| Prevalence and incidence of hypertension in adolescent girls. | |
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MedLine Citation:
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PMID: 20488454 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To estimate the prevalence and incidence of hypertension and prehypertension and associated factors in adolescent girls. STUDY DESIGN: A total of 2368 girls (49% Caucasian, 51% African-American) aged 9 or 10 years enrolled in the National Heart, Lung, and Blood Institute Growth and Health Study had blood pressure, height, and weight measured at annual visits through age 18 to 19 years. Prevalence and incidence of hypertension and prehypertension were calculated. RESULTS: On the basis of 2 visits, hypertension prevalence was approximately 1% to 2% in African-American girls and 0.5% in Caucasian girls. Incidence in 8 years was 5.0% and 2.1%, respectively. Obese girls had higher prevalence (approximately 6-fold higher) and incidence (approximately 2- to 3-fold higher) compared with girls of normal weight. Similar patterns were found for prehypertension, except that prehypertension occurred more in older girls than younger girls. Dietary factors (lower intake of fiber, potassium, magnesium, and calcium, and higher intake of caffeine and calories) were each associated with hypertension incidence (all P<.05). In multivariate analysis, higher body mass index (P<.001) and lower potassium intake (P=.023) were independently associated with incidence of hypertension. CONCLUSIONS: Hypertension occurred early in childhood and was related to obesity and other modifiable lifestyle factors. Clinicians should monitor blood pressure during childhood and provide focused diet and physical activity guidance to minimize the development of hypertension. |
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Authors:
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Eva Obarzanek; Colin O Wu; Jeffrey A Cutler; Rae-Ellen W Kavey; Gail D Pearson; Stephen R Daniels |
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Publication Detail:
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Type: Journal Article Date: 2010-05-20 |
Journal Detail:
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Title: The Journal of pediatrics Volume: 157 ISSN: 1097-6833 ISO Abbreviation: J. Pediatr. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-23 Completed Date: 2010-09-23 Revised Date: 2011-05-04 |
Medline Journal Info:
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Nlm Unique ID: 0375410 Medline TA: J Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 461-7, 467.e1-5 Citation Subset: AIM; IM |
Copyright Information:
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Copyright (c) 2010 Mosby, Inc. All rights reserved. |
Affiliation:
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Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MD 20892-7913, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Female Humans Hypertension / epidemiology* Incidence Prevalence |
| Comments/Corrections | |
Comment In:
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Evid Based Med. 2011 Apr;16(2):63-4
[PMID:
21228049
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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