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What’s new in paediatric hypertension?
  1. Rowena Lalji1,2,
  2. Kjell Tullus1
  1. 1Departmentof Paediatric Nephrology, Great Ormond Street Hospital for Children, London, UK
  2. 2Departmentof Paediatric Nephrology, Lady Cilento Children's Hospital, South Brisbane, Queensland, Australia
  1. Correspondence to Dr Kjell Tullus, Department of Paediatric Nephrology, Great Ormond Street Hospital, London WC1N 3JH, UK; Kjell.Tullus{at}gosh.nhs.uk

Abstract

Paediatric hypertension predisposes to hypertension and cardiovascular disease in adult life. Despite clear guidelines, there remains a lack of screening. Diagnosis remains challenging given the high rate of false-positive high blood pressure (BP) readings at a single visit; thus, multiple visits are required to confirm the diagnosis. Depending on the normative data sets used, hypertension in overweight and obese children can be underestimated by up to 20%. Specific BP targets are required for subgroups such as adolescents, children with chronic kidney disease (CKD) and type 1 diabetes. High dietary salt intake is a risk factor for cardiovascular disease. Given the rise in processed food consumption, children in developed nations are likely to benefit from salt restriction at a population-based level.

  • General Paediatrics
  • Nephrology
  • Paediatric Practice
  • Screening
  • Vascular Disease

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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