Measurement and assessment of blood pressure in children and adolescents regarding forth report
Hypertension in childhood or adolescence is defined as average systolic and/or diastolic blood pressure (BP) over than the 95th percentile for gender, age, and height on 3 or more occasions with appropriate measurement technique. The estimated prevalence of hypertension in childhood is between 2-5%. It has been shown that adulthood blood pressure levels correlate with childhood blood pressure levels. It is difficult to assess blood pressure in children and adolescents. To measure and evaluate the blood pressure levels in these groups, guides of The Fourth Report on the Diagnosis, Evaluation and Treatment of High Blood Pressure in Children and Adolescents are generally used. It seems that primary health care teams will have to do periodic follow up regarding blood pressure levels in children and adolescents and will take active role especially in the management and life-style counseling in the pre-hypertensive group.