Tracking of Blood Pressure From Childhood to Adulthood : A Systematic Review and Meta-Regression Analysis

A large number of studies have examined the tracking of blood pressure (BP) from childhood to adulthood, but the reported findings are inconsistent and few systematic analyses have been conducted. We conducted a systematic search of PubMed for studies that examined the tracking of BP from childhood...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2008-06, Vol.117 (25), p.3171-3180
Hauptverfasser: Chen, Xiaoli, Wang, Youfa
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Wang, Youfa
description A large number of studies have examined the tracking of blood pressure (BP) from childhood to adulthood, but the reported findings are inconsistent and few systematic analyses have been conducted. We conducted a systematic search of PubMed for studies that examined the tracking of BP from childhood to adulthood published between January 1970 and July 2006. From 301 retrieved papers, 50 cohort studies met our inclusion criteria and provided 617 data points (Pearson/Spearman correlation coefficients) for systolic BP (SBP) and 547 data points for diastolic BP (DBP) for our meta-analysis. Information on sample characteristics and BP measurement protocols was extracted. Fisher z transformation and random-effects meta-regression analysis were conducted. The reported BP tracking correlation coefficients varied from -0.12 to 0.80 for SBP and from -0.16 to 0.70 for DBP, with an average of 0.38 for SBP and 0.28 for DBP. BP tracking varied significantly by baseline age and length of follow-up. The strength of BP tracking increased with baseline age by 0.012 for SBP (P
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We conducted a systematic search of PubMed for studies that examined the tracking of BP from childhood to adulthood published between January 1970 and July 2006. From 301 retrieved papers, 50 cohort studies met our inclusion criteria and provided 617 data points (Pearson/Spearman correlation coefficients) for systolic BP (SBP) and 547 data points for diastolic BP (DBP) for our meta-analysis. Information on sample characteristics and BP measurement protocols was extracted. Fisher z transformation and random-effects meta-regression analysis were conducted. The reported BP tracking correlation coefficients varied from -0.12 to 0.80 for SBP and from -0.16 to 0.70 for DBP, with an average of 0.38 for SBP and 0.28 for DBP. BP tracking varied significantly by baseline age and length of follow-up. The strength of BP tracking increased with baseline age by 0.012 for SBP (P&lt;0.001) and 0.009 for DBP (P&lt;0.001) and decreased with follow-up length by 0.008 for SBP (P&lt;0.001) and 0.005 for DBP (P&lt;0.001). BP tracking did not vary markedly across the number of BP measurements or race/population groups. Data from diverse populations show that the evidence for BP tracking from childhood into adulthood is strong. Childhood BP is associated with BP in later life, and early intervention is important.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/CIRCULATIONAHA.107.730366</identifier><identifier>PMID: 18559702</identifier><identifier>CODEN: CIRCAZ</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Adolescent ; Adult ; Age Distribution ; Asia - epidemiology ; Australia - epidemiology ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Blood Pressure Determination - methods ; Blood Pressure Determination - statistics &amp; numerical data ; Brain ; Canada - epidemiology ; Cardiology. Vascular system ; Child ; Cohort Studies ; Disease Progression ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Europe - epidemiology ; Female ; Follow-Up Studies ; Humans ; Hypertension - diagnosis ; Hypertension - epidemiology ; Investigative techniques of hemodynamics ; Investigative techniques, diagnostic techniques (general aspects) ; Israel - epidemiology ; Male ; Medical sciences ; New Zealand - epidemiology ; Predictive Value of Tests ; Regression Analysis ; Reproducibility of Results ; Sex Distribution ; United States - epidemiology</subject><ispartof>Circulation (New York, N.Y.), 2008-06, Vol.117 (25), p.3171-3180</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-44866788c8cdaad00931144ed2be8757a34d866f6698807eebd26b8a7d1266883</citedby><cites>FETCH-LOGICAL-c443t-44866788c8cdaad00931144ed2be8757a34d866f6698807eebd26b8a7d1266883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,3674,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20466663$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18559702$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Xiaoli</creatorcontrib><creatorcontrib>Wang, Youfa</creatorcontrib><title>Tracking of Blood Pressure From Childhood to Adulthood : A Systematic Review and Meta-Regression Analysis</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>A large number of studies have examined the tracking of blood pressure (BP) from childhood to adulthood, but the reported findings are inconsistent and few systematic analyses have been conducted. We conducted a systematic search of PubMed for studies that examined the tracking of BP from childhood to adulthood published between January 1970 and July 2006. From 301 retrieved papers, 50 cohort studies met our inclusion criteria and provided 617 data points (Pearson/Spearman correlation coefficients) for systolic BP (SBP) and 547 data points for diastolic BP (DBP) for our meta-analysis. Information on sample characteristics and BP measurement protocols was extracted. Fisher z transformation and random-effects meta-regression analysis were conducted. The reported BP tracking correlation coefficients varied from -0.12 to 0.80 for SBP and from -0.16 to 0.70 for DBP, with an average of 0.38 for SBP and 0.28 for DBP. BP tracking varied significantly by baseline age and length of follow-up. The strength of BP tracking increased with baseline age by 0.012 for SBP (P&lt;0.001) and 0.009 for DBP (P&lt;0.001) and decreased with follow-up length by 0.008 for SBP (P&lt;0.001) and 0.005 for DBP (P&lt;0.001). BP tracking did not vary markedly across the number of BP measurements or race/population groups. Data from diverse populations show that the evidence for BP tracking from childhood into adulthood is strong. Childhood BP is associated with BP in later life, and early intervention is important.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Asia - epidemiology</subject><subject>Australia - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Blood Pressure Determination - methods</subject><subject>Blood Pressure Determination - statistics &amp; numerical data</subject><subject>Brain</subject><subject>Canada - epidemiology</subject><subject>Cardiology. Vascular system</subject><subject>Child</subject><subject>Cohort Studies</subject><subject>Disease Progression</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Europe - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Investigative techniques of hemodynamics</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Israel - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>New Zealand - epidemiology</subject><subject>Predictive Value of Tests</subject><subject>Regression Analysis</subject><subject>Reproducibility of Results</subject><subject>Sex Distribution</subject><subject>United States - epidemiology</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1vEzEQhi0EoqHwF5A5wG2Dv9b2ckBaVpRGChSF9Gw5tjcx7K5be7dV_n0dEhU6l9GMn3lnrBeAdxjNMeb4Y7NYNdfLer24-lFf1nOMxFxQRDl_Bma4JKxgJa2egxlCqCoEJeQMvErpdy45FeVLcIZlWVYCkRnw66jNHz9sYWjhly4EC39Gl9IUHbyIoYfNznd2d-iPAdZ26sa_xSdYw1_7NLpej97Albvz7h7qwcLvbtTFym0PKj4MsB50t08-vQYvWt0l9-aUz8H1xdd1c1ksr74tmnpZGMboWDAmORdSGmms1jb_gGLMmLNk46QohabMZqLlvJISCec2lvCN1MJiwrmU9Bx8PureTJveWeOGMepO3UTf67hXQXv19GXwO7UNd4qWXHKKs8CHk0AMt5NLo-p9Mq7r9ODClBSvSL4UHTZVR9DEkFJ07eMSjNTBKPXUqNwW6mhUnn37_5X_Jk_OZOD9CdDJ6K6NejA-PXIEMZ6D0geyXp6M</recordid><startdate>20080624</startdate><enddate>20080624</enddate><creator>Chen, Xiaoli</creator><creator>Wang, Youfa</creator><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080624</creationdate><title>Tracking of Blood Pressure From Childhood to Adulthood : A Systematic Review and Meta-Regression Analysis</title><author>Chen, Xiaoli ; Wang, Youfa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-44866788c8cdaad00931144ed2be8757a34d866f6698807eebd26b8a7d1266883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Asia - epidemiology</topic><topic>Australia - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Blood Pressure Determination - methods</topic><topic>Blood Pressure Determination - statistics &amp; numerical data</topic><topic>Brain</topic><topic>Canada - epidemiology</topic><topic>Cardiology. Vascular system</topic><topic>Child</topic><topic>Cohort Studies</topic><topic>Disease Progression</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Europe - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Investigative techniques of hemodynamics</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Israel - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>New Zealand - epidemiology</topic><topic>Predictive Value of Tests</topic><topic>Regression Analysis</topic><topic>Reproducibility of Results</topic><topic>Sex Distribution</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Xiaoli</creatorcontrib><creatorcontrib>Wang, Youfa</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Xiaoli</au><au>Wang, Youfa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tracking of Blood Pressure From Childhood to Adulthood : A Systematic Review and Meta-Regression Analysis</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2008-06-24</date><risdate>2008</risdate><volume>117</volume><issue>25</issue><spage>3171</spage><epage>3180</epage><pages>3171-3180</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>A large number of studies have examined the tracking of blood pressure (BP) from childhood to adulthood, but the reported findings are inconsistent and few systematic analyses have been conducted. We conducted a systematic search of PubMed for studies that examined the tracking of BP from childhood to adulthood published between January 1970 and July 2006. From 301 retrieved papers, 50 cohort studies met our inclusion criteria and provided 617 data points (Pearson/Spearman correlation coefficients) for systolic BP (SBP) and 547 data points for diastolic BP (DBP) for our meta-analysis. Information on sample characteristics and BP measurement protocols was extracted. Fisher z transformation and random-effects meta-regression analysis were conducted. The reported BP tracking correlation coefficients varied from -0.12 to 0.80 for SBP and from -0.16 to 0.70 for DBP, with an average of 0.38 for SBP and 0.28 for DBP. BP tracking varied significantly by baseline age and length of follow-up. The strength of BP tracking increased with baseline age by 0.012 for SBP (P&lt;0.001) and 0.009 for DBP (P&lt;0.001) and decreased with follow-up length by 0.008 for SBP (P&lt;0.001) and 0.005 for DBP (P&lt;0.001). BP tracking did not vary markedly across the number of BP measurements or race/population groups. Data from diverse populations show that the evidence for BP tracking from childhood into adulthood is strong. Childhood BP is associated with BP in later life, and early intervention is important.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>18559702</pmid><doi>10.1161/CIRCULATIONAHA.107.730366</doi><tpages>10</tpages></addata></record>
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Adolescent
Adult
Age Distribution
Asia - epidemiology
Australia - epidemiology
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Blood Pressure Determination - methods
Blood Pressure Determination - statistics & numerical data
Brain
Canada - epidemiology
Cardiology. Vascular system
Child
Cohort Studies
Disease Progression
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Europe - epidemiology
Female
Follow-Up Studies
Humans
Hypertension - diagnosis
Hypertension - epidemiology
Investigative techniques of hemodynamics
Investigative techniques, diagnostic techniques (general aspects)
Israel - epidemiology
Male
Medical sciences
New Zealand - epidemiology
Predictive Value of Tests
Regression Analysis
Reproducibility of Results
Sex Distribution
United States - epidemiology
title Tracking of Blood Pressure From Childhood to Adulthood : A Systematic Review and Meta-Regression Analysis
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