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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We thank Prof&#46; Demirkol and colleagues for their interest in our recent article describing the prevalence of hypertension &#40;HT&#41; in Portuguese adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> We have read their comments carefully and would like to make some remarks&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Prof&#46; Demirkol and colleagues raise the issue that the patients included in the study should be representative of the entire target population&#46; As reported by us on the methodological limitations&#44; this was a cross-sectional survey on a convenience sample of 234 adolescents in one high school in an urban area of Lisbon and as such&#44; conclusions cannot be inferred about the general population&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Secondly&#44; blood pressure was measured only in the right arm&#44; three measurements separated by 10 minutes&#44; according to the Fourth Report on the Diagnosis&#44; Evaluation&#44; and Treatment of High Blood Pressure in Children and Adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Although measurement of both arms would be more correct&#44; it is not expected that in this young population there would be significant peripheral vascular disease with consequent significant differences in the measured values&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Finally&#44; as mentioned by us in the Methods&#44; all the hypertensive or prehypertensive adolescents were referred to their family doctor with an explanatory report about blood pressure outcomes&#44; for etiologic study &#40;to exclude secondary causes&#41; and future follow-up&#46; We agree that factors other than gender&#44; obesity&#44; smoking&#44; alcohol consumption&#44; exercise and family history of hypertension may affect HT&#44; and therefore future studies should address this issue&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Letter to the Editor
Response – Letter to the Editor regarding prevalence of hypertension in Portuguese adolescents
Resposta à Carta ao Editor: Prevalência de hipertensão em adolescentes portugueses
Doroteia Silvaa,b,
Corresponding author
dojreis@hotmail.com

Corresponding author.
, Maria-Helena Almeidab
a Serviço de Cardiologia I, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal
b Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa, Portugal
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        "titulo" => "Resposta &#224; Carta ao Editor&#58; Preval&#234;ncia de hipertens&#227;o em adolescentes portugueses"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We thank Prof&#46; Demirkol and colleagues for their interest in our recent article describing the prevalence of hypertension &#40;HT&#41; in Portuguese adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> We have read their comments carefully and would like to make some remarks&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Prof&#46; Demirkol and colleagues raise the issue that the patients included in the study should be representative of the entire target population&#46; As reported by us on the methodological limitations&#44; this was a cross-sectional survey on a convenience sample of 234 adolescents in one high school in an urban area of Lisbon and as such&#44; conclusions cannot be inferred about the general population&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Secondly&#44; blood pressure was measured only in the right arm&#44; three measurements separated by 10 minutes&#44; according to the Fourth Report on the Diagnosis&#44; Evaluation&#44; and Treatment of High Blood Pressure in Children and Adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Although measurement of both arms would be more correct&#44; it is not expected that in this young population there would be significant peripheral vascular disease with consequent significant differences in the measured values&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Finally&#44; as mentioned by us in the Methods&#44; all the hypertensive or prehypertensive adolescents were referred to their family doctor with an explanatory report about blood pressure outcomes&#44; for etiologic study &#40;to exclude secondary causes&#41; and future follow-up&#46; We agree that factors other than gender&#44; obesity&#44; smoking&#44; alcohol consumption&#44; exercise and family history of hypertension may affect HT&#44; and therefore future studies should address this issue&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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                      "titulo" => "National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents"
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ISSN: 21742049
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Revista Portuguesa de Cardiologia (English edition)
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