Evidence map›Paper›PMID 41350776›Full record

Observational studyJournal of human hypertension2026

Trends and risk factors of hypertension in US Children and Adolescents, 1999-2023.

Daniel Ouyang, Wentao Cao, Yun Shen, Liwei Chen, Gang Hu

Abstract readObservational Study
In one paragraph

Observational study in Journal of human hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Daniel OuyangThomas S. Wootton High School, Rockville, MD, USA.
Wentao CaoPennington Biomedical Research Center, Baton Rouge, LA, USA.
Yun ShenPennington Biomedical Research Center, Baton Rouge, LA, USA. yun.shen@pbrc.edu.ORCID http://orcid.org/0000-0002-9850-122X
Liwei ChenDepartment of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
Gang HuPennington Biomedical Research Center, Baton Rouge, LA, USA. gang.hu@pbrc.edu.ORCID http://orcid.org/0000-0002-6172-8017

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Peter Todd Katzmarzyk · 2012 to 2026
$69.1M
Metal mixtures, epigenome, adiposity and cardiometabolic risk across early lifeR01DK141453 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Gang Hu, Wei Perng · 2025 to 2026
$1.5M
NIDDK NIH HHS R01 DK141453NIGMS NIH HHS U54 GM104940U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) U54GM104940
6 · The paper itself

Abstract

We aimed to assess trends in elevated blood pressure (EBP) and hypertension among US children and adolescents before and after the COVID-19 pandemic using data from 25,916 participants aged 8-19 years in NHANES 1999-2023. Survey-weighted multinomial logistic regression was used to examine associations of sociodemographic, nutritional and other factors with EBP and hypertension overall and across subgroups during the pre-pandemic cycles (2015-2020) and post-pandemic cycles (2021-2023). Among children (n = 10,616), EBP prevalence decreased from 4.3% in 1999-2002 to 3.5% in 2021-2023 (P = 0.36), and hypertension declined from 3.3% to 2.3% (P = 0.025). Among adolescents (n = 15,300), EBP declined from 10.0% to 9.4% (P = 0.46), and hypertension prevalence fell from 8.3% to 5.1% (P < 0.001). From 2015-2023, obesity was strongly associated with both EBP and hypertension in children (odds ratio [OR] 1.78, 95% CI 1.02-3.10) and adolescents (OR 1.89, 95% CI 1.30-2.74). In children, higher dietary fat intake was associated with greater odds of EBP, and higher sodium intake with greater odds of hypertension. In adolescents, older age, male sex and non-Hispanic Black race were additional risk factors. Comparing pre-pandemic (2015-2020) with post-pandemic (2021-2023) cycles, EBP prevalence in adolescents decreased (11.6% vs 9.42%, P = 0.46) and hypertension prevalence in children changed modestly (2.53% vs 2.26%, P = 0.025). Despite concerns about pandemic-related increases in obesity, pediatric EBP and hypertension prevalence remained stable or declined from 2015 to 2023, with adiposity remaining the dominant modifiable correlate.

Indexed as

COVID-19HypertensionAdolescentChildFemaleHumansMaleNutrition SurveysPediatric ObesityPrevalenceRisk FactorsSARS-CoV-2United StatesYoung Adult

Identifiers

PMID41350776
PMCPMC12900632

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.