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February 22, 2017HypertensionOpen Access

Can Pediatric Hypertension Criteria Be Simplified?

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Why the study?

Does a simplified childhood blood pressure definition predict adult hypertension and subclinical cardiovascular disease as well as the complex definition in adults followed since childhood?

Population

1225 adults from the Bogalusa Heart Study with 27.1-year follow-up since childhood

Comparison

Simplified blood pressure definition for… vs The 2004 Fourth Report complex definition

Design

Cohort

Follow-up

27.1 years

Authors

BXBo XiPreventive CardiologyTZTao ZhangQingdao UniversitySLShengxu LiPediatric Cardiology

Discussion

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Implication

May support simplified childhood BP screening; extends longitudinal data by validating equivalent adult CVD prediction.

Structured PICO

Does a simplified childhood blood pressure definition predict adult hypertension and subclinical cardiovascular disease as well as the complex definition in adults followed since childhood?

P
Population
1225 adults (530 men; aged 26.3-47.7 years) from the Bogalusa Heart Study with 27.1-year follow-up since childhood
I
Intervention
Simplified blood pressure definition for childhood prehypertension and hypertension (110/70 and 120/80 mm Hg for ages 6-11 years; 120/80 and 130/85 mm Hg for ages 12-17 years)
C
Comparator
The 2004 Fourth Report complex definition (sex-, age-, and height-specific 90th and 95th percentiles)
O
Outcome
Adult hypertension and subclinical cardiovascular disease (carotid intima-media thickness, pulse wave velocity, and left ventricular mass)surrogate

A simplified childhood blood pressure definition predicts the risk of adult hypertension and subclinical cardiovascular disease equally as well as the complex 2004 Fourth Report criteria, offering a more practical tool for screening.

Cite This Study

Xi et al. (2017) studied this question.

synapsesocial.com/papers/6a8aa5ca1fb56efa37d4b469https://doi.org/10.1161/hypertensionaha.116.08782

Topics

Hypertension management
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