Azegami Tatsuhiko, Uchida Keiko, Tokumura Mitsuaki, Mori Masaaki
Keio University Health Center, Yokohama, Japan.
Front Pediatr. 2021 Nov 15;9:785356. doi: 10.3389/fped.2021.785356. eCollection 2021.
Hypertension is the most common non-communicable disease among adults and is the most important modifiable risk factor for premature cardiovascular disease. The increasing worldwide burden of hypertension is a major global health issue. Early prevention with lifestyle modification or pharmaceutical treatment reduces the incidence of hypertension and the risk of subsequent cardiovascular disease. Therefore, identification of young persons at risk for hypertension has the obvious benefit of providing a chance for early intervention. Previous studies have demonstrated the positive association of elevated childhood blood pressure with hypertension in adulthood. Accumulated evidence also indicates the possibility that elevated pediatric blood pressure is associated with increased risk of future cardiovascular disease. In this article, we review the tracking of blood pressure from childhood to adulthood and emphasize the importance of pediatric blood pressure monitoring and control for predicting and preventing adult hypertension and cardiovascular disease.
高血压是成年人中最常见的非传染性疾病,也是心血管疾病过早发生的最重要的可改变风险因素。全球范围内高血压负担的增加是一个重大的全球健康问题。通过生活方式改变或药物治疗进行早期预防可降低高血压的发病率以及随后发生心血管疾病的风险。因此,识别有高血压风险的年轻人具有为早期干预提供机会的明显益处。先前的研究已经证明儿童期血压升高与成年期高血压之间存在正相关。累积的证据还表明,儿童血压升高有可能与未来心血管疾病风险增加相关。在本文中,我们回顾了从儿童期到成年期的血压追踪情况,并强调了儿童血压监测和控制对于预测和预防成人高血压及心血管疾病的重要性。