Children who are exposed to tobacco smoke have a greater chance of having high blood pressure, a new study has found.

Researchers found 6% of children who were exposed to tobacco smoke had high blood pressure compared to 4% in children who weren’t exposed, according to a study published Tuesday in JAMA Network Open.
The study defined tobacco exposure as a child reporting smoking, living with a smoker or having serum cotinine levels, which measures recent exposure to nicotine, greater than 0.05 micrograms per liter.

Data was gathered from the National Health and Nutrition Examination Survey from 2007 to 2016. Of the 8,520 children ages 8 to 19 who were surveyed, 3,690, or 43%, had been exposed to tobacco smoke.
The high percentage of children exposed is concerning, said Dr. Karen Wilson, chair of the American Academy of Pediatrics tobacco consortium, who was not involved in the study.

“We think that tobacco smoking is going down when in fact, the rate of adult smokers is decreasing, but children are still likely to be exposed,” said Wilson, who is also the Debra and Leon Black chief of the division of general pediatrics at the Icahn School of Medicine at Mount Sinai and Mount Sinai Kravis Children’s Hospital.

That exposure can create a ripple effect of negative consequences that persist into adulthood, said study author Dr. Rebecca Levy, research fellow in adult and pediatric nephrology at Montefiore Medical Center in Bronx, New York.

Children who are around parents and adults who smoke are more likely to start smoking themselves

High blood pressure could also be a risk factor for cardiovascular disease and other illness later in life, she said. One of the ways to address the high blood pressure in children is to give them medication, but “no one wants to have to give a child medication for blood pressure,” Wilson said.

The study also found 16% of children who were exposed to tobacco smoke had elevated blood pressure compared to 11% of children who weren’t exposed. Elevated blood pressure is defined in the study as levels greater than the 90th percentile for a child’s age, sex and height percentiles while high blood pressure refers to those above the 95th percentile.

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