Diagnosis and Management of Hypertension in Adolescents with Obesity.

IF 2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Cardiovascular Risk Reports Pub Date : 2024-01-01 Epub Date: 2024-07-30 DOI:10.1007/s12170-024-00740-x
Shradha M Chhabria, Jared LeBron, Sarah D Ronis, Courtney E Batt
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引用次数: 0

Abstract

Purpose of review: Hypertension (HTN) and obesity are increasing in prevalence and severity in adolescents and have significant implications for long term morbidity and mortality. This review focuses on the diagnosis and management of HTN in adolescents with obesity with an emphasis on co-management of the two conditions.

Recent findings: Recent studies affirm the increasing prevalence of abnormal blood pressures and diagnoses of HTN associated with increased adiposity. Current guidelines recommend routine screening with proper technique for HTN in patients with obesity. Additionally, obesity and HTN related co-occurring medical conditions should be evaluated as there is frequently a bidirectional impact on risk and outcomes. Importantly, advances in adolescent obesity management have subsequently led to positive implications for the management of obesity-related comorbidities such as HTN. The co-management of obesity and HTN is an emerging strategy for treatment and prevention of additional morbidity and mortality as patients progress to adulthood.

Summary: In adolescent patients with obesity, prompt recognition and appropriate diagnosis of HTN as well as related co-occurring conditions are necessary first steps in management. Co-management of obesity and HTN is likely to lead to improved outcomes. While lifestyle interventions serve as the foundation to this management, adjunctive and emerging therapies should be considered to adequately treat both conditions.

青少年肥胖症患者高血压的诊断和管理。
综述目的:高血压(HTN)和肥胖症在青少年中的发病率和严重程度不断增加,对长期发病率和死亡率有重大影响。本综述侧重于青少年肥胖症患者高血压的诊断和管理,重点是这两种疾病的共同管理:最近的研究证实,血压异常和高血压的诊断与肥胖增加有关。目前的指南建议采用适当的技术对肥胖患者进行高血压的常规筛查。此外,还应评估与肥胖和高血压相关的并发症,因为这往往会对风险和结果产生双向影响。重要的是,青少年肥胖症管理方面的进展随后对肥胖相关合并症(如高血压)的管理产生了积极影响。摘要:对于青少年肥胖症患者,及时识别和适当诊断高血压和相关并发症是治疗的第一步。对肥胖和高血压的共同管理可能会改善治疗效果。虽然生活方式干预是这种管理的基础,但应考虑采用辅助疗法和新兴疗法来充分治疗这两种疾病。
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来源期刊
Current Cardiovascular Risk Reports
Current Cardiovascular Risk Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.00
自引率
0.00%
发文量
23
期刊介绍: The aim of this journal is to keep readers informed by providing cutting-edge reviews on key topics pertaining to cardiovascular risk. We use a systematic approach: international experts prepare timely articles on relevant topics that highlight the most important recent original publications. We accomplish this aim by appointing Section Editors in major subject areas across the discipline of cardiovascular medicine to select topics for review articles by leading experts who emphasize recent developments and highlight important papers published in the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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