aap hypertension guidelines

The American Academy of Pediatrics (AAP) Hypertension Guidelines suggest that blood pressure monitoring for children and adolescents should commence at age 3 and be conducted during every medical visit. Generally, blood pressure readings that exceed the 95th percentile for children of the same gender, age, and height are classified as prehypertension. Hypertension may be diagnosed if three successive readings surpass this threshold.

The AAP guidelines underscore the significance of blood pressure monitoring to identify hypertension at an early stage. For children who are at risk due to factors such as obesity, family history, or other related conditions, more frequent monitoring is advised. The AAP also endorses the use of a cuff-based blood pressure monitor and offers guidance on the appropriate cuff sizes for children of varying ages and body types. For children with a confirmed diagnosis of hypertension, the AAP recommends lifestyle modifications as the initial treatment approach, encompassing a nutritious diet, enhanced physical activity, and sodium restriction. Should these interventions fail to adequately control blood pressure, pharmacological treatment may be contemplated.

The AAP Hypertension Guidelines caution parents and physicians that hypertension, though infrequent in children, can have profound long-term health implications if not addressed promptly. Regular blood pressure monitoring and compliance with AAP's recommendations are essential. For children diagnosed with hypertension, treatment should be administered under medical supervision, with medication prescribed and taken according to the doctor's instructions, avoiding self-medication without guidance.