Cited by 197Blood Pressure and Hypertension StudiesCardiovascular Health and Disease PreventionDementia and Cognitive Impairment Research

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Elevated blood pressure and decreased cognitive function among school-age children and adolescents in the United States

Lande, Marc B, Kaczorowski, Jeffrey M, Auinger, Peggy, Schwartz, George J, Weitzman, Michael·2003·The Journal of Pediatrics

DOI 10.1067/s0022-3476(03)00412-8

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Abstract

Objective To evaluate the relationship between elevated blood pressure (BP) and cognitive test performance in a nationally representative sample of children. Study design The National Health and Nutrition Examination Survey III provides cross-sectional data for children 6 to 16 years, including BP and cognitive test scores. Elevated BP was defined as systolic or diastolic BP >or=90th percentile. Cognitive tests were compared for children with elevated and normal BP. Linear regression was used to evaluate the relation between elevated BP and decreased test scores. Results Among the 5077 children, 3.4% had systolic BP >or=90th percentile and 1.6% diastolic BP >or=90th percentile. Children with elevated systolic BP had lower average scores compared with normotensive children for digit span (7.9 vs 8.7, P=.01), block design (8.6 vs 9.5, P=.03), and mathematics (89.6 vs 93.8, P=.01). Elevated diastolic BP was associated with lower average scores on block design (9.5 vs 11, P=.01). Linear regression showed that elevated systolic BP was independently associated with lower digit span scores (P=.032). Conclusion Children with elevation of systolic BP are at risk for central nervous system end-organ damage, as manifested by decreased digit span test scores.

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Authors: Lande, M. B., Kaczorowski, J. M., Auinger, P., Schwartz, G. J., & Weitzman, M.
Affiliations: University of Rochester Medicine (US)
Corresponding author: Lande, Marc B
ORCID: Lande, Marc B
Auinger, Peggy
Schwartz, George J
Weitzman, Michael
Venue: The Journal of Pediatrics
Publisher: Elsevier BV
Published: 2003-12
Volume: 143
Issue: 6
Pages: 720-724
ISSN: 0022-3476 (ISSN-L)
DOI: 10.1067/s0022-3476(03)00412-8
OpenAlex: W2081457754
Cited by: 197
References: 23
Citations by year: 2026: 5 · 2025: 1 · 2024: 7 · 2023: 5 · 2022: 11 · 2021: 8 · 2020: 7 · 2019: 9 · 2018: 11 · 2017: 7 · 2016: 12 · 2015: 11 · 2014: 14 · 2013: 17 · 2012: 18
FWCI: 3.83
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Journal of Pediatrics (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords: elevated blood pressure, pediatric hypertension, cognitive function, systolic blood pressure, diastolic blood pressure, digit span, block designs, mathematics achievement, elementary school students, adolescents
MeSH terms: Adolescent, Blood Pressure, Child, Cognition Disorders, Cross-Sectional Studies, Female, Humans, Hypertension, Male, Neuropsychological Tests, Nutrition Surveys, United States

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Elevated blood pressure and decreased cognitive function among school-age children and adolescents in the United States

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