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Research Letter
December 2018

Performance of the Simplified American Academy of Pediatrics Table to Screen Elevated Blood Pressure in Children

Author Affiliations
  • 1Department of Epidemiology, School of Public Health, Shandong University, Jinan, China
  • 2Department of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan, China
  • 3Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland
JAMA Pediatr. 2018;172(12):1196-1198. doi:10.1001/jamapediatrics.2018.1923

In 2017, the American Academy of Pediatrics (AAP) updated the clinical practice guideline for diagnosis and treatment of high blood pressure (BP) in children and adolescents (hereafter referred to as the AAP guideline).1 Similar to other pediatric BP guidelines,2,3 the AAP guideline is based on several hundreds of sex-, age-, and height-specific BP cutoffs, which is cumbersome to use in clinical practice. However, the AAP guideline also provides a simplified table based on the 90th BP percentiles at the 5th height percentile as a convenient tool to screen for elevated BP in children aged 1 to 12 years (hereafter referred to as the simplified AAP table).1 In a recent publication,4 we assessed simplified BP tables based on different height percentiles for screening elevated BP in children. In this study, we assessed the performance of the simplified AAP table vs the AAP guideline for screening children with elevated BP according to sex, race/ethnicity, BP status, and weight status.