Objective:The diagnosis of hypertension in adolescents aged ≥13 and <16 years is based on the percentile according to age, gender, and height in the European Society of Hypertension guidelines guideline; whereas, the American Academy of Pediatrics guideline uses blood pressure above 130/80 mmHg as a single criterion. Therefore, this study aimed to evaluate the compatibility of these two guidelines in adolescents aged ≥13 and <16 years.Methods:This study was designed by retrospectively screening the records of 395 adolescents with both office and 24-hour ambulatory blood pressure measurements. Each blood pressure measurement was classified according to both the ESGH2016 and AAP2017 guidelines. Patients were divided into three subgroups according to body mass index. Cohen’s kappa analysis was used to evaluate the agreement between the two guidelines.Results:The majority of adolescents were normotensive according to both guidelines, 55.9% by ESHG2016 and 43.1% by AAP2017. For the whole group, the frequency of hypertension was 32.4% with ESHG2016 and 34.4% with AAP2017; while, in obese patients, hypertension frequencies were 38.8% and 43.3%, respectively. The diagnosis of hypertension was demonstrated with the two guidelines, and there was significant agreement at a substantial level, both for the obese subgroup and the whole study group (kappa value = 0.738 and 0.785, respectively). The frequency of white-coat hypertension was higher with the AAP2017 guideline (28.1% versus 16.2%, p < 0.001).Conclusion:With our experience in this single-centre study, it seems that both the AAP2017 and the ESHG2016 guidelines can be used in the diagnosis of hypertension in adolescents.

中文翻译：

---

ESHG2016 和 AAP2017 13 至 16 岁青少年高血压指南的比较：体重指数对指南的影响

目的：年龄≥13 岁和 <16 岁青少年高血压的诊断基于欧洲高血压学会指南中的年龄、性别和身高百分位数；而美国儿科学会指南将血压高于 130/80 mmHg 作为单一标准。因此，本研究旨在评估这两项指南在年龄≥13 岁和 <16 岁青少年中的兼容性。方法：本研究是通过回顾性筛选 395 名青少年的办公室和 24 小时动态血压测量记录而设计的。根据 ESGH2016 和 AAP2017 指南对每个血压测量值进行分类。根据体重指数将患者分为三个亚组。Cohen 的 kappa 分析用于评估两个指南之间的一致性。结果：根据两个指南，大多数青少年血压正常，ESHG2016 为 55.9%，AAP2017 为 43.1%。全组高血压发生率ESHG2016为32.4%，AAP2017为34.4%；而在肥胖患者中，高血压发生率分别为 38.8% 和 43.3%。两项指南均证实了高血压的诊断，肥胖亚组和整个研究组均在相当大的水平上存在显着一致性（kappa 值分别 = 0.738 和 0.785）。根据 AAP2017 指南，白大衣高血压的发生率更高（28.1% vs 16.2%，p < 0.001）。结论：根据我们在这项单中心研究中的经验，