Re: Alarming Increase in Hypertension in U.S. Children [1 Attachment]

[Guest guest]

Great simplified visual !Thanks!Jamey Dyson, DC

My (simplified)take-attached PDF Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724To: twogems@...; oregondcs From: skrndc1@...Date: Fri, 22 Jun 2012 15:39:52 -0700Subject: RE: Alarming Increase in Hypertension in U.S. Children

This little (?) conundrum has been on the horizon for several years now. Vascular integrity is dependent on an adequate mineral base .... which all who avoid supplementation are facing and/or experiencing. That nutritional component is not adequately addressed within our food growers .... petroleum fertilizers DO NOT provide a mineral base to the human. Compounded by the heavy fats from the commerical diaries and these kids don't stand much of a chance. Dr. DcDougall estimates the averal American protein intake/day to be 60% dairy (liquid meat) and only 40% solid meat...providing a HUGE amount of daily hormonal fat to these samll bodies. Bovine post-pregnancy hormones are just TOO heavy for small human bodies. We all know pharmaceutical attention is not the 'solution'. It is quieting to the condition but not resolving. Extrapolating THAT usage x 20 years (with all of its impotece side effects) and noone will be able to have kids .... IVF will be the norm! The generation they will spawn sounds like it could be pretty bleak. My musing on a slow Friday afternoon. Sunny Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com To: oregondcs From: twogems@...Date: Fri, 22 Jun 2012 15:25:20 -0700Subject: Alarming Increase in Hypertension in U.S. Children

Docs:

FYI.

Lyndon McGill, D.C.

EvolvHealth Wellness Advisory Council Member

Salem, Oregon

www.SalemSpineClinic.com

www.EvolvingDaily.com

Alarming Increase in Hypertension in US Children Nainggolan

June 19, 2012 (Ann Arbor, Michigan)— The first comprehensive look

at inpatient treatment for pediatric hypertension in the US over a

period of 10 years, from 1997 to 2006, shows that hospitalizations

for this indication almost doubled over the course of the study,

and associated costs also rocketed [1]. The report was published

online June 18, 2012 in Hypertension.

Lead author Dr Cheryl L Tran (University of Michigan, Ann

Arbor), a pediatric nephrologist, told

heartwire the figures were "surprising and

alarming. The take-home message is that the frequency of pediatric

hypertension hospitalization is rising and the fraction of charges

attributed to hypertension is increasing."

The

frequency of pediatric hypertension hospitalization is rising,

and the fraction of charges attributed to hypertension is

increasing; this is surprising and alarming.

In an accompanying editorial [2], Dr s (University

of Texas Health Science Center at Houston Medical School) says

Tran et al "have provided the first glimpse of the growing

economic impact that hypertension in children is playing. This

important study helps dispel some of the remaining myths about

pediatric high blood pressure.

The biggest myth is that hypertension is an adult disease with no

real relevance to children."

Both Tran and colleagues and s believe obesity to be one of

the main underlying factors driving this rise in hypertension

among children. "These significant increases in blood pressure are

likely riding the wave of pediatric obesity that is spreading

across America," comments s.

Inpatient Charges for Pediatric Hypertension Are $3 Billion

Over 10 Years

For their study, Tran and colleagues obtained discharge records

from the US Healthcare Cost and Utilization Project (HCUP)

Kids' Inpatient Database (KIP) from 1997, 2000, 2003, and

2006.

They found pediatric hypertension-related hospitalizations

nationwide nearly doubled, from 12 661 in 1997 to 24 602 in 2006.

Charges for inpatient care for hypertensive children increased by

50%, to an estimated $3.1 billion over the 10 years. This does not

include outpatient charges, a figure that remains unknown.

The researchers say that children with hypertension in the

inpatient setting are likely to have either severe hypertension or

hypertension that complicates a coexisting condition. In fact,

they demonstrated that hospitalization of children with

hypertension and end-stage kidney disease, for example, results in

significant increases in healthcare charges, and the average

length of stay for children with hypertension was double that of

children with other illnesses, eight days compared with four.

"We were definitely surprised with the rise in frequency of

hypertension in the hospital setting," Tran told heartwire

, although she notes that previous studies have shown a rise

in pediatric high blood pressure in the outpatient setting, so

"this may be a reflection of that."

She and her colleagues also examined demographic data to see

whether they could identify a certain population at higher risk.

"We found that children hospitalized with hypertension were more

likely to be male, older than nine, African American, and treated

in a teaching hospital," she notes.

When the researchers looked at hypertension as the primary

diagnosis, they found that obesity was one of the most common

secondary diagnoses. But Tran says the analysis is in part limited

by the fact that a claims database was employed, using discharge

data, "and obesity, because it is not typically reimbursable, is

often not charted as a diagnosis." Nevertheless, the findings

bring to the fore the question of how pediatric hypertension may

be prevented, she says.

"Having healthcare providers continue to

counsel families--providing education on healthy lifestyles such

as diet and exercise--but also making sure that we are identifying

hypertension in children early on to ensure we are providing

appropriate therapy" are all key, Tran says. "These two things are

the first steps toward helping to prevent the disease and/or

associated complications."

Debunking the Myths of High BP in Kids; "We Cannot Afford to

Wait"

s agrees, debunking what he says are a number of other

falsehoods about pediatric hypertension and noting that therapy

options now include antihypertensive agents for children.

One myth is that pediatric hypertension is mostly attributed to

secondary causes, he says, whereas in reality, "the growing

prevalence of obesity [means] the most common diagnosis is

essential hypertension." It is also not true that childhood BP is

unrelated to adult hypertension--"multiple studies have

demonstrated tracking of hypertension into adulthood"--or that

children may be diagnosed with hypertension but that true

end-organ damage does not occur until adulthood.

"Up to 30% of children diagnosed with hypertension already have

evidence of vascular injury, including left ventricular

hypertrophy," s asserts. Up to 30%

of children diagnosed with hypertension already have evidence

of vascular injury.

And "the current study begins to dispel the final myth," he says,

"that pediatric hypertension is only an outpatient finding with

little hospital morbidity and cost."

Given the "staggering" cost of hypertension, "now is the time to

invest in early detection, prevention, and treatment of elevated

BP in children," he comments, noting that pediatricians now have

"an array of pharmacological interventions with pediatric dosing,

safety, and often even labeling. If the current study tells us

anything, it is that we cannot afford to wait," he concludes.

Tran et al report no disclosures. s has no

disclosures.

References

Trans CL, Ehrmann BJ, Messer KL, et al. Recent trends in

healthcare utilization among children and adolescents with

hypertension in the United States. Hypertension

2012; DOI:10.1161/HYPERTENSIONAHA.111.188813. Available

at: http://hyper.ahajournals.org.

s J. The increasing burden of pediatric

hypertension. Hypertension 2012;

DOI:10.1161/HYPERTENSIONAHA.112.197624. Available at: http://hyper.ahajournals.org.

Heartwire © 2012 Medscape, LLC