{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:27:40Z","timestamp":1769063260672,"version":"3.49.0"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T00:00:00Z","timestamp":1585612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006951","name":"Children's Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006951","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010239","name":"Dr. John T. MacDonald Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010239","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Most pediatric elevated blood pressure (BP) remains undiagnosed. The American Academy of Pediatrics states \u201cthere is limited evidence to support school\u2010based measurement of children's BP.\u201d We explored the utility school\u2010based BP screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A cross\u2010sectional sample of 4096 students ages 6 to 17 from Title 1 Miami\u2010Dade Public Schools (50% female, 71% non\u2010Hispanic black, 26% Hispanic) had their systolic\/diastolic BP (SBP\/DBP) and body mass index (BMI) collected over the 2016 to 2017 or 2017 to 2018 school years. Relative risks (RRs) ratios were calculated to estimate normal\/elevated SBP\/DBP by BMI percentile, ethnicity, and \nsex.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Overall, 26.4% had at least one elevated BP measurement, of which 59% were not obese. RR for obese status was significant for all categories of elevated BP (RRs\u2009&gt;\u20091.88, p\u2009&lt;\u2009.0001). Being either female (RR\u00a0=\u00a01.34, p\u00a0=\u00a0.009) or Hispanic (RR\u00a0=\u00a01.31, p\u00a0=\u00a0.014) was significantly associated with elevated DBP. BMI accounted for &lt;10% of the variation in BP (SBP: F(1, 4095)\u00a0=\u00a0367.6, adjusted R<jats:sup>2<\/jats:sup>\u00a0=\u00a0.08, p\u2009&lt;\u2009.0001; DBP: F(1, 4095)\u00a0=\u00a093.3, adjusted R<jats:sup>2<\/jats:sup>\u00a0=\u00a0.02, p\u2009&lt;\u2009.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>These findings support providing BP screenings in school settings. Low\u2010income and minority students often have limited access to health care, higher obesity rates, and unhealthy behaviors. Our findings support universal school\u2010based BP screening regardless of weight status, particularly among ethnically diverse populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12893","type":"journal-article","created":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T03:45:19Z","timestamp":1585712719000},"page":"474-481","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evidence to Support Universal Blood Pressure Screening in School\u2010Based Clinical Settings"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8506-2520","authenticated-orcid":false,"given":"Juliet","family":"Silberstein","sequence":"first","affiliation":[{"name":"University of Miami Miller School of Medicine, 1601 NW 12th Ave. #403, Miami, FL 33136.  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