Impact of the 2017 Blood Pressure Guidelines by the American Academy of Pediatrics in overweight/obese youth

Journal of Hypertension
Procolo Di Bonitoon the behalf of the Childhood Obesity Study Group of the Italian Society of Pediatric Endocrinology, Diabetology

Abstract

The aim of this study was to compare the impact of the European Society of Hypertension Guidelines 2016 (ESHG2016) and the American Academy of Pediatrics Guidelines 2017 (AAPG2017) on the screening of hypertension and classification of abnormal left ventricular geometry (ALVG) in overweight/obese youth. This study included 6137 overweight/obese youth; 437 had echocardiographic assessment. Hypertension was defined using either ESHG2016 or AAPG2017. ALVG was defined using 95th percentile for age and sex of left ventricular mass index (LVMi) and/or relative wall thickness (RWT) more than 0.38 (juvenile cut-offs) according to ESHG2016 or LVMi more than 51 g/h and/or RWT more than 0.42 (adult cut-offs) according to AAPG2017. Prevalence of youth at a high risk of hypertension was 13% higher using AAPG2017 than ESHG2016. The increase was larger in overweight youth at least 13 years of age (+43%). Using the juvenile cut-offs for ALVG, youth at a high risk of hypertension by ESHG2016 had an odds ratio [95% confidence interval (95% CI)] of 3.03 (1.31-7.05) for left ventricular concentric remodelling (LVcr) and 2.53 (1.43-4.47) for concentric left ventricular hypertrophy (cLVH) as compared with youth with normal LVG. Similarly, in youth a...Continue Reading

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Citations

Jun 8, 2019·Jornal brasileiro de nefrologia : ʹorgão oficial de Sociedades Brasileira e Latino-Americana de Nefrologia·Vera H Koch
Mar 15, 2020·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Simonetta GenovesiUgo Giordano
Oct 23, 2019·Journal of Endocrinological Investigation·P Di BonitoM Manco
Jul 7, 2021·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·D Ö HacıhamdioğluE Koyuncu

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