Prevalence of Persistent Prehypertension in Adolescents

Acosta, Alisa A.; Samuels, Joshua; Portman, Ronald J.; Redwine, Karen M.

doi:10.1016/j.jpeds.2011.10.033

Cited by 48 publications

(29 citation statements)

References 23 publications

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“…The estimated prevalence of prehypertension and hypertension (5.6%, 3.3%) was similar to other studies ranging from 2.3-31.4% and 2.1-15%, respectively (16,(19)(20)(21). The trend of an increased proportion of prehypertension in the younger age groups and overall was observed in these studies (19,20,22). Moreover, the lower prevalence of hypertension in older students may be due to the variability of BP in adolescents.…”

Section: Discussionsupporting

confidence: 88%

“…There was little to no preponderance to gender (OR: 0.97); this mirrored findings in a Seychelles study (18). The estimated prevalence of prehypertension and hypertension (5.6%, 3.3%) was similar to other studies ranging from 2.3-31.4% and 2.1-15%, respectively (16,(19)(20)(21). The trend of an increased proportion of prehypertension in the younger age groups and overall was observed in these studies (19,20,22).…”

Section: Discussionsupporting

confidence: 80%

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The Prevalence of Elevated Blood Pressure in Adolescents in Nassau, the Bahamas

Conliffe¹,

Frankson²,

Smith³

et al. 2015

West Indian Med J

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 80%

The Prevalence of Elevated Blood Pressure in Adolescents in Nassau, the Bahamas

Conliffe¹,

Frankson²,

Smith³

et al. 2015

West Indian Med J

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“…Population-based cohort studies estimate the prevalence of high blood pressure in obese children to be 11%. [2], [19]–[21] Although most children with NAFLD are overweight or obese, our finding that more than one of every three children with NAFLD had high blood pressure at baseline indicates that children with NAFLD are at particularly increased risk for high blood pressure. A previous single center study in overweight and obese children with biopsy-confirmed NAFLD demonstrated that mean systolic and diastolic blood pressure were significantly higher compared to overweight and obese controls without evidence of NAFLD.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Assessment of High Blood Pressure in Children with Nonalcoholic Fatty Liver Disease

et al. 2014

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ObjectiveNonalcoholic fatty liver disease (NAFLD) affects 9.6% of children and may put these children at elevated risk of high blood pressure and subsequent cardiovascular morbidity and mortality. Therefore, we sought to determine the prevalence of and risk factors for high blood pressure in children with NAFLD.MethodsCohort study performed by the NIDDK NASH Clinical Research Network. There were 484 children with NAFLD ages 2 to 17 at enrollment; 382 children were assessed both at enrollment and 48 weeks afterwards. The main outcomes were high blood pressure at baseline and persistent high blood pressure at both baseline and 48 weeks.ResultsPrevalence of high blood pressure at baseline was 35.8% and prevalence of persistent high blood pressure was 21.4%. Children with high blood pressure were significantly more likely to have worse steatosis than children without high blood pressure (mild 19.8% vs. 34.2%, moderate 35.0% vs. 30.7%, severe 45.2% vs. 35.1%; P = 0.003). Higher body mass index, low-density lipoprotein, and uric acid were independent risk factors for high blood pressure (Odds Ratios: 1.10 per kg/m2, 1.09 per 10 mg/dL, 1.25 per mg/dL, respectively). Compared to boys, girls with NAFLD were significantly more likely to have persistent high blood pressure (28.4% vs.18.9%; P = 0.05).ConclusionsIn conclusion, NAFLD is a common clinical problem that places children at substantial risk for high blood pressure, which may often go undiagnosed. Thus blood pressure evaluation, control, and monitoring should be an integral component of the clinical management of children with NAFLD.

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“…Studies have reported that the prevalence of prehypertension/highnormal BP in children and adolescents is as low as 3.4% [11], to as high as 23.7% [12]. A higher prevalence was reported in those studies in which no repeated measurements over time were performed, 12.7 [13] and 23.7% [12], when compared with the results for those in which BP was measured on separate visits, 3.4 [11] and 4% [14]. Prehypertension/high-normal BP has also been shown to increase across the BMI range, from 13.6% in nonoverweight, to 19.7% in overweight and to 23.7% in obese youth [12].…”

Section: Blood Pressurementioning

confidence: 99%

Blood pressure in children and adolescents

Lurbe

Ingelfinger

2016

Journal of Hypertension

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The available data concerning childhood blood pressure (BP) have increased substantially over the last four decades. Clinicians can use the available pediatric reference BP data to determine whether BP is in the normal range or is at a level that warrants evaluation or preventive intervention. It has also become possible to refine BP-derived parameters and to identify subclinical end organ damage through measures and markers now far more sensitive than those available years ago. The progress to date should provide an impetus for research advances that may translate into clinical practice. Findings that are becoming ready to incorporate into clinical use include data showing the importance of detecting prehypertension or high-normal BP, the meaning of BP obtained out of the clinic setting and the importance of central BP determinations. Furthermore, new information about large and small vessels during the early stages of BP elevation, the clustering of metabolic abnormalities with BP and the relevance of perinatal programming may lead to better strategies for reducing the impact of BP elevation on cardiovascular health.

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Prevalence of Persistent Prehypertension in Adolescents

Cited by 48 publications

References 23 publications

The Prevalence of Elevated Blood Pressure in Adolescents in Nassau, the Bahamas

The Prevalence of Elevated Blood Pressure in Adolescents in Nassau, the Bahamas

Longitudinal Assessment of High Blood Pressure in Children with Nonalcoholic Fatty Liver Disease

Blood pressure in children and adolescents

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