Adolescent blood pressure classification curves and cardiometabolic risk factors: a comparison of the Brazilian and American references.
J Hypertens
; 41(3): 420-428, 2023 03 01.
Article
em En
| MEDLINE
| ID: mdl-36728701
ABSTRACT
BACKGROUND:
The American Academy of Pediatrics (AAP) adolescent blood pressure (BP) percentiles were updated in 2017, and have been used as reference in Brazil since then. However, specific BP percentiles for Brazilian adolescents were recently proposed based on data from the Study of Cardiovascular Risk in Adolescents (ERICA).OBJECTIVES:
To compare the prevalence of arterial hypertension according to each reference, as well as to assess the cardiometabolic risk associated with the reclassification by Brazilian BP percentiles.METHODS:
Data from 73â399 adolescents aged 12-17âyears who participated in the ERICA study were analyzed. To assess cardiometabolic risk, 6185 adolescents who were reclassified upwards by the Brazilian reference were 1ââ1 matched with adolescents that were normotensive by both references and were of the same age, sex and height percentile. The parameters evaluated were overweight/obesity, waist circumference, total cholesterol, triglycerides, LDL-c, HDL-c, fasting glucose, HbA1c and HOMA-ir.RESULTS:
The classification according to Brazilian BP percentiles resulted in a higher prevalence of arterial hypertension (14%, 95% CI 13.2-14.8), when compared with the AAP percentiles (10.6%, 95% CI 10.0-11.2). The use of the Brazilian reference also resulted in higher prevalence of arterial hypertension in girls, teenagers ranging from 12 to 14âyears, and those classified with adequate weight, overweight or obesity. In the case-control analysis, cardiometabolic risk factors were present more often in adolescents reclassified with arterial hypertension by the ERICA reference.DISCUSSION:
The use of the BP percentiles proposed by ERICA is a sensitive method for tracking Brazilian adolescents with hypertension and higher cardiometabolic risk.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Cardiovasculares
/
Hipertensão
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
País/Região como assunto:
America do norte
/
America do sul
/
Brasil
Idioma:
En
Revista:
J Hypertens
Ano de publicação:
2023
Tipo de documento:
Article