Comparison of ESHG2016 and AAP2017 hypertension guidelines in adolescents between the ages of 13 and 16: effect of body mass index on guidelines
Objective:The diagnosis of hypertension in adolescents aged ≥13 and
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| Veröffentlicht in: | Cardiology in the young 2022-01, Vol.32 (1), p.94-100 |
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| container_title | Cardiology in the young |
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| creator | Aksoy, Gülşah Kaya Yapar, Dilek Koyun, Nevin Semerci Doğan, Çağla Serpil |
| description | Objective:The diagnosis of hypertension in adolescents aged ≥13 and |
| doi_str_mv | 10.1017/S1047951121003450 |
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| fullrecord | <record><control><sourceid>proquest_cambr</sourceid><recordid>TN_cdi_proquest_miscellaneous_2563696630</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S1047951121003450</cupid><sourcerecordid>2836017586</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1050-ab5424d07047cbecd90d63abadef989f390fd83440b9efdd1b348be8cd5455ff3</originalsourceid><addsrcrecordid>eNplkctKw0AUhoMoeH0AdwNu3ETPyVySuCulWqGgUF2HmcyZGkknNZOifQsf2akKoq7mMP_Hx7kkySnCBQLml3MEkZcSMUMALiTsJAcoVJ4iQr4b6xin23w_OQzhGQA5RzhI3sfdcqX7JnSedY5N5tObDFAx7S0bje5jnbOnzYr6gXxoIrRYN5baxlNgjWfadi2FmvwQmKHhlciz4YmYXsQ8-pB_mlBdMXKO6mH7aTq7YUsdtgZLb-yX9TjZc7oNdPL9HiWP15OH8TSd3d3cjkeztEaQkGojRSYs5HGu2lBtS7CKa6MtubIoHS_B2YILAaYkZy0aLgpDRW2lkNI5fpScf3lXffeypjBUyyYO0rbaU7cOVSYVV6VSHCJ69gd97ta9j91VWcFVXJEsVKT4F1Xrpekbu6AfDKHaXqn6dyX-AfuFgx8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2836017586</pqid></control><display><type>article</type><title>Comparison of ESHG2016 and AAP2017 hypertension guidelines in adolescents between the ages of 13 and 16: effect of body mass index on guidelines</title><source>Cambridge University Press Journals Complete</source><creator>Aksoy, Gülşah Kaya ; Yapar, Dilek ; Koyun, Nevin Semerci ; Doğan, Çağla Serpil</creator><creatorcontrib>Aksoy, Gülşah Kaya ; Yapar, Dilek ; Koyun, Nevin Semerci ; Doğan, Çağla Serpil</creatorcontrib><description>Objective:The diagnosis of hypertension in adolescents aged ≥13 and <16 years is based on the percentile according to age, gender, and height in the European Society of Hypertension guidelines guideline; whereas, the American Academy of Pediatrics guideline uses blood pressure above 130/80 mmHg as a single criterion. Therefore, this study aimed to evaluate the compatibility of these two guidelines in adolescents aged ≥13 and <16 years.Methods:This study was designed by retrospectively screening the records of 395 adolescents with both office and 24-hour ambulatory blood pressure measurements. Each blood pressure measurement was classified according to both the ESGH2016 and AAP2017 guidelines. Patients were divided into three subgroups according to body mass index. Cohen’s kappa analysis was used to evaluate the agreement between the two guidelines.Results:The majority of adolescents were normotensive according to both guidelines, 55.9% by ESHG2016 and 43.1% by AAP2017. For the whole group, the frequency of hypertension was 32.4% with ESHG2016 and 34.4% with AAP2017; while, in obese patients, hypertension frequencies were 38.8% and 43.3%, respectively. The diagnosis of hypertension was demonstrated with the two guidelines, and there was significant agreement at a substantial level, both for the obese subgroup and the whole study group (kappa value = 0.738 and 0.785, respectively). The frequency of white-coat hypertension was higher with the AAP2017 guideline (28.1% versus 16.2%, p < 0.001).Conclusion:With our experience in this single-centre study, it seems that both the AAP2017 and the ESHG2016 guidelines can be used in the diagnosis of hypertension in adolescents.</description><identifier>ISSN: 1047-9511</identifier><identifier>EISSN: 1467-1107</identifier><identifier>DOI: 10.1017/S1047951121003450</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescents ; Age ; Agreements ; Blood pressure ; Body mass ; Body mass index ; Body size ; Diagnosis ; Evaluation ; Gender ; General Cardiology ; Guidelines ; Health sciences ; Hypertension ; Nephrology ; Normal distribution ; Obesity ; Original Article ; Overweight ; Pediatrics ; Pressure measurement ; Sleep ; Subgroups ; Task forces ; Teenagers</subject><ispartof>Cardiology in the young, 2022-01, Vol.32 (1), p.94-100</ispartof><rights>The Author(s), 2021. Published by Cambridge University Press</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0003-0293-1581</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1047951121003450/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids></links><search><creatorcontrib>Aksoy, Gülşah Kaya</creatorcontrib><creatorcontrib>Yapar, Dilek</creatorcontrib><creatorcontrib>Koyun, Nevin Semerci</creatorcontrib><creatorcontrib>Doğan, Çağla Serpil</creatorcontrib><title>Comparison of ESHG2016 and AAP2017 hypertension guidelines in adolescents between the ages of 13 and 16: effect of body mass index on guidelines</title><title>Cardiology in the young</title><addtitle>Cardiol Young</addtitle><description>Objective:The diagnosis of hypertension in adolescents aged ≥13 and <16 years is based on the percentile according to age, gender, and height in the European Society of Hypertension guidelines guideline; whereas, the American Academy of Pediatrics guideline uses blood pressure above 130/80 mmHg as a single criterion. Therefore, this study aimed to evaluate the compatibility of these two guidelines in adolescents aged ≥13 and <16 years.Methods:This study was designed by retrospectively screening the records of 395 adolescents with both office and 24-hour ambulatory blood pressure measurements. Each blood pressure measurement was classified according to both the ESGH2016 and AAP2017 guidelines. Patients were divided into three subgroups according to body mass index. Cohen’s kappa analysis was used to evaluate the agreement between the two guidelines.Results:The majority of adolescents were normotensive according to both guidelines, 55.9% by ESHG2016 and 43.1% by AAP2017. For the whole group, the frequency of hypertension was 32.4% with ESHG2016 and 34.4% with AAP2017; while, in obese patients, hypertension frequencies were 38.8% and 43.3%, respectively. The diagnosis of hypertension was demonstrated with the two guidelines, and there was significant agreement at a substantial level, both for the obese subgroup and the whole study group (kappa value = 0.738 and 0.785, respectively). The frequency of white-coat hypertension was higher with the AAP2017 guideline (28.1% versus 16.2%, p < 0.001).Conclusion:With our experience in this single-centre study, it seems that both the AAP2017 and the ESHG2016 guidelines can be used in the diagnosis of hypertension in adolescents.</description><subject>Adolescents</subject><subject>Age</subject><subject>Agreements</subject><subject>Blood pressure</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Diagnosis</subject><subject>Evaluation</subject><subject>Gender</subject><subject>General Cardiology</subject><subject>Guidelines</subject><subject>Health sciences</subject><subject>Hypertension</subject><subject>Nephrology</subject><subject>Normal distribution</subject><subject>Obesity</subject><subject>Original Article</subject><subject>Overweight</subject><subject>Pediatrics</subject><subject>Pressure measurement</subject><subject>Sleep</subject><subject>Subgroups</subject><subject>Task forces</subject><subject>Teenagers</subject><issn>1047-9511</issn><issn>1467-1107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNplkctKw0AUhoMoeH0AdwNu3ETPyVySuCulWqGgUF2HmcyZGkknNZOifQsf2akKoq7mMP_Hx7kkySnCBQLml3MEkZcSMUMALiTsJAcoVJ4iQr4b6xin23w_OQzhGQA5RzhI3sfdcqX7JnSedY5N5tObDFAx7S0bje5jnbOnzYr6gXxoIrRYN5baxlNgjWfadi2FmvwQmKHhlciz4YmYXsQ8-pB_mlBdMXKO6mH7aTq7YUsdtgZLb-yX9TjZc7oNdPL9HiWP15OH8TSd3d3cjkeztEaQkGojRSYs5HGu2lBtS7CKa6MtubIoHS_B2YILAaYkZy0aLgpDRW2lkNI5fpScf3lXffeypjBUyyYO0rbaU7cOVSYVV6VSHCJ69gd97ta9j91VWcFVXJEsVKT4F1Xrpekbu6AfDKHaXqn6dyX-AfuFgx8</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Aksoy, Gülşah Kaya</creator><creator>Yapar, Dilek</creator><creator>Koyun, Nevin Semerci</creator><creator>Doğan, Çağla Serpil</creator><general>Cambridge University Press</general><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0293-1581</orcidid></search><sort><creationdate>202201</creationdate><title>Comparison of ESHG2016 and AAP2017 hypertension guidelines in adolescents between the ages of 13 and 16: effect of body mass index on guidelines</title><author>Aksoy, Gülşah Kaya ; Yapar, Dilek ; Koyun, Nevin Semerci ; Doğan, Çağla Serpil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1050-ab5424d07047cbecd90d63abadef989f390fd83440b9efdd1b348be8cd5455ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescents</topic><topic>Age</topic><topic>Agreements</topic><topic>Blood pressure</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Diagnosis</topic><topic>Evaluation</topic><topic>Gender</topic><topic>General Cardiology</topic><topic>Guidelines</topic><topic>Health sciences</topic><topic>Hypertension</topic><topic>Nephrology</topic><topic>Normal distribution</topic><topic>Obesity</topic><topic>Original Article</topic><topic>Overweight</topic><topic>Pediatrics</topic><topic>Pressure measurement</topic><topic>Sleep</topic><topic>Subgroups</topic><topic>Task forces</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aksoy, Gülşah Kaya</creatorcontrib><creatorcontrib>Yapar, Dilek</creatorcontrib><creatorcontrib>Koyun, Nevin Semerci</creatorcontrib><creatorcontrib>Doğan, Çağla Serpil</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiology in the young</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aksoy, Gülşah Kaya</au><au>Yapar, Dilek</au><au>Koyun, Nevin Semerci</au><au>Doğan, Çağla Serpil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of ESHG2016 and AAP2017 hypertension guidelines in adolescents between the ages of 13 and 16: effect of body mass index on guidelines</atitle><jtitle>Cardiology in the young</jtitle><addtitle>Cardiol Young</addtitle><date>2022-01</date><risdate>2022</risdate><volume>32</volume><issue>1</issue><spage>94</spage><epage>100</epage><pages>94-100</pages><issn>1047-9511</issn><eissn>1467-1107</eissn><abstract>Objective:The diagnosis of hypertension in adolescents aged ≥13 and <16 years is based on the percentile according to age, gender, and height in the European Society of Hypertension guidelines guideline; whereas, the American Academy of Pediatrics guideline uses blood pressure above 130/80 mmHg as a single criterion. Therefore, this study aimed to evaluate the compatibility of these two guidelines in adolescents aged ≥13 and <16 years.Methods:This study was designed by retrospectively screening the records of 395 adolescents with both office and 24-hour ambulatory blood pressure measurements. Each blood pressure measurement was classified according to both the ESGH2016 and AAP2017 guidelines. Patients were divided into three subgroups according to body mass index. Cohen’s kappa analysis was used to evaluate the agreement between the two guidelines.Results:The majority of adolescents were normotensive according to both guidelines, 55.9% by ESHG2016 and 43.1% by AAP2017. For the whole group, the frequency of hypertension was 32.4% with ESHG2016 and 34.4% with AAP2017; while, in obese patients, hypertension frequencies were 38.8% and 43.3%, respectively. The diagnosis of hypertension was demonstrated with the two guidelines, and there was significant agreement at a substantial level, both for the obese subgroup and the whole study group (kappa value = 0.738 and 0.785, respectively). The frequency of white-coat hypertension was higher with the AAP2017 guideline (28.1% versus 16.2%, p < 0.001).Conclusion:With our experience in this single-centre study, it seems that both the AAP2017 and the ESHG2016 guidelines can be used in the diagnosis of hypertension in adolescents.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><doi>10.1017/S1047951121003450</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0293-1581</orcidid></addata></record> |
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| ispartof | Cardiology in the young, 2022-01, Vol.32 (1), p.94-100 |
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| source | Cambridge University Press Journals Complete |
| subjects | Adolescents Age Agreements Blood pressure Body mass Body mass index Body size Diagnosis Evaluation Gender General Cardiology Guidelines Health sciences Hypertension Nephrology Normal distribution Obesity Original Article Overweight Pediatrics Pressure measurement Sleep Subgroups Task forces Teenagers |
| title | Comparison of ESHG2016 and AAP2017 hypertension guidelines in adolescents between the ages of 13 and 16: effect of body mass index on guidelines |
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