Strambi Mirella, Giussani Marco, Ambruzzi Maria Amalia, Brambilla Paolo, Corrado Ciro, Giordano Ugo, Maffeis Claudio, Maringhin Silvio, Matteucci Maria Chiara, Menghetti Ettore, Salice Patrizia, Schena Federico, Strisciuglio Pietro, Valerio Giuliana, Viazzi Francesca, Virdis Raffaele, Genovesi Simonetta
Gruppo di Studio Ipertensione Arteriosa Società Italiana di Pediatria, Rome, Italy.
Dipartimento di Biologia Molecolare e dello Sviluppo, Università di Siena, Siena, Italy.
Ital J Pediatr. 2016 Jul 16;42(1):69. doi: 10.1186/s13052-016-0277-0.
The present article intends to provide an update of the article "Focus on prevention, diagnosis and treatment of hypertension in children and adolescents" published in 2013 (Spagnolo et al., Ital J Pediatr 39:20, 2013) in this journal. This revision is justified by the fact that during the last years there have been several new scientific contributions to the problem of hypertension in pediatric age and during adolescence. Nevertheless, for what regards some aspects of the previous article, the newly acquired information did not require substantial changes to what was already published, both from a cultural and from a clinical point of view. We felt, however, the necessity to rewrite and/or to extend other parts in the light of the most recent scientific publications. More specifically, we updated and extended the chapters on the diagnosis and management of hypertension in newborns and unweaned babies, on the use and interpretation of ambulatory blood pressure monitoring, and on the usefulness of and indications for physical activity. Furthermore, we added an entirely new section on the role that simple carbohydrates (fructose in particular) and uric acid may play in the pathogenesis of hypertension in pediatric age.
本文旨在对2013年发表于本刊的《关注儿童及青少年高血压的预防、诊断与治疗》(斯帕尼奥洛等人,《意大利儿科学杂志》39:20, 2013)一文进行更新。之所以进行此次修订,是因为在过去几年里,儿科学龄期及青春期高血压问题有了多项新的科学贡献。然而,就前文的某些方面而言,无论是从文化角度还是临床角度来看,新获得的信息都无需对已发表内容进行重大修改。不过,我们认为有必要根据最新的科学出版物对其他部分进行重写和/或扩充。更具体地说,我们更新并扩充了关于新生儿和未断奶婴儿高血压诊断与管理、动态血压监测的使用与解读以及体育活动的益处和指征等章节。此外,我们新增了一个全新的章节,阐述简单碳水化合物(尤其是果糖)和尿酸在儿科学龄期高血压发病机制中可能发挥的作用。