Back to Search
Start Over
How to Apply European and American Guidelines on High Blood Pressure in Children and Adolescents. A Position Paper Endorsed by the Italian Society of Hypertension and the Italian Society of Pediatrics
- Publication Year :
- 2020
-
Abstract
- Children are defined as hypertensive when their blood pressure values equal or exceed the 95th percentile of the blood pressure value distribution in a pediatric population, according to gender, age and height. The population on which reference tables are based is of fundamental importance to establish the threshold values for the diagnosis of hypertension in pediatric age. Before 2017, both American and European guidelines used nomograms created in the same reference population which included children of all weight classes. Given the close and well-known association between hypertension and excess weight in childhood, the 2017 American guidelines proposed new reference nomograms excluding subjects with overweight and obesity from the “historical” reference population. Furthermore, the new American guidelines suggested a fixed cut-off of 130/80mmHg, starting from 13years and regardless of gender and height, to make the diagnosis of hypertension. In this document, the Italian Hypertension Society (SIIA) and the Italian Pediatric Society (SIP) jointly discuss a number of issues raised by the new American guidelines that involve the entire medical community, and also address the definition of arterial hypertension in the transition phase between childhood and adulthood.
- Subjects :
- 0301 basic medicine
Male
medicine.medical_specialty
Percentile
Adolescent
Population
MEDLINE
Guideline
Overweight
Guidelines
03 medical and health sciences
0302 clinical medicine
Sex Factors
Predictive Value of Tests
Reference Values
Internal Medicine
medicine
Humans
Reference population
Arterial Pressure
education
Child
Children
education.field_of_study
Italian Society of Pediatric
business.industry
Italian Society of Hypertension
Age Factors
Blood Pressure Determination
medicine.disease
Obesity
Body Height
Nomograms
030104 developmental biology
Blood pressure
Italy
Family medicine
Hypertension
Position paper
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Italian Society of Pediatrics
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....103dcc49fe6143b5b20c0d0d3ca41641