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Nearly 800,000 young Americans have recently been clbadified as hypertensive according to the updated guidelines of the American Academy of Pediatrics (AAP), according to a new study by the Centers for Disease Control and Prevention (CDC) in Atlanta (USA), published on the Morbidity and Mortality Weekly Report (MMWR)
Nearly 800,000 young Americans have recently been clbadified as hypertensive according to the updated guidelines of the American Academy of Pediatrics (AAP), according to a new study by the Centers for Disease Control and Prevention (CDC) of Atlanta (USA), published in the "Morbidity and Mortality Weekly Report" (MMWR).
The new AAP recommendations, published last year as an update of the 2004 guidelines, include thresholds and percentiles based on a standard reference population, write authors coordinated by Sandra L. Jackson of the Division of Heart Disease and Pre Incident of the National Center for Chronic Disease Prevention and Health Promotion of the CDC
For children ages 12 to 17, the new guidelines define the 39, high blood pressure (BP) greater than the 90th percentile but less than the 95th percentile or systolic blood pressure (SBP) of 120 mmHg or greater but less than the 95th percentile.
In particular, the panel of experts clbadifies hypertension between 12 and 17 years as PB at the 95th percentile or above, a BP of at least 130/80 mmHg or use declared antihypertensives. The guidelines for adolescents aged 18 and 19 now correspond to the 2017 clinical guidelines for hypertension for adults.
To study trends in hypertension among young people and the impact of new lines Jackson and his colleagues examined more than 12,000 subjects aged 12 to 19 who participated in the study. National Health and Nutrition Survey 2001-2006.
Limitations of normality of pressure, increased prevalence of disorder
Prevalence of hypertension decreased by 7, 7% in 2001 to 4.2% in 2016 (P <0.001) based on the new guidelines, report the authors. The prevalence of hypertension also decreased compared to the 2004 clbadification: from 3.2% to 1.5% (P <0.001). The prevalence of obesity increased from 17.8% to 21.8% while the prevalence of severe obesity increased from 5.7% to 8.8%, both significant changes [19659008]. In 2017 compared to previous years, a number of young people were clbadified as characterized by high blood pressure and most of them were considered hypertensive. The authors estimate that 2.6% of children aged 12 to 19 years have switched to the hypertension category with the new clbadification, about 795,000 young people
Recommendations for Promoting Cardiovascular Health in boys
Better nutrition, improved screening, or early intervention may help lower the prevalence of hypertension, Jackson and his colleagues write. However, they add, "the decrease in the prevalence of hypertension among adolescents should be interpreted with caution, because the underlying causes of the decline are uncertain."
According to CDC researchers, a clbad of 30 students would have a hypertension student and three other hypertensive people.
The AAP recommends that children be screened for hypertension beginning at the age of three, recruiting researchers, and that screening for high cholesterol be recommended between 9 and 10 years of age. 11 years old and between 17 and 21 years old.
"Health professionals can support patients and families by performing regular blood pressure tests in young people, and be ready to recommend interventions conclude Jackson and colleagues
appropriate medications and efforts to promote cardiovascular health in their community. G.O.
Bibliographic reference:
Jackson SL, Zhang Z, Wiltz JL, et al. Hypertension in young people – United States, 2001-2016. MMWR Morb Mortal Wkly Rep, 2018 Jul 13; 67 (27): 758-762. doi: 10.15585 / mmwr.mm6727a2.
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