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肥胖对儿童高血压的持续影响
Robert L Myette1,2, Joseph T Flynn3,4
1The Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada.
Pediatric nephrology (Berlin, Germany)
|January 8, 2024
概括
在全球范围内,儿童肥胖和高血压正在上升. 本综述探讨了儿童超重和高血压之间的联系,包括最近的指导方针变化.
科学领域:
- 儿科 儿科 儿科
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 近几十年来,儿童肥胖率在全球范围内显著增加.
- 肥胖率的增加与儿童高血压的患病率日益增加并行,影响高收入国家和中低收入国家.
- 儿童高血压带来了显著的长期心血管风险.
研究的目的:
- 审查儿童血压的当前趋势.
- 检查过重体重与儿童高血压发展之间的关联.
- 讨论与肥胖相关的高血压相关的具体机制.
主要方法:
- 文献综述侧重于2017年以来发表的研究.
- 分析儿童血压测量的趋势.
- 对儿童肥胖和高血压的流行病学数据的检查.
- 对肥胖和高血压之间的病理生理学联系的研究综合.
主要成果:
- 该审查强调了儿童血压升高的日益普遍性,与肥胖率上升有很强的相关性.
- 有证据表明,共同的风险因素和机制在儿童和成人群体中都会导致高血压.
- 最近的指南更新 (例如,美国儿科学会,2017年) 降低了血压值,发现了更多患有高血压的儿童.
结论:
- 肥胖是儿童高血压的主要驱动因素,需要紧急的公共卫生干预.
- 了解肥胖相关高血压的复杂机制对于有效的预防和管理策略至关重要.
- 持续的研究和更新的临床指南对于解决这个日益增长的儿科健康挑战至关重要.
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