Treatment options for Secondary

Study Finds Many Youth Have HypertensionCDC analyzed data from more than 12,000 participants aged 12–19 years responding to the National Health and Nutrition Examination Survey (NHANES) during 2001–2016. CDC used these data to determine how the new guideline impacts hypertension trends among youth over time.Using the criteria of the 2017 AAP Clinical Practice Guideline, more than 1 in 7 U.S. youth aged 12–19 years had hypertension or elevated blood pressure in 2013–2016.Read the 2017 AAP Clinical Practice GuidelineExternal for Screening and Management of High Blood Pressure in Children and Adolescents.Listen to a new CDC podcast about hypertension among youth.Key findings from the Morbidity and Mortality Weekly Report (MMWR) include:Hypertension among youth has decreased, but youth are still at risk. Between 2001 and 2016, the prevalence of hypertension declined using both the new and former guidelines. But there are still many youth with hypertension and other cardiovascular disease risk factors, such as obesity and diabetes. Even with this downward trend, under the new guideline more youth are classified as having hypertension than 15 years ago under the former guideline.
The new guideline changes the numbers and uses a lower threshold for hypertension. Compared to the former guideline, the updated guideline reclassifies 2.6% of youth in the United States, or nearly 800,000 youth, as having hypertension.
Nearly half of the youth newly reclassified as having hypertension have obesity. Obesity in youth is defined as having a body mass index (BMI) greater than or equal to the 95th percentile. (Calculate your child’s BMI.)
Youth aged 18–19 years account for about half of the increase, and males account for more than two thirds.An estimated 1.3 million youth age 12-19 would have hypertension according to the new guidelines, which is about 4% of the population. In a classroom of 30 youth, one would have hypertension, and about 3 more would have elevated blood pressure.
Risks for cardiovascular disease that start in childhood are more likely to carry over into adulthood. Youth who have cardiovascular disease risk factors, such as hypertension, obesity, and diabetes, are more likely to have these risk factors as adults, putting them at greater risk for heart disease and stroke.
Healthy diet and exercise are important to reducing these risk factors. Ensuring that youth are eating a healthy diet and getting enough physical activity is crucial to helping prevent cardiovascular disease.Top of Page What Can Parents Do?Ask your doctor to measure your child’s blood pressure starting at age 3. Helping children maintain a healthy weight, eat nutritious foods, and get regular physical activity can lower their blood pressure and reduce their risk for cardiovascular disease later in life. Try these tips to help youth keep a healthy weight and normal blood pressure:High blood pressure, also called hypertension, is a common disease that occurs when the pressure in your arteries is higher than it should be.Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps blood throughout the body.If this pressure remains consistently high, it can cause many complications in the body.f left untreated, high blood pressure can lead to health problems, such as heart disease, stroke, kidney failure, vision loss, and more. (1)What Is Considered High Blood Pressure?If your doctor consistently reads your blood pressure as 130/80 millimeters of mercury (mmHg) or higher, you will most likely be diagnosed with high blood pressure.In 2017, the American Heart Association (AHA) updated this definition of high blood pressure from the previous 140/90 mmHg or higher. The guidelines recommend earlier intervention to prevent further increases in blood pressure that could lead to health problems. (2)Prevalence and Risk Factors
Hypertension is a very common condition, in both developing countries and industrialized nations.In fact, according to the AHA, more than 100 million Americans have high blood pressure. That equates to nearly half of all adults in the United States. (3)High blood pressure is often difficult to diagnose unless you’re tested because it doesn’t cause many symptoms. This means you can live with hypertension for quite some time until it becomes very severe and a cardiac-related event occurs as a result.Before trying to comprehend the physiology of hypertension, let us begin by learning more about blood vessels. Blood vessel is the main transport system in the body. Think of it as a comprehensive system of highway that enables movement of blood across the body. Blood vessels are muscular tubes made out of cells. They are named differently according to their size, diameter, and function.Generally, blood vessels can be divided into 3 types.

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