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November 4, 2024JAMA PediatricsOpen Access

Tracking and Transition Probability of Blood Pressure From Childhood to Midadulthood

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Why the study?

Despite relevance for pediatric blood pressure screening, the long-term predictive utility and natural progression of pediatric blood pressure classifications remain understudied.

Does childhood and adolescent blood pressure classification predict blood pressure classification in midadulthood?

Population

2918 participants aged 6-18 years at baseline in the Cardiovascular Risk in Young Finns Study

Comparison

Pediatric BP classifications (normal, elevated, hypertension) followed over time

Design

Longitudinal cohort study

Follow-up

38 years

Authors

YMYaxing MengJSJames E. SharmanFIFiia Iiskala

Discussion

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Overview

Supports early BP monitoring in youth; extends tracking data over decades but leaves intervention effects open.

Structured PICO

Does childhood and adolescent blood pressure classification predict blood pressure classification in midadulthood?

P
Population
2918 participants from the longitudinal Cardiovascular Risk in Young Finns Study, mean baseline age 10.7 years, 53.2% female, followed from childhood/adolescence to midadulthood.
I
Intervention
Blood pressure classification (normal, elevated, hypertension) based on AAP guidelines for children and adolescents and the 2017 ACC/AHA guidelines for adults
O
Outcome
Blood pressure classifications at follow-up visits (tracking coefficients and transition probabilities)surrogate

Childhood and adolescent blood pressure classifications strongly predict midadulthood hypertension, with the probability of reverting to normal blood pressure decreasing significantly after adolescence.

Cite This Study

Meng et al. (2024) studied this question.

synapsesocial.com/papers/6a0fd21c2badbc352afec5cbhttps://doi.org/10.1001/jamapediatrics.2024.4368
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