Details:

Alternative Title:
J Pediatr
Publisher's site:
http://dx.doi.org/10.1016/j.jpeds.2015.10.007
Personal Author:
Yang, Quanhe ; Zhong, Yuna ; Merritt, Robert ; Cogswell, Mary E.
Yang, Quanhe ; Zhong, Yuna ; Merritt, Robert ; Cogswell, Mary E. Less -
Description:
Objective

To examine trends in pre-high blood pressure (BP [HBP]) and HBP among US adolescents by body weight category during 1988-2012.

Study design

We estimated pre-HBP and HBP prevalence among 14 844 participants aged 12-19 years using National Health and Nutrition Examination Surveys from 1988-1994, 1999-2002, 2003-2006, and 2007-2012. Pre-HBP and HBP were defined based on age-sex-height-specific BP percentiles. We examined the temporal trends in pre-HBP and HBP across category of body weight (normal weight vs overweight/obese), adjusted for potential explanatory factors, and estimated the number of adolescents with pre-HBP and HBP.

Results

Between 1988 and 2012, the prevalence of HBP decreased and pre-HBP did not change. Among normal weight adolescents, multivariable adjusted pre-HBP prevalence was 11.0% during 1988-2012, and 10.9% during 2007-2012 (P = .923 for trend); adjusted HBP prevalence increased from 1988-1994 (0.9%) to 1999-2002 (2.3%), then declined significantly to 1.4% during 2007-2012 (P = .049). Among overweight/obese adolescents, adjusted pre-HBP prevalence was 17.5% during 1988-2012, and 20.9% during 2007-2012 (P = .323); adjusted HBP prevalence declined significantly from 7.2% during 1988-1994 to 3.2% during 2007-2012 (P = .018). Because of population growth, estimated number of adolescents with pre-HBP or HBP increased, from 4.18 million during 1988-1994 to 5.59 million during 2007-2012.

Conclusions

Between 1988 and 2012, pre-HBP prevalence was consistently higher among overweight/obese adolescent than those of normal weight, and the pattern remain unchanged. HBP prevalence declined significantly, especially among overweight/obese adolescent that are not completely explained by sociodemographic or lifestyle characteristics.


Subject:
[+]
Adolescent
Body Weight
Child
Female
Humans
Hypertension
Male
Overweight
Prevalence
Time Factors
Young Adult

Source:
J Pediatr. 169:166-73.e3
Pubmed ID:
26563532
Pubmed Central ID:
PMC8886792
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:c4e4be1e0f3b21ba4aed9c8a06ec41856cb365f4b08c825f93fe8d35489452f6
File Type:

Supporting Files

• 	nihms-763670-f0001.gif	gif
  	nihms-763670-f0001.jpg	jpeg
  	nihms-763670.nxml	xml

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