TY - JOUR
T1 - Secular trends and age-specific distribution of blood pressure in Japanese adolescents aged 12–18 years in 2000–2019
AU - Azegami, Tatsuhiko
AU - Uchida, Keiko
AU - Sato, Yasunori
AU - Murai-Takeda, Ayano
AU - Inokuchi, Mikako
AU - Hayashi, Kaori
AU - Mori, Masaaki
N1 - Publisher Copyright: © 2023, The Author(s), under exclusive licence to The Japanese Society of Hypertension.
PY - 2024/1
Y1 - 2024/1
N2 - Adolescent blood pressure is a predictor of future risk for hypertension and cardiovascular diseases, and therefore its status needs to be accurately determined. However, limited evidence is ailable regarding the secular trends and distribution of adolescent blood pressure. In the present study, we assessed the secular trends and age-specific distributions of blood pressure in Japanese adolescents aged 12–18 years by using data drawn from 20 years of annual health checkups conducted between 2000 and 2019. Participants underwent health checkups every year for three years at the same school and the data were divided into four 5-year cycles: 2000–2004, 2005–2009, 2010–2014, and 2015–2019. From a total of 124,460 records (33,496 individuals) retrieved, 3000 records (3000 individuals) from each year-cycle were randomly selected to oid duplicating data from the same individuals. In the study period, in males systolic blood pressure showed a decreasing trend over time, whereas in females diastolic blood pressure showed an increasing trend. Subgroup analyses by school category (junior/senior high school) and by obesity category showed similar blood pressure trends as in the overall analysis. Age-specific blood pressure values in Japanese adolescents increased with age in males but not in females. Thus, different patterns of change in blood pressure values over the past 20 years were observed between males and females. Age-specific blood pressure distributions are also presented. Together, these findings will be useful for understanding blood pressure trends among adolescents. [Figure not ailable: see fulltext.]
AB - Adolescent blood pressure is a predictor of future risk for hypertension and cardiovascular diseases, and therefore its status needs to be accurately determined. However, limited evidence is ailable regarding the secular trends and distribution of adolescent blood pressure. In the present study, we assessed the secular trends and age-specific distributions of blood pressure in Japanese adolescents aged 12–18 years by using data drawn from 20 years of annual health checkups conducted between 2000 and 2019. Participants underwent health checkups every year for three years at the same school and the data were divided into four 5-year cycles: 2000–2004, 2005–2009, 2010–2014, and 2015–2019. From a total of 124,460 records (33,496 individuals) retrieved, 3000 records (3000 individuals) from each year-cycle were randomly selected to oid duplicating data from the same individuals. In the study period, in males systolic blood pressure showed a decreasing trend over time, whereas in females diastolic blood pressure showed an increasing trend. Subgroup analyses by school category (junior/senior high school) and by obesity category showed similar blood pressure trends as in the overall analysis. Age-specific blood pressure values in Japanese adolescents increased with age in males but not in females. Thus, different patterns of change in blood pressure values over the past 20 years were observed between males and females. Age-specific blood pressure distributions are also presented. Together, these findings will be useful for understanding blood pressure trends among adolescents. [Figure not ailable: see fulltext.]
KW - Adolescent
KW - Blood pressure
KW - Distribution
KW - Secular trend
UR - https://www.scopus.com/pages/publications/85171290798
UR - https://www.scopus.com/pages/publications/85171290798#tab=citedBy
U2 - 10.1038/s41440-023-01432-6
DO - 10.1038/s41440-023-01432-6
M3 - Article
C2 - 37710036
AN - SCOPUS:85171290798
SN - 0916-9636
VL - 47
SP - 184
EP - 194
JO - Hypertension Research
JF - Hypertension Research
IS - 1
ER -