@article{fdi:010068120, title = {{P}erformance of eleven simplified methods for the identification of elevated blood pressure in children and adolescents}, author = {{M}a, {C}. {W}. and {K}elishadi, {R}. and {H}ong, {Y}. {M}. and {B}ovet, {P}. and {K}hadilkar, {A}. and {N}awarycz, {T}. and {K}rzywinska-{W}iewiorowska, {M}. and {A}ounallah-{S}khiri, {H}. and {Z}ong, {X}. {N}. 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 {X}i, {B}.}, editor = {}, language = {{ENG}}, abstract = {{T}he identification of elevated blood pressure ({BP}) in children and adolescents relies on complex percentile tables. {T}he present study compares the performance of 11 simplified methods for assessing elevated or high {BP} in children and adolescents using individual-level data from 7 countries. {D}ata on {BP} were available for a total of 58 899 children and adolescents aged 6 to 17 years from 7 national surveys in {C}hina, {I}ndia, {I}ran, {K}orea, {P}oland, {T}unisia, and the {U}nited {S}tates. {P}erformance of the simplified methods for screening elevated or high {BP} was assessed with receiver operating characteristic curve (area under the curve), sensitivity, specificity, positive predictive value, and negative predictive value. {W}hen pooling individual data from the 7 countries, all 11 simplified methods performed well in screening high {BP}, with high area under the curve values (0.84-0.98), high sensitivity (0.69-1.00), high specificity (0.87-1.00), and high negative predictive values (=0.98). {H}owever, positive predictive value was low for most simplified methods, but reached approximate to 0.90 for each of the 3 methods, including sex-and age-specific {BP} references (at the 95th percentile of height), the formula for {BP} references (at the 95th percentile of height), and the simplified method relying on a child's absolute height. {T}hese findings were found independently of sex, age, and geographical location. {S}imilar results were found for simplified methods for screening elevated {BP}. {I}n conclusion, all 11 simplified methods performed well for identifying high or elevated {BP} in children and adolescents, but 3 methods performed best and may be most useful for screening purposes.}, keywords = {adolescents ; children ; epidemiology ; high blood pressure ; hypertension ; methodology ; {CHINE} ; {INDE} ; {IRAN} ; {COREE} ; {POLOGNE} ; {TUNISIE} ; {ETATS} {UNIS}}, booktitle = {}, journal = {{H}ypertension}, volume = {68}, numero = {3}, pages = {614--621 + 17 p. d'annexes}, ISSN = {0194-911{X}}, year = {2016}, DOI = {10.1161/hypertensionaha.116.07659}, URL = {https://www.documentation.ird.fr/hor/fdi:010068120}, }