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  • Yang, LiuFrom the Department of Epidemiology, School of Public Health, Shandong University, Jinan, China (L.Y., B.X.) (författare)

Impact of the 2017 American Academy of Pediatrics Guideline on Hypertension Prevalence Compared With the Fourth Report in an International Cohort

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • Ovid Technologies (Wolters Kluwer Health),2019
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-454883
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454883URI
  • https://doi.org/10.1161/hypertensionaha.119.13807DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • In 2017, the American Academy of Pediatrics (AAP) updated the clinical practice guideline for high blood pressure (BP) in the pediatric population. In this study, we compared the difference in prevalence of elevated and hypertensive BP values defined by the 2017 AAP guideline and the 2004 Fourth Report and estimated the cardiovascular risk associated with the reclassification of BP status defined by the AAP guideline. A total of 47 200 children and adolescents aged 6 to 17 years from 6 countries (China, India, Iran, Korea, Poland, and Tunisia) were included in this study. Elevated BP and hypertension were defined according to 2 guidelines. In addition, 1606 children from China, Iran, and Korea who were reclassified upward by the AAP guideline compared with the Fourth Report and for whom laboratory data were available were 1:1 matched with children from the same countries who were normotensive by both guidelines. Compared with the Fourth Report, the prevalence of elevated BP defined by the AAP guideline was lower (14.9% versus 8.6%), whereas the prevalence of stages 1 and 2 hypertension was higher (stage 1, 6.6% versus 14.5%; stage 2, 0.4% versus 1.7%). Additionally, comparison of laboratory data in the case-control study showed that children who were reclassified upward were more likely to have adverse lipid profiles and high fasting blood glucose compared with normotensive children. In conclusion, the prevalence of elevated BP and hypertension varied significantly between both guidelines. Applying the new AAP guideline could identify more children with hypertension who are at increased cardiovascular risk.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Kelishadi, RoyaDepartment of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran (R.K., G.A.) (författare)
  • Hong, Young MiDepartment of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea (Y.M.H., H.S.K.) (författare)
  • Khadilkar, AnuradhaGrowth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India (A.K., V.K., S.C., N.K., V.E.) (författare)
  • Nawarycz, TadeuszDepartment of Biophysics, Medical University of Lodz, Poland (T.N., L.O.-N.) (författare)
  • Krzywińska-Wiewiorowska, MałgorzataDepartment of Epidemiology and Hygiene, Poznan University of Medical Sciences, Poznan, Poland (M.K.-W., A.K., B.S.-W.) (författare)
  • Aounallah-Skhiri, HajerNational Institute of Public Health, Nutrition Surveillance and Epidemiology in Tunisia Research Laboratory, Tunis, Tunisia (H.A.-S.) (författare)
  • Motlagh, Mohammad EsmaeilDepartment of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Iran (M.E.M.) (författare)
  • Kim, Hae SoonDepartment of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea (Y.M.H., H.S.K.) (författare)
  • Khadilkar, VamanGrowth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India (A.K., V.K., S.C., N.K., V.E.) (författare)
  • Krzyżaniak, AlicjaDepartment of Epidemiology and Hygiene, Poznan University of Medical Sciences, Poznan, Poland (M.K.-W., A.K., B.S.-W.) (författare)
  • Ben Romdhane, HabibaCardiovascular Epidemiology and Prevention, Research Laboratory, Faculty of Medicine, University Tunis El Manar, Tunis, Tunisia (H.B.R.) (författare)
  • Heshmat, RaminDepartment of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Iran (R.H.) (författare)
  • Chiplonkar, ShashiGrowth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India (A.K., V.K., S.C., N.K., V.E.) (författare)
  • Stawińska-Witoszyńska, BarbaraDepartment of Epidemiology and Hygiene, Poznan University of Medical Sciences, Poznan, Poland (M.K.-W., A.K., B.S.-W.) (författare)
  • El Ati, JalilaNutrition Surveillance and Epidemiology Unit, National Institute of Nutrition and Food Technology, Tunis, Tunisia (J.E.A.) (författare)
  • Qorbani, MostafaDepartment of Epidemiology, Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran (M.Q.) (författare)
  • Kajale, NehaGrowth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India (A.K., V.K., S.C., N.K., V.E.) (författare)
  • Traissac, PierreInstitut de Recherche pour le Développement, UMR NUTRIPASS IRD-UM-SupAgro, Montpellier, France (P.T.) (författare)
  • Ostrowska-Nawarycz, LidiaDepartment of Biophysics, Medical University of Lodz, Poland (T.N., L.O.-N.) (författare)
  • Ardalan, GelayolDepartment of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran (R.K., G.A.) (författare)
  • Ekbote, VeenaGrowth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India (A.K., V.K., S.C., N.K., V.E.) (författare)
  • Zhao, MinDepartment of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan, China (M.Z.) (författare)
  • Heiland, Emerald GThe Swedish School of Sport and Health Sciences (GIH)(Swepub:uu)emehe107 (författare)
  • Liang, YajunDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden (Y.L.). (författare)
  • Xi, BoFrom the Department of Epidemiology, School of Public Health, Shandong University, Jinan, China (L.Y., B.X.) (författare)
  • From the Department of Epidemiology, School of Public Health, Shandong University, Jinan, China (L.Y., B.X.)Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran (R.K., G.A.) (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Hypertension: Ovid Technologies (Wolters Kluwer Health)74:6, s. 1343-13480194-911X1524-4563

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