Estimated Change in Prevalence and Trends of Childhood Blood Pressure Levels in the United States After Application of the 2017 AAP Guideline

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Al Kibria, Gulam Muhammed ; Swasey, Krystal ; Sharmeen, Atia ; Day, Brendan
• Description:
  Introduction ; Childhood hypertension is associated with higher risks of cardiovascular disease during adulthood. This study estimated the prevalence of hypertension and high blood pressure among children aged 8 to 17 years in the United States per the 2017 American Academy of Pediatrics (AAP) guideline and compared that with the 2004 National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI) guideline’s prevalence estimate during 2005–2008 and 2013–2016. ; Methods ; This cross-sectional study analyzed the National Health and Nutrition Examination Survey data. High blood pressure included hypertension and elevated blood pressure (per the 2017 AAP guideline)/prehypertension (per the 2004 NIH/NHLBI guideline). ; Results ; The analysis included 3,633 children in 2005–2008 and 3,471 children in 2013–2016. Per the 2004 NIH/NHLBI guideline, 3.1% (95% confidence interval CI, 2.3%–4.3%) had hypertension in 2005–2008 and 1.9% (95% CI, 1.4%–2.6%) had hypertension in 2013–2016. Per the 2017 AAP guideline, prevalence was 5.7% (95% CI, 4.6%–7.1%) in 2005–2008 and 3.5% (95% CI, 2.7%–4.5%) in 2013–2016. About 2.5% (95% CI, 2.0%–3.1%) children in 2005–2008 and 1.5% (95% CI, 0.9%–2.0%) children in 2013–2016 were reclassified as hypertensive. We observed a similar change in prevalence for high blood pressure after application of the new guideline. The prevalence of high blood pressure also declined from 2005–2008 to 2013–2016 per both guidelines. ; Conclusion ; Although the new guideline would reclassify a small proportion of children as having hypertension or high blood pressure, the prevalence declined from 2005–2008 to 2013–2016.
• Subjects:
  • Original Research
  • Adolescent
  • Blood Pressure
  • Blood Pressure Determination
  • Child
  • Cross-Sectional Studies
  • Female
  • Humans
  • Hypertension
  • Male
  More +
• Source:
  Prev Chronic Dis. 16
• DOI:
  http://dx.doi.org/10.5888/pcd16.180528
• ISSN:
  1545-1151
• Pubmed ID:
  30702999
• Pubmed Central ID:
  PMC6362707
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  16
• Download URL:
  https://stacks.cdc.gov/view/cdc/77054/cdc_77054_DS1.pdf
• File Type:
  [PDF - 356.47 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:05644b379a13fbb32210ce9055abda4ff3aeffbb1894abd0c879cb21626710ba3b467837599c53544437310fe89041e65a1673007e9e2229a11c43d510764083