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(Circulation. 2008;117:3161-3162.)
© 2008 American Heart Association, Inc.

Clinical Summaries

An extract of the first 250 words of the full text is provided, because this article has no abstract.

	Tracking of Blood Pressure From Childhood to Adulthood: A Systematic Review and Meta–Regression Analysis

 
Previously, a large number of studies have examined blood pressure (BP) tracking over time among children and adults. Although rich evidence supports BP tracking from childhood to adulthood, the reported findings are inconsistent. No systematic analyses have been conducted to examine the consistency of findings from different studies or to test the differences across populations worldwide. Using a systematic search of PubMed for studies published between 1970 and 2006 that examined BP tracking from childhood to adulthood, we conducted a meta-analysis of findings from 50 cohort studies, which provided 600 data points (ie, correlation coefficients) for systolic BP (SBP) and diastolic BP (DBP) tracking, respectively. BP tracking was stronger for SBP but did not vary significantly by the number of BP measurements taken per visit or across race/populations. SBP tracking did not vary significantly by sex, but women had weaker DBP tracking than men. The reported BP tracking coefficients varied from –0.12 to 0.80 for SBP and from –0.16 to 0.70 for DBP. The average was 0.38 for SBP and 0.28 for DBP. The strength of BP tracking increased with baseline age by 0.012 for SBP and 0.009 for DBP and decreased with follow-up by 0.008 for SBP and 0.005 for DBP. On the basis of studies from diverse populations, our meta-analysis reinforces the concepts that BP tracks from childhood to adulthood and that an elevated BP in childhood is likely to predict adult hypertension. Childhood BP is associated with BP in later life, and early intervention is important. See . . . [Full Text of this Article]

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