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dc.contributor.authorAl, Kibria, G.M.
dc.contributor.authorSwasey, K.
dc.contributor.authorSharmeen, A.
dc.date.accessioned2019-09-13T14:49:34Z
dc.date.available2019-09-13T14:49:34Z
dc.date.issued2019
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85060939636&doi=10.5888%2fpcd16.180528&partnerID=40&md5=b1920fbcbe52d0755d58261bd4a6ef41
dc.identifier.urihttp://hdl.handle.net/10713/10624
dc.description.abstractIntroduction 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. Copyright 2019 Centers for Disease Control and Prevention (CDC).en_US
dc.description.urihttps://doi.org/10.5888/pcd16.180528en_US
dc.language.isoen-USen_US
dc.publisherCenters for Disease Control and Prevention (CDC)en_US
dc.relation.ispartofPreventing Chronic Disease
dc.subject.meshHypertensionen_US
dc.subject.meshChilden_US
dc.subject.meshAdolescenten_US
dc.titleEstimated change in prevalence and trends of childhood blood pressure levels in the United States after application of the 2017 AAP guidelineen_US
dc.typeArticleen_US
dc.identifier.doi10.5888/pcd16.180528
dc.identifier.pmid30702999


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