Blood pressure reactivity in children

This paper reviews the relevant pediatric literature about blood pressure (BP) hyperreactivity to stress as a possible precursor of hypertension and coronary heart disease. Two prospective studies of children indicate that BP hyperreactivity predicts later development of hypertension. Several studie...

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Bibliographic Details
Published in:Journal of Psychosomatic Research 1988, Vol.32 (1), p.1-12
Main Authors: Sallis, James F., Dimsdale, Joel E., Caine, Chipman
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Blood Pressure
Cardiovascular Diseases - genetics
Cardiovascular Diseases - physiopathology
Child
Child, Preschool
Female
General aspects
Humans
Male
Medical sciences
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Stress, Psychological - physiopathology
Type A Personality
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Summary:This paper reviews the relevant pediatric literature about blood pressure (BP) hyperreactivity to stress as a possible precursor of hypertension and coronary heart disease. Two prospective studies of children indicate that BP hyperreactivity predicts later development of hypertension. Several studies have identified correlates of BP reactivity. Race, obesity, Type A and family history of hypertension appear to be associated with BP reactivity in children. There appear to be both genetic and environmental influences, but relatively few psychosocial variables have been studied. There are significant methodological concerns in terms of defining the characteristics of the stressors and the stability and generalizability of responses to laboratory stressors. BP reactivity in children is a potentially important area of inquiry that has been understudied.
ISSN:0022-3999
1879-1360
DOI:10.1016/0022-3999(88)90083-9