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Performance of targeted screening for the identification of hypertension in children

Clemens Bloetzer1, Pascal Bovet2, Fred Paccaud2

  • 1a Department of Pediatrics , Lausanne University Hospital , Lausanne , Switzerland.

Blood Pressure
|September 8, 2016
PubMed

Insights

Targeted screening for childhood hypertension using parental history and obesity is more efficient. This approach identifies 65% of cases while screening only 30% of children.

Area of Science:

  • Pediatrics
  • Cardiology
  • Public Health

Background:

  • Childhood hypertension is a growing concern with long-term health implications.
  • Universal screening for hypertension in children may not be the most resource-efficient strategy.

Purpose of the Study:

  • To evaluate the effectiveness of targeted screening for hypertension in children.
  • To assess the diagnostic accuracy of combining parental hypertension history and overweight/obesity status.

Main Methods:

  • A study involving 5207 children aged 10-14 years.
  • Hypertension diagnosis based on sustained elevated blood pressure over three visits.
  • Analysis of sensitivity, specificity, and predictive values for targeted screening criteria.

Main Results:

  • The prevalence of hypertension in the study group was 2.2%.
  • 14% of children were overweight/obese, and 20% had a parental history of hypertension.
  • Targeted screening (parental history or overweight/obesity) identified 65% of hypertensive cases while screening only 30% of the cohort.

Conclusions:

  • Targeted screening for childhood hypertension is more efficient than universal screening.
  • Combining parental hypertension history and overweight/obesity status effectively identifies a significant proportion of hypertensive children.

Keywords:
Hypertensionchildrenoverweightparental historyscreeningsensitivity

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