Impact of the 2017 Blood Pressure Guidelines by the American Academy of Pediatrics in overweight/obese youth

This study included 6137 overweight/obese youth; 437 had echocardiographic assessment. Hypertension was defined using either ESHG2016 or AAPG2017. ALVG was defined using 95th percentile for age and sex of left ventricular mass index (LVMi) and/or relative wall thickness (RWT) more than 0.38 (juvenile cut-offs) according to ESHG2016 or LVMi more than 51 g/h2.7 and/or RWT more than 0.42 (adult cut-offs) according to AAPG2017. Results: Prevalence of youth at a high risk of hypertension was 13% higher using AAPG2017 than ESHG2016. The increase was larger in overweight youth at least 13 years of age (+43%). Using the juvenile cut-offs for ALVG, youth at a high risk of hypertension by ESHG2016 had an odds ratio [95% confidence interval (95% CI)] of 3.03 (1.31–7.05) for left ventricular concentric remodelling (LVcr) and 2.53 (1.43–4.47) for concentric left ventricular hypertrophy (cLVH) as compared with youth with normal LVG. Similarly, in youth at a high risk of hypertension by AAPG2017, the odds ratio for LVcr was 3.28 (1.45–7.41, P 
Source: Journal of Hypertension - Category: Cardiology Tags: ORIGINAL PAPERS: Metabolic aspects Source Type: research