HomeAboutusEditorial BoardCurrent issuearchivesSearch articlesInstructions for authorsSubscription detailsAdvertise

  Login  | Users online: 413

   Ahead of print articles    Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size  


 
LETTER TO EDITOR Table of Contents   
Year : 2008  |  Volume : 33  |  Issue : 1  |  Page : 67
 

Dilemma of adolescent hypertension


1 Department of Community Medicine, R G Kar Medical College and Hospital, Kolkata, India
2 Department of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India
3 Department of Epidemiology, All India Institute of Hygiene and Public Health, Kolkata, India

Date of Submission22-Dec-2006
Date of Acceptance23-Aug-2007

Correspondence Address:
Indranil Saha
Department of Community Medicine, R G Kar Medical College and Hospital, Kolkata
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0218.39253

Rights and Permissions

 



How to cite this article:
Saha I, Paul B, Raut DK. Dilemma of adolescent hypertension. Indian J Community Med 2008;33:67

How to cite this URL:
Saha I, Paul B, Raut DK. Dilemma of adolescent hypertension. Indian J Community Med [serial online] 2008 [cited 2019 Sep 18];33:67. Available from: http://www.ijcm.org.in/text.asp?2008/33/1/67/39253


Sir,

WHO has classified adolescent age group as 10-19 years. [1] Paradoxically during classification of adolescent hypertension, WHO has considered 10-18 years as adolescent and 18 years and above as adult and has given hypertension criteria separately. The purpose of classification of hypertension is to provide an easy and reliable method for characterization of each patient. It allows assessment of severity of disease by reference to epidemiological data so that risk can be defined and appropriate treatment instituted.

Adolescent hypertension has been defined as an average systolic and / or diastolic blood pressure equal to or greater than the 95 th percentile for age on at least three occasions (WHO). [2],[3] National High Blood Pressure Education Programme (NHBPEP) Coordinating Committee has defined adolescent hypertension as blood pressure that is, on repeated measurement, at the 95 th percentile or greater adjusted for age, height and gender. [4] Adult hypertension has been defined as systolic blood pressure of 140 mm Hg or above or a level of diastolic blood pressure of 90 mm Hg or above, in the age group 18 years and above, by WHO. [5] Here lies the contradiction! According to WHO, '18 years age group' is an adolescent by definition, but considered as adult during classification of hypertension.

Moreover in updated Task Force Report on high blood pressure in children and adolescents, National High Blood Pressure Education Programme (NHBPEP) Coordinating Committee has given hypertension criteria for 1-17 years of age. [4]

Hence if one wishes to conduct a survey strictly on 'adolescent hypertension' what age group the researcher should select?

 
   References Top

1.WHO. Technical Report Series. No. 405. 1968.   Back to cited text no. 1    
2.Hypertension control: Report of a WHO Expert Committee. World Health Organ Tech Rep Ser 1996;862:1-83.  Back to cited text no. 2    
3.Report of the Second Task Force on Blood Pressure Control in Children-1987: Task Force on Blood Pressure Control in Children: National Heart, Lung, and Blood Institute, Bethesda, Maryland. Pediatrics 1987;79:1-25.  Back to cited text no. 3    
4.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. Pediatrics 1996;98:649-58.  Back to cited text no. 4    
5.1993 guidelines for the management of mild hypertension: Memorandum from a WHO/ISH meeting. Bull World Health Organ 1993;71:503-17.  Back to cited text no. 5    




 

Top
Print this article  Email this article
                 

    

 
   Search
 
  
    Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
    Article in PDF (64 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    References

 Article Access Statistics
    Viewed2432    
    Printed137    
    Emailed0    
    PDF Downloaded381    
    Comments [Add]    

Recommend this journal

  Sitemap | What's New | Feedback | Copyright and Disclaimer
  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007