Novelty in hypertension in children and adolescents: focus on hypertension during the first year of life, use and interpretation of ambulatory blood pressure monitoring, role of physical activity in prevention and treatment, simple carbohydrates and uric acid as risk factors

The present article intends to provide an update of the article "Focus on prevention, diagnosis and treatment of hypertension in children and adolescents" published in 2013 (Spagnolo et al., Ital J Pediatr 39:20, 2013) in this journal. This revision is justified by the fact that during the...

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Published in:Italian journal of pediatrics 2016-07, Vol.42 (1), p.69-69, Article 69
Main Authors: Strambi, Mirella, Giussani, Marco, Ambruzzi, Maria Amalia, Brambilla, Paolo, Corrado, Ciro, Giordano, Ugo, Maffeis, Claudio, Maringhin, Silvio, Matteucci, Maria Chiara, Menghetti, Ettore, Salice, Patrizia, Schena, Federico, Strisciuglio, Pietro, Valerio, Giuliana, Viazzi, Francesca, Virdis, Raffaele, Genovesi, Simonetta
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Blood Pressure Determination - methods
Blood Pressure Monitoring, Ambulatory - methods
Child
Child, Preschool
Diet, Carbohydrate-Restricted
Exercise - physiology
Humans
Hypertension - diagnosis
Hypertension - drug therapy
Hypertension - prevention & control
Infant
Life Style
Pediatrics
Primary Prevention - methods
Prognosis
Review
Risk Factors
Role
Treatment Outcome
Uric Acid - adverse effects
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Summary:The present article intends to provide an update of the article "Focus on prevention, diagnosis and treatment of hypertension in children and adolescents" published in 2013 (Spagnolo et al., Ital J Pediatr 39:20, 2013) in this journal. This revision is justified by the fact that during the last years there have been several new scientific contributions to the problem of hypertension in pediatric age and during adolescence. Nevertheless, for what regards some aspects of the previous article, the newly acquired information did not require substantial changes to what was already published, both from a cultural and from a clinical point of view. We felt, however, the necessity to rewrite and/or to extend other parts in the light of the most recent scientific publications. More specifically, we updated and extended the chapters on the diagnosis and management of hypertension in newborns and unweaned babies, on the use and interpretation of ambulatory blood pressure monitoring, and on the usefulness of and indications for physical activity. Furthermore, we added an entirely new section on the role that simple carbohydrates (fructose in particular) and uric acid may play in the pathogenesis of hypertension in pediatric age.
ISSN:1824-7288
1720-8424
1824-7288
DOI:10.1186/s13052-016-0277-0