青少年高血压的患病率:2016年ESH和2017年AAP指南之间的差异
Caterina Carollo1, Luigi Peritore2, Alessandra Sorce1
1Unit of Nephrology and Dialysis, Hypertension Excellence Centre, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90133 Palermo, Italy.
Journal of clinical medicine
|March 27, 2025
概括
2017年美国儿科学会 (AAP) 的指导方针在青少年中发现的高血压病例比欧洲指导方针更多. 这项研究发现,青少年常见的高血压与生活方式和体重有关.
科学领域:
- 儿童高血压查和管理
- 青少年心血管健康问题
- 公共卫生和流行病学.
背景情况:
- 美国儿科学会 (AAP) 2017年关于儿科高血压的新指导方针与欧洲指导方针不同,影响了血压分类.
- 这些不同的指导方针对青少年患病率和相关因素的影响需要进行调查.
- 了解高血压患病率和风险因素的区域差异对于有针对性的干预至关重要.
研究的目的:
- 评估青少年血压升高的患病率,使用2017年AAP和欧洲高血压学会 (ESH) 的指导方针.
- 分析西西里学校人口中高血压和生活方式因素 (包括危险行为) 之间的关系.
- 根据不同的指导标准,比较正常血压和高血压青少年之间的人类参数和生活方式特征.
主要方法:
- 在世界高血压日期间,对1301名学生 (年龄13-18岁) 的血压测量.
- 管理关于历史记录数据,人类参数和生活方式习惯的问卷.
- 使用ESH和AAP标准对血压升高的诊断进行比较分析.
主要成果:
- 根据ESH标准,高血压的患病率为7.5%,几乎是AAP标准的两倍,女性的差异更大.
- 患有高血压的青少年体重,BMI和超重/肥胖的患病率增加.
- 根据AAP标准,更多的男性和更高的人被认为是高血压患者,而ESH标准则将正常血压与更高的酒精/毒品使用联系在一起.
结论:
- 与ESH指南相比,2017年AAP指南发现青少年患高血压的患病率较高.
- 青少年血压升高与年龄较小,体重较高,BMI以及超重/肥胖有关.
- 这项研究提供了关于青少年高血压患病率及其与生活方式和人类学因素的联系的区域数据.
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