[A statistical epidemiologic study of arterial pressure in schoolchildren in Harghita County to establish normal values].

A Balla, M Tamás, Z Mester, A Jaklovszky, M Lörincz, B Nagy, J Ambrus, B Kertész, I Csizmás, P András
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Abstract

The epidemiological study was organized in schools in urban and rural areas. The study is readily reproducible and can be carried out longitudinally in the course of several years. Blood pressure was determined in children ranging in age from 7 to 14 years, and included 1838 children from urban areas--954 boys and 884 girls, and 1622 from rural areas--838 boys and 784 girls, per total 3460 children. Recording was done in the classroom in a quiet, friendly atmosphere, eliminating all psychical factors that might influence pressure, and was never taken before or after physical education. The pressure gage was applied on the right arm the cuff being adjusted to a child's arm. Pressure was determined thrice by two doctors independently, according to the Korotkov method, phase IV representing diastolic pressure. The data were processed statistically calculating the mean and standard deviation per determinations, per age, and finally calculating the proportions (individual values in the range of initial variations that correspond to percentages of 5, 25, 50, 75, 90, 95) of the total population analyzed. The tables give the results of systolic and diastolic pressure values in children in urban and in rural areas, as well as percentile curves of the systolic and diastolic pressure per sex. On the basis of the results children were considered to be candidates to high blood pressure whose systolic and/or diastolic tension in terms of age and sex was situated at percentage 95 or higher.

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[对哈尔滨县小学生动脉压的统计流行病学研究,以建立正常值]。
在城市和农村地区的学校组织了流行病学研究。这项研究很容易重复,可以在几年的时间里进行纵向研究。测量了7至14岁儿童的血压,包括1838名来自城市地区的儿童(954名男孩和884名女孩)和1622名来自农村地区的儿童(每3460名儿童中有838名男孩和784名女孩)。录音在安静、友好的教室里进行,消除了所有可能影响压力的心理因素,从不在体育课之前或之后进行。压力计被应用在右臂上,袖带被调整到孩子的手臂上。根据Korotkov方法,由两名医生独立测定三次血压,第四期代表舒张压。对数据进行统计处理,计算每次测定、每次年龄的平均值和标准差,最后计算所分析的总体比例(初始变化范围内的个体值,对应于5、25、50、75、90、95的百分比)。表格给出了城市和农村地区儿童的收缩压和舒张压值的结果,以及男女收缩压和舒张压的百分位数曲线。根据结果,儿童被认为是高血压的候选者,其收缩压和/或舒张压在年龄和性别方面位于95%或更高。
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