HDS-5.2 Reduce the proportion of children and adolescents with hypertension

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
3.5 (2005-2008)
Target
3.2
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 8 to 17 years, with high blood pressure/hypertension
Denominator
Number of persons aged 8 to 17 years
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable

Comments

Methodology Notes

Children and adolescents are defined as having high blood pressure or hypertension if their average systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) is at or above the 95th percentile for sex, age, and height. Sex-specific tables by age and height percentiles are used to estimate the SBP and DBP percentiles.

Blood pressure is measured by averaging up to 3 blood pressure readings taken during the physician examination in the NHANES mobile examination center.

Blood pressure has been measured with the mercury sphygmomanometer for many years but with new technologies available, alternative blood pressure devices have taken center stage. The rapid pace of the development of automated sphygmomanometers with improving accuracy and reliability combined with increasing affordability has meant that these devices have now replaced the mercury sphygmomanometer in many settings. A detailed description of the procedures for blood pressure measurement in the NHANES has been published elsewhere.

References and More Information

  1. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2009-2010, Health Tech/Blood Pressure Procedures Manual. Hyattsville, MD: Centers for Disease Control and Prevention, May 2009.
  2. Prineas R.J.; Ostchega Y.; Carroll M.; Dillon C.; McDowell M. US demographic trends in mid-arm circumference and recommended blood pressure cuffs for children and adolescents: data from the National Health and Nutrition Examination Survey 1988-2000 Blood Press Monit. 2007 Apr;12(2):75-804.
  3. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. Pediatrics 2004;114: 555-576.