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Blutdruckmessung im Kinder- und Jugendgesundheitssurvey (KiGGS)

Methodik und erste Ergebnisse

Blood pressure measurement in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Methodology and initial results

  • Leitthema: Ergebnisse des Kinder- und Jugendgesundheitssurveys
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Bluthochdruck ist einer der wichtigsten Risikofaktoren für Herz-Kreislauf-Erkrankungen und rangiert unter den führenden Ursachen für Morbidität und Mortalität weltweit. Hypertonie bei Kindern ist zwar selten, doch ist der Blutdruck im Kindesalter mitbestimmend für die Höhe des Blutdrucks im weiteren Lebensverlauf und hat somit eine hohe Public-Health-Relevanz. Daher war es eines der Ziele des Kinder- und Jugendgesundheitssurveys (KiGGS), repräsentative Daten zur Verteilung von Blutdruckwerten bei 3- bis 17-jährigen Kindern und Jugendlichen in Deutschland zu erheben und damit die epidemiologische Grundlage für eine umfassende Analyse zum Blutdruck bei Kindern und Jugendlichen in Deutschland zu ermöglichen. Es erfolgte unter standardisierten Bedingungen eine 2-malige oszillometrische Bestimmung des systolischen, diastolischen und arteriellen Mitteldrucks sowie der Pulsfrequenz mit einem automatischen Blutdruckmessgerät (Datascope Accutorr Plus) bei 14.730 Kindern (7203 Mädchen und 7527 Jungen). Hauptziel dieses Artikels ist eine detaillierte Beschreibung der Blutdruckmessung in KiGGS, die Grundlage der weiteren Interpretation von Unterschieden zu anderen Studien sein wird. Erste Ergebnisse zur Verteilung des systolischen und diastolischen Blutdrucks bestätigen die bekannte Zunahme der Blutdruckwerte mit dem Alter und der Körpergröße und ein Auftreten von insbesondere systolisch höheren Werten bei Jungen im Vergleich zu Mädchen ab dem 14. Lebensjahr.

Abstract

Hypertension is one of the main risk factors for cardiovascular disease and ranks among the leading causes of morbidity and mortality worldwide. Hypertension in children is rare, but the blood pressure rank in relation to peers is often maintained from childhood into adulthood and is therefore of great public health relevance. For this reason, one of the aims of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) was to collect representative data on blood pressure in children aged 3 to 17 years, in order to create an epidemiological basis for a comprehensive analysis of blood pressure in children and adolescents in Germany. Two oscillometric blood pressure measurements were obtained using an automated device (Datascope Accutorr Plus) and two readings of systolic, diastolic and mean arterial pressure and of heart rate were obtained in a standardised fashion in 14.730 children (7203 girls and 7527 boys). The main aim of this article is a detailed description of the blood pressure measurement in KiGGS, which is important for the interpretation of our findings compared to other studies. Our initial results on the distribution of systolic and diastolic blood pressure confirm previous findings of increasing blood pressure with age and height and of higher systolic blood pressure levels among boys compared with girls from the age of 14 years.

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Authors and Affiliations

  1. Robert Koch-Institut, Berlin, BRD

    H. Neuhauser MPH & M. Thamm

  2. Robert Koch-Institut, Abteilung für Epidemiologie und Gesundheitsberichterstattung, Postfach 650261, 13302, Berlin, BRD

    H. Neuhauser MPH

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  1. H. Neuhauser MPH
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Correspondence to H. Neuhauser MPH.

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Neuhauser, H., Thamm, M. Blutdruckmessung im Kinder- und Jugendgesundheitssurvey (KiGGS). Bundesgesundheitsbl. 50, 728–735 (2007). https://doi.org/10.1007/s00103-007-0234-6

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  • DOI: https://doi.org/10.1007/s00103-007-0234-6

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