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Howard G. Smith, M.D. is a former radio medical editor and talk show host in the Boston Metro area.  His "Medical Minute" of health and wellness news and commentary was a regular weekday feature on WBZ-AM, WRKO-AM, and WMRE-AM.   His popular two-way talk show, Dr. Howard Smith OnCall, was regularly heard Sunday morning and middays on WBZ.

More recently, Dr. Smith has adopted the 21st century technology of audio and video podcasting as conduits for the short health and wellness reports, HEALTH NEWS YOU SHOULD USE.  Many of these have video versions, and they may be found on his YouTube page: https://www.youtube.com/channel/UCKPOSWu-b4GjEK_iOCsp4MA

Trained at Harvard Medical School and a long-time faculty member at Boston Children’s Hospital, he practiced Pediatric Otolaryngology for 40 years in Boston, Southern California, and in central Connecticut.

If you have questions or suggestions about this content, please email the doctor at drhowardsmith.reports@gmail.com or leave him a message at 516-778-8864.  His website is: www.drhowardsmith.com.

Please note that the news, views, commentary, and opinions that Dr. Smith provides are for informational purposes only.  Any changes that you or members of your family contemplate making to lifestyle, diet, medications, or medical therapy should always be discussed beforehand with personal physicians who have been supervising your care.

Mar 1, 2019

Vidcast: https://youtu.be/HlSz7GuNKNQ

Teen hypertension doubles the risk of end stage renal failure later in life.  A study just published in JAMA Internal Medicine looked at more than 1.5 million candidates for Israeli military service.  Of this group, nearly 8000 were found to have elevated blood pressures.

Those with hypertension were predominately male and half were overweight or obese.  They were followed for nearly 20 years.  Teen hypertension doubled the risk of eventual kidney failure, a need for dialysis, and a possible kidney transplant even for those who were not overweight.

Elevated blood pressures in children have become more common as the rate of childhood and adolescent obesity skyrockets.  Pediatricians now recommend that every child over the age of 3 years should have their blood pressures checked annually.  

If their pressures are elevated, they should be measured at every visit and treated aggressively initially with lifestyle changes such as weight reduction, dietary modification, exercise, an stress management.  For severe or persisting elevations, a regimen of anti-hypertensive medication should be prescribed.

#teen #hypertension #obesity, bloodpressure #healthnews

Leiba A, Fishman B, Twig G, et al. Association of Adolescent Hypertension With Future End-Stage Renal Disease. JAMA Intern Med. Published online February 25, 2019. doi:10.1001/jamainternmed.2018.7632

Riley M, Hernandez AK, Kuznia AL. High Blood Pressure in Children and Adolescents.

Am Fam Physician. 2018 Oct 15;98(8):486-494.