SPA Newsletter

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Overweight, Ethnicity and the Prevalence of Hypertension in School-aged Children.

Reviewed by: Thomas J. Mancuso, MD, FAAP

The authors used school-based screening to determine the prevalence of hypertension in teen aged (mean 13 yr) children and the relationship to gender, overweight and ethnicity. Overweight was defined as BMI > 95th percentile. Hypertension was considered to be a systolic BP > 95th percentile for age. There were three screenings of BP in this study. The distribution of ethnicity in the study group of 5,102 children was White 44 %, Hispanic 5%, African American 22%, and Asian 7%. The prevalence of overweight was 20% overall but varied with ethnicity in the following manner: Hispanic 31%, African American 20%, White 15% Asian 11%. The prevalence of hypertension decreased with each screening: 19% in the first screening, 9.5% at the second and 4.5% at the third screening. After controlling for overweight, there was no difference in the prevalence of hypertension among the ethnic groups.

Table of Contents

• President's Message
• Editor's Corner
• Bylaws Amended
• Genesis of a CPT Code
• Fellow's Corner
  Choosing a Career in Academic Pediatric Anesthesia


• SPA Elections
• Society for Pediatric Anesthesia Election Procedures
• Nominations


• Pediatric Anesthesiology 2004 Meeting Review
  Point Hilton Squaw Peak Resort - March 4-7, 2004
• Friday, March 5, 2004
• Saturday, March 6, 2004
• Sunday, March 7, 2004


• Reviews & Commentary
  • Perception of Child Vulnerability Among Mothers of Former Premature Infants
    Allen EC, Manuel JC, Legault C et al. Pediatrics 2004;113:267-273
  • Billing Practices, Ofri, D; Uninsured, Unwanted, Unworthy?
    Chesleigh, F. The Hastings Center Report Jan-Feb 2004
  • The Effect of Obesity, Gender and Ethnic Group of Left Ventricular Hypertrophy in Hypertensive Children: A Collaborative Study of the International Pediatric Hypertension Association
    Havevold C, Waller J, Daniels S et al. Pediatrics 2004;113:328-333
  • A Cautionary Tale About Supplemental Oxygen: The Albatross of Neonatal Medicine
    Silverman, WA Pediatrics 2004;113:394-396
  • EMLA Toxicity After Application for Allergy Skin Testing
    Parker JF, Vats A, Bauer G. Pediatrics 2004;113:410-411
  • Overweight, Ethnicity and the Prevalence of Hypertension in School-aged Children.
    Soro f JM, Lai DL, Turner J et al. Pediatrics 2004:113:475-482
  • Short term Use of umbilical Artery Catheters may not be Associated with Increased Risk For Thrombosis.
    Coleman MM, Spear ML, Finkelstein M et al. Pediatrics 2004;113:770-774
  • Recurrent Abdominal Pain, Anxiety and Depression in Primary Care.
    Campo JV, Bridge J, Ehmann m et al. Pediatrics 2004;113;817-824
  • The Ancillary-Care Responsibilities of Medical Researchers: An Ethical Framework for Thinking about the Clinical Care that Researchers owe their Subjects.
    Richardson, HS, Belsky L The Hastings Report Jan-Feb 2004;25-33


• Literature Reviews
  • The Effect of Small Dose Fentanyl on the Emergence Characteristics of Pediatric Patients After Sevoflurane Anesthesia Without Surgery
    Cravero J, Beach M, Thyr B, Whalen K. Anesthesia & Analgesia 2003;97:364-367.
  • Epidural analgesia in children. A Survey of Current Opinions and Practices amongst UK Paediatric Anaesthetists.
    Williams DG and Howard RF. Paediatric Anaesthesia 2003;13:769-776
  • Rapid emergence does not explain agitation following sevoflurane anaesthesia in infants and children: a comparison with propofol.
    Cohen IT, Finkel JC, Hannallah RS, Hummer KA, Patel KM. Paediatric Anaesthesia 2003;13:63-67

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