Increased prevalence of hypertensive-level blood pressure using the American Academy of Pediatrics 2017 guidelines: a cross-sectional study in a primary school in Thailand

Pirojsakul, Kwanchai; Paksi, Witchuri; Sirijunpen, Suthatip; Nuntnarumit, Pracha

doi:10.1080/20469047.2019.1608063

Cited by 11 publications

(11 citation statements)

References 16 publications

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“…Therefore, the cutoff values in the year 2017 guidelines were 2-3 mmHg lower than those of the year 2004 normative tables. The increase in the prevalence of hypertension by using these new cutoff values had been reported in an international cohort and a study from Thailand (21,22) . The prevalence of high blood pressure increased from 7-16.2% and 6.9 to 10.8% in the international cohort and Thai studies, respectively.…”

Section: Discussionmentioning

confidence: 72%

Sleep Duration and Risk of High Blood Pressure in Thai Adolescents: The Thai National Health Examination Survey V, 2014 (NHES-V)

Pirojsakul

Aekplakorn

Siwarom

et al. 2022

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Background: Sleep duration has been proposed to be associated with high blood pressure. However, nationwide studies regarding the association between sleep duration and high blood pressure in adolescents are limited. This study aimed to explore the national prevalence of high blood pressure among Thai adolescents and to determine whether sleep duration is associated with high blood pressure.Methods: Data of adolescents aged 10-19 years from the Thai National Health and Examination Survey V were included. Demographic data including age, gender, height, weight, waist circumference, blood pressure, fasting blood chemistries and data on the sleep duration were collected. High blood pressure was defined based on the cut-off values from the guidelines by the American Academy of Pediatrics. Risk factors for high blood pressure were analyzed using multivariate logistic regression.Results: A total of 3539 (1803 female) adolescents were included. The prevalence of high blood pressure was 9.4% (95%CI 8.5, 10.4%). The high blood pressure group had higher BMI z-score, triglyceride, LDL-C and a lower HDL-C than those in the normotensive group. In multivariate analysis, BMI z-score was associated with high blood pressure. Interestingly, after adjusting for BMI z-score and lipid profile, an average sleep duration below 6 hours/day was associated with a 2-fold higher risk of high blood pressure compared to that of the group with an average sleep duration of more than 8 hours/day.Conclusions: High blood pressure risk was increased in participants who had an average sleep duration below 6 hours/day. This study highlights the need for promoting an adequate sleep duration in Thai adolescents to alleviate the risk of high blood pressure.

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Section: Discussionmentioning

confidence: 72%

Sleep Duration and Risk of High Blood Pressure in Thai Adolescents: The Thai National Health Examination Survey V, 2014 (NHES-V)

Pirojsakul

Aekplakorn

Siwarom

et al. 2022

Preprint

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“…The average BMI is higher, and corresponded to obesity. Regarding systolic and diastolic blood pressure, although in the range there were measurements of 149 for systolic and 100 for diastolic blood pressure, none corresponded to arterial hypertension, since they did not have at least 140/90 mm Hg measured on two different occasions [12]. Fig.…”

Section: Resultsmentioning

confidence: 95%

“…The 2016 Half-Way Health and Nutrition Survey (ENSANUT) reports that in Mexico, 11.8% of the population between the ages of 20 and 49 already had a previous diagnosis of diabetes and 24.1% of high blood pressure [3]. In Thailand, it was found that 6.9% of adolescents, aged between 8 and 13, had high blood pressure with the cut-off point of the American Academy of Pediatrics [12].…”

Section: Introductionmentioning

confidence: 99%

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Relationship of Calories Intake and Physical Activity in Adolescents in Colima, Mexico: A Cross-sectional Study

Castro-Cornejo

Arteaga-Herrera²,

Padilla-Raygoza

2019

JAMMR

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Aims: To identify the relationship between calories intake, physical activity and body mass index in adolescents in Colima Mexico. Study Design: A cross-sectional study analytic, observational. Place and Duration of the Study: Colima and Tecoman, Mexico. Methodology: It was designed in adolescents, of both genders, with a BMI in 85th percentile or greater, where the average daily calorie intake was quantified with the SNUT survey and the level of physical activity with the International Physical Activity Questionnaire. Anthropometry to obtain the BMI. The stage of change of the trans-theoretical model was identified. Statistical analysis was Pearson's r between calories and BMI and between physical activity and BMI, systolic and diastolic blood pressure with BMI, and the stages of change. Results and Discussion: Poor correlation (r = 0.13) but significant linear relationship between calorie intake with BMI (t = 2.01 P = .05) and moderate correlation (r = - 0.41) and significant linear relationship (t =- 6.76, P = .0001) between activities physical and BMI. Between systolic and diastolic blood pressure and BMI, r= 0.28 and 0.34, respectively, with a strong linear trend in both (P = .0001) Of the adolescents, 39.32% were in the action stage (they plan to take actions to improve their overweight / obesity status) and 34% in the pre-contemplation phase (where the adolescent does not plan to do anything about his overweight / obesity). Conclusion: There is a relationship between daily calorie intake and BMI and a strong negative relationship between physical activity and BMI, and a third of adolescents do not see overweight / obesity as a problem and have not thought of doing anything about modifying their lifestyle to improve their BMI.

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“…Since the most frequent form of hypertension in pediatrics is the secondary one, especially in younger children, it is suggestive to imagine that the increase of hypertensive values found in in our population is not only related to the increased sensitivity of the new diagnostic guidelines, but also to the spread of the epidemic of obesity with a consequent change in the epidemiology of hypertension in pediatric age [ 25 ]. The use of the new guidelines seems to offer the possibility to better screen the pediatric population, recognizing the subjects at higher cardiovascular risk and with signs of endothelial dysfunction [ 26 ]. A rather high percentage of overweight children had hypertensive status according to both 2004 AAP and 2017 AAP guidelines.…”

Section: Discussionmentioning

confidence: 99%

Obesity-Related Hypertension in Pediatrics, the Impact of American Academy of Pediatrics Guidelines

et al. 2021

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The prevalence of primary hypertension in pediatric patients is increasing, especially as a result of the increased prevalence of obesity in children. New diagnostic guidelines for blood pressure were published by the American Academy of Pediatrics (AAP) in 2017 to better define classes of hypertension in children. The aim of our study is to evaluate the impact of new guidelines on diagnosis of hypertension in pediatrics and their capacity to identify the presence of cardiovascular and metabolic risk. Methods: Retrospective clinical and laboratory data from 489 overweight and obese children and adolescents were reviewed. Children were classified according to the 2004 and 2017 AAP guidelines for systolic and diastolic blood pressure. Lipid profile and glucose metabolism data were recorded; triglyceride/HDL ratio (TG/HDL) was calculated as an index of endothelial dysfunction. Hepatic steatosis was detected using the ultrasonographic steatosis score. Results: Children with elevated blood pressure increased from 12.5% with the 2004 AAP to 23.1% with the 2017 AAP criteria (p < 0.001). There was a statistically significant increase in children with high blood pressure in all age groups according to the new cut-off values. Notably, the diagnosis of hypertension according to 2017 AAP criteria had a greater positive association with Hepatic Steatosis (rho 0.2, p < 0.001) and TG/HDL ratio (rho 0.125, p = 0.025). Conclusions: The 2017 AAP tables offer the opportunity to better identify overweight and obese children at risk for organ damage, allowing an earlier and more impactful prevention strategy to be designed.

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Increased prevalence of hypertensive-level blood pressure using the American Academy of Pediatrics 2017 guidelines: a cross-sectional study in a primary school in Thailand

Cited by 11 publications

References 16 publications

Sleep Duration and Risk of High Blood Pressure in Thai Adolescents: The Thai National Health Examination Survey V, 2014 (NHES-V)

Sleep Duration and Risk of High Blood Pressure in Thai Adolescents: The Thai National Health Examination Survey V, 2014 (NHES-V)

Relationship of Calories Intake and Physical Activity in Adolescents in Colima, Mexico: A Cross-sectional Study

Obesity-Related Hypertension in Pediatrics, the Impact of American Academy of Pediatrics Guidelines

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