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Blood pressure trajectories from childhood to adolescence in pediatric hypertension

Title
Blood pressure trajectories from childhood to adolescence in pediatric hypertension
Authors
Oh J.-H.Hong Y.M.
Ewha Authors
홍영미
SCOPUS Author ID
홍영미scopus
Issue Date
2019
Journal Title
Korean Circulation Journal
ISSN
1738-5520JCR Link
Citation
Korean Circulation Journal vol. 49, no. 3, pp. 223 - 237
Keywords
Blood pressureChildrenHypertensionInfantLow birth weightPremature
Publisher
Korean Society of Circulation
Indexed
SCIE; SCOPUS; KCI WOS scopus
Document Type
Review
Abstract
It has been known for a long time that elevated blood pressure (BP) in the young may persist and progress into adult hypertension (HTN). Multiple studies have revealed the predicted BP trajectory lines starting from childhood and related them to later cardiovascular (CV) risks in adulthood. As a small baby grows into a tall adult, BP will also naturally increase. Among early-life predictors of adult HTN, birth history, such as prematurity, and low birth weight have been popular subjects in research on pediatric HTN, because body size at birth has been reported to be inversely related to the risk of adulthood HTN. The hypothesis of HTN in prematurely born adolescents has been postulated as a physiological predisposition to postnatal excessive weight gain. Current body weight is a well-known independent predictor of HTN in children, and some studies showed that children demonstrating upward crossing of their weight percentiles while growing into adolescents have significantly increased risk for elevated BP later in life. Recently, reports focused on the adverse effect of excessive catchup growth in this population are gradually drawing attention. Accordingly, children born prematurely or with intrauterine growth restriction who show rapid changes in their weight percentile should be under surveillance with BP monitoring. Prevention of childhood obesity, along with special care for premature infants or infants small for their gestational age, by providing healthy nutritional guidelines should be cardinal strategies for the prevention of adult HTN and CV risks later in life. Copyright © 2019. The Korean Society of Cardiology
DOI
10.4070/kcj.2018.0448
Appears in Collections:
의과대학 > 의학과 > Journal papers
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