Masked hypertension in children and young adults

Seiji Matsuoka, Midori Awazu

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Masked hypertension, a high ambulatory blood pressure (ABP) in the presence of normal office blood pressure (BP), is recognized as a risk factor for cardiovascular complications in the adult population. We evaluated the prevalence of masked hypertension in pediatric patients. We studied 136 patients (59 boys and 77 girls, aged 6-25 years, mean 13.1±4.7 years). In all patients, office BP measurements with auscultatory technique were less than the 95th percentile for sex and age or <140/ 90 mmHg for those over 18 years. Masked hypertension was diagnosed when either systolic or diastolic daytime ABP values were equal to or greater than the 95th percentile for sex and height of reference values or ≥135 mmHg systolic or 85 mmHg diastolic BP for those over 15 years. Among 136 patients, 15 (11%) had masked hypertension. The prevalence of masked hypertension was higher in boys (19%) than in girls (5%), but not different between younger (≤15 years) and older (>15 years) patients (11% vs. 12%). The diagnoses in the group with masked hypertension included 3 patients with diabetic nephropathy, 2 with obesity, and 2 with orthostatic dysregulation. In conclusion, masked hypertension is present in pediatric patients, and is more common in boys. Further study is needed to identify patients who may benefit from recognition of masked hypertension.

Original languageEnglish
Pages (from-to)651-654
Number of pages4
JournalPediatric Nephrology
Volume19
Issue number6
DOIs
Publication statusPublished - 2004 Jun

Fingerprint

Masked Hypertension
Young Adult
Pediatrics
Blood Pressure
Diabetic Nephropathies
Obesity
Hypertension

Keywords

  • Ambulatory blood pressure monitoring
  • Blood pressure
  • Masked hypertension
  • Reverse white coat hypertension
  • White coat normotension

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

Cite this

Masked hypertension in children and young adults. / Matsuoka, Seiji; Awazu, Midori.

In: Pediatric Nephrology, Vol. 19, No. 6, 06.2004, p. 651-654.

Research output: Contribution to journalArticle

Matsuoka, Seiji ; Awazu, Midori. / Masked hypertension in children and young adults. In: Pediatric Nephrology. 2004 ; Vol. 19, No. 6. pp. 651-654.
@article{39270131b8aa478b83bea7b3f3b5ae86,
title = "Masked hypertension in children and young adults",
abstract = "Masked hypertension, a high ambulatory blood pressure (ABP) in the presence of normal office blood pressure (BP), is recognized as a risk factor for cardiovascular complications in the adult population. We evaluated the prevalence of masked hypertension in pediatric patients. We studied 136 patients (59 boys and 77 girls, aged 6-25 years, mean 13.1±4.7 years). In all patients, office BP measurements with auscultatory technique were less than the 95th percentile for sex and age or <140/ 90 mmHg for those over 18 years. Masked hypertension was diagnosed when either systolic or diastolic daytime ABP values were equal to or greater than the 95th percentile for sex and height of reference values or ≥135 mmHg systolic or 85 mmHg diastolic BP for those over 15 years. Among 136 patients, 15 (11{\%}) had masked hypertension. The prevalence of masked hypertension was higher in boys (19{\%}) than in girls (5{\%}), but not different between younger (≤15 years) and older (>15 years) patients (11{\%} vs. 12{\%}). The diagnoses in the group with masked hypertension included 3 patients with diabetic nephropathy, 2 with obesity, and 2 with orthostatic dysregulation. In conclusion, masked hypertension is present in pediatric patients, and is more common in boys. Further study is needed to identify patients who may benefit from recognition of masked hypertension.",
keywords = "Ambulatory blood pressure monitoring, Blood pressure, Masked hypertension, Reverse white coat hypertension, White coat normotension",
author = "Seiji Matsuoka and Midori Awazu",
year = "2004",
month = "6",
doi = "10.1007/s00467-004-1459-3",
language = "English",
volume = "19",
pages = "651--654",
journal = "Pediatric Nephrology",
issn = "0931-041X",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - Masked hypertension in children and young adults

AU - Matsuoka, Seiji

AU - Awazu, Midori

PY - 2004/6

Y1 - 2004/6

N2 - Masked hypertension, a high ambulatory blood pressure (ABP) in the presence of normal office blood pressure (BP), is recognized as a risk factor for cardiovascular complications in the adult population. We evaluated the prevalence of masked hypertension in pediatric patients. We studied 136 patients (59 boys and 77 girls, aged 6-25 years, mean 13.1±4.7 years). In all patients, office BP measurements with auscultatory technique were less than the 95th percentile for sex and age or <140/ 90 mmHg for those over 18 years. Masked hypertension was diagnosed when either systolic or diastolic daytime ABP values were equal to or greater than the 95th percentile for sex and height of reference values or ≥135 mmHg systolic or 85 mmHg diastolic BP for those over 15 years. Among 136 patients, 15 (11%) had masked hypertension. The prevalence of masked hypertension was higher in boys (19%) than in girls (5%), but not different between younger (≤15 years) and older (>15 years) patients (11% vs. 12%). The diagnoses in the group with masked hypertension included 3 patients with diabetic nephropathy, 2 with obesity, and 2 with orthostatic dysregulation. In conclusion, masked hypertension is present in pediatric patients, and is more common in boys. Further study is needed to identify patients who may benefit from recognition of masked hypertension.

AB - Masked hypertension, a high ambulatory blood pressure (ABP) in the presence of normal office blood pressure (BP), is recognized as a risk factor for cardiovascular complications in the adult population. We evaluated the prevalence of masked hypertension in pediatric patients. We studied 136 patients (59 boys and 77 girls, aged 6-25 years, mean 13.1±4.7 years). In all patients, office BP measurements with auscultatory technique were less than the 95th percentile for sex and age or <140/ 90 mmHg for those over 18 years. Masked hypertension was diagnosed when either systolic or diastolic daytime ABP values were equal to or greater than the 95th percentile for sex and height of reference values or ≥135 mmHg systolic or 85 mmHg diastolic BP for those over 15 years. Among 136 patients, 15 (11%) had masked hypertension. The prevalence of masked hypertension was higher in boys (19%) than in girls (5%), but not different between younger (≤15 years) and older (>15 years) patients (11% vs. 12%). The diagnoses in the group with masked hypertension included 3 patients with diabetic nephropathy, 2 with obesity, and 2 with orthostatic dysregulation. In conclusion, masked hypertension is present in pediatric patients, and is more common in boys. Further study is needed to identify patients who may benefit from recognition of masked hypertension.

KW - Ambulatory blood pressure monitoring

KW - Blood pressure

KW - Masked hypertension

KW - Reverse white coat hypertension

KW - White coat normotension

UR - http://www.scopus.com/inward/record.url?scp=2942668284&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2942668284&partnerID=8YFLogxK

U2 - 10.1007/s00467-004-1459-3

DO - 10.1007/s00467-004-1459-3

M3 - Article

C2 - 15071772

AN - SCOPUS:2942668284

VL - 19

SP - 651

EP - 654

JO - Pediatric Nephrology

JF - Pediatric Nephrology

SN - 0931-041X

IS - 6

ER -