What's new in paediatric hypertension?. Issue 1 (17th August 2017)

• Record Type: Journal Article
• Authors: Lalji, Rowena; Tullus, Kjell
• Is Part Of: Archives of disease in childhood. Volume 103:Issue 1(2018)
• Page Start: 96
• Page End: 100
• Publication Date: 2017-08-17
• Subjects: General Paediatrics -- Nephrology -- Paediatric Practice -- Screening -- Vascular Disease; Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2016-311662
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Paediatric hypertension predisposes to hypertension and cardiovascular disease in adult life. Despite clear guidelines, there remains a lack of screening. Diagnosis remains challenging given the high rate of false-positive high blood pressure (BP) readings at a single visit; thus, multiple visits are required to confirm the diagnosis. Depending on the normative data sets used, hypertension in overweight and obese children can be underestimated by up to 20%. Specific BP targets are required for subgroups such as adolescents, children with chronic kidney disease (CKD) and type 1 diabetes. High dietary salt intake is a risk factor for cardiovascular disease. Given the rise in processed food consumption, children in developed nations are likely to benefit from salt restriction at a population-based level.