The Prevalence of Primary Pediatric Prehypertension and Hypertension in a Real-World Managed Care System
Article first published online: 7 AUG 2013
©2013 Wiley Periodicals, Inc.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
The Journal of Clinical Hypertension
Volume 15, Issue 11, pages 784–792, November 2013
How to Cite
J Clin Hypertens (Greenwich). 2013;15:784–792. ©2013 Wiley Periodicals, Inc.
- Issue published online: 30 OCT 2013
- Article first published online: 7 AUG 2013
- Manuscript Accepted: 22 JUN 2013
- Manuscript Revised: 17 JUN 2013
- Manuscript Received: 1 MAY 2013
- National Institute of Diabetes and Digestive and Kidney Disorders
- National Institutes of Health. Grant Number: R21DK085395
- Kaiser Permanente Direct Community Benefit Funds
To assess the burden associated with hypertension, reliable estimates for the prevalence of pediatric hypertension are vital. For this cross-sectional study of 237,248 youths aged 6 to 17 years without indication of secondary hypertension, blood pressure (BP) was classified according to age, sex, and height using standards from the Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents as prehypertension with at least 1 BP ≥90th percentile and as hypertension with 3 BPs ≥95th percentile. The prevalence of prehypertension and hypertension were 31.4% and 2.1%, respectively. An additional 21.4% had either 1 (16.6%) or 2 (4.8%) BPs ≥95th percentile. Based on this large population-based study using routinely measured BP from clinical care, a remarkable proportion of youth (6.9%) has hypertension or nearly meets the definition of hypertension with 2 documented BPs in the hypertensive range.