Circulation, Vol 58, 626-634, Copyright © 1978 by American Heart Association
WR Clarke, HG Schrott, PE Leaverton, WE Connor and RM Lauer
In four cross sectional school screens, the Muscatine Study has sampled
8,909 school children; 820 have been studied repeatedly over a six-year
period. Tracking of measurements described by the relationship between
repeated observations and the relationship between peer rank orderings over
the six-year period has been studied. For height and weight, correlations
between observations six years apart were approximately 0.74 and about 60%
of children initially in the upper quintile were there again six years
later. Six-year correlations were 0.65 for skinfold and 0.61 for
cholesterol. Four-year correlation for fasting triglyceride was 0.40.
Six-year correlations were 0.30 for casual systolic blood pressure and 0.18
for diastolic blood pressure. Peer rank orderings for both blood pressures
were highly variable. Height and weight track well, and thus routine
measurement of these variables are useful in identifying children with
growth perturbing disorders. Cholesterol and, to a lesser degree,
triglycerides also track, and a significant proportion of children with
initially high values demonstrated consistently high values throughout the
study period. Blood pressures do not track as well; consistently high blood
pressures are unusual, thus indicating the need for repeated blood pressure
measurements to identify children with persistent elevated levels. The
future significance of transient blood pressure elevations has yet to be
established.
ARTICLES
Tracking of blood lipids and blood pressures in school age children: the Muscatine study
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