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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Curr+Opin+Nephrol+Hypertens
2012 ; 21
(3
): 318-22
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Management of blood pressure in children
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Malatesta-Muncher R
; Mitsnefes MM
Curr Opin Nephrol Hypertens
2012[May]; 21
(3
): 318-22
PMID22388549
show ga
PURPOSE OF REVIEW: This review summarizes recent insights into the epidemiology
of primary hypertension in children, with emphasis on the most important risk
factors for the development of hypertension, and also updates current options for
treating primary hypertension in children. RECENT FINDINGS: There is growing
evidence that the prevalence of hypertension has increased over the past decade
and that the epidemic of obesity has played a key role in the increase of blood
pressure (BP) in the USA and abroad. Recent studies have shown that in addition
to obesity, environmental factors such as second-hand smoking and sedentary
lifestyle are important in development of hypertension even in preschool age
children. Studies also have confirmed the effect of vegetables and fruits on
lowering BP. Recent clinical trials of valsartan and olmesartan have provided
efficacy and safety information for use in children. SUMMARY: The increased
prevalence of hypertension in children in recent years emphasizes the need for a
more aggressive approach to screen and diagnose elevated BP even in early
childhood. Early initiation of treatment is important to decrease the risk of
cardiovascular morbidity in adulthood.
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