S, et al. Blood pressure over height ratios: simple and accurate method of detecting elevated blood pressure in children. Int J Pediatr. 2012;2012:253497.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Kelishadi R, Heshmat R, Ardalan G, Qorbani M, Taslimi M, Poursafa P, et al. First report on simplified diagnostic criteria for pre-hypertension and hypertension in a national sample of adolescents from the Middle East and North Africa: the CASPIAN-III study. J Pediatr. 2014;90:85–91.

    Article  Google Scholar 

  11. Xi B, Zhang M, Zhang T, Liang Y, Li S, Steffen LM. Hypertension screening using blood pressure to height ratio. Pediatrics. 2014;134:106–11.

    Article  Google Scholar 

  12. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics. 2004;114:555–76.

    Article  Google Scholar 

  13. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206–52.

    Article  CAS  PubMed  Google Scholar 

  14. Zou KH, O’Malley AJ, Mauri L. Receiver-operating characteristic analysis for evaluating diagnostic tests and predictive models. Circulation. 2007;115:654–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mushtaq Ahmad Bhat.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ahmed, A., Ali, S.W., Massodi, S. et al. Blood pressure-to-height ratio as a screening tool for hypertension in children. Indian Pediatr 53, 137–139 (2016). https://doi.org/10.1007/s13312-016-0808-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13312-016-0808-1

Keywords

Navigation