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Published on: June 7, 2013
[Essential hypertension in children--risk factors and target organ damage]
M M Hogaş1, Ionela Lăcrămioara Serban, Cristina Oprişa
1Disciplina de Fiziologie-Explorări Funcţionale, Facultatea de Medicină, Universitatea de Medicină şi Farmacie "Gr. T. Popa" Iaşi.
Insights
Essential hypertension is increasingly prevalent in children, with incidence rising with age and linked to factors like high body mass index and prematurity. Early detection and prevention are crucial for managing this growing childhood health concern.
Area of Science:
- Pediatrics
- Cardiology
- Public Health
Context:
- Systemic hypertension is a significant pediatric health issue.
- Understanding childhood hypertension is vital for early intervention.
- This study addresses the growing prevalence of essential hypertension in children.
Purpose:
- To evaluate incident cases of essential hypertension in children.
- To analyze the characteristics and risk factors of childhood hypertension.
- To clarify existing data on pediatric hypertension.
Summary:
- The study included 60 children diagnosed with essential hypertension.
- Prevalence was observed across prehypertension, stage 1, and stage 2 hypertension.
- Key findings include a higher incidence in boys, increased frequency with age (especially over 14), and a significant link between hypertension, body mass index, and prematurity. Left ventricular hypertrophy was noted in 26.7% of cases.
Impact:
- Highlights the increasing prevalence of essential hypertension in pediatric populations.
- Underscores the role of multiple risk factors, including BMI and prematurity.
- Emphasizes the importance of awareness and preventive strategies for childhood hypertension.
Unlabelled:
Regarding that systemic hypertension is an important condition in childhood, we try to clarify existing data about this pathology.
Material And Methods:
The aim of our study was to evaluate the incident cases of essential hypertension in children admitted during a four years period in the Children Hospital "Sf. Maria" Iaşi, Romania. The study included 60 children with essential hypertension.
Results:
10 (16,7%) of children were in prehypertension group, 38 (63,3%) have stage 1 hypertension and 12 (20%) have stage 2 hypertension. We objectivate a different gender distribution - boy/girl: 1,5/1. The frequency of essential hypertension increased with age, the incidence was higher over 14 years. We established a statistically significant relationship between the essential hypertension body mass index and prematurity (gestation age under 37 weeks). Left ventricular hypertrophy was objectivated in 26,7% of cases.
Conclusions:
Essential hypertension in children is a pathology with increasing prevalence nowadays. This is due to synergic action of multiple risk factors involved. That is why is important to know and to prevent as much as possible this disease.
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