What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Pediatric hypertension (n=1858). Intervention: AAP 2017 guidelines vs. ESH 2016 guidelines. Primary outcome: Prevalence of hypertension (p=<0.001).

What does this research mean for the field?

The AAP 2017 pediatric guidelines identify a higher prevalence of hypertension and elevated blood pressure in Korean youth than the ESH 2016 guidelines, effectively identifying individuals with higher obesity and more severe cardiometabolic risk factors. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

February 24, 2022Frontiers in MedicineOpen Access

Difference in the Prevalence of Elevated Blood Pressure and Hypertension by References in Korean Children and Adolescents

Q: What are the key findings of this study?

The AAP 2017 guidelines classified a significantly higher proportion of Korean youth as hypertensive (9.4%) compared to the ESH 2016 guidelines (4.1%), identifying more children with severe cardiometabolic risk factors.

Q: What does this research mean for the field?

The AAP 2017 pediatric guidelines identify a higher prevalence of hypertension and elevated blood pressure in Korean youth than the ESH 2016 guidelines, effectively identifying individuals with higher obesity and more severe cardiometabolic risk factors. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

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Key result

AAP 2017 guidelines more than double pediatric hypertension prevalence vs. ESH 2016 in Korean youth.

P<0.001
n=1,858

Why the study?

No study has classified Korean youths with cardiometabolic risk using the two main pediatric blood pressure classification guidelines, AAP 2017 and ESH 2016.

Does the AAP 2017 guideline classification improve the detection of cardiometabolic risk factors in Korean children and adolescents compared to the ESH 2016 guideline?

Population

1,858 Korean children aged 10–17 years from Korea National Health and Nutrition Examination Survey 2016–2018

Comparison

Blood pressure classification by AAP 2017 vs ESH 2016 guidelines

Design

Cross-sectional analysis

Authors

JKJeong Yeon KimSamsung Medical Center HCHeeyeon ChoSamsung Medical Center JKJae Hyun KimChonbuk National University Hospital

Discussion

Member takes

Implication

May support AAP 2017 for earlier risk flagging in Korean youth; leaves open prospective outcome validation before practice change.

Study Design

Type

Cross-Sectional (n=1,858)

Structured PICO

Does the AAP 2017 guideline classification improve the detection of cardiometabolic risk factors in Korean children and adolescents compared to the ESH 2016 guideline?

Population

1,858 Korean children and adolescents aged 10-17 years from a national cross-sectional survey were evaluated to compare hypertension prevalence and cardiometabolic risk factors using two different diagnostic guidelines.

Exposure

Blood pressure classification according to AAP 2017 guidelines

Comparator

Blood pressure classification according to ESH 2016 guidelines

Outcome

Prevalence of elevated BP/prehypertension and hypertension, and comparison of cardiometabolic risk factors between reclassified and normotensive youthsurrogate

Main Result

Absolute Event Rate: 9.4% vs 4.1%

p-value: p=<0.001

The AAP 2017 guidelines classify more Korean youth as having abnormal blood pressure compared to ESH 2016, allowing for earlier detection of those with severe cardiometabolic risk factors.

Limitations

Cross-sectional design limits causal inferences.
Blood pressure was measured only three times on a single day, which may overestimate the true prevalence of hypertension.
Lack of longitudinal data to confirm the causal relationship between pediatric hypertension defined by these guidelines and cardiovascular disease in adulthood.

Cite This Study

Kim et al. (2022) conducted a cross-sectional in Pediatric hypertension (n=1,858). AAP 2017 guidelines vs. ESH 2016 guidelines was evaluated on Prevalence of hypertension (p=<0.001). The AAP 2017 guidelines classified a significantly higher proportion of Korean youth as hypertensive (9.4%) compared to the ESH 2016 guidelines (4.1%), identifying more children with severe cardiometabolic risk factors.

synapsesocial.com/papers/6ab474487fe49861ddc08464 https://doi.org/10.3389/fmed.2022.793771

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Difference in the Prevalence of Elevated Blood Pressure and Hypertension by References in Korean Children and Adolescents

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Difference in the Prevalence of Elevated Blood Pressure and Hypertension by References in Korean Children and Adolescents

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider