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Published in: Pediatric Nephrology 12/2013

01-12-2013 | Original Article

Influence of seasonal variation on blood pressure measurements in children, adolescents and young adults

Authors: André Miersch, Mandy Vogel, Ruth Gausche, Werner Siekmeyer, Roland Pfäffle, Katalin Dittrich, Wieland Kiess

Published in: Pediatric Nephrology | Issue 12/2013

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Abstract

Background

Seasonal fluctuations in outdoor temperature have been shown to affect blood pressure in adults. The aim of our study was to determine whether blood pressure measurements in children and adolescents in Central Europe undergo seasonal variation or are influenced by outdoor temperature.

Methods

The blood pressure of 6,714 subjects (3,497 boys, 3,237 girls) aged 3 to 21 (median age 10.6) years was routinely measured. The study cohort comprised both healthy and sick children and adolescents visiting outpatient clinics and during hospitalisation.

Results

Cross-sectional analysis showed a significant seasonal variation in blood pressure measurements. The mean increase of systolic/diastolic blood pressure was 4.45/2.42 mmHg during the winter. A significant correlation between average outdoor temperature and systolic blood pressure was found (ρ = −0.074 p < 0.001). However, the effect was only detectable at an average temperature below 0 °C/32 °F and above 10 °C/50 °F. For each 1 °C increase in average outdoor temperature, the systolic blood pressure fell by 0.12 mmHg.

Conclusions

Blood pressure measurements in children and adolescents, even in a temperate climate, are influenced by temperature and subject to seasonal variation. Considering seasonal variations in blood pressure could be of clinical interest.
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Metadata
Title
Influence of seasonal variation on blood pressure measurements in children, adolescents and young adults
Authors
André Miersch
Mandy Vogel
Ruth Gausche
Werner Siekmeyer
Roland Pfäffle
Katalin Dittrich
Wieland Kiess
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 12/2013
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-013-2562-0

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