Prediction of Ambulatory Hypertension Based on Clinic Blood Pressure Percentile in Adolescents

Hamdani, Gilad; Flynn, Joseph T.; Becker, Richard C.; Daniels, Stephen R.; Falkner, Bonita; Hanevold, Coral; Ingelfinger, Julie R.; Lande, Marc B.; Martin, Lisa J.; Meyers, Kevin; Mitsnefes, Mark; Rosner, Bernard; Samuels, Joshua; Urbina, Elaine M.

doi:10.1161/hypertensionaha.118.11530

Cited by 23 publications

(16 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After publications of newer AAP nomograms, only a few studies were conducted to predict ambulatory hypertension based on office blood pressure in adolescents. Hamdani et al evaluated ambulatory blood pressure monitoring in 247 adolescents and found that clinic systolic in the 85th percentile may be the optimal threshold at which ambulatory BP monitoring should be performed (21). The authors also concluded that 2017 clinical practice guidelines have a higher sensitivity for ambulatory hypertension detection when compared with fourth report percentiles.…”

Section: Discussionmentioning

confidence: 99%

“…The study is not without limitations, with some major limitations being: (1) The clinical BP was measured by an auscultatory method and ambulatory blood pressure was measured by an oscillatory method, which are not correlated and have restricted reproducibility (21,22); (2) a formal sample size calculation was not done and convenient sample size based on hospital visits over a duration of 2 years was used. A small sample size in the study was another limitation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Predictive Model for Ambulatory Hypertension Based on Office Blood Pressure in Obese Children

et al. 2020

View full text Add to dashboard Cite

Background: The epidemic of obesity, along with hypertension (HT) and cardiovascular disease, is a growing contributor to global disease burden. It is postulated that obese children are predisposed to hypertension and subsequent cardiovascular disease in adulthood. Early detection and management of hypertension in these children can significantly modify the course of the disease. However, there is a paucity of studies for the characterization of blood pressure in obese children through ambulatory blood pressure monitoring (ABPM), especially in the developing world. This study aims to characterize ambulatory blood pressure in obese children and to explore feasibility of using office BP that will predict ambulatory hypertension. Methods: In the present study, 55 children with a body mass index (BMI) in the ≥95th percentile for age and sex were enrolled in a tertiary care hospital and underwent 24 h of ABPM and detailed biochemical investigations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predictive Model for Ambulatory Hypertension Based on Office Blood Pressure in Obese Children

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The present study identified that the cutoff level of office SBP at the 85th percentile had the highest sensitivity (75%) and specificity (81.2%) to predict masked hypertension. Hamdani G et al reported that the 85th percentile of SBP had a sensitivity of 86.8% and a specificity of 57.4% to diagnose ambulatory hypertension in healthy adolescents [29]. As same as the study of Centra et al, office SBP measurement of ≥ 122.5 mmHg that was equal to the 85th percentile of SBP predicted masked hypertension in adults born extreme preterm and extremely LBW with a sensitivity and a specificity of 79% and 74%, respectively [3].…”

Section: Discussionmentioning

confidence: 77%

Current obesity was associated with hypertension in children born very low birth weight

et al. 2021

View full text Add to dashboard Cite

Objectives Previous studies from the developed countries showed that children born very low birth weight have a higher risk of hypertension compared with that of the normal birth weight controls. However, studies regarding the prevalence of hypertension in such children from the developing countries are scarce. This study aimed to identify the perinatal and postnatal factors associated with hypertension in children born very low birth weight. Results Forty-six children aged ≥ 6 years from the VLBW cohort of Ramathibodi Hospital, Bangkok, Thailand underwent the ambulatory blood pressure monitoring. The prevalence of hypertension was 15.2% (7/46). The hypertension group had a significant higher BMI z-score at 3 years of age (0.90 ± 1.44 vs − 0.45 ± 1.47, p = 0.045) and a greater proportion of current obesity (42% vs 2.5%, p < 0.01) compared to those in the normotensive group. Multivariate analysis revealed that current obesity was associated with hypertension (OR 34.77, 95%CI 1.814–666.5). Among 36 children with normal office blood pressure, four children (11.1%) had high blood pressure uncovered by ABPM, called “masked hypertension”. Office systolic blood pressure at the 85th percentile was the greatest predictor for masked hypertension with a sensitivity of 75% and a specificity of 81.2%.

show abstract

“…Hamdani G et al reported that the 85th percentile of SBP had a sensitivity of 86.8% and a speci city of 57.4% to diagnose ambulatory hypertension in healthy adolescents. 29 As same as the study of Centra JC et al, o ce SBP measurement of ≥ 122.5 mmHg that was equal to the 85th percentile of SBP predicted masked hypertension in adults born extreme preterm and extremely LBW with a sensitivity and a speci city of 79% and 74%, respectively. 3 Interestingly, our study found that the prevalence of white-coat hypertension was relatively high at 70% (7/10) and it was higher than previous reports in previously healthy children and adolescents, which estimated 34-58%.…”

Section: Discussionmentioning

confidence: 79%

Current Obesity Was Associated with Hypertension in Children Born Very Low Birth Weight

Limratchapong

Nuntnarumit

Paksi

et al. 2021

Preprint

View full text Add to dashboard Cite

Objectives: Previous studies from the developed countries showed that children born very low birth weight have a higher risk of hypertension compared with that of the normal birth weight controls. However, studies regarding the prevalence of hypertension in such children from the developing countries are scarce. This study aimed to identify the perinatal and postnatal factors associated with hypertension in children born very low birth weight.Results: Forty-six children aged ≥ 6 years from the VLBW cohort of Ramathibodi Hospital, Bangkok, Thailand underwent the ambulatory blood pressure monitoring. The prevalence of hypertension was 15.2% (7/46). The hypertension group had a significant higher BMI z-score at 3 years of age (0.90 ± 1.44 vs -0.45 ± 1.47, P = 0.045) and a greater proportion of current obesity (42% vs 2.5%, P < 0.01) compared to those in the normotensive group. Multivariate analysis revealed that current obesity was associated with hypertension (OR 20.5, 95%CI 1.07-391.5). Among 36 children with normal office blood pressure, four children (11.1%) had high blood pressure uncovered by ABPM, so-called “masked hypertension”. Office systolic blood pressure at the 85th percentile was the greatest predictor for masked hypertension with a sensitivity of 75% and a specificity of 81.2%.

show abstract

Prediction of Ambulatory Hypertension Based on Clinic Blood Pressure Percentile in Adolescents

Cited by 23 publications

References 34 publications

Predictive Model for Ambulatory Hypertension Based on Office Blood Pressure in Obese Children

Predictive Model for Ambulatory Hypertension Based on Office Blood Pressure in Obese Children

Current obesity was associated with hypertension in children born very low birth weight

Current Obesity Was Associated with Hypertension in Children Born Very Low Birth Weight

Contact Info

Product

Resources

About