Results of a recent study found that among children and young adults with a BMI at the 85th percentile or higher, cardiometabolic risk factors including low HDL-C, high systolic and diastolic blood pressures, and high triglyceride and glycated hemoglobin levels increased with the severity of obesity. Commenting on the study, CMHC faculty member Caroline Apovian, MD pointed out the prevalence of severe obesity in children between 2 and 19 years of age has increased at an alarming rate, from 4% to 6% for the block of years from 1999 to 2004 and 2011 to 2012. However, she said, educating the young, even those as young as preschool age, is key in combating obesity and promoting wellness, citing the Si! Program in Madrid, Spain as a successful example. Read more
In an update to their 2007 reaffirmation recommendation statement, the US Preventive Services Task Force (USPSTF) finalized Grade A recommendations for blood pressure screening of adults. The use of ambulatory blood pressure management (ABPM) is recommended to confirm a diagnosis of hypertension outside of the clinical setting before treatment begins. (The exception to this recommendation is for cases in which therapy should begin immediately.) Further, adults 40 years of age and older and those at higher risk should undergo screening every year after a normal blood pressure finding; others can be screened every 3 to 5 years.
In response to public comments that were received after the draft version of the recommendation statement was released in December 2014, the USPSTF acknowledges there are barriers to implementing their recommendation of utilizing ABPM due to availability and affordability. In response, their final recommendation is “to include home blood pressure monitoring (HBPM) as an alternative method for confirmation of a diagnosis of hypertension when ABPM is not feasible.”