Strengthening research in prevention and treatment strategies for hypertension in children and adolescents

LIANG Xiaohua; AN Xizhou

doi:10.16835/j.cnki.1000-9817.2023.10.001

Volume 44 Issue 10

Oct. 2023

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LIANG Xiaohua, AN Xizhou. Strengthening research in prevention and treatment strategies for hypertension in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1441-1444. doi: 10.16835/j.cnki.1000-9817.2023.10.001

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LIANG Xiaohua, AN Xizhou. Strengthening research in prevention and treatment strategies for hypertension in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1441-1444. doi: 10.16835/j.cnki.1000-9817.2023.10.001

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Strengthening research in prevention and treatment strategies for hypertension in children and adolescents

doi: 10.16835/j.cnki.1000-9817.2023.10.001

Department of Clinical Epidemiology and Biostatistics, Pediatrics Research Institute, Children's Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/China Clinical Research Center for Child Health and Disorders/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics, Chongqing (400014), China

Received Date: 2023-10-07
Available Online: 2023-10-27
Publish Date: 2023-10-25

Abstract

Abstract

In recent years, the blood pressure levels and the prevalence of hypertension and among Chinese children and adolescents have shown a rising trend, and the elevated blood pressure is associated with target organ damage and increases the risk of developing cardiovascular and cerebrovascular diseases in adulthood. The article analyzes the current epidemic situation and main risk factors of hypertension in children and adolescents in China, and proposes comprehensive prevention and control measures that can be implemented by government, medical institutions, schools, and families as part of a joint effort to target hypertension in youth, thereby providing evidence for preventing the occurrence of hypertension in this population.
- Hypertension,
- Risk factors,
- Prevention measures,
- Child,
- Adolescent

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References(39)

References

[1]	NCD Risk Factor Collaboration. Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19.1 million participants[J]. Lancet, 2017, 389(10064): 37-55. doi: 10.1016/S0140-6736(16)31919-5
[2]	WANG L, SONG L, LIU B, et al. Trends and status of the prevalence of elevated blood pressure in children and adolescents in China: a systematic review and Meta-analysis[J]. Curr Hypertens Rep, 2019, 21(11): 88. doi: 10.1007/s11906-019-0992-1
[3]	YANG L, YANG L, ZHANG Y, et al. Prevalence of target organ damage in Chinese hypertensive children and adolescents[J]. Front Pediatr, 2018, 6: 333. doi: 10.3389/fped.2018.00333
[4]	YANG L, MAGNUSSEN C G, YANG L, et al. Elevated blood pressure in childhood or adolescence and cardiovascular outcomes in adulthood: a systematic review[J]. Hypertension, 2020, 75(4): 948-955. doi: 10.1161/HYPERTENSIONAHA.119.14168
[5]	FALKNER B. Recent clinical and translational advances in pediatric hypertension[J]. Hypertension, 2015, 65(5): 926-931. doi: 10.1161/HYPERTENSIONAHA.114.03586
[6]	LIANG X H, CHEN J Y, AN X Z, et al. The impact of PM2.5 on children's blood pressure growth curves: a prospective cohort study[J]. Environ Int, 2022, 158: 107012. doi: 10.1016/j.envint.2021.107012
[7]	MEYDANLIOGLU A, AKCAN A, ONCEL S, et al. Prevalence of obesity and hypertension in children and determination of associated factors by CHAID analysis[J]. Arch Pediatr, 2022, 29(1): 30-35. doi: 10.1016/j.arcped.2020.10.017
[8]	ZHANG Q, YANG L, ZHANG Y, et al. Hypertension prevalence based on three separate visits and its association with obesity among Chinese children and adolescents[J]. Front Pediatr, 2019, 7: 307. doi: 10.3389/fped.2019.00307
[9]	RAITAKARI O T, JUONALA M, KAHONEN M, et al. Cardiovascular risk factors in childhood and carotid artery intima-media thickness in adulthood: the cardiovascular risk in young finns study[J]. JAMA, 2003, 290(17): 2277-2283. doi: 10.1001/jama.290.17.2277
[10]	URBINA E M, LANDE M B, HOOPER S R, et al. Target organ abnormalities in pediatric hypertension[J]. J Pediatr, 2018, 202: 14-22. doi: 10.1016/j.jpeds.2018.07.026
[11]	WANG N Y, YOUNG J H, MEONI L A, et al. Blood pressure change and risk of hypertension associated with parental hypertension: the johns hopkins precursors study[J]. Arch Intern Med, 2008, 168(6): 643-648. doi: 10.1001/archinte.168.6.643
[12]	KUPPER N, WILLEMSEN G, RIESE H, et al. Heritability of daytime ambulatory blood pressure in an extended twin design[J]. Hypertension, 2005, 45(1): 80-85. doi: 10.1161/01.HYP.0000149952.84391.54
[13]	OLCZAK K J, TAYLOR-BATEMAN V, NICHOLLS H L, et al. Hypertension genetics past, present and future applications[J]. J Intern Med, 2021, 290(6): 1130-1152. doi: 10.1111/joim.13352
[14]	GARIMELLA P S, DU TOIT C, LE N N, et al. A genomic deep field view of hypertension[J]. Kidney Int, 2023, 103(1): 42-52. doi: 10.1016/j.kint.2022.09.029
[15]	JOHNSON T, GAUNT T R, NEWHOUSE S J, et al. Blood pressure loci identified with a gene-centric array[J]. Am J Hum Genet, 2011, 89(6): 688-700. doi: 10.1016/j.ajhg.2011.10.013
[16]	EVANGELOU E, WARREN H R, MOSEN-ANSORENA D, et al. Genetic analysis of over 1 million people identifies 535 new loci associated with blood pressure traits[J]. Nat Genet, 2018, 50(10): 1412-1425. doi: 10.1038/s41588-018-0205-x
[17]	VAURA F, KAUKO A, SUVILA K, et al. Polygenic risk scores predict hypertension onset and cardiovascular risk[J]. Hypertension, 2021, 77(4): 1119-1127. doi: 10.1161/HYPERTENSIONAHA.120.16471
[18]	NIERENBERG J L, LI C, HE J, et al. Blood pressure genetic risk score predicts blood pressure responses to dietary sodium and potassium: the gensalt study (Genetic Epidemiology Network of Salt Sensitivity)[J]. Hypertension, 2017, 70(6): 1106-1112. doi: 10.1161/HYPERTENSIONAHA.117.10108
[19]	MARTIN A, BOOTH J N, LAIRD Y, et al. Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight[J]. Cochrane Database Syst Rev, 2018, 3(3): CD009728.
[20]	GARCIA-RIOS A, ORDOVAS J M, LOPEZ-MIRANDA J, et al. New diet trials and cardiovascular risk[J]. Curr Opin Cardiol, 2018, 33(4): 423-428. doi: 10.1097/HCO.0000000000000523
[21]	IACCARINO I P, SCALFI L, VALERIO G. Adherence to the Mediterranean diet in children and adolescents: a systematic review[J]. Nutr Metab Cardiovasc Dis, 2017, 27(4): 283-299. doi: 10.1016/j.numecd.2017.01.002
[22]	PALLA L, ALMOOSAWI S. Diurnal patterns of energy intake derived via principal component analysis and their relationship with adiposity measures in adolescents: results from the national diet and nutrition survey RP (2008-2012)[J]. Nutrients, 2019, 11(2): 422. doi: 10.3390/nu11020422
[23]	GUTHOLD R, STEVENS G A, RILEY L M, et al. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants[J]. Lancet Child Adolesc Health, 2020, 4(1): 23-35. doi: 10.1016/S2352-4642(19)30323-2
[24]	PROUDFOOT N A, KING-DOWLING S, CAIRNEY J, et al. Physical activity and trajectories of cardiovascular health indicators during early childhood[J]. Pediatrics, 2019, 144(1): e20182242. doi: 10.1542/peds.2018-2242
[25]	张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001 ZHANG Y T, MA S X, CHEN C, et al. Physical activity guidelines for Chinese children and adolescents[J]. Chin J Evid-Based Pediatr, 2017, 12(6): 401-409. (in Chinese) doi: 10.3969/j.issn.1673-5501.2017.06.001
[26]	傅涛, 耿慧, 张荻若, 等. 我国居民身体活动现状及其与心血管疾病的关系[J]. 中国预防医学杂志, 2023, 24(1): 62-66. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC202301012.htm FU T, GENG H, ZHANG D R, et al. Status of physical activity among residents in China and its relationship with cardiovascular diseases[J]. Chin J Prev Med, 2023, 24(1): 62-66. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC202301012.htm
[27]	李培红, 王梅. 中国儿童青少年身体活动现状及相关影响因素[J]. 中国学校卫生, 2016, 37(6): 805-813. doi: 10.16835/j.cnki.1000-9817.2016.06.002 LI P H, WANG M. Status of physical activity among children and adolescents in China and related influencing factors[J]. Chin J Sch Health, 2016, 37(6): 805-813. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.06.002
[28]	单美辰, 周楠. 中国儿童体力活动研究进展[J]. 中国学校卫生, 2021, 42(8): 1275-1280. doi: 10.16835/j.cnki.1000-9817.2021.08.035 SHAN M C, ZHOU N. Research progress on physical activity of Chinese children[J]. Chin J Sch Health, 2021, 42(8): 1275-1280. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.08.035
[29]	DELROSSO L M, MOGAVERO M P, FERRI R. Effect of sleep disorders on blood pressure and hypertension in children[J]. Curr Hypertens Rep, 2020, 22(11): 88. doi: 10.1007/s11906-020-01100-x
[30]	ZHANG C, QIN G. Irregular sleep and cardiometabolic risk: clinical evidence and mechanisms[J]. Front Cardiovasc Med, 2023, 10: 1059257. doi: 10.3389/fcvm.2023.1059257
[31]	PARUTHI S, BROOKS L J, D'AMBROSIO C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the american academy of sleep medicine[J]. J Clin Sleep Med, 2016, 12(6): 785-786. doi: 10.5664/jcsm.5866
[32]	WONG C, WONG R S, CHEUNG J, et al. Impact of sleep duration, physical activity, and screen time on health-related quality of life in children and adolescents[J]. Health Qual Life Outcomes, 2021, 19(1): 145. doi: 10.1186/s12955-021-01776-y
[33]	LISSAK G. Adverse physiological and psychological effects of screen time on children and adolescents: literature review and case study[J]. Environ Res, 2018, 164: 149-157. doi: 10.1016/j.envres.2018.01.015
[34]	ZENG X W, QIAN Z M, VAUGHN M G, et al. Positive association between short-term ambient air pollution exposure and children blood pressure in China: result from the Seven Northeast Cities (SNEC) study[J]. Environ Pollut, 2017, 224: 698-705. doi: 10.1016/j.envpol.2017.02.054
[35]	LI J, DONG Y, SONG Y, et al. Long-term effects of PM(2.5) components on blood pressure and hypertension in Chinese children and adolescents[J]. Environ Int, 2022, 161: 107134. doi: 10.1016/j.envint.2022.107134
[36]	LIANG X, LIANG F, LIU F, et al. The policy implemented by the government and the protection effect of PM_2.5 decreasing on blood pressure in adolescents: from a quasi-experimental study[J]. J Global Health, 2023, 13: 04050. doi: 10.7189/jogh.13.04050
[37]	中华人民共和国国家卫生健康委员会. 健康中国行动(2019—2030年)[EB/OL]. (2019-07-09)[2023-06-15]. https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm. National Health Commission of the PRC. Healthy China Action (2019-2030)[EB/OL]. (2019-07-09)[2023-06-15]. https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm. (in Chinese)
[38]	《中国高血压防治指南》修订委员会. 中国高血压防治指南2018年修订版[J]. 心脑血管病防治, 2019, 19(1): 1-44. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201904005.htm Revision Committee of Chinese Guidelines for Prevention and Treatment of Hypertension. Chinese guidelines for prevention and treatment of hypertension 2018 revised edition[J]. Prev Treat Cardio-Cerebrovasc Dis, 2019, 19(1): 1-44. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201904005.htm
[39]	石琳, 李亚祺, 殷涛, 等. "COME方案"用于儿童高血压的管理[J]. 中华高血压杂志, 2023, 31(4): 312-315. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ202304003.htm SHI L, LI Y Q, YIN T, et al. "COME Program" for the management of pediatric hypertension[J]. Chin J Hypertens, 2023, 31(4): 312-315. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ202304003.htm