Capítulo 10 - Hipertensão na Criança e no Adolescente

Malachias, Mvb; Souza, Wksb; Plavnik, FL; Rodrigues, Cibele Isaac Saad; Brandão, AA; Neves, Mft; Bortolotto, LA; Franco, Rjs; Figueiredo, Cep; Jardim, Pcbv; Amodeo, Celso; Barbosa, Ecd; Koch, Vera H.; Gomes, Mam; Paula, RB; Póvoa, Rms; Colombo, FC; Filho, S Ferreira; Miranda, Roberto Dischinger; Machado, CA; Nobre, Fernando; Nogueira, AR; Júnior, Décio Mion; Kaiser, Sérgio; Forjaz, Clm; Almeida, FA; Martim, Jfv; Sass, Nelson; Drager, LF; Muxfeldt, Elizabeth Silaid; Bodanese, LC; Feitosa, AD; Malta, Deborah Carvalho; Fuchs, Siegrid; Magalhães, ME; Oigman, Wille; Gomes, OM; Pierin, Amg; Feitosa, GS; Bortolotto, Mrfl; Magalhães, Lbnc; Silva, Acs; Ribeiro, JM; Borelli, Fao; Gus, Miguel; Júnior, O Passarelli; Toledo, JY; Salles, GF; Martins, Laura Bezerra; Jardim, Tsv; Guimarães, Icb; Antonello, IC; Júnior, E Lima; Matsudo, Victor; Silva, GV; Costa, LS; Alessi, Alexandre; Scala, Lcn; Coelho, Emerson Filipino; Souza, Diogo Rodrigues; Lopes, Heno Ferreira; Gowdak, Mmg; Júnior, AC Cordeiro; Torloni,; Klein, Mrst; Nogueira, PK; Lotaif, Lad; Rosito, Gba; Júnior, Heitor Moreno

doi:10.5935/abc.20160160

Cited by 8 publications

(6 citation statements)

References 36 publications

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“…According to the Brazilian Guideline for Hypertension, the diagnosis of hypertension in children and adolescents should be based on blood pressure cut-off values. Children and adolescents are considered hypertensive when SBP and/or DBP are higher than the 95 th percentile, according to age, sex and height (for the SB group, this would be > 119/75 mmHg) [31]. Therefore, the rest values and those at the peak of exercise were in the normal range [22,31].…”

Section: Discussionmentioning

confidence: 99%

Cardiac Autonomic Modulation of Heart Rate Recovery in Children with Spina Bifida

et al. 2021

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We aimed to analyse cardiac autonomic control by assessing the post-exercise heart rate recovery (HRR) and physical fitness in children and adolescents with spina bifida (SB), compared to participants with typical development. A total of 124 participants, 42 with spina bifida (SB group) and 82 typical developmental controls (CO group) performed the arm cranking exercise test with a gas analysis system. HRR was determined at the first (HRR_1) and second (HRR_2) minute at recovery phase. Data are shown as [mean difference (95% CI)]. The SB group showed reduced HR reserve [14.5 (7.1–22.0) bmp, P<0.01], slower HRR_1 [12.4 (7.4–17.5) bpm, P<0.01] and HRR_2 [16.3 (10.6–21.9) bpm; P<0.01], lower VO2peak [VO2peak relative: 7.3 (4.2–10.3) mL·min−1·kg−1, P<0.01; VO2peak absolute: 0.42 (0.30–0.54) L·min−1, P<0.01], and lower O2 pulse [2.5 (1.8–3.2) mL·bpm, P<0.01] and ventilatory responses [13.5 (8.8–18.1) L·min−1, P<0.01] than the CO group. VE/VO2 was not different between groups [−2.82 (−5.77– −0.12); P=0.06], but the VE/VCO2 [−2.59 (−4.40–0.78); P<0.01] and the values of the anaerobic threshold corrected by body mass [−3.2 (−5.8– −0.6) mL·min−1·kg−1, P=0.01] were higher in the SB group than in the CO group. We concluded that children and adolescents with SB have reduced physical fitness and a slower HRR response after maximal effort.

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Section: Discussionmentioning

confidence: 99%

Cardiac Autonomic Modulation of Heart Rate Recovery in Children with Spina Bifida

et al. 2021

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“…The mean of two measurements either for SBP or DBP was then calculated. High blood pressure (HBP) was identified as follows: (1) For the age group 14-17 years, SBP or DBP equal to or greater than values found in 95th percentile (P95) of the reference tables in "The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents [27]", which varies according to age and sex, adjusted for height percentile; and (2) for adolescents aged 18-19 years, values used for young adults, SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg [28] were used.…”

Section: Methodsmentioning

confidence: 99%

Normalization of Muscle Strength Measurements in the Assessment of Cardiometabolic Risk Factors in Adolescents

Lima

Sui

Silva

2021

IJERPH

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Muscle strength (MS) has been associated with cardiometabolic risk factors (CMR) in adolescents, however, the impact attributed to body size in determining muscle strength or whether body size acts as a confounder in this relationship remains controversial. We investigated the association between absolute MS and MS normalized for body size with CMR in adolescents. This was a cross-sectional study comprising 351 adolescents (44.4% male; 16.6 ± 1.0 years) from Brazil. MS was assessed by handgrip and normalized for body weight, body mass index (BMI), height, and fat mass. CMR included obesity, high blood pressure, dyslipidemia, glucose imbalance, and high inflammation marker. When normalized for body weight, BMI, and fat mass, MS was inversely associated with the presence of two or more CMR among females. Absolute MS and MS normalized for height was directly associated with the presence of two or more CMR among males. This study suggests that MS normalized for body weight, BMI, and fat mass can be superior to absolute MS and MS normalized for height in representing lower CMR among females. Absolute MS and MS normalized for height were related to higher CMR among males.

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“…Systolic and diastolic blood pressure (SBP and DBP) were measured by the auscultatory method, using a pediatric stethoscope and aneroid sphygmomanometer (Premium©, Medical Instruments, Wenzhou, China), previously calibrated, with an adequate pediatric cuff size (10 to 35 cm). All the measures were performed following national [37] and international guidelines [38]. Three consecutive measurements were taken with an interval of two minutes between them, on three different days.…”

Section: Blood Pressurementioning

confidence: 99%

“…Three consecutive measurements were taken with an interval of two minutes between them, on three different days. The SBP was defined by the first Korotkoff sound (phase I), and the DBP by the disappearance of the Korotkoff sound (phase V) [37,38]. The mean of the average values obtained on the three days was considered.…”

Section: Blood Pressurementioning

confidence: 99%

“…The mean of the average values obtained on the three days was considered. Participants were classified as pre-hypertensive when the mean SBP and/or DBP measurements were ≥90th percentile; and hypertensive, when the mean of the measurements was ≥95th percentile, according to age, sex, and height percentiles [37,38]. Both pre-hypertension and hypertension were considered as altered blood pressure.…”

Section: Blood Pressurementioning

confidence: 99%

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Can the Consumption of Ultra-Processed Food Be Associated with Anthropometric Indicators of Obesity and Blood Pressure in Children 7 to 10 Years Old?

Oliveira

Ribeiro

Santos

et al. 2020

Foods

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The consumption of ultra-processed foods plays an important role in the development of obesity and hypertension. The present study investigated the association between consumption of food according to the degree of processing and anthropometric indicators of obesity and blood pressure in children. This is a cross-sectional study with 164 children aged 7–10 years. The body mass index (BMI) for age, waist circumference (WC), and waist-to-height ratio (WHtR) was evaluated. Food consumption was analyzed by three 24-h dietary recalls, and classified as: G1—unprocessed or minimally processed; G2—culinary ingredients and processed food; and G3—ultra-processed food. Linear regression analyses were used to investigate the associations among variables. The average energy consumption was 1762.76 kcal/day, split into 45.42%, 10.88%, and 43.70%, provided by G1, G2, and G3, respectively. Adjusted linear regression analyses identified that the caloric contribution of G1 was inversely associated with DBP, showing that for each 10% increase in the energy intake of minimally processed foods, there was a reduction of 0.96 mmHg in the DBP (β:−0.10; 95% CI:−0.19 to −0.01; r2 = 0.20). There was no association between the caloric contribution of food groups and BMI, WC, WHtR, and SBP. Increasing consumption of G1 could be a strategy for the prevention and treatment of hypertension in schoolchildren.

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Capítulo 10 - Hipertensão na Criança e no Adolescente

Cited by 8 publications

References 36 publications

Cardiac Autonomic Modulation of Heart Rate Recovery in Children with Spina Bifida

Cardiac Autonomic Modulation of Heart Rate Recovery in Children with Spina Bifida

Normalization of Muscle Strength Measurements in the Assessment of Cardiometabolic Risk Factors in Adolescents

Can the Consumption of Ultra-Processed Food Be Associated with Anthropometric Indicators of Obesity and Blood Pressure in Children 7 to 10 Years Old?

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