Seasonal variation of blood pressure in children
Seasonal blood pressure (BP) variation is mostly found between the summer and winter months. Guidelines for diagnosis and treatment of hypertension in children have not considered this variation until recently. This review aims to present an overview of seasonal BP variation in childhood along with...
Gespeichert in:
Veröffentlicht in: | Pediatric nephrology (Berlin, West) West), 2021-08, Vol.36 (8), p.2257-2263 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 2263 |
---|---|
container_issue | 8 |
container_start_page | 2257 |
container_title | Pediatric nephrology (Berlin, West) |
container_volume | 36 |
creator | Ziegelasch, Niels Vogel, Mandy Siekmeyer, Werner Billing, Heiko Dähnert, Ingo Kiess, Wieland |
description | Seasonal blood pressure (BP) variation is mostly found between the summer and winter months. Guidelines for diagnosis and treatment of hypertension in children have not considered this variation until recently. This review aims to present an overview of seasonal BP variation in childhood along with potential underlying pathophysiological mechanisms and long-term implications as well as conclusions for future studies. In pediatric cohorts, seven studies investigated seasonal changes in BP. These changes amount to 3.4–5.9 mmHg (or 0.5–1.5 mmHg per − 1 °C difference in environmental temperature) in systolic BP with a peak in fall or winter. Potential mechanisms and mediators of seasonal BP variation include sympathetic activation of the nervous system with an increase of urinary and plasma norepinephrine levels in the winter season. Additionally, the physical activity among children and adolescents was inversely correlated with BP levels. Temperature sensitivity of BP and pediatric BP levels predict future systolic BP and target-organ damage. Therefore, cardiovascular events may even be long-term complications of seasonal BP variation in pediatric hypertensive patients. Overall, these data strongly suggest an important effect of ambient temperature on BP in children. Additional studies in pediatric cohorts are needed to define how best to incorporate such variation into clinical practice. |
doi_str_mv | 10.1007/s00467-020-04823-w |
format | Article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8260525</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A667704974</galeid><sourcerecordid>A667704974</sourcerecordid><originalsourceid>FETCH-LOGICAL-c610t-fe50a2b834c05e32f9c5b5e28127e014517c8d714af5507fa427854337c711e33</originalsourceid><addsrcrecordid>eNp9kl1rFDEYhYModl39A17IgCDeTH3zNcneCKX4BQUvVOhdyGbe2U3JJmsy0-K_N-vWtiuL5CKQ9zkn4eQQ8pLCKQVQ7wqA6FQLDFoQmvH25hGZUcFZSxf68jGZwYLTOqKXJ-RZKVcAoKXunpITzhmlVMGMwDe0JUUbmmubvR19ik0ammVIqW-2GUuZMjY-Nm7tQ58xPidPBhsKvrjd5-THxw_fzz-3F18_fTk_u2hdR2FsB5Rg2VJz4UAiZ8PCyaVEpilTCFRIqpzuFRV2kBLUYAVTWgrOlVOUIudz8n7vu52WG-wdxjHbYLbZb2z-ZZL15nAS_dqs0rXRrAPJZDV4e2uQ088Jy2g2vjgMwUZMUzFMdEzUEGpwc_L6H_QqTbmGUikp9AK4VN09tbIBjY9Dqve6nak56zqlQCyUqFR7hFphxPrIFHHw9fiAPz3C19XjxrujgjcPBGu0YVyXFKbd15VDkO1Bl1MpGYe78CiYXYHMvkCmFsj8KZC5qaJXD2O_k_xtTAX4Hih1FFeY77P6j-1vHqHNQA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2548903576</pqid></control><display><type>article</type><title>Seasonal variation of blood pressure in children</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ziegelasch, Niels ; Vogel, Mandy ; Siekmeyer, Werner ; Billing, Heiko ; Dähnert, Ingo ; Kiess, Wieland</creator><creatorcontrib>Ziegelasch, Niels ; Vogel, Mandy ; Siekmeyer, Werner ; Billing, Heiko ; Dähnert, Ingo ; Kiess, Wieland</creatorcontrib><description>Seasonal blood pressure (BP) variation is mostly found between the summer and winter months. Guidelines for diagnosis and treatment of hypertension in children have not considered this variation until recently. This review aims to present an overview of seasonal BP variation in childhood along with potential underlying pathophysiological mechanisms and long-term implications as well as conclusions for future studies. In pediatric cohorts, seven studies investigated seasonal changes in BP. These changes amount to 3.4–5.9 mmHg (or 0.5–1.5 mmHg per − 1 °C difference in environmental temperature) in systolic BP with a peak in fall or winter. Potential mechanisms and mediators of seasonal BP variation include sympathetic activation of the nervous system with an increase of urinary and plasma norepinephrine levels in the winter season. Additionally, the physical activity among children and adolescents was inversely correlated with BP levels. Temperature sensitivity of BP and pediatric BP levels predict future systolic BP and target-organ damage. Therefore, cardiovascular events may even be long-term complications of seasonal BP variation in pediatric hypertensive patients. Overall, these data strongly suggest an important effect of ambient temperature on BP in children. Additional studies in pediatric cohorts are needed to define how best to incorporate such variation into clinical practice.</description><identifier>ISSN: 0931-041X</identifier><identifier>EISSN: 1432-198X</identifier><identifier>DOI: 10.1007/s00467-020-04823-w</identifier><identifier>PMID: 33211170</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Care and treatment ; Child ; Children ; Diagnosis ; Educational Review ; Environmental aspects ; Humans ; Hypertension ; Hypertension - diagnosis ; Hypertension - epidemiology ; Medicine ; Medicine & Public Health ; Nephrology ; Nervous system ; Norepinephrine ; Pediatric research ; Pediatrics ; Physical activity ; Seasonal variations ; Seasonal variations (Diseases) ; Seasons ; Temperature ; Urology ; What’s new in Hypertension ; Winter</subject><ispartof>Pediatric nephrology (Berlin, West), 2021-08, Vol.36 (8), p.2257-2263</ispartof><rights>The Author(s) 2020</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-fe50a2b834c05e32f9c5b5e28127e014517c8d714af5507fa427854337c711e33</citedby><cites>FETCH-LOGICAL-c610t-fe50a2b834c05e32f9c5b5e28127e014517c8d714af5507fa427854337c711e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00467-020-04823-w$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00467-020-04823-w$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33211170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ziegelasch, Niels</creatorcontrib><creatorcontrib>Vogel, Mandy</creatorcontrib><creatorcontrib>Siekmeyer, Werner</creatorcontrib><creatorcontrib>Billing, Heiko</creatorcontrib><creatorcontrib>Dähnert, Ingo</creatorcontrib><creatorcontrib>Kiess, Wieland</creatorcontrib><title>Seasonal variation of blood pressure in children</title><title>Pediatric nephrology (Berlin, West)</title><addtitle>Pediatr Nephrol</addtitle><addtitle>Pediatr Nephrol</addtitle><description>Seasonal blood pressure (BP) variation is mostly found between the summer and winter months. Guidelines for diagnosis and treatment of hypertension in children have not considered this variation until recently. This review aims to present an overview of seasonal BP variation in childhood along with potential underlying pathophysiological mechanisms and long-term implications as well as conclusions for future studies. In pediatric cohorts, seven studies investigated seasonal changes in BP. These changes amount to 3.4–5.9 mmHg (or 0.5–1.5 mmHg per − 1 °C difference in environmental temperature) in systolic BP with a peak in fall or winter. Potential mechanisms and mediators of seasonal BP variation include sympathetic activation of the nervous system with an increase of urinary and plasma norepinephrine levels in the winter season. Additionally, the physical activity among children and adolescents was inversely correlated with BP levels. Temperature sensitivity of BP and pediatric BP levels predict future systolic BP and target-organ damage. Therefore, cardiovascular events may even be long-term complications of seasonal BP variation in pediatric hypertensive patients. Overall, these data strongly suggest an important effect of ambient temperature on BP in children. Additional studies in pediatric cohorts are needed to define how best to incorporate such variation into clinical practice.</description><subject>Adolescent</subject><subject>Blood Pressure</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Children</subject><subject>Diagnosis</subject><subject>Educational Review</subject><subject>Environmental aspects</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Nervous system</subject><subject>Norepinephrine</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>Physical activity</subject><subject>Seasonal variations</subject><subject>Seasonal variations (Diseases)</subject><subject>Seasons</subject><subject>Temperature</subject><subject>Urology</subject><subject>What’s new in Hypertension</subject><subject>Winter</subject><issn>0931-041X</issn><issn>1432-198X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kl1rFDEYhYModl39A17IgCDeTH3zNcneCKX4BQUvVOhdyGbe2U3JJmsy0-K_N-vWtiuL5CKQ9zkn4eQQ8pLCKQVQ7wqA6FQLDFoQmvH25hGZUcFZSxf68jGZwYLTOqKXJ-RZKVcAoKXunpITzhmlVMGMwDe0JUUbmmubvR19ik0ammVIqW-2GUuZMjY-Nm7tQ58xPidPBhsKvrjd5-THxw_fzz-3F18_fTk_u2hdR2FsB5Rg2VJz4UAiZ8PCyaVEpilTCFRIqpzuFRV2kBLUYAVTWgrOlVOUIudz8n7vu52WG-wdxjHbYLbZb2z-ZZL15nAS_dqs0rXRrAPJZDV4e2uQ088Jy2g2vjgMwUZMUzFMdEzUEGpwc_L6H_QqTbmGUikp9AK4VN09tbIBjY9Dqve6nak56zqlQCyUqFR7hFphxPrIFHHw9fiAPz3C19XjxrujgjcPBGu0YVyXFKbd15VDkO1Bl1MpGYe78CiYXYHMvkCmFsj8KZC5qaJXD2O_k_xtTAX4Hih1FFeY77P6j-1vHqHNQA</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Ziegelasch, Niels</creator><creator>Vogel, Mandy</creator><creator>Siekmeyer, Werner</creator><creator>Billing, Heiko</creator><creator>Dähnert, Ingo</creator><creator>Kiess, Wieland</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</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>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210801</creationdate><title>Seasonal variation of blood pressure in children</title><author>Ziegelasch, Niels ; Vogel, Mandy ; Siekmeyer, Werner ; Billing, Heiko ; Dähnert, Ingo ; Kiess, Wieland</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-fe50a2b834c05e32f9c5b5e28127e014517c8d714af5507fa427854337c711e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Blood Pressure</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Children</topic><topic>Diagnosis</topic><topic>Educational Review</topic><topic>Environmental aspects</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrology</topic><topic>Nervous system</topic><topic>Norepinephrine</topic><topic>Pediatric research</topic><topic>Pediatrics</topic><topic>Physical activity</topic><topic>Seasonal variations</topic><topic>Seasonal variations (Diseases)</topic><topic>Seasons</topic><topic>Temperature</topic><topic>Urology</topic><topic>What’s new in Hypertension</topic><topic>Winter</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ziegelasch, Niels</creatorcontrib><creatorcontrib>Vogel, Mandy</creatorcontrib><creatorcontrib>Siekmeyer, Werner</creatorcontrib><creatorcontrib>Billing, Heiko</creatorcontrib><creatorcontrib>Dähnert, Ingo</creatorcontrib><creatorcontrib>Kiess, Wieland</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric nephrology (Berlin, West)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ziegelasch, Niels</au><au>Vogel, Mandy</au><au>Siekmeyer, Werner</au><au>Billing, Heiko</au><au>Dähnert, Ingo</au><au>Kiess, Wieland</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Seasonal variation of blood pressure in children</atitle><jtitle>Pediatric nephrology (Berlin, West)</jtitle><stitle>Pediatr Nephrol</stitle><addtitle>Pediatr Nephrol</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>36</volume><issue>8</issue><spage>2257</spage><epage>2263</epage><pages>2257-2263</pages><issn>0931-041X</issn><eissn>1432-198X</eissn><abstract>Seasonal blood pressure (BP) variation is mostly found between the summer and winter months. Guidelines for diagnosis and treatment of hypertension in children have not considered this variation until recently. This review aims to present an overview of seasonal BP variation in childhood along with potential underlying pathophysiological mechanisms and long-term implications as well as conclusions for future studies. In pediatric cohorts, seven studies investigated seasonal changes in BP. These changes amount to 3.4–5.9 mmHg (or 0.5–1.5 mmHg per − 1 °C difference in environmental temperature) in systolic BP with a peak in fall or winter. Potential mechanisms and mediators of seasonal BP variation include sympathetic activation of the nervous system with an increase of urinary and plasma norepinephrine levels in the winter season. Additionally, the physical activity among children and adolescents was inversely correlated with BP levels. Temperature sensitivity of BP and pediatric BP levels predict future systolic BP and target-organ damage. Therefore, cardiovascular events may even be long-term complications of seasonal BP variation in pediatric hypertensive patients. Overall, these data strongly suggest an important effect of ambient temperature on BP in children. Additional studies in pediatric cohorts are needed to define how best to incorporate such variation into clinical practice.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33211170</pmid><doi>10.1007/s00467-020-04823-w</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0931-041X |
ispartof | Pediatric nephrology (Berlin, West), 2021-08, Vol.36 (8), p.2257-2263 |
issn | 0931-041X 1432-198X |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8260525 |
source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Adolescent Blood Pressure Blood Pressure Monitoring, Ambulatory Care and treatment Child Children Diagnosis Educational Review Environmental aspects Humans Hypertension Hypertension - diagnosis Hypertension - epidemiology Medicine Medicine & Public Health Nephrology Nervous system Norepinephrine Pediatric research Pediatrics Physical activity Seasonal variations Seasonal variations (Diseases) Seasons Temperature Urology What’s new in Hypertension Winter |
title | Seasonal variation of blood pressure in children |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T15%3A58%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Seasonal%20variation%20of%20blood%20pressure%20in%20children&rft.jtitle=Pediatric%20nephrology%20(Berlin,%20West)&rft.au=Ziegelasch,%20Niels&rft.date=2021-08-01&rft.volume=36&rft.issue=8&rft.spage=2257&rft.epage=2263&rft.pages=2257-2263&rft.issn=0931-041X&rft.eissn=1432-198X&rft_id=info:doi/10.1007/s00467-020-04823-w&rft_dat=%3Cgale_pubme%3EA667704974%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2548903576&rft_id=info:pmid/33211170&rft_galeid=A667704974&rfr_iscdi=true |