Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension

ABSTRACT: This study evaluated the accuracy of four height-based equations: blood pressure to height ratio (BPHR), modified BPHR (MBPHR), new modified BPHR (NMBPHR), and height-based equations (HBE) for screening elevated BP in children and adolescents in the SAYCARE study. We measured height and BP...

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Detalles Bibliográficos
Autores: Skapino, Estela, Rupérez, Azahara Iris, Restrepo Mesa, Sandra Lucía, Araújo Moura, Keisyanne, Moraes, Augusto César De, Barbosa Carvalho, Heráclito, Aristizábal Rivera, Juan Carlos, Moreno, Luis Alberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Colombia
Institución:Universidad de Antioquia
Repositorio:Repositorio UdeA
Idioma:inglés
OAI Identifier:oai:bibliotecadigital.udea.edu.co:10495/23425
Acceso en línea:http://hdl.handle.net/10495/23425
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087
Access Level:acceso abierto
Palabra clave:Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
Adolescentes
Teenagers
Niños
Children
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spelling Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical HypertensionSkapino, EstelaRupérez, Azahara IrisRestrepo Mesa, Sandra LucíaAraújo Moura, KeisyanneMoraes, Augusto César DeBarbosa Carvalho, HeráclitoAristizábal Rivera, Juan CarlosMoreno, Luis AlbertoPresión SanguíneaBlood PressureHipertensiónHypertensionAdolescentesTeenagersNiñosChildrenABSTRACT: This study evaluated the accuracy of four height-based equations: blood pressure to height ratio (BPHR), modified BPHR (MBPHR), new modified BPHR (NMBPHR), and height-based equations (HBE) for screening elevated BP in children and adolescents in the SAYCARE study. We measured height and BP of 829 children and adolescents from seven South American cities. Receiving operating curves were used to assess formula performance to diagnose elevated BP in comparison to the 2017 clinical guideline. Sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were calculated for the four screening formulas. The diagnostic agreement was evaluated with the kappa coefficient. The HBE equation showed the maximum sensitivity (100%) in children, both for boys and girls, and showed the best performance results, with a very high NPV (>99%) and high PPV (>60%) except for female children (53.8%). In adolescents, the highest sensitivity (100%) was achieved with the NMBPHR for both sexes. Kappa coefficients indicated that HBE had the highest agreement with the gold standard diagnostic method (between 0.70 and 0.75), except for female children (0.57). Simplified methods are friendlier than the percentile gold standard tables. The HBE equation showed better performance than the other formulas in this Latin American pediatric population.COL0000407COL0007328WileyAlimentación y Nutrición HumanaGrupo de Investigación en Fisiología y Bioquímica - PhysisHoboken, Estados Unidos2021-10-25T15:19:03Z2021-10-25T15:19:03Z2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigación9application/pdfSkapino E, Rupérez AI, Restrepo-Mesa S, et al. Hegiht-based equations as screening tools for elevated blood pressure in te SAYCARE study. J Clin Hypertens. 2020; 22:2221-2229. https://doi,org/10.1111/jch.140871524-6175http://hdl.handle.net/10495/2342510.1111/jch.140871751-7176https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087engJ. Clin. Hypertens.info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-nd/4.0/reponame:Repositorio UdeAinstname:Universidad de Antioquiainstacron:Universidad de Antioquia2021-10-25T18:40:48Z
dc.title.none.fl_str_mv Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
spellingShingle Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
Skapino, Estela
Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
Adolescentes
Teenagers
Niños
Children
title_short Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_full Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_fullStr Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_full_unstemmed Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_sort Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
dc.creator.none.fl_str_mv Skapino, Estela
Rupérez, Azahara Iris
Restrepo Mesa, Sandra Lucía
Araújo Moura, Keisyanne
Moraes, Augusto César De
Barbosa Carvalho, Heráclito
Aristizábal Rivera, Juan Carlos
Moreno, Luis Alberto
author Skapino, Estela
author_facet Skapino, Estela
Rupérez, Azahara Iris
Restrepo Mesa, Sandra Lucía
Araújo Moura, Keisyanne
Moraes, Augusto César De
Barbosa Carvalho, Heráclito
Aristizábal Rivera, Juan Carlos
Moreno, Luis Alberto
author_role author
author2 Rupérez, Azahara Iris
Restrepo Mesa, Sandra Lucía
Araújo Moura, Keisyanne
Moraes, Augusto César De
Barbosa Carvalho, Heráclito
Aristizábal Rivera, Juan Carlos
Moreno, Luis Alberto
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
Adolescentes
Teenagers
Niños
Children
topic Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
Adolescentes
Teenagers
Niños
Children
description ABSTRACT: This study evaluated the accuracy of four height-based equations: blood pressure to height ratio (BPHR), modified BPHR (MBPHR), new modified BPHR (NMBPHR), and height-based equations (HBE) for screening elevated BP in children and adolescents in the SAYCARE study. We measured height and BP of 829 children and adolescents from seven South American cities. Receiving operating curves were used to assess formula performance to diagnose elevated BP in comparison to the 2017 clinical guideline. Sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were calculated for the four screening formulas. The diagnostic agreement was evaluated with the kappa coefficient. The HBE equation showed the maximum sensitivity (100%) in children, both for boys and girls, and showed the best performance results, with a very high NPV (>99%) and high PPV (>60%) except for female children (53.8%). In adolescents, the highest sensitivity (100%) was achieved with the NMBPHR for both sexes. Kappa coefficients indicated that HBE had the highest agreement with the gold standard diagnostic method (between 0.70 and 0.75), except for female children (0.57). Simplified methods are friendlier than the percentile gold standard tables. The HBE equation showed better performance than the other formulas in this Latin American pediatric population.
publishDate 2020
dc.date.none.fl_str_mv 2020
2021-10-25T15:19:03Z
2021-10-25T15:19:03Z
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_2df8fbb1
https://purl.org/redcol/resource_type/ART
Artículo de investigación
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv Skapino E, Rupérez AI, Restrepo-Mesa S, et al. Hegiht-based equations as screening tools for elevated blood pressure in te SAYCARE study. J Clin Hypertens. 2020; 22:2221-2229. https://doi,org/10.1111/jch.14087
1524-6175
http://hdl.handle.net/10495/23425
10.1111/jch.14087
1751-7176
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087
identifier_str_mv Skapino E, Rupérez AI, Restrepo-Mesa S, et al. Hegiht-based equations as screening tools for elevated blood pressure in te SAYCARE study. J Clin Hypertens. 2020; 22:2221-2229. https://doi,org/10.1111/jch.14087
1524-6175
10.1111/jch.14087
1751-7176
url http://hdl.handle.net/10495/23425
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv J. Clin. Hypertens.
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/2.5/co/
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.none.fl_str_mv 9
application/pdf
dc.publisher.none.fl_str_mv Wiley
Alimentación y Nutrición Humana
Grupo de Investigación en Fisiología y Bioquímica - Physis
Hoboken, Estados Unidos
publisher.none.fl_str_mv Wiley
Alimentación y Nutrición Humana
Grupo de Investigación en Fisiología y Bioquímica - Physis
Hoboken, Estados Unidos
dc.source.none.fl_str_mv reponame:Repositorio UdeA
instname:Universidad de Antioquia
instacron:Universidad de Antioquia
instname_str Universidad de Antioquia
instacron_str Universidad de Antioquia
institution Universidad de Antioquia
reponame_str Repositorio UdeA
collection Repositorio UdeA
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score 15.812429

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