{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:14:38Z","timestamp":1785388478387,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:p>The common assumption is that blood pressure (<jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>) will decrease on subsequent readings. The objective of this study is to examine the prevalence and direction of <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> classification change with repeat measurements and compare common clinical characteristics of groups of patients who do and do not have a change in <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> classification. A nationally representative subsample of 1725 adolescents aged 13 to 18\u00a0years from the <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ational <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth and <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>utrition <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>urvey were analyzed. Three <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> measurements were obtained. Patients were classified based on the first and the average of 3 <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> measurements as having normal <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>, hypertension, and\/or prehypertension. Of the 1725 adolescents, 1569 (90.9%) maintained <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> classification, 107 (6.2%) had a reduction in their classification, and 49 (2.9%) had an increase in their classification. Comparing the two groups that changed <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> classification to the group without change, <jats:styled-content style=\"fixed-case\">C\u2010reactive protein<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">body mass index (BMI) <\/jats:styled-content><jats:italic>z<\/jats:italic> score were significantly higher in the groups that had a change in <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> classification (<jats:italic>P<\/jats:italic>=.02 and &lt;.001, respectively). After adjusting for other variables, higher <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> value was significantly associated with change in <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> classification. With repeat measurements, the majority (~91%) did not have a change in classification. Obesity was a significant predictor of the 9% that had a change in classification. Repeat <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> measurements in obese adolescents may lead to more accurate classification of <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content> status.<\/jats:p>","DOI":"10.1111\/jch.12168","type":"journal-article","created":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T12:53:19Z","timestamp":1373979199000},"page":"717-722","source":"Crossref","is-referenced-by-count":18,"title":["Blood Pressure Reclassification in Adolescents Based on Repeat Clinic Blood Pressure Measurements"],"prefix":"10.1111","volume":"15","author":[{"given":"Lauren J.","family":"Becton","sequence":"first","affiliation":[{"name":"Pediatrics MUSC Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent M.","family":"Egan","sequence":"additional","affiliation":[{"name":"Internal Medicine and Hypertension MUSC Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Hailpern","sequence":"additional","affiliation":[{"name":"Epidemiology Independent Consultant Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim F.","family":"Shatat","sequence":"additional","affiliation":[{"name":"Pediatric Nephrology and Hypertension Medical University of South Carolina Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.69.11.1175"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.S2.555"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-7061(98)00014-4"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2776"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.01.052"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0555"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.8.874"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.683243"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2107C"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.ATV.20.8.1998"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90726-F"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.1.61"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.19.1907"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-008-1077-6"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.42.221.34"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.51.12.951"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.07.035"},{"key":"e_1_2_8_19_1","unstructured":"National Health and Nutrition Examination Survey: Physician Examination Procedures Manual. 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