Familial Aggregation of Blood Pressures of Newborn Infants and Their Mothers

PEDIATRICS ◽  
1976 ◽  
Vol 58 (5) ◽  
pp. 722-729
Author(s):  
Yhu-Hsiung Lee ◽  
Bernard Rosner ◽  
Jeffrey B. Gould ◽  
Ernest W. Lowe ◽  
Edward H. Kass

The blood pressures and pulse rates of 257 normal full-term infants and their mothers were measured two to four days after birth. Birthweight was correlated with systolic (P = .038), but not with diastolic blood pressure. Infants who were asleep had significantly lower systolic and diastolic blood pressure than infants who were awake (P < .001). Sex, body length, and feedings did not appear to influence infant's blood pressure nor did the anesthesia given to the mothers. Maternal diastolic pressure correlated with infant's diastolic pressure (regression coefficient, .128) (P < .01), whereas for systolic pressure the regression coefficient between maternal and infant pressure was .085 (P = NS). The aggregation between the diastolic blood pressures of infants and mothers was not influenced by birthweight, age of the mother, or medication administered to the mother. The pulse rates of black infants were significantly higher than those of white infants (P < .002). There was correlation between the pulse rates and blood pressures in infants.

PEDIATRICS ◽  
1991 ◽  
Vol 87 (5) ◽  
pp. 708-711
Author(s):  
Matthew W. Gillman ◽  
Bernard Rosner ◽  
Denis A. Evans ◽  
Laurel A. Smith ◽  
James O. Taylor ◽  
...  

Previous studies of childhood blood pressure have shown tracking correlations, which estimate the magnitude of association between initial and subsequent measurements, to be lower than corresponding adult values. Inasmuch as this disparity could arise from failing to account for a larger week-to-week variability in children, blood pressure was measured for 4 successive years, on four weekly visits in each year, and with three measurements at each visit, using a random-zero sphygmomanometer, in a cohort of 333 schoolchildren aged 8 through 15 at entry. Ninety percent of subjects had measurements in 1 or more years of follow-up. For all follow-up periods (1, 2, and 3 years from baseline), the Pearson correlation coefficient (r) for both systolic and diastolic blood pressure rose substantially with the number of weekly visits used to calculate each subject's yearly blood pressure (P < .0001). For systolic pressure, the 3-year r values for 1, 2, 3, and 4 visits were .45, .55, .64, and .69, respectively. For diastolic pressure (Korotkoff phase 4), the corresponding values were .28, .41, .47, and .54. These higher multiple-visit estimates of tracking approximate published adult values and raise the possibility that prediction of adult blood pressure from childhood measurements may be improved by averaging readings from multiple weekly visits.


2017 ◽  
Vol 4 (4) ◽  
pp. 1218
Author(s):  
Balakrishnan Nadesan ◽  
Mani Madhavan Sachithananthamoorthi ◽  
Sivaraman Thirumalaikumarasamy ◽  
Ezhilarasu Ramalingam

Background: Hypertension is considered as a major health issue in developed as well as developing countries and its possible origin during childhood prompts pediatricians to routinely include measurement of blood pressure (BP) as an integral part of pediatric physical examination. The objectives of the study were to evaluate the normal range of blood pressure in adolescent school going students of 12-16 years, prevalence of hypertension and relationship of BP with variables like age, body mass index (BMI), socioeconomic status and family history of hypertension.Methods: A cross sectional study was undertaken for a period of one year in adolescent school children in age groups between 12-16 years. Detailed clinical examination was done in 1060 adolescent school children and BP was recorded in right upper limb and correlation of BP with BMI, family history of hypertension and diabetes were studied.Results: Mean systolic and diastolic pressure showed linear relationship with age. There was a highly statistically significant difference between mean systolic and diastolic blood pressure between lower and middle socio-economic class. Prevalence of obesity in our study was 1.13%, overweight was 7.83%. Prevalence of hypertension in obese children was 33.33% and in overweight children 18.07%. Family history of hypertension and diabetes carry a significant correlation with elevated systolic and diastolic blood pressure in adolescents.Conclusions: This study revealed that socio economic factors play a significant role in determining the blood pressure of the individual. Children of middle class have significantly elevated mean systolic pressure and mean diastolic pressure than low socio-economic groups. 


PEDIATRICS ◽  
1960 ◽  
Vol 25 (1) ◽  
pp. 50-53
Author(s):  
Robert L. Morse ◽  
Gordon L. Brownell ◽  
James H. Currens

Systolic and diastolic blood pressures have been determined in 20 infants by the use of an automatic blood pressure-recording machine. The mean systolic blood pressure was 7.1 cm Hg (range 5.8 to 9.5). The mean diastolic blood pressure was 5.2 cm Hg (range 4.2 to 6.4).


1980 ◽  
Vol 51 (2) ◽  
pp. 667-674
Author(s):  
John E. Martin ◽  
Leonard H. Epstein

A multiple baseline across subject/settings design was employed to assess the specificity of the effects of progressive relaxation in two recently diagnosed, mild hypertensives. Relaxation was implemented successively across laboratory and home settings. In Subject 1, laboratory relaxation was associated with control over diastolic blood pressure, while in Subject 2, control over systolic pressure was observed. Improvements to normotensive levels were observed for both subjects, and the changes were maintained in both settings for Subject 2 at 6- and 12-mo. follow-up. Subject 1 discontinued her medications, relaxation, and self-monitoring of blood pressure, which was associated with an increase in blood pressure during treatment maintenance; however, at 6- and 12-mo. follow-up, both home and laboratory blood pressures were within normotensive range.


1979 ◽  
Vol 237 (6) ◽  
pp. H720-H723 ◽  
Author(s):  
L. R. Klevans ◽  
G. Hirkaler ◽  
J. L. Kovacs

The Doppler ultrasonic recording technique was used to measure systolic and diastolic blood pressures indirectly in renal hypertensive cats. The accuracy of the method was evaluated by comparing indirect blood pressures from one leg of a cat with direct pressure measurements from the other leg. A linear relationship existed between indirect and direct systolic and diastolic pressures. The consistency of the method was assessed by measuring blood pressure during a 5-h monitoring period in normotensive and renal hypertensive cats. No significant variation occurred over this period. The sensitivity of the method to blood pressure changes was determined also. A significant reduction in systolic and diastolic pressure induced by hydralazine, 10 mg/kg po, was recorded during a 5-h monitoring period. The development of renovascular hypertension was followed for approximately 70 days. Systolic pressure rose in a logarithmic fashion from 160 to a maximum of 240 mmHg. It was concluded that the Doppler ultrasonic technique is a simple and reliable method for recording indirect blood pressure acutely and chronically in conscious unrestrained cats.


Hypertension ◽  
2012 ◽  
Vol 60 (suppl_1) ◽  
Author(s):  
Radhakrishna R Kallem ◽  
Kevin Meyers ◽  
Deirdre Sawinski ◽  
Raymond R Townsend

Introduction Ambulatory blood pressure monitoring (ABPM) has been proposed as the most effective way to characterize a person’s BP profile. However, there are very limited data in the literature comparing two simultaneously worn ABPM devices. Therefore, we compared an eight hour daytime simultaneous ABPM using two monitors (Mobil-O-Graph [I.E.M., Stolberg, Germany] and Spacelabs 90207 [Spacelabs Medical, Issequah, WA]). Methods Simultaneous BP and heart rate data were measured on 13 adult volunteers at the University of Pennsylvania using the two monitors over an 8 hour period. Other demographic data were also collected. Standard seated BPs were obtained in triplicate at the beginning and end of the 8 hour monitoring period using an Accutor (Datascope, Mahwah, NJ) device. Three blood pressures were obtained at 1 minute intervals, recorded and averaged for each arm using the Accutor device. Results The data show high concordance of measured mean arterial pressures (Mobil-O-Graph 101.4 [SEM-2.0] mmHg, Spacelabs 100.6 [SEM-2.4] mmHg) and heart rates (Mobil-O-Graph measuring 82.4 [ SEM- 4.1] beats/minute, Spacelabs 81.7 [4.0] beats/minute) between the monitors. Spacelabs measured a 10 mmHg higher systolic pressure (p=0.0016) and a non-statistically significant, but numerically higher (2.8 mmHg) diastolic pressure (Figure 1). Conclusion The systolic BP difference between the two devices has public health importance. These differences if confirmed in larger cohorts, ABPM manufacturers should consider developing a normative database to help practitioners interpret ABPM data obtained with their device.


PEDIATRICS ◽  
1972 ◽  
Vol 50 (3) ◽  
pp. 387-394
Author(s):  
Colin H. M. Walker ◽  
Phillip J. West ◽  
Sanford L. Simons ◽  
Anthony R. Whytock

An impedance plethysmographic method for measuring systolic and diastolic blood pressures in small infants using standard electro-cardiogram recorders has been studied. The overall 95% confidence limit of the mean of five estimations was found to be ±3.74 mm Hg for the systolic and ±3.72 mm Hg for the diastolic value. Comparing this method with intra-arterial measurements gave correlation coefficients (r) of 0.95 (bias 10.09 mm Hg) for systolic pressure and 0.89 (Bias 10.09 mm Hg) for diastolic pressure. Values for the comparison with auscultation were 0.98 (bias 19.29 mm Hg) systolic and 0.86 (bias 10.17 mm Hg) diastolic, and for the comparison of the arithmetic mean value with the flush method 0.84 (bias 30.17 mm Hg). These results reveal a good correlation with the intra-arterial measurements and indicate that this technique can be used for the periodic or continuous blood pressure monitoring of infants.


1982 ◽  
Vol 242 (1) ◽  
pp. H127-H130 ◽  
Author(s):  
B. C. Hodgkin ◽  
D. E. Burkett ◽  
E. B. Smith

Arterial blood pressure was measured noninvasively using Doppler ultrasound and an occluding cuff. The subjects were 28 domestic pigs (10-49 kg) anesthetized with pentobarbital sodium (25 mg/kg). Indirect pressure measurements were made with the Doppler unit placed over the radial or the ulnar artery proximal to the carpal joint. Comparison was made with directly measured pressure to determine the reliability and reproducibility of the indirect method. Direct systolic pressures between 73 and 230 mmHg and diastolic pressures between 52 and 165 mmHg were measured. There was no significant difference between directly and indirectly measured systolic pressure (P greater than 0.20). Indirectly measured diastolic pressure tended to be lower than direct diastolic pressure, the difference by the paired t test being significant to P = 0.06. For systolic pressure the sample correlation coefficient was 0.94, and for diastolic pressure, 0.88. Both systolic and diastolic blood pressure can be accurately measured in the anesthetized pig using Doppler ultrasound and an occluding cuff.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Joko Tri Atmojo ◽  
Made Mahaguna Putra ◽  
Ni Made Dewi Yunica Astriani ◽  
Putu Indah Sintya Dewi ◽  
Tjahja Bintoro

Background: Hypertension is associated with an increase in systolic pressure or diastolic pressure or the pressure of both. Hypertension is defined as persistently high blood pressure where the systolic pressure above 140 mmHg and diastolic pressure above 90 mmHg. One of the non-pharmacological treatments for hypertension is with Benson relaxation therapy. The purpose of this research was to analyze the effect of Benson relaxation therapy on blood pressure in patients with hypertension in Unggahan Village. Method: The research design was a pra-experimental design with one group pre-post test design. The research sample consisted of 30 people. The sampling technique used non-probability sampling with techniques purposive sampling and data from respondents was collected by using a digital tensimeter measuring instrument. This study used a Paired t-test examination significant standard α=0.05. Result: The result of the study shows that before was given a Benson relaxation therapy that was Mean systolic blood pressure is 149.93, and the Mean diastolic blood pressure is 89.33. Then, after giving a Benson relaxation therapy that was Mean systolic blood pressure is 138.97 and the Mean diastolic blood pressure is 84.07. The results of the examination Paired t-test, obtained the score p pre and post (0,000) < α (0,05), which means that H0 is ferected and Ha accepted. Conclusion: Thus, it can be concluded that there is an effect of Benson relaxation therapy on blood pressure in patients with hypertension in Unggahan Village.


2021 ◽  
Vol 3 (1) ◽  
pp. 01-08
Author(s):  
Merrill G.F.

During Fall Semester, 2019, and Spring Semester, 2020, we had 287 students participate in a blood pressure measuring exercise. Subjects included both male (n=90) and female (n=197) students from multinational backgrounds and ethnicities. Pressures were measured traditionally and nontraditionally at 8:40 a.m., 1:40 p.m., and 6:40 p.m. Data were collected after the students had been instrumented and were lying quietly on a cot for 15-20 minutes (time for baseline data to reach steady state conditions). Both systolic and diastolic blood pressures were significantly greater in males than in females (P<0.05). Blood pressures were also significantly greater in the 6:40 p.m. group vs either 1:40 p.m. or 8:40 a.m. There was also a quadratic trend for blood pressures to be elevated in the morning group compared with the 1:40 p.m. group. Correlations between both systolic and diastolic blood pressures and BMI were also significant. BMI was a much stronger predictor of systolic (P<0.001) than of diastolic pressure (P<0.05). For every unit increase in BMI, systolic pressure increased 1.1 mmHg, and for each unit increase in BMI, diastolic pressure rose 0.4 mmHg. Results suggest that otherwise healthy young adult university students should be more aware of their blood pressure and the influences of obesity and overweight on it. They should try harder to achieve and maintain healthier lifestyles. This should include, but not be limited to, being more careful with their diets and being physically more active. Students should also avoid/limit unhealthy habits such as smoking, vaping, drinking (alcohol), and consuming caffeinated beverages.


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