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Reference of screening for elevated blood pressure among children and adolescents aged 7~18 years
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Basic data
| Standard ID | WS/T 610-2018 (WS/T610-2018) |
| Description (Translated English) | Reference of screening for elevated blood pressure among children and adolescents aged 7~18 years |
| Sector / Industry | Health Industry Standard (Recommended) |
| Classification of Chinese Standard | C56 |
| Word Count Estimation | 9,982 |
| Date of Issue | 2018-06-13 |
| Date of Implementation | 2018-12-01 |
| Regulation (derived from) | National Health Newsletter (2018) No.11 |
| Issuing agency(ies) | National Health Commission |
WS/T 610-2018: Reference of screening for elevated blood pressure among children and adolescents aged 7~18 years
---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Reference of screening for elevated blood pressure among children and adolescents aged 7~18 years
ICS 13.100
C 56
WS
People's Republic of China Health Industry Standard
7- to 18-year-old children and adolescents with high blood pressure screening threshold
Reference of screening for elevated blood pressure among children and adolescents
Aged 7~18 years
Published on.2018 - 06 - 13
2018 - 12 - 01 implementation
National Health and Wellness Committee of the People's Republic of China
Foreword
This standard was drafted in accordance with the rules given in GB/T 1.1-2009.
This standard was drafted. Peking University, Harbin Medical University, Peking Union Medical College, Tianjin Medical University, Ningxia Medical University.
The main drafters of this standard. Ma Jun, Wang Haijun, Ma Yinghua, Dong Bin, Zou Zhiyong, Zhang Huiying, Sheng Yu, Zhang Xin, Zhao Haiping, Zhang Lin.
7- to 18-year-old children and adolescents with high blood pressure screening threshold
1 Scope
This standard specifies the blood pressure evaluation methods and standards for children and adolescents aged 7 to 18 years, blood pressure measurement requirements and high blood pressure screening report requirements.
This standard is applicable to the screening of high blood pressure in children and adolescents aged 7 to 18 years old in China.
2 Normative references
The following documents are indispensable for the application of this document. For dated references, only the dated version applies to this document.
For undated references, the latest edition (including all amendments) applies to this document.
GB/T 26343 Student Health Check Technical Specifications
3 Terms and definitions
The following terms and definitions apply to this document.
3.1
Blood pressure
The blood flows in the blood vessels, and the force of the flowing blood on the blood vessel wall per unit area, that is, the lateral pressure of the flowing blood. Typically in millimeters of mercury
(1 mmHg = 0.133 kPa) is the unit of arterial pressure.
Note. In actual clinical and research, arterial pressure is often referred to as “blood pressure”. This standard blood pressure also refers to arterial pressure.
3.2
Normal high blood pressure
There are two ways to judge, one is. Systolic Blood Pressure (SBP) and/or Diastolic Blood (Distolic Blood)
Pressure, DBP) ≥ P90 blood pressure in the same sex, same age, and the same height percentile, and < P95 blood pressure. The other is. systolic blood pressure ≥ 120
mmHg (but < the same sex, the same age, the same height, the percentage of the population P95) and/or diastolic blood pressure ≥ 80mmHg (but < same sex, the same year
Age, the same height percentile population P95).
3.3
High blood pressure
Systolic blood pressure and/or diastolic blood pressure ≥ P95 blood pressure in the same sex, the same age, and the same height percentile.
3.4
Cut-off point
It is used to determine whether a body is a "threshold" for high blood pressure or normal high blood pressure. ≥ threshold, judged as "yes"; < threshold value
Set to "No".
4 blood pressure evaluation methods and standards
4.1 Age calculation and height group selection
4.1.1 Calculation of age
The age is 1 year old and the age of the chronological age is used according to the principle of rounding.
Real age = survey year and month - birth date.
4.1.2 Selection of height group
According to the height values of the male and female children and adolescents aged 7 to 17 years old listed in Table A.1 and Table A.2 of Appendix A, judge the height of the body.
The age should be the percentile.
4.2 Screening for normal high blood pressure and high blood pressure threshold points by gender, age and height
Men, girls, and adolescents aged 7 to 17 years old are screened for age, height, normal high blood pressure, and high blood pressure. See Table B.1 in Appendix B.
Table B.2.
18-year-old male and female adolescents with normal high blood pressure and high blood pressure threshold points refer to adult standards, without reference to the height threshold.
4.3 Judgment of normal high blood pressure and high blood pressure
4.3.1 Normal blood pressure
From Table B.1, Table B.2, 7- to 17-year-old male, female, and female adolescents with systolic blood pressure and/or diastolic blood pressure < same sex, same age, same body
High-percentage blood pressure P90 is normal blood pressure.
18-year-old male and female adolescents refer to adult standards, with normal systolic blood pressure < 120 mmHg and diastolic blood pressure < 80 mmHg.
4.3.2 Normal high blood pressure
From Table B.1, Table B.2, 7- to 17-year-old male, female, and female adolescents with systolic blood pressure and/or diastolic blood pressure ≥ same sex, same age, and same body
High percent blood pressure P90 and < P95 are normal high blood pressure; systolic blood pressure ≥120mmHg and/or diastolic blood pressure ≥80mmHg, but
Sex, the same age, the same percentage of blood pressure P95 are also normal high blood pressure.
18-year-old male and female adolescents refer to adult standards, systolic blood pressure ≥120 mmHg and < 139 mmHg and/or diastolic blood pressure ≥80 mmHg
And < 89 mmHg is normal high blood pressure.
4.3.3 High blood pressure
From Table B.1, Table B.2, 7- to 17-year-old male, female, and female adolescents with systolic blood pressure and/or diastolic blood pressure ≥ same sex, same age, and same body
High-percentage blood pressure P95 is high blood pressure.
18-year-old male and female adolescents refer to adult standards, systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg are high blood pressure.
4.3.4 Hypertension
If the blood pressure is equal to or greater than the high blood pressure threshold (P95), it needs to be measured 3 times or more on the same day, and each test
The blood pressure is ≥ the high blood pressure limit point (P95), the measurement interval is not less than 1 week to 2 weeks, and the continuous increase is determined as hypertension.
5 blood pressure measurement requirements
5.1 Methods for measuring equipment and blood pressure
Blood pressure measuring equipment and measuring methods are carried out in accordance with the requirements of GB/T 26343. If you need to use an electronic blood pressure monitor, it is recommended to use the British high
Blood pressure society, European Hypertension Society, American Medical Device Testing Association and other organizations certified electronic blood pressure monitors, need to be with mercury blood before measurement
The pressure gauges are compared, and the difference between the measurements at the same time is not more than 10 mmHg, and the comparison can be used.
5.2 Precautions for blood pressure measurement
5.2.1 Within 2 hours before the test, the subject should not perform vigorous physical activity.
5.2.2 Before the test, the subject sat for 10 minutes to 15 minutes to stabilize the mood and accept the test.
5.2.3 Before the test, check whether the sphygmomanometer mercury column is in the “0” position. If it is not in the “0” position, it should be corrected. Observe the mercury column for bubbles.
If there are bubbles, it should be excluded.
5.2.4 When retesting is required, wait for the sphygmomanometer mercury column to drop to “0” position before measuring. If the blood pressure is retested, it should rest again.
After 10min~15min, the measurement can be carried out, and the measurement result is taken as the lowest value.
5.2.5 Each measurement should be performed 3 times in a row, the closest 2 readings, and the average value is taken as the blood pressure value of the subject.
5.2.6 The electronic sphygmomanometer can only be used for initial screening of high blood pressure in children and adolescents during use.
6 High blood pressure screening report requirements
Check whether the target (group or individual) and its indicator values meet the requirements. After measuring the blood pressure, for the individual, the height
At the first fewth percentile, the blood pressure measurement is in the first few percent of the blood pressure of the same sex, the same age, and the same height, according to normal blood.
The cut-off value of pressure, normal high blood pressure, and high blood pressure was evaluated to determine whether the individual had normal blood pressure. For the group, you need to report normal blood pressure,
The detection rate of normal high blood pressure and high blood pressure.
AA
Appendix A
(normative appendix)
7- to 17-year-old children and adolescents with age-level reference values
See Table A.1 and Table A.2 for reference values of age-height levels for male, female, and adolescents aged 7 to 17 years.
Table A.1 7- to 17-year-old boys' age-specific height reference values
Unit is centimeters
age
Percentile height
P5 P10 P25 P50 P75 P90 P95
7 115.7 117.9 121.5 125.5 129.5 133.3 135.4
8 120.6 122.9 126.5 130.7 134.9 138.7 141.0
9 125.0 127.4 131.4 135.8 140.3 144.2 146.6
10 130.0 132.1 136.1 140.8 145.4 149.8 152.4
11 133.7 136.4 141.0 146.0 151.3 156.5 159.7
12 138.4 141.2 146.0 152.0 158.6 164.1 167.3
13 145.1 148.2 154.0 160.2 166.2 170.7 173.4
14 151.6 155.0 160.4 165.7 170.5 175.0 177.5
15 157.2 160.0 164.4 169.0 173.4 177.4 180.0
16 160.0 162.4 166.3 170.5 174.9 178.8 181.0
17 161.2 163.3 167.1 171.4 175.6 179.5 181.9
Table A.2 Reference values for age-to-height levels of girls aged 7 to 17
Unit is centimeters
age
Percentile height
P5 P10 P25 P50 P75 P90 P95
7 114.3 116.5 120.1 124.1 128.1 131.9 134.0
8 119.2 121.5 125.2 129.3 133.6 137.2 139.6
9 124.0 126.4 130.3 135.0 139.6 143.9 146.5
10 129.1 131.8 136.0 141.2 146.3 150.7 153.3
11 134.2 137.1 142.0 147.3 152.7 157.1 159.6
12 139.7 142.6 147.5 152.5 157.1 160.9 163.5
13 145.6 148.0 152.0 156.1 160.0 163.8 166.0
14 148.2 150.4 154.0 157.8 161.6 165.1 167.2
15 149.2 151.4 154.8 158.4 162.2 166.0 168.0
16 150.0 151.7 155.2 159.0 162.8 166.3 168.3
17 150.1 152.0 155.3 159.2 163.1 166.6 168.8
BB
Appendix B
(normative appendix)
7- to 17-year-old children and adolescents are divided into age and high blood pressure screening threshold points
See the table B.1 and Table B.2 for the screening thresholds for males, female children and adolescents aged 7 to 17 years old.
Table B.1 7- to 17-year-old boys are divided into age and high blood pressure screening threshold points
In millimeters of mercury
age
Blood pressure
Quantile
Systolic blood pressure
Height percentile height percentile
< P5 ≥P5 ≥P10 ≥P25 ≥P50 ≥P75 ≥P90 ≥P95 < P5 ≥P5 ≥P10 ≥P25 ≥P50 ≥P75 ≥P90 ≥P95
P90 104 106 108 109 110 112 113 116 69 70 71 71 72 73 75 75
P95 108 110 112 113 115 117 118 121 72 74 74 74 75 77 78 79
P90 106 108 109 111 112 115 116 119 70 71 72 72 73 75 76 77
P95 110 112 113 115 117 119 120 124 73 75 75 76 76 78 80 80
P90 108 109 110 112 114 117 118 121 71 72 72 74 74 76 77 78
P95 112 114 114 117 119 121 122 126 74 76 76 77 77 79 81 81
P90 109 111 112 114 116 119 121 124 72 73 73 75 75 77 78 78
P95 113 115 116 119 121 123 125 129 75 76 76 78 78 80 81 82
P90 110 112 113 116 118 121 123 126 73 73 74 75 76 78 78 79
P95 115 116 117 120 123 126 128 131 76 77 77 79 79 81 81 82
P90 111 113 115 118 121 123 125 128 74 74 75 76 77 78 79 80
P95 116 117 119 122 125 128 130 133 77 77 78 79 80 81 82 83
P90 113 115 118 121 123 125 127 130 75 75 76 77 78 79 79 80
P95 117 119 122 125 127 130 132 134 78 78 79 80 81 82 82 83
P90 116 118 121 123 125 127 128 130 76 76 77 78 79 80 80 81
P95 120 122 125 128 129 131 133 135 79 79 80 81 82 83 83 84
P90 119 122 123 125 127 128 129 131 77 77 79 79 80 80 81 81
P95 123 126 128 130 131 132 133 136 80 80 82 82 83 83 83 84
P90 122 125 126 127 128 129 130 132 78 79 80 80 81 81 81 82
P95 127 129 130 131 132 133 134 136 81 82 83 83 84 84 84 85
P90 125 127 127 128 129 130 131 132 79 80 81 81 82 82 82 83
P95 129 131 131 132 133 134 135 136 82 83 84 84 85 85 85 86
Table B.2 7- to 17-year-old girls are divided into age and high blood pressure screening threshold points
In millimeters of mercury
age
Blood pressure
Quantile
Systolic blood pressure
Height percentile height percentile
< P5 ≥P5 ≥P10 ≥P25 ≥P50 ≥P75 ≥P90 ≥P95 < P5 ≥P5 ≥P10 ≥P25 ≥P50 ≥P75 ≥P90 ≥P95
P90 104 104 106 107 108 110 112 115 69 69 70 70 71 72 73 74
P95 109 109 111 111 113 115 117 121 73 73 74 74 74 75 76 77
P90 106 106 108 109 111 113 114 117 70 70 71 72 73 73 75 75
P95 110 110 113 113 115 117 119 123 74 74 75 75 76 77 78 78
P90 107 108 110 111 113 115 117 119 71 72 73 73 74 75 76 77
P95 112 112 114 115 117 119 121 124 75 76 76 77 77 78 79 81
P90 109 110 111 113 115 117 118 121 73 74 74 75 75 76 77 78
P95 113 114 116 117 119 121 123 125 77 77 78 78 79 79 80 81
P90 110 111 113 115 117 119 120 121 74 75 75 76 76 77 78 78
P95 115 116 117 119 121 123 124 126 78 78 79 79 79 80 81 81
P90 112 113 115 116 118 119 121 122 75 75 76 76 77 77 78 78
P95 116 117 119 121 122 124 125 126 79 79 79 80 80 80 81 81
P90 114 114 116 117 119 119 121 122 76 76 76 77 77 77 78 78
P95 118 119 120 122 123 124 125 126 79 79 80 80 80 80 81 81
P90 116 116 117 118 119 120 121 122 76 76 77 77 77 78 78 78
P95 120 120 121 122 123 124 125 126 80 80 80 80 80 80 81 81
P90 117 117 118 119 119 120 121 122 77 77 77 77 77 78 79 79
P95 122 122 122 123 123 124 126 126 80 80 80 80 80 81 82 82
P90 118 118 118 119 119 120 121 122 77 77 77 77 78 78 79 79
P95 122 122 122 123 123 125 126 126 80 80 80 80 81 81 82 82
P90 118 118 118 120 120 121 122 122 77 77 77 78 78 79 79 79
P95 122 122 123 124 124 125 126 126 80 80 81 81 81 81 82 82
...
