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New guidelines point way toward more effectively addressing hypertension in kids, teens

The first new national guidelines since 2004 on identifying and treating high blood pressure in children and adolescents (aged 3-18 years old) have been published by the American Academy of Pediatrics (AAP), which convened a panel of experts to produce the new recommendations. The AAP report,  Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents , offers a series of evidence-based recommendations for pediatricians derived from a comprehensive review of nearly 15,000 medical studies published since 2004. The first-line treatment remains lifestyle changes, as there is a high correlation between hypertension and obesity. When untreated, long-standing hypertension can damage the heart, kidneys and brain. Among the new recommendations is a call to only conduct routine blood pressure measurements at annual preventive care ("wellness") visits, as opposed to the 2004 guidelines that urged blood pressure testing anytime a ...