Hypertension in children and adolescents - PubMed (original) (raw)
Review
. 2006 May 1;73(9):1558-68.
Affiliations
- PMID: 16719248
Free article
Review
Hypertension in children and adolescents
Gregory B Luma et al. Am Fam Physician. 2006.
Free article
Abstract
The development of a national database on normative blood pressure levels throughout childhood has contributed to the recognition of elevated blood pressure in children and adolescents. The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence of the early development of atherosclerosis in children would make the detection of and intervention in childhood hypertension important to reduce long-term health risks; however, supporting data are lacking. Secondary hypertension is more common in preadolescent children, with most cases caused by renal disease. Primary or essential hypertension is more common in adolescents and has multiple risk factors, including obesity and a family history of hypertension. Evaluation involves a thorough history and physical examination, laboratory tests, and specialized studies. Management is multifaceted. Nonpharmacologic treatments include weight reduction, exercise, and dietary modifications. Recommendations for pharmacologic treatment are based on symptomatic hypertension, evidence of end-organ damage, stage 2 hypertension, stage 1 hypertension unresponsive to lifestyle modifications, and hypertension with diabetes mellitus.
Similar articles
- [Hypertension in children and adolescence].
Lomelí C, Rosas M, Mendoza-González C, Méndez A, Lorenzo JA, Buendía A, Férez-Santander SM, Attie F. Lomelí C, et al. Arch Cardiol Mex. 2008 Apr-Jun;78 Suppl 2:S2-82-93. Arch Cardiol Mex. 2008. PMID: 18938688 Spanish. - [Systemic arterial hypertension in child and adolescent].
Rosas-Peralta M, Medina-Concebida LE, Borrayo-Sánchez G, Madrid-Miller A, Ramírez-Arias E, Pérez-Rodríguez G. Rosas-Peralta M, et al. Rev Med Inst Mex Seguro Soc. 2016;54 Suppl 1:s52-66. Rev Med Inst Mex Seguro Soc. 2016. PMID: 27284843 Review. Spanish. - Primary care management of childhood and adolescent hypertension.
Anglum A. Anglum A. J Am Acad Nurse Pract. 2009 Oct;21(10):529-34. doi: 10.1111/j.1745-7599.2009.00441.x. J Am Acad Nurse Pract. 2009. PMID: 19796286 Review. - High blood pressure in the pediatric age group.
Andrade H, Antonio N, Rodrigues D, Da Silva M, Pêgo M, Providência LA. Andrade H, et al. Rev Port Cardiol. 2010 Mar;29(3):413-32. Rev Port Cardiol. 2010. PMID: 20635566 Review. English, Portuguese. - Overweight, obesity and elevated blood pressure in children and adolescents.
Schiel R, Beltschikow W, Kramer G, Stein G. Schiel R, et al. Eur J Med Res. 2006 Mar 27;11(3):97-101. Eur J Med Res. 2006. PMID: 16751109
Cited by
- Non-communicable diseases among children in Ghana: health and social concerns of parent/caregivers.
Yawson AE, Abuosi AA, Badasu DM, Atobra D, Adzei FA, Anarfi JK. Yawson AE, et al. Afr Health Sci. 2016 Jun;16(2):378-88. doi: 10.4314/ahs.v16i2.6. Afr Health Sci. 2016. PMID: 27605953 Free PMC article. - Prescribing Patterns of Antihypertensives for Treatment-Naïve Patients in South Korea: From Korean NHISS Claim Data.
Kim SH, Shin DW, Kim S, Han K, Park SH, Kim YH, Jeon SA, Kwon YC. Kim SH, et al. Int J Hypertens. 2019 Aug 25;2019:4735876. doi: 10.1155/2019/4735876. eCollection 2019. Int J Hypertens. 2019. PMID: 31534797 Free PMC article. - Hypertension in Developing Countries: A Major Challenge for the Future.
Mohsen Ibrahim M. Mohsen Ibrahim M. Curr Hypertens Rep. 2018 May 1;20(5):38. doi: 10.1007/s11906-018-0839-1. Curr Hypertens Rep. 2018. PMID: 29717393 Review. - Creating an integrated care model for childhood obesity: a randomized pilot study utilizing telehealth in a community primary care setting.
Fleischman A, Hourigan SE, Lyon HN, Landry MG, Reynolds J, Steltz SK, Robinson L, Keating S, Feldman HA, Antonelli RC, Ludwig DS, Ebbeling CB. Fleischman A, et al. Clin Obes. 2016 Dec;6(6):380-388. doi: 10.1111/cob.12166. Epub 2016 Nov 14. Clin Obes. 2016. PMID: 27863024 Free PMC article. Clinical Trial. - Prevalence of arterial hypertension in pediatric hospitalized patients.
Chacón-Jaimes DC, Morales-Contreras CL, Abad J, Niño-Serna L, Vélez-Echeverri C. Chacón-Jaimes DC, et al. Arch Cardiol Mex. 2023;93(1):13-21. doi: 10.24875/ACM.21000362. Arch Cardiol Mex. 2023. PMID: 36757775 Free PMC article. English.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical