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. 2023 Apr 12;11:1140617. doi: 10.3389/fped.2023.1140617

BOX 2.

Goals to achieve in the general hypertensive pediatric population and in diabetic and renal disease.

  GRADE
Goals to achieve in the general hypertensive pediatric population
In hypertensive children BP should be normalized, i.e., BP levels below the 95th percentile for age, height and sex in children <16 years or below 140/90  mmHg in adolescents 16 years or older should be the first goal. However, attainment of BP levels below 90th percentile is a justifiable recommendation based on expert opinion and results of prospective population studies showing linear relationships between BP levels above 120/80 mmHg in adolescents and higher risk of increased cIMT and cfPWV in the fourth and fifth decade of life (29). C
Goals to achieve in diabetic and renal disease
In children with CKD BP should be lowered below the 75th percentile. Furthermore, in children with CKD and with proteinuria the goal should be to go below the 50th percentile (1, 30, 31). A
In children with type 1 or type 2 diabetes mellitus BP should be lowered below the 90th percentile and in those ≥16 years of age below 120/80 mmHg. D
In children with diabetes mellitus and CKD, the lowest CKD targets should be aimed for. D