Do children with solitary or hypofunctioning kidney have the same prevalence for masked hypertension?

Yel, Sibel; Günay, Neslihan; Pınarbaşı, Ayşe Seda; Balaban, Aynur Gencer; Caferoğlu, Zeynep; Dursun, İsmail; Poyrazoğlu, Muammer Hakan

doi:10.1007/s00467-020-04896-7

Cited by 11 publications

(6 citation statements)

References 39 publications

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“…The second type of studies from which we can estimate the prevalence of MH in healthy children is studies on different diseases with healthy controls. Recently, Dubey et al and Yel et al showed that MH was not present in any of 26 and 20 healthy controls [21,44]. In another study, on obese children, Lurbe et al could find MH only in 1.1% of healthy controls [63].…”

Section: Masked Hypertension In Healthy Subjectsmentioning

confidence: 94%

“…Children with solitary kidney (estimated prevalence 1:3.000 children) are at increased risk of office hypertension especially those with signs of chronic kidney injury such as albuminuria/ proteinuria or decreased GFR [20]. These spare data suggest that children with a solitary kidney and evidence of chronic kidney injury are at higher risk of masked hypertension (6-13%) [21,22] than children with a healthy solitary kidney and no signs of chronic kidney injury [23]. However, these suggestions need more research with higher number of patients.…”

Section: Children With Chronic Kidney Diseases (Ckd)mentioning

confidence: 99%

“…-Healthy children without any risk factor for hypertension [21,44,63]. -Children with CKD and systolic OBP < 20th percentile [91•].…”

Section: Recommendations For Masked Hypertension Screening In Childrenmentioning

confidence: 99%

“…Healthy population not to be screened High-normal/elevated office BP [71] Healthy children without any risk factor for hypertension [21,44,63] Positive family history for hypertension [3,63] Transiently elevated OBP [10,69] Because ambulatory hypertension, either together with office hypertension (sustained hypertension) or with normal office BP (masked hypertension), is associated with increased cardiovascular and renal risk, we and others regard it as a clinical condition which warrants further investigation (blood tests, echocardiography, testing for albuminuria), follow-up, and intervention [4]. The question of which interventions should be started in a child with MH is yet to be answered; we think that lifestyle measures such as body weight reduction in overweight/obese children, age-appropriate sodium intake (e.g., < 2300 mg per day for adolescents), and appropriate physical exercise similarly to children with high-normal/prehypertensive OBP who are from the definition also non-hypertensive are reasonable interventions to target the lifestyle risk factors for hypertension and cardiovascular diseases.…”

Section: Healthy Population To Be Screenedmentioning

confidence: 99%

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Masked Hypertension in Healthy Children and Adolescents: Who Should Be Screened?

Seeman,

Šuláková,

Stabouli

2023

Curr Hypertens Rep

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Purpose of Review The goal is to review masked hypertension (MH) as a relatively new phenomenon when patients have normal office BP but elevated out-of-office BP. Firstly, it was described in children in 2004. It has received increased attention in the past decade. Recent Findings The prevalence of MH in different pediatric populations differs widely between 0 and 60% based on the population studied, definition of MH, or method of out-of-office BP measurement. The highest prevalence of MH has been demonstrated in children with chronic kidney disease (CKD), obesity, diabetes, and after heart transplantation. In healthy children but with risk factors for hypertension such as prematurity, overweight/obesity, diabetes, chronic kidney disease, or positive family history of hypertension, the prevalence of MH is 9%. In healthy children without risk factors for hypertension, the prevalence of MH is very low ranging 0–3%. Summary In healthy children, only patients with the following clinical conditions should be screened for MH: high-normal/elevated office BP, positive family history of hypertension, and those referred for suspected hypertension who have normal office BP in the secondary/tertiary center.

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Section: Masked Hypertension In Healthy Subjectsmentioning

confidence: 94%

Section: Children With Chronic Kidney Diseases (Ckd)mentioning

confidence: 99%

“…-Healthy children without any risk factor for hypertension [21,44,63]. -Children with CKD and systolic OBP < 20th percentile [91•].…”

Section: Recommendations For Masked Hypertension Screening In Childrenmentioning

confidence: 99%

Section: Healthy Population To Be Screenedmentioning

confidence: 99%

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Masked Hypertension in Healthy Children and Adolescents: Who Should Be Screened?

Seeman,

Šuláková,

Stabouli

2023

Curr Hypertens Rep

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“…La presencia de HTA enmascarada está descrita en niños y adultos jóvenes con una incidencia de 10%. Su presencia se describe en distintos grupos de riesgo de HTA: 16% en Diabetes Mellitus tipo I, 29% en trasplantados renales, 28% en ERC estadio 2-5, 23% en obesidad y 12% en monorrenos [14][15][16] .…”

Section: Clasificación Diagnóstica Según Mapa -Hta Enmascaradaunclassified

Hipertensión Arterial en Pediatría. Rol de la Monitorización Ambulatoria de Presión Arterial (MAPA)Hipertensión Arterial en Pediatría. Rol de la Monitorización Ambulatoria de Presión Arterial (MAPA)

González Celedón,

Carrillo Verdugo,

Peredo Guerra

et al. 2023

Andes pediatr

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La Hipertensión Arterial (HTA) es un factor de riesgo relevante de enfermedad cardiovascular. La prevalencia en pediatría ha ido en aumento, asociado al incremento de sobrepeso y obesidad infantil, entre otros factores. Un diagnóstico adecuado e intervención precoz son determinantes en la prevención de daño de órgano blanco. La Academia Americana de Pediatría recomienda realizar Monitorización Ambulatoria de Presión Arterial (MAPA) en pacientes pediátricos con sospecha o factores de riesgo de HTA para confirmar el diagnóstico y dirigir el tratamiento. Las nuevas recomendaciones recientemente publicadas simplifican la interpretación; se elimina la sobrecarga como determinante para la clasificación, quedando sólo 4 categorías diagnósticas de presión arterial: Normotensión, Hipertensión de Delantal Blanco, Hipertensión Enmascarada e Hipertensión Ambulatoria. Asimismo, cambian los valores de corte en adolescentes ≥ 13 años, usándose los valores de referencia de MAPA para adultos recomendados por la American Heart Association en 2017. Ambos cambios aumentan la sensibilidad de este examen para la detección de repercusión sistémica. En este artículo se actualiza el estudio y diagnóstico de la HTA basado en las guías de Monitorización Ambulatoria de Presión Arterial chilenas para pacientes pediátricos, con el objetivo de unificar criterios diagnósticos, mejorar su difusión y ampliar su cobertura nacional. Además, se aporta una actualización en relación a las distintas categorías ambulatorias de presión arterial, al daño de órgano blanco y recomendaciones para el correcto uso de esta herramienta diagnóstica, incluyendo sugerencias de informe.

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Salt Sensitivity in Childhood Hypertension

Hanevold

2023

Pediatric Hypertension

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Do children with solitary or hypofunctioning kidney have the same prevalence for masked hypertension?

Cited by 11 publications

References 39 publications

Masked Hypertension in Healthy Children and Adolescents: Who Should Be Screened?

Masked Hypertension in Healthy Children and Adolescents: Who Should Be Screened?

Hipertensión Arterial en Pediatría. Rol de la Monitorización Ambulatoria de Presión Arterial (MAPA)Hipertensión Arterial en Pediatría. Rol de la Monitorización Ambulatoria de Presión Arterial (MAPA)

Salt Sensitivity in Childhood Hypertension

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