Performance of parental history for the targeted screening of hypertension in children.

TitrePerformance of parental history for the targeted screening of hypertension in children.
Publication TypeJournal Article
Year of Publication2015
AuthorsBloetzer, C, Paccaud, F, Burnier, M, Bovet, P, Chiolero, A
JournalJournal of Hypertension
Volume33
Issue6
Pagination1167-1173
Date Published06/2015
DOI10.1097/HJH.0000000000000560
ISSN1473-5598 (Electronic)
Mots-clésAdolescent, Child, Cross-Sectional Studies, Female, Humans, Hypertension, Male, Mass Screening, Odds Ratio, Patient Selection, Predictive Value of Tests, Prevalence, Risk Factors, Switzerland
Abstract

OBJECTIVES: Several guidelines recommend universal screening for hypertension in childhood and adolescence. Targeted screening to children with parental history of hypertension could be a more efficient strategy than universal screening. Therefore, we assessed the association between parental history of hypertension and hypertension in children, and estimated the sensitivity, specificity, negative, and positive predictive values of parental history of hypertension for hypertension in children.

METHODS: The present study was a school-based cross-sectional study including 5207 children aged 10-14 years from all public 6th grade classes in the Canton of Vaud, Switzerland. Children had hypertension if they had sustained elevated blood pressure over three separate visits.

RESULTS: In children, the prevalence of hypertension was 2.2%. Some 8.5% of mothers and 12.9% of fathers reported to be hypertensive. Maternal history of hypertension (odds ratio 2.0, 95% confidence interval 1.2-3.3) and paternal history of hypertension (odds ratio 2.2, 95% confidence interval 1.4-3.6) were independent risk factors for hypertension in children. Nevertheless, the sensitivity of parental history of hypertension for the identification of hypertension in children was low (from 4% for both parents' positive history up to 41% for at least one parent's positive history). Positive predictive values were also low (between 4 and 5%).

CONCLUSION: Children with hypertensive parents were at higher risk of hypertension. Nevertheless, parental history of hypertension helped only marginally to identify hypertension in offspring. Targeting screening only toward children with a parental history of hypertension may not be a substantially better strategy to identify hypertension in children compared with universal screening.

Notes

IUMSP2015/06

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/25799209?dopt=Abstract

WOS ID (UT)

000353819700010

Alternate JournalJ. Hypertens.
Citation Key / SERVAL ID6020
Peer reviewRefereed
PubMed ID25799209

                         

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