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[The child and adolescent hypertension as a world-wide problem: prevalence, risk factors including neonatal ones]
E N Mingazova1,2,3, V V Valeev4, A A Tyazhelnikov5
1N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia, elmira_mingazova@mail.ru.
Insights
Childhood hypertension poses significant health risks, including cardiovascular and kidney diseases. Key risk factors include obesity, low birth weight, and lifestyle choices, with neonatal hypertension requiring specific attention.
Area of Science:
- Pediatrics
- Cardiology
- Public Health
Context:
- Childhood hypertension is a growing public health concern with long-term implications.
- Uncontrolled hypertension in children can lead to severe adult health issues.
- Neonatal hypertension presents unique etiological factors and management challenges.
Purpose:
- To outline the primary risk factors contributing to childhood and adolescent hypertension.
- To highlight the specific causes and considerations for neonatal hypertension.
- To underscore the serious health consequences of untreated pediatric hypertension.
Summary:
- Major risk factors for primary hypertension in children and adolescents include obesity (especially central), overweight, low birth weight, high sodium intake, sedentary behavior, and family history.
- Neonatal hypertension is often linked to umbilical catheter complications, renal parenchymal disease, bronchopulmonary dysplasia, low birth weight, and maternal factors.
- Effective management of childhood hypertension is crucial to prevent adult cardiovascular and cerebrovascular diseases, kidney failure, and premature mortality.
Impact:
- Provides a comprehensive overview of pediatric hypertension risk factors and causes.
- Emphasizes the critical need for early detection and intervention in children.
- Informs healthcare providers and public health initiatives to mitigate the long-term effects of childhood hypertension.
Abstract:
The children hypertension is a serious threat to population health because uncontrolled children hypertension can result in exponential increasing of cardiovascular and cerebrovascular diseases, progression of kidney failure and premature death in adulthood. The main risk factors for primary children and adolescent hypertension are considered as cardiovascular biomarkers (fibro-blast growth), obesity, especially central obesity, overweight, low birth weight, high sodium intake, sedentary lifestyle, lack of physical activity, socioeconomic and ethnic factors, as well as family anamnesis. The special place in studying children hypertension is occupied by problem of neonatal hypertension. The most common causes of neonatal hypertension are umbilical catheter-related thrombosis, renal parenchymal disease and chronic lung disease (bronchopulmonary dysplasia), as well as low birth weight, post-menstrual age and some other maternal factors, as well as medications (inotropic medicines, caffeine) and regulation of fluid intake.
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