Increase in prevalence of peds HTN with new definitions

July 5, 2018

(HealthDay)—Incorporation of new pediatric hypertension definitions recently published in a clinical practice guideline (CPG) has increased the prevalence of pediatric hypertension in a population of high-risk youth, according to a study published online July 5 in Pediatrics.

Michael Khoury, M.D., from the Cincinnati Children's Hospital Medical Center, and colleagues studied participants undergoing an evaluation of the cardiovascular effects of obesity and type 2 diabetes mellitus in (aged 10 to 18 years). Blood pressure was classified as normal, elevated, and , according to two guidelines: the recently published CPG and the previous guideline (Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents). Data were available for 364 participants.

The researchers identified hypertension in 8 and 13 percent according to the definitions in the Fourth Report and CPG, respectively (P = 0.007). Similar associations with target organ damage (TOD) were seen for the two guidelines; however, in participants with hypertension, the CPG demonstrated improved sensitivity of TOD detection. There was an increase in the proportion of participants with an abnormal left ventricular mass classified as hypertensive, from 20 percent as defined in the Fourth Report to 31 percent as defined in the CPG (P < 0.001).

"Incorporation of the CPG increased the prevalence of pediatric hypertension in a population of high-risk youth and improved the sensitivity of TOD identification in hypertensive participants," the authors write.

Explore further: Increase in Tx candidates with 2017 hypertension guidelines

More information: Abstract/Full Text (subscription or payment may be required)

Related Stories

Increase in Tx candidates with 2017 hypertension guidelines

May 26, 2018
(HealthDay)—The 2017 American College of Cardiology/American Heart Association hypertension guideline is associated with an increase in the proportion of adults recommended for antihypertensive treatment compared with the ...

Increase in HTN in children based on 2017 AAP guidelines

April 25, 2018
(HealthDay)—The prevalence and severity of high blood pressure (BP) in children have increased based on the 2017 American Academy of Pediatrics clinical practice guidelines, according to a study published online April 23 ...

Research shows importance of second pediatric blood-pressure screening

January 12, 2018
Nearly one-quarter of children and teens who had their blood pressure screened at a primary care appointment showed a reading in the hypertensive range, but less than half of those readings could be confirmed after the blood ...

Teens also at risk for organ damage from high blood pressure

September 18, 2017
Organ damage from high blood pressure doesn't only occur in adults; it can also happen in teenagers, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney ...

New blood pressure guidelines could put lives at risk, say experts

April 16, 2018
A new report in JAMA Internal Medicine by University of Sydney and Bond University scholars weighs the risks and benefits of a recent change to blood pressure guidelines in the US.

New guidelines point way toward more effectively addressing hypertension in kids, teens

August 23, 2017
The first new national guidelines since 2004 on identifying and treating high blood pressure in children and adolescents (aged 3-18 years old) have been published by the American Academy of Pediatrics (AAP), which convened ...

Recommended for you

Digital media use linked to behavioral problems in kids

July 17, 2018
Are children who spend lots of time using digital devices prone to psychiatric problems? A team of USC scientists says yes in a new study that appears today in the Journal of the American Medical Association.

Childhood abuse linked to greater risk of endometriosis, study finds

July 17, 2018
Endometriosis, a painful condition that affects one in 10 reproductive-age women in the U.S., has been linked to childhood physical and sexual abuse, according to findings published today in the journal Human Reproduction.

Opioids given too easily to children: study

July 16, 2018
(HealthDay)—Many children are prescribed powerful opioid painkillers they don't really need, putting them and those around them at risk, a new study shows.

Self-control and obesity: Gender matters in children

July 16, 2018
A toddler's self-regulation—the ability to change behavior in different social situations—may predict whether he or she will be obese come kindergarten, but the connection appears to be much different for girls than for ...

Footwear habits influence child and adolescent motor skill development

July 11, 2018
New research finds that children and adolescents who spend most of their time barefoot develop motor skills differently from those who habitually wear shoes. Published in Frontiers in Pediatrics, this is the first study to ...

Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems

July 9, 2018
A new study finds that severe childhood trauma and stresses early in parents' lives are linked to higher rates of behavioral health problems in their own children.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.