ArticleJournal of clinical hypertension (Greenwich, Conn.)2019
The impact of new guidelines on the prevalence of hypertension in children: A cross-sectional evaluation.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 22 citations in OpenAlex.
- High Blood Pressure in Children Aged 3 to 12 Years Old With Overweight or Obesity.Childhood obesity (Print) · 2024Trial
- Prevalence and risk factors for hypertension among children and adolescents in Shaanxi province, Northwestern China, according to the three hypertension guidelines.Scientific reports · 2025Article
- Comparative analysis of adolescent hypertension definitions for predicting early adulthood carotid artery intima-media thickness: Tehran lipid and glucose study.Clinical and experimental pediatrics · 2024Article
- Adapting a clinical decision support system to improve identification of pediatric hypertension in a rural health system: Design of a pragmatic trial.Contemporary clinical trials · 2023Article
- A comparison of paediatric hypertension clinical practice guidelines and their ability to predict adult hypertension in an African birth cohort.Journal of human hypertension · 2023Article
- High blood pressure pattern amongst adolescents in Lagos, South West Nigeria.The Pan African medical journal · 2023Article
- Combining multiaspect factors to predict the risk of childhood hypertension incidence.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Prevalence Implications of the 2017 American Academy of Pediatrics Hypertension Guideline and Associations with Adult Hypertension.The Journal of pediatrics · 2022Article
- Difference in hypertension prevalence applying three childhood hypertension management guidelines in a national cohort study.Journal of human hypertension · 2021Article
- Impact of the 2017 American Academy of Pediatrics' Clinical Practice Guideline on the Identification and Risk Stratification of Youth at Increased Cardiovascular Disease Risk.Hypertension (Dallas, Tex. : 1979) · 2021Review
- Impact of updated pediatric hypertension criteria on prevalence estimates of hypertension among Chinese children.Journal of human hypertension · 2021Article
- Under-recognition of pediatric hypertension diagnosis: Examination of 1 year of visits to community health centers.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- The impact of new guidelines on the prevalence of hypertension in children: A cross-sectional evaluation.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
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Authors and funding
7 authors at 3 institutions in 1 country.
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Abstract
Updated clinical practice guidelines for screening blood pressures in pediatric patients were published in 2017. They differ from the previous guideline, known as the Fourth Report, providing updated population normal values and blood pressure categorization. We hypothesized that the prevalence of abnormal blood pressure in children and adolescents would be higher using the new clinical practice guidelines. We present a cross-sectional study of screening blood pressure values for children 3 to 18 years of age obtained during well-child visits at a primary care clinic. All blood pressure values were categorized using both the Fourth Report and the Clinical Practice Guideline. A total of 2635 blood pressure measurements were extracted, and 2600 were eligible for analysis. Using the clinical practice guideline, the prevalence of hypertension increased to 17.85% compared to 9.5% per the Fourth Report (P < 0.0001). Of those patients classified as having a normal blood pressure by the Fourth Report, 12% changed to abnormal when applying the Clinical Practice Guideline. All subgroups had a significant increase in the prevalence of abnormal blood pressure. The most dramatic increase in the prevalence of stage 1 and stage 2 hypertension was seen in six patient subgroups: males, 3-12 years of age, Hispanic ethnicity, race designated as other, normal weight, and overweight. Applying the new Clinical Practice Guideline increased the prevalence of elevated blood pressure and stage 1 and stage 2 hypertension in children and adolescents, requiring more follow-up and intervention than previously expected for this patient population.
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