PEDIATRICS Vol. 98 No. 4 October 1996, pp. 649-658
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Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents: A Working Group Report from the National High Blood Pressure Education Program

National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents

Background. The "Report of the Second Task Force on Blood Pressure Control in Children—1987" developed normative blood pressure (BP) data for children and adolescents. These normative data are used to classify BP levels. Since 1987, additional BP data in children and adolescents, the use of newer classes of drugs, and the role of primary prevention of hypertension have expanded the body of knowledge regarding the classification and treatment of hypertension in the young.

Objective. To report new normative BP data in children and adolescents and to provide additional information regarding the diagnosis, treatment, and prevention of hypertension in children.

Methods. A working group was appointed by the director of the National Heart, Lung, and Blood Institute as chair of the National High Blood Pressure Education Program (NHBPEP) Coordinating Committee. Data on children from the 1988 through 1991 National Health and Nutrition Examination Survey III and nine additional national data sets were combined to develop normative BP tables. The working group members produced initial draft documents that were reviewed by NHBPEP Coordinating Committee representatives as well as experts in pediatrics, cardiology, and hypertension. This reiterative process occurred for 12 draft documents. The NHBPEP Coordinating Committee discussed the report, and additional comments were received. Differences of opinion were adjudicated by the chair of the working group. The final report was sent to representatives of the 44 organizations on the NHBPEP Coordinating Committee for vote. It was approved unanimously by the NHBPEP Coordinating Committee on October 2, 1995.

Conclusions. This report provides new normative BP tables for children and adolescents, which now include height percentiles, age, and gender. The fifth Korotkoff sound is now used to define diastolic BP in children and adolescents. New charts have been developed to guide practicing clinicians in antihypertensive drug therapy selection. The primary prevention of hypertension in these age groups is discussed. A statement on public health considerations in the treatment of children and adolescents is provided.

Submitted on October 11, 1995
Accepted on November 27, 1995


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[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
K. O. Schwab, J. Doerfer, W. Hecker, J. Grulich-Henn, D. Wiemann, O. Kordonouri, P. Beyer, R. W. Holl, and on behalf of the DPV Initiative of the German Work
Spectrum and Prevalence of Atherogenic Risk Factors in 27,358 Children, Adolescents, and Young Adults With Type 1 Diabetes: Cross-sectional data from the German diabetes documentation and quality management system (DPV)
Diabetes Care, February 1, 2006; 29(2): 218 - 225.
[Abstract] [Full Text] [PDF]


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Int J EpidemiolHome page
K. Monyeki, H. Kemper, and P. Makgae
The association of fat patterning with blood pressure in rural South African children: the Ellisras Longitudinal Growth and Health Study
Int. J. Epidemiol., February 1, 2006; 35(1): 114 - 120.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
A. Esmaillzadeh, P. Mirmiran, and F. Azizi
Clustering of metabolic abnormalities in adolescents with the hypertriglyceridemic waist phenotype
Am. J. Clinical Nutrition, January 1, 2006; 83(1): 36 - 46.
[Abstract] [Full Text] [PDF]


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HeartHome page
U Herberg, W Gross, P Bartmann, C S Banek, K Hecher, and J Breuer
Long term cardiac follow up of severe twin to twin transfusion syndrome after intrauterine laser coagulation
Heart, January 1, 2006; 92(1): 95 - 100.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. A. Leon, I. Koupil, V. Mann, T. Tuvemo, G. Lindmark, R. Mohsen, L. Byberg, and H. Lithell
Fetal, Developmental, and Parental Influences on Childhood Systolic Blood Pressure in 600 Sib Pairs: The Uppsala Family Study
Circulation, November 29, 2005; 112(22): 3478 - 3485.
[Abstract] [Full Text] [PDF]


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J Mol EndocrinolHome page
S Sookoian, S I Garcia, P I Porto, G Dieuzeide, C D Gonzalez, and C J Pirola
Peroxisome proliferator-activated receptor gamma and its coactivator-1 alpha may be associated with features of the metabolic syndrome in adolescents
J. Mol. Endocrinol., October 1, 2005; 35(2): 373 - 380.
[Abstract] [Full Text] [PDF]


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CLIN PEDIATRHome page
N. Nussinovitch, K. Elishkevitz, T. Rosenthal, and M. Nussinovitch
Screening for Hypertension in High School
Clinical Pediatrics, October 1, 2005; 44(8): 711 - 714.
[Abstract] [PDF]


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Arch. Dis. Child.Home page
C Burchell and C A Michie
Blood pressure measurement in a district general paediatric A&E department
Arch. Dis. Child., October 1, 2005; 90(10): 1097 - 1097.
[Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
Y. Tabel, A. Berdeli, S. Mir, E. Serdaroglu, and E. Ytlmaz
Effects of Genetic Polymorphisms of the Renin-Angiotensin System in Children with Nephrotic Syndrome
Journal of Renin-Angiotensin-Aldosterone System, September 1, 2005; 6(3): 138 - 144.
[Abstract] [PDF]


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CLIN PEDIATRHome page
S. Y. Tuli and V. R. Dharnidharka
Utility of Renal Imaging in the Diagnostic Evaluation of Obese Childhood Primary Hypertension
Clinical Pediatrics, September 1, 2005; 44(7): 589 - 592.
[Abstract] [PDF]


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Hum Mol GenetHome page
P. Catarsi, R. Ravazzolo, F. Emma, D. Fruci, L. Finos, A. Frau, G. Morreale, A. Carrea, and G. M. Ghiggeri
Angiotensin-converting enzyme (ACE) haplotypes and cyclosporine A (CsA) response: a model of the complex relationship between ACE quantitative trait locus and pathological phenotypes
Hum. Mol. Genet., August 15, 2005; 14(16): 2357 - 2367.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Weitzman, S. Cook, P. Auinger, T. A. Florin, S. Daniels, M. Nguyen, and J. P. Winickoff
Tobacco Smoke Exposure Is Associated With the Metabolic Syndrome in Adolescents
Circulation, August 9, 2005; 112(6): 862 - 869.
[Abstract] [Full Text] [PDF]


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Arch Pediatr Adolesc MedHome page
V. Hirschler, C. Aranda, M. d. L. Calcagno, G. Maccalini, and M. Jadzinsky
Can Waist Circumference Identify Children With the Metabolic Syndrome?
Arch Pediatr Adolesc Med, August 1, 2005; 159(8): 740 - 744.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
R. A. K. Jones and on behalf of the Collaborative Dexamethasone Trial
Randomized, Controlled Trial of Dexamethasone in Neonatal Chronic Lung Disease: 13- to 17-Year Follow-up Study: II. Respiratory Status, Growth, and Blood Pressure
Pediatrics, August 1, 2005; 116(2): 379 - 384.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
G. S. Boyd, J. Koenigsberg, B. Falkner, S. Gidding, and S. Hassink
Effect of Obesity and High Blood Pressure on Plasma Lipid Levels in Children and Adolescents
Pediatrics, August 1, 2005; 116(2): 442 - 446.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
S. Stan, E. Levy, E. E. Delvin, J. A. Hanley, B. Lamarche, J. O'Loughlin, G. Paradis, and M. Lambert
Distribution of LDL Particle Size in a Population-Based Sample of Children and Adolescents and Relationship with Other Cardiovascular Risk Factors
Clin. Chem., July 1, 2005; 51(7): 1192 - 1200.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Vogt, A. Kuhn, D. Baumgartner, C. Baumgartner, R. Busch, M. Kostolny, and J. Hess
Impaired Elastic Properties of the Ascending Aorta in Newborns Before and Early After Successful Coarctation Repair: Proof of a Systemic Vascular Disease of the Prestenotic Arteries?
Circulation, June 21, 2005; 111(24): 3269 - 3273.
[Abstract] [Full Text] [PDF]


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CLIN PEDIATRHome page
S. Rowan, H. Adrogues, A. Mathur, and D. Kamat
Pediatric Hypertension: A Review for the Primary Care Provider
Clinical Pediatrics, May 1, 2005; 44(4): 289 - 296.
[PDF]


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Arch Pediatr Adolesc MedHome page
J. Bergstein, J. Leiser, and S. Andreoli
The Clinical Significance of Asymptomatic Gross and Microscopic Hematuria in Children
Arch Pediatr Adolesc Med, April 1, 2005; 159(4): 353 - 355.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
E. Lurbe, I. Torro, V. Alvarez, T. Nawrot, R. Paya, J. Redon, and J. A. Staessen
Prevalence, Persistence, and Clinical Significance of Masked Hypertension in Youth
Hypertension, April 1, 2005; 45(4): 493 - 498.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. H. Jafar, M. Islam, N. Poulter, J. Hatcher, C. H. Schmid, A. S. Levey, and N. Chaturvedi
Children in South Asia Have Higher Body Mass-Adjusted Blood Pressure Levels Than White Children in the United States: A Comparative Study
Circulation, March 15, 2005; 111(10): 1291 - 1297.
[Abstract] [Full Text] [PDF]