@article{fdi:010066174, title = {{E}stablishing international blood pressure references among nonoverweight children and adolescents aged 6 to 17 years}, author = {{X}i, {B}. and {Z}ong, {X}. {N}. and {K}elishadi, {R}. and {H}ong, {Y}. {M}. and {K}hadilkar, {A}. and {S}teffen, {L}. {M}. and {N}awarycz, {T}. and {K}rzywinska-{W}iewiorowska, {M}. and {A}ounallah-{S}khiri, {H}. and {B}ovet, {P}. and {C}hiolero, {A}. and {P}an, {H}. and {L}itwin, {M}. and {P}oh, {B}. {K}. and {S}ung, {R}. {Y}. {T}. and {S}o, {H}. {K}. and {S}chwandt, {P}. and {H}aas, {G}. {M}. and {N}euhauser, {H}. {K}. and {M}arinov, {L}. and {G}alcheva, {S}. {V}. and {M}otlagh, {M}. {E}. and {K}im, {H}. {S}. and {K}hadilkar, {V}. and {K}rzyzaniak, {A}. and {B}en {R}omdhane, {H}. and {H}eshmat, {R}. and {C}hiplonkar, {S}. and {S}tawinska-{W}itoszynska, {B}. and {E}l {A}ti, {J}. and {Q}orbani, {M}. and {K}ajale, {N}. and {T}raissac, {P}ierre and {O}strowska-{N}awarycz, {L}. and {A}rdalan, {G}. and {P}arthasarathy, {L}. and {Z}hao, {M}. and {Z}hang, {T}.}, editor = {}, language = {{ENG}}, abstract = {{B}ackground {S}everal distributions of country-specific blood pressure ({BP}) percentiles by sex, age, and height for children and adolescents have been established worldwide. {H}owever, there are no globally unified {BP} references for defining elevated {BP} in children and adolescents, which limits international comparisons of the prevalence of pediatric elevated {BP}. {W}e aimed to establish international {BP} references for children and adolescents by using 7 nationally representative data sets ({C}hina, {I}ndia, {I}ran, {K}orea, {P}oland, {T}unisia, and the {U}nited {S}tates). {M}ethods and {R}esults {D}ata on {BP} for 52 636 nonoverweight children and adolescents aged 6 to 19 years were obtained from 7 large nationally representative cross-sectional surveys in {C}hina, {I}ndia, {I}ran, {K}orea, {P}oland, {T}unisia, and the {U}nited {S}tates. {BP} values were obtained with certified mercury sphygmomanometers in all 7 countries by using standard procedures for {BP} measurement. {S}moothed {BP} percentiles (50th, 90th, 95th, and 99th) by age and height were estimated by using the {G}eneralized {A}dditive {M}odel for {L}ocation {S}cale and {S}hape model. {BP} values were similar between males and females until the age of 13 years and were higher in males than females thereafter. {I}n comparison with the {BP} levels of the 90th and 95th percentiles of the {US} {F}ourth {R}eport at median height, systolic {BP} of the corresponding percentiles of these international references was lower, whereas diastolic {BP} was similar. {C}onclusions {T}hese international {BP} references will be a useful tool for international comparison of the prevalence of elevated {BP} in children and adolescents and may help to identify hypertensive youths in diverse populations.}, keywords = {adolescent ; blood pressure ; child ; hypertension ; {CHINE} ; {INDE} ; {IRAN} ; {COREE} ; {POLOGNE} ; {TUNISIE} ; {ETATS} {UNIS}}, booktitle = {}, journal = {{C}irculation}, volume = {133}, numero = {4}, pages = {398--408}, ISSN = {0009-7322}, year = {2016}, DOI = {10.1161/circulationaha.115.017936}, URL = {https://www.documentation.ird.fr/hor/fdi:010066174}, }