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Obesity-Related Hypertension in Pediatrics, the Impact of American Academy of Pediatrics Guidelines.
- Source :
-
Nutrients [Nutrients] 2021 Jul 28; Vol. 13 (8). Date of Electronic Publication: 2021 Jul 28. - Publication Year :
- 2021
-
Abstract
- The prevalence of primary hypertension in pediatric patients is increasing, especially as a result of the increased prevalence of obesity in children. New diagnostic guidelines for blood pressure were published by the American Academy of Pediatrics (AAP) in 2017 to better define classes of hypertension in children. The aim of our study is to evaluate the impact of new guidelines on diagnosis of hypertension in pediatrics and their capacity to identify the presence of cardiovascular and metabolic risk. Methods: Retrospective clinical and laboratory data from 489 overweight and obese children and adolescents were reviewed. Children were classified according to the 2004 and 2017 AAP guidelines for systolic and diastolic blood pressure. Lipid profile and glucose metabolism data were recorded; triglyceride/HDL ratio (TG/HDL) was calculated as an index of endothelial dysfunction. Hepatic steatosis was detected using the ultrasonographic steatosis score. Results: Children with elevated blood pressure increased from 12.5% with the 2004 AAP to 23.1% with the 2017 AAP criteria ( p < 0.001). There was a statistically significant increase in children with high blood pressure in all age groups according to the new cut-off values. Notably, the diagnosis of hypertension according to 2017 AAP criteria had a greater positive association with Hepatic Steatosis (rho 0.2, p < 0.001) and TG/HDL ratio (rho 0.125, p = 0.025). Conclusions: The 2017 AAP tables offer the opportunity to better identify overweight and obese children at risk for organ damage, allowing an earlier and more impactful prevention strategy to be designed.
- Subjects :
- Adolescent
Blood Pressure
Child
Child, Preschool
Female
Guidelines as Topic
Heart Disease Risk Factors
Humans
Hypertension epidemiology
Hypertension prevention & control
Male
Overweight
Pediatric Obesity epidemiology
Prevalence
Retrospective Studies
Risk Factors
United States
Hypertension diagnosis
Pediatric Obesity diagnosis
Pediatrics
Subjects
Details
- Language :
- English
- ISSN :
- 2072-6643
- Volume :
- 13
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Nutrients
- Publication Type :
- Academic Journal
- Accession number :
- 34444745
- Full Text :
- https://doi.org/10.3390/nu13082586