19815 Bay Branch Rd
Andalusia, Alabama 36420
(334) 222-2523
HELPLINE: 1-877-530-0002



Facebook    

 

SCAMHC is an approved Mental Health site for the National Health Service Corps Loan Repayment program.  Find out the program details and see if you qualify by visiting: http://nhsc.hrsa.gov/

SCAMHC is an Equal Opportunity Provider and Employer and maintains a Drug-Free Workplace

 

 

 

 


powered by centersite dot net
Child & Adolescent Development: Overview
Resources
Basic InformationMore InformationLatest News
FDA Approves Victoza Injection for Children 10 Years and OlderHealth Tip: Preparing Your Child For Sleepaway CampTips for Keeping Your Child Healthy at CampA Simple Way to Help Prevent Child ObesityType 1 Diabetes Might Affect Young Kids' Brain DevelopmentHow to Put Limits on Your Family's Screen TimeChickenpox Vaccine Shields Kids From Shingles, TooWhooping Cough Vaccine Effectiveness Fades With Time: StudyHundreds of Young Kids Drown in Pools Each Year -- Keep Yours SafeWhich Dogs Are More Likely to Bite Your Kids?Health Tip: Preventing Swimmer's EarAHA News: With Summer Vacation Here, How Much Screen Time Is Too Much?Health Tip: Prevent BullyingHealth Tip: Avoid Mouth Injuries in ChildrenKids Still Being Poisoned by Detergent PodsViolent Video Games, Unlocked Guns a Dangerous Combo for KidsWhy Some Kids With Eczema Are at Higher Allergy Risk'Controlled Burns' Better for Kids' Health Than Wildfires: StudyHow Kids Benefit From Doing ChoresAHA News: Report Seeks Answers About Mysterious, Dangerous Heart Disease in KidsKids of Opioid-Using Parents May Be More Likely to Attempt SuicideCholesterol Levels Improving Among U.S. KidsEarlier Bedtimes Help Kids Fight Obesity1 in 5 Kids Don't Strap on Helmets Before BikingParents, Here's How to Protect Your Child During Measles OutbreaksMore Than 600,000 Opioid Abusers Raising Kids in U.S.2 of 3 Parents Read Texts While DrivingFear of Dentist May Start Early for Minority Kids -- With Good ReasonMilitary Tourniquets Might Save Kids' Lives During School ShootingsE-Cigarettes Used in 5% of U.S. Homes With KidsMany Kids With Chronic Illness Are Still Happy: StudyDiet Sodas May Not Help Kids Cut CaloriesAsthma Inhalers Incorrectly Used by Most Kids in StudyNewer Diabetes Drug Shows Promise in Kids, TeensBenlysta Approved for Children With LupusParents, Protect Your Kids as Measles Outbreaks SpreadHow Much Does Your Kid Weigh? Chances Are, You're UnderestimatingFor Kids, Obesity and Mental Health Woes Often Go Hand-in-HandWhy Kids Should Play More Than One SportBetter Food Assistance Programs Might Lower Childhood Obesity RatesMany U.S. Kids Don't Drink Enough Water, and Obesity May Be the ResultStrict Blood Pressure Limits for Kids Tied to Heart Health LaterAlmost Half of Young Asthma Patients Misuse InhalersCan Games and Apps Help Your Kids Learn?Kids Can Get UTIs, TooInactive Lifestyle Begins as Early as Age 7: StudyWhy the HPV Vaccine Is More Important Than EverMore Time Spent in Sports, Faster Healing From ConcussionHow to Cut Your Kids' Sugar IntakeLiving Near Major Roads Can Slow Kids' Development: Study
Questions and AnswersVideosLinksBook Reviews
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses
Parenting

AHA News: Kids With High Blood Pressure Need Smooth Transition to Adult Care


HealthDay News
Updated: Apr 1st 2019

new article illustration

MONDAY, April 1, 2019 (American Heart Association News) -- A child diagnosed with high blood pressure should continue seeking treatment when he or she becomes an adult -- and a newly published review looks at the medical guidelines that can help with the transition.

A comparison of the separate blood pressure guidelines for children and adults found that efforts to bridge the care that adolescents receive as they shift to a system geared for adults are "largely successful."

"The point in aligning the guidelines is to make sure that a transition occurs, and that kids who have high blood pressure don't lose the benefit of any anti-hypertensive treatment" as they get older, said Dr. Samuel Gidding, lead author of the evaluation published Monday in the American Heart Association's journal Hypertension.

"The guideline process ensured that continuity would occur."

The classification of high blood pressure, also known as hypertension, as well as the recommendations for how doctors should initially treat the condition, are the same for both adolescents and adults, said Gidding, who served as the primary liaison between the two guideline writing groups.

"If you were a kid who was diagnosed as having high blood pressure and you show up as an adult in the doctor's office, your treatment will be based on follow-up recommendations, rather than the initiation of treatment recommendation," said Gidding, a pediatric cardiologist and medical director of the Familial Hypercholesterolemia Foundation.

Concern for consistent diagnosis and treatment between pediatric and adult practices prompted the review.

Just like in adults, high blood pressure can arise in children for a variety of reasons, including family history, poor diet and excess weight. Race also can be a factor. African-Americans are at higher risk for high blood pressure, which is considered any measurement of 130/80 or above.

For children diagnosed with elevated or high blood pressure, the transition period between adolescence and adulthood can be a critical time for medical follow-up to help reduce their risk for heart disease later in life.

But it's also a period when many patients fail to seek care as they get sidetracked by college or as they enter the workforce.

"Most people think, 'Well, I'm healthy. I don't need to go in for well checks anymore,' and people are having actual problems from that," said Dr. Jessamyn Carter, chief resident of internal medicine-pediatrics at the University of Oklahoma School of Community Medicine in Tulsa.

"Some studies have shown that that transitional age in teenagers and young adults is where a lot of hospitalizations, lapses in medication, and lapses in care are occurring because we don't know how to transition people well. Aligning the guidelines is an attempt to make that transition easier."

Carter, who was not involved in the review, helped write a recent study that compared the prevalence of elevated blood pressure in children before and after the updated guidelines from the American Academy of Pediatrics were published in September 2017.

The latest guidelines for adults were released by the AHA and American College of Cardiology just two months later. The new review of the guidelines addresses some of the differences between the two sets of recommendations, including evaluation methods, risk predictors for heart disease and "knowledge gaps" stemming from a lack of long-term blood pressure studies on children.

For those and other reasons, the authors advised continuing separate guidelines for adults and children.

Proper diagnosis and treatment of high blood pressure is crucial, particularly in children because it is not recognized enough in the young, said Dr. Carissa Baker-Smith, a pediatric cardiologist and co-author of the review.

"As individuals move from being children to adults, the care practices we have in place need to be seamless," said Baker-Smith, an assistant professor at the University of Maryland School of Medicine in Baltimore. "We don't want pediatrics and adult practices to operate in independent silos."