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The SEARCH for Diabetes in Youth Study followed 1518 youths with type 1 diabetes (T1D) and 177 with type 2 diabetes (T2D) diagnosed when &lt;20\u00a0years of age for incident hypertension. Incident hypertension was defined as blood pressure \u226595th percentile (or \u2265130\/80\u00a0mm\u00a0Hg) or reporting antihypertensive therapy among those without hypertension at baseline. Poisson regression models were stratified by diabetes type and included demographic and clinical factors, clinical site, and waist\u2010to\u2010height ratio (WHtR). Youths with T2D were more likely to develop hypertension than those with T1D (35.6% vs 14.8%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001). For each 0.01 unit of annual increase in WHtR, adjusted relative risk for hypertension was 1.53 (95% CI 1.36\u20101.73) and 1.20 (95% CI 1.00\u20101.43) for youths with T1D and T2D, respectively. Effective strategies targeted toward reducing central obesity may reduce hypertension among youths with diabetes.<\/jats:p>","DOI":"10.1111\/jch.13849","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T06:10:06Z","timestamp":1587017406000},"page":"888-896","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Progression to hypertension in youth and young adults with type 1 or type 2 diabetes: The SEARCH for Diabetes in Youth Study"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8274-0309","authenticated-orcid":false,"given":"Corinna","family":"Koebnick","sequence":"first","affiliation":[{"name":"Department of Research &amp; Evaluation Kaiser Permanente Southern California Pasadena CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppina","family":"Imperatore","sequence":"additional","affiliation":[{"name":"Division of Diabetes Translation National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2704-6634","authenticated-orcid":false,"given":"Elizabeth T.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Prevention Wake Forest School of Medicine Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-1517","authenticated-orcid":false,"given":"Jeanette M.","family":"Stafford","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Data Science Wake Forest School of Medicine Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7297-139X","authenticated-orcid":false,"given":"Amy S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Cincinnati Children's Hospital and University of Cincinnati Cincinnati OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4258-1726","authenticated-orcid":false,"given":"Amy K.","family":"Mottl","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension University of North Carolina School of Medicine Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8512-2565","authenticated-orcid":false,"given":"Ronny A.","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Public Health East Carolina University Greenville NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9514-8929","authenticated-orcid":false,"given":"Dana","family":"Dabelea","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Colorado School of Public Health University of Colorado Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7022-0178","authenticated-orcid":false,"given":"Angela D.","family":"Liese","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of South Carolina Columbia SC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9118-8488","authenticated-orcid":false,"given":"Santica M.","family":"Marcovina","sequence":"additional","affiliation":[{"name":"Northwest Lipid Metabolism and Diabetes Research Laboratories University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Ralph B.","family":"D\u2019Agostino","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Data Science Wake Forest School of Medicine Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5640-6777","authenticated-orcid":false,"given":"Elaine M.","family":"Urbina","sequence":"additional","affiliation":[{"name":"The Heart Institute Cincinnati Children\u2019s Hospital Medical Center and University of Cincinnati Cincinnati OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2480-8480","authenticated-orcid":false,"given":"Jean M.","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Department of Research &amp; 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