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Relation of blood pressure in childhood to self-reported hypertension in adulthood: The International Childhood Cardiovascular Cohort Consortium

Citation

Urbina, EM and Khoury, PR and Bazzano, L and Burns, TL and Daniels, S and Dwyer, T and Hu, T and Jacobs Jr, DR and Juonala, M and Prineas, R and Raitakari, O and Steinberger, J and Venn, A and Woo, JG and Sinaiko, A, Relation of blood pressure in childhood to self-reported hypertension in adulthood: The International Childhood Cardiovascular Cohort Consortium, Hypertension, 73, (6) pp. 1224-1230. ISSN 0194-911X (2019) [Refereed Article]

Copyright Statement

Copyright 2019 American Heart Association, Inc.

DOI: doi:10.1161/HYPERTENSIONAHA.118.12334

Abstract

Blood pressure (BP) tracking (maintaining a BP percentile) across life is not well defined but is important in predicting which children will become hypertensive adults. We computed BP tracking in subjects with BP measured in childhood and adulthood and performed logistic regression to determine the ability of childhood BP to predict adult hypertension (N=5035, 46.7 years, 74.2% white, 17.7% black; 39.6% male). Prevalence of hypertension was 29%. Correlations between systolic BP for child and adolescent were r=0.48; for adolescent and young adult were r=0.40, and for child and young adult were r=0.24 (all P<0.0001). Participants self-reporting adult hypertension were less likely to be white (38.7% black, 27.6% white, 20.9% other; P<0.0001) and female (26.4% females, 32.9% male, P<0.0001). Participants with adult hypertension were more likely to have higher BP and adiposity by age 10 years and abnormal lipids and glucose by age 16 years. There was a graded increase in the frequency of self-reported adult hypertension across the BP change groups, even within the persistently normotensive group (X2<0.0001) from 19% in children with a systolic BP% persistently below the median to 80% for individuals with elevated BP in both childhood and adolescence. Although our precision to predict which individual child is at risk of adult BP-related cardiovascular disease is weak, an increase in systolic BP and body mass index percentile from childhood to adolescence should signal a need for lifestyle intervention to prevent future sustained hypertension-related cardiovascular disease.

Item Details

Item Type:Refereed Article
Keywords:adiposity, blood pressure, hypertension, obesity, risk factor
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Epidemiology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
UTAS Author:Venn, A (Professor Alison Venn)
ID Code:133277
Year Published:2019
Web of Science® Times Cited:3
Deposited By:Menzies Institute for Medical Research
Deposited On:2019-06-20
Last Modified:2019-07-30
Downloads:0

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