Feitosa FGAM, Feitosa ADM, Mota-Gomes MA, et al. - Results from this study lend support to the necessity to standardize the definition of hypertension in adolescents.

• In 241 adolescents referred for hypertension (15.4 ± 1.4 years, 62% males, 40% obese), the prevalence of abnormal blood pressure (BP) phenotypes was compared by mostly employed or available criteria for hypertension [AAP (American Academy of Pediatrics) or ESH (European Society of Hypertension) criteria for high office BP (OBP); Arsakeion or Goiânia schools’ criteria for high home BP monitoring (HBPM)].

• By AAP vs ESH criteria, a greater prevalence of high OBP was reported (43.5% vs 24.5%), while high HBPM prevalence was identified to be similar between Arsakeion and Goiânia criteria (33.5% and 37.5%).

• At least one criterion for high BP was met by 55% of the sample, but only 31% of this subsample accomplished all four criteria.

• Irrespective of the HBPM criteria, a lower prevalence of normotension and masked hypertension and greater prevalence of white-coat and sustained hypertension were reported in relation to AAP thresholds vs ESH thresholds.