Long-Term Predictors of Blood Pressure Among Adolescents During an 18-Month School-Based Obesity Prevention Intervention

Kim, Nayoung; Seo, Dong-Chul; King, Mindy; Lederer, Alyssa M.; Sovinski, Danielle

doi:10.1016/j.jadohealth.2014.04.011

Cited by 17 publications

(13 citation statements)

References 33 publications

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“…In all of these, higher adiposity was associated with higher BP or odds of hypertension. This association was observed in cross‐sectional studies ( n = 46) , and also in prospective studies ( n = 9) . Results were mostly consistent across study type (i.e.…”

Section: Resultssupporting

confidence: 60%

“…Only five papers explored the independent effect of sex on BP or hypertension. Sex associations with BP were mostly consistent across the studies, with male sex mostly associated with higher BP in cross‐sectional and longitudinal studies , except in Kaczmarek et al, in which females were more likely to develop pre‐hypertension, but less likely to develop hypertension .…”

Section: Resultsmentioning

confidence: 67%

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Correlates of elevated blood pressure in healthy children: a systematic review

et al. 2018

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The prevalence of hypertension in children is increasing globally. Addressing this will require a robust understanding of associated risk factors. To this end, we conducted a systematic review to identify correlates of elevated blood pressure (BP) in children. Literature searches were conducted using pre-defined search terms from three academic databases. The abstract and full text of identified studies were screened for eligibility by two independent reviewers. A total of 100 studies were included in this systematic review. An assessment tool was first used to assess study quality; a narrative synthesis was then performed. We found a broad range of physiological, social and behavioural factors associated with elevated BP in children. The most common correlate observed was adiposity, suggesting that childhood obesity may be implicated in the increased prevalence of hypertension observed in children. However, the broad range of other factors identified underscores the multi-factorial aetiology of hypertension. Data from a broad range of studies showed that the correlates of hypertension in children are multi-factorial. Therefore, approaches aimed at preventing hypertension must in turn be multi-factorial to ensure that the burden of hypertension in childhood is addressed.

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Section: Resultssupporting

confidence: 60%

Section: Resultsmentioning

confidence: 67%

Correlates of elevated blood pressure in healthy children: a systematic review

et al. 2018

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“…This is the best strategy to maintain an appropriate BMI percentile for age and sex and to avoid the development of obesity. 554 From a broader dietary perspective, a DASH-type diet (ie, high in fruits, vegetables, whole grains, and low-fat dairy, with decreased intake of foods high in saturated fat or sugar) may be beneficial (see Table 16). 423,427 Avoiding high-sodium foods may prove helpful in preventing HTN, particularly for individuals who are more sensitive to dietary sodium intake.…”

Section: Strategies For Preventionmentioning

confidence: 99%

Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents

et al. 2017

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These pediatric hypertension guidelines are an update to the 2004 "Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents." Significant changes in these guidelines include (1) the replacement of the term "prehypertension" with the term "elevated blood pressure," (2) new normative pediatric blood pressure (BP) tables based on normal-weight children, (3) a simplified screening table for identifying BPs needing further evaluation, (4) a simplified BP classification in adolescents ≥13 years of age that aligns with the forthcoming American Heart Association and American College of Cardiology adult BP guidelines, (5) a more limited recommendation to perform screening BP measurements only at preventive care visits, (6) streamlined recommendations on the initial evaluation and management of abnormal BPs, (7) an expanded role for ambulatory BP monitoring in the diagnosis and management of pediatric hypertension, and (8) revised recommendations on when to perform echocardiography in the evaluation of newly diagnosed hypertensive pediatric patients (generally only before medication initiation), along with a revised definition of left ventricular hypertrophy. These guidelines include 30 Key Action Statements and 27 additional recommendations derived from a comprehensive review of almost 15 000 published articles between January 2004 and July 2016. Each Key Action Statement includes level of evidence, benefit-harm relationship, and strength of recommendation. This clinical practice guideline, endorsed by the American Heart Association, is intended to foster a patient- and family-centered approach to care, reduce unnecessary and costly medical interventions, improve patient diagnoses and outcomes, support implementation, and provide direction for future research.

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“…Table presents the intensity evaluation of studies aiming to modify behavior across different nutrition categories. Interventions in each category were highly effective: fruit and vegetable (N = 33; effective N = 27, ineffective N = 4, unknown effectiveness N = 2), general healthy eating (N = 53; effective N = 41, ineffective N = 10, unknown effectiveness N = 2), single food or food group (N = 12; effective N = 8, ineffective N = 3, unknown effectiveness N = 1), and single nutrient (N = 7; effective N = 5, ineffective N = 1, unknown effectiveness N = 1). Comparing the frequency of effective studies in different categories showed that the mean frequency of interventions in the single food or food group category was significantly higher than for the general healthy eating category (ANOVA p = .04, Tukey's post hoc test p = .03).…”

Section: Resultsmentioning

confidence: 99%