Research Article

Reference Intervals of Central Aortic Blood Pressure and Augmentation Index Assessed with an Oscillometric Device in Healthy Children, Adolescents, and Young Adults from Argentina

Table 12

Subjects characteristics described for Europeans (Germany and Hungary) and our studied populations.

Elmenhorst et al. 2015 Hidvégi et al. 2015Díaz et al. (our work)

(1) Characteristics of the sample
Number of subjects1445 (females: 715; males: 730)4619 (females: 2130; males: 2489)1038 (females: 462; males: 576)
Subjects precedenceLiving in Germany (Munich)Living in HungaryLiving in Argentina (Tandil)
Age interval8–22 years3–18 years5–21 years
Recruitment strategyProspective (school-based setting)Prospective (nursery, elementary, and secondary schools)Prospective (nursery, elementary, and secondary schools)
CommunitiesUrban/rural-------Urban/rural
Inclusion criteriaAbsence of known CV; even if treatedApparently healthy; Caucasian; without medicationAsymptomatic. (1) None had history of CV, pulmonary, or renal disease; (2) normal brachial BP at the time of examination; (3) none were taking medications, (4) all had normal levels of glycaemia, cholesterol, and triglycerides
Exclusion criteriaHypertensive BP (<18 years: according to guideline; ≥18 years: 140/90 mmHg); obesityBMI: 3th–97th percentile; SBP and DBP: 5th–95th percentileCurrent and past smokers, diabetic, obese subjects, hypertensive subjects or subjects with averaged high brachial BP levels at the time of the study were excluded

(2) Aortic BP levels and waveform measurement
DeviceMobil-O-Graph, I.E.M., Stolberg, GermanyArteriograph, TensioMed Ltd., Budapest, HungaryArteriograph, TensioMed Ltd., Budapest, Hungary
Measurement conditionsSupine position after at least 5–10 min of restSupine position after 2-3 minutes of restSupine position after at least 10 min of rest

(3) Characteristics of the subjectsMVSDMVSDMVSD

Female
 Age (years)13.82.910.54.815.13.5
 Body height (cm)157.011.6142.722.4157.112.2
 Body weight (Kg)48.812.537.815.651.511.2
 BMI (Kg/m2)19.53.217.42.520.63.0
 pSBP (mmHg)113.57.5110.96.0109.18.8
 pDBP (mmHg)66.06.864.73.063.67.8
 pMBP (mmHg)81.86.280.23.978.97.3
 cSBP (mmHg)100.58.0100.33.398.28.4
 Ao-PWV (m/s)4.60.3------5.50.6
 Heart rate (b.p.m.)------82.67.572.111.6
 Yugulo-Symphysis distance (cm)------42.06.645.44.3
 cAIx (%)------11.94.412.38.6
Male
 Age (years)13.12.610.54.815.52.8
 Body height (cm)158.715.6146.325.7167.213.7
 Body weight (Kg)49.115.240.518.561.414.7
 BMI (Kg/m2)19.03.117.62.421.63.1
 pSBP (mmHg)114.58.3113.38.4114.09.6
 pDBP (mmHg)65.16.864.72.662.07.2
 pMBP (mmHg)81.66.381.14.379.27.7
 cSBP (mmHg)100.89.7101.24.899.48.4
 Ao-PWV (m/s)4.70.45.50.6
 Heart rate (b.p.m.)------79.18.765.511.8
 Yugulo-Symphysis distance (cm)------43.97.649.14.9
 cAIx (%)------10.24.56.77.4
All
 Age (years)13.42.8------15.33.1
 Body height (cm)--------------162.714.0
 Body weight (Kg)--------------57.014.1
 pSBP (mmHg)114.07.9------111.89.6
 cSBP (mmHg)100.78.9------98.98.4
 Ao-PWV (m/s)4.70.3------5.50.6

BMI: body mass index. pSBP, pMBP, and pDBP: peripheral (brachial) systolic, mean, and diastolic blood pressure, respectively. cAIx: central (aortic) augmentation index. Ao-PWV: aortic pulse wave velocity. CV: cardiovascular. MV: mean value. SD: standard deviation. cSBP: central (aortic) systolic blood pressure, respectively. Data from [18] were directly obtained from average population values published in their manuscript. Data from [17] were obtained from averaging the disaggregated values per year of life (age), for each sex.