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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read the article &#8220;Prevalence of hypertension in Portuguese adolescents in Lisbon&#44; Portugal&#8221; by Silva et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> with interest&#46; They investigated the prevalence of pre-hypertension and hypertension &#40;HT&#41; in Portuguese adolescents in Lisbon to ascertain the relationship between blood pressure &#40;BP&#41; levels and the risk factors of gender&#44; obesity&#44; smoking&#44; alcohol consumption&#44; exercise and family history of HT&#46; They demonstrated a high prevalence of pre-hypertension and hypertension&#59; hypertension was more prevalent in boys and pre-hypertension was more prevalent in girls&#46; The results of this study should help to alert society and the medical community to the current problem of hypertension in adolescents&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">HT is a major risk factor for stroke &#40;ischemic and hemorrhagic&#41;&#44; myocardial infarction&#44; heart failure&#44; chronic kidney disease&#44; peripheral vascular disease&#44; cognitive decline and premature death&#46; HT is thus one of the most preventable causes of premature morbidity and mortality world-wide&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Hypertension is highly prevalent in Portugal&#46; The percentages of hypertensives who are aware of their condition&#44; are being treated&#44; and whose hypertension is controlled are unacceptably low&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The clinical concepts of BP and hypertension in children and adolescents have changed significantly&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Cardiovascular disease is the leading cause of death and hypertension is one of the main risk factors&#44; although often underdiagnosed or poorly controlled&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Firstly&#44; prevalence studies&#58; the patients included in the study should be representative of the entire target population&#46; It would have contributed to the study if schools in other regions of the city &#40;Lisbon&#41; had been included&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Secondly&#44; the authors chose the method of BP measurement that was recommended in the Fourth Report on the Diagnosis&#44; Evaluation&#44; and Treatment of High Blood Pressure in Children and Adolescents &#40;2005&#41;&#46; With that guidance only right arm BPs were measured&#44; whereas blood pressure may be different between the two arms and this could affect the results of the study&#46; So&#44; we think it would be better if BP were measured in both arms&#44; the measurement were repeated &#40;with at least 10-minute intervals&#41; in the arm that has higher BP and the average of them were noted&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In addition&#44; some factors &#40;e&#46;g&#46; diabetes mellitus&#44; hypercholesterolemia&#44; lower socioeconomic status&#44; urban living and stress&#41; may affect HT&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It would be useful if the authors provided data about these risk factors and their possible relationship with HT&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Finally&#44; secondary hypertension should be considered in patients with early onset of hypertension&#46; Furthermore&#44; the authors should explain the baseline of laboratory parameters and they have to exclude secondary hypertension&#46; We believe that these findings will provide useful information about HT&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Letter to the Editor
Prevalence of hypertension in Portuguese adolescents
Prevalência de hipertensão em adolescentes portugueses
Sait Demirkola, Omer Kurtb, Sevket Baltaa,
Autor para correspondência
drsevketb@gmail.com

Corresponding author.
, Mustafa Cakarb
a Department of Cardiology, Gulhane Medical Academy Ankara, Turkey
b Department of Internal Medicine, Gulhane Medical Academy Ankara, Turkey
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read the article &#8220;Prevalence of hypertension in Portuguese adolescents in Lisbon&#44; Portugal&#8221; by Silva et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> with interest&#46; They investigated the prevalence of pre-hypertension and hypertension &#40;HT&#41; in Portuguese adolescents in Lisbon to ascertain the relationship between blood pressure &#40;BP&#41; levels and the risk factors of gender&#44; obesity&#44; smoking&#44; alcohol consumption&#44; exercise and family history of HT&#46; They demonstrated a high prevalence of pre-hypertension and hypertension&#59; hypertension was more prevalent in boys and pre-hypertension was more prevalent in girls&#46; The results of this study should help to alert society and the medical community to the current problem of hypertension in adolescents&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">HT is a major risk factor for stroke &#40;ischemic and hemorrhagic&#41;&#44; myocardial infarction&#44; heart failure&#44; chronic kidney disease&#44; peripheral vascular disease&#44; cognitive decline and premature death&#46; HT is thus one of the most preventable causes of premature morbidity and mortality world-wide&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Hypertension is highly prevalent in Portugal&#46; The percentages of hypertensives who are aware of their condition&#44; are being treated&#44; and whose hypertension is controlled are unacceptably low&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The clinical concepts of BP and hypertension in children and adolescents have changed significantly&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Cardiovascular disease is the leading cause of death and hypertension is one of the main risk factors&#44; although often underdiagnosed or poorly controlled&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Firstly&#44; prevalence studies&#58; the patients included in the study should be representative of the entire target population&#46; It would have contributed to the study if schools in other regions of the city &#40;Lisbon&#41; had been included&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Secondly&#44; the authors chose the method of BP measurement that was recommended in the Fourth Report on the Diagnosis&#44; Evaluation&#44; and Treatment of High Blood Pressure in Children and Adolescents &#40;2005&#41;&#46; With that guidance only right arm BPs were measured&#44; whereas blood pressure may be different between the two arms and this could affect the results of the study&#46; So&#44; we think it would be better if BP were measured in both arms&#44; the measurement were repeated &#40;with at least 10-minute intervals&#41; in the arm that has higher BP and the average of them were noted&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In addition&#44; some factors &#40;e&#46;g&#46; diabetes mellitus&#44; hypercholesterolemia&#44; lower socioeconomic status&#44; urban living and stress&#41; may affect HT&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It would be useful if the authors provided data about these risk factors and their possible relationship with HT&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Finally&#44; secondary hypertension should be considered in patients with early onset of hypertension&#46; Furthermore&#44; the authors should explain the baseline of laboratory parameters and they have to exclude secondary hypertension&#46; We believe that these findings will provide useful information about HT&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Informação do artigo
ISSN: 08702551
Idioma original: Inglês
Dados atualizados diariamente
Ano/Mês Html Pdf Total
2024 Novembro 8 5 13
2024 Outubro 38 27 65
2024 Setembro 39 20 59
2024 Agosto 39 33 72
2024 Julho 40 29 69
2024 Junho 25 18 43
2024 Maio 38 18 56
2024 Abril 31 21 52
2024 Maro 28 17 45
2024 Fevereiro 24 18 42
2024 Janeiro 14 26 40
2023 Dezembro 30 22 52
2023 Novembro 21 18 39
2023 Outubro 16 11 27
2023 Setembro 20 26 46
2023 Agosto 25 21 46
2023 Julho 15 8 23
2023 Junho 28 10 38
2023 Maio 27 24 51
2023 Abril 14 14 28
2023 Maro 18 19 37
2023 Fevereiro 11 20 31
2023 Janeiro 16 7 23
2022 Dezembro 22 16 38
2022 Novembro 30 25 55
2022 Outubro 19 17 36
2022 Setembro 17 29 46
2022 Agosto 27 24 51
2022 Julho 22 25 47
2022 Junho 13 23 36
2022 Maio 16 30 46
2022 Abril 18 20 38
2022 Maro 17 23 40
2022 Fevereiro 14 18 32
2022 Janeiro 19 20 39
2021 Dezembro 14 27 41
2021 Novembro 29 39 68
2021 Outubro 23 35 58
2021 Setembro 21 32 53
2021 Agosto 32 28 60
2021 Julho 19 24 43
2021 Junho 11 19 30
2021 Maio 15 23 38
2021 Abril 30 29 59
2021 Maro 60 13 73
2021 Fevereiro 66 25 91
2021 Janeiro 36 14 50
2020 Dezembro 31 4 35
2020 Novembro 20 13 33
2020 Outubro 22 9 31
2020 Setembro 40 5 45
2020 Agosto 17 8 25
2020 Julho 36 10 46
2020 Junho 26 8 34
2020 Maio 27 2 29
2020 Abril 40 18 58
2020 Maro 32 6 38
2020 Fevereiro 76 17 93
2020 Janeiro 23 5 28
2019 Dezembro 40 14 54
2019 Novembro 32 4 36
2019 Outubro 31 6 37
2019 Setembro 22 7 29
2019 Agosto 31 5 36
2019 Julho 39 11 50
2019 Junho 26 4 30
2019 Maio 28 5 33
2019 Abril 21 20 41
2019 Maro 113 14 127
2019 Fevereiro 98 12 110
2019 Janeiro 85 6 91
2018 Dezembro 77 12 89
2018 Novembro 73 12 85
2018 Outubro 86 24 110
2018 Setembro 25 7 32
2018 Agosto 28 15 43
2018 Julho 19 8 27
2018 Junho 40 6 46
2018 Maio 54 10 64
2018 Abril 54 5 59
2018 Maro 66 8 74
2018 Fevereiro 42 5 47
2018 Janeiro 30 2 32
2017 Dezembro 63 13 76
2017 Novembro 24 7 31
2017 Outubro 30 8 38
2017 Setembro 35 5 40
2017 Agosto 43 13 56
2017 Julho 26 12 38
2017 Junho 49 12 61
2017 Maio 35 14 49
2017 Abril 22 3 25
2017 Maro 26 3 29
2017 Fevereiro 16 7 23
2017 Janeiro 31 4 35
2016 Dezembro 29 10 39
2016 Novembro 25 6 31
2016 Outubro 21 10 31
2016 Setembro 10 8 18
2016 Agosto 12 4 16
2016 Julho 8 5 13
2016 Junho 1 9 10
2016 Maio 1 0 1
2016 Abril 19 3 22
2016 Maro 32 11 43
2016 Fevereiro 45 18 63
2016 Janeiro 34 8 42
2015 Dezembro 44 8 52
2015 Novembro 35 12 47
2015 Outubro 21 9 30
2015 Setembro 34 10 44
2015 Agosto 45 13 58
2015 Julho 15 6 21
2015 Junho 16 5 21
2015 Maio 45 6 51
2015 Abril 18 8 26
2015 Maro 19 4 23
2015 Fevereiro 22 8 30
2015 Janeiro 21 7 28
2014 Dezembro 29 13 42
2014 Novembro 25 11 36
2014 Outubro 31 13 44
2014 Setembro 13 17 30
2014 Agosto 22 15 37
2014 Julho 26 9 35
2014 Junho 58 5 63
2014 Maio 40 9 49
2014 Abril 30 9 39
2014 Maro 52 13 65
2014 Fevereiro 47 17 64
2014 Janeiro 53 13 66
2013 Dezembro 49 14 63
2013 Novembro 54 27 81
2013 Outubro 108 47 155
2013 Setembro 11 2 13
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