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Children and high blood pressure?

Children, even babies, can have high blood pressure. Doctors recommend that all children have yearly blood pressure measurements. Detecting high blood pressure early will improve a child's health.Some diseases — usually heart or kidney disease — can cause high blood pressure in children. This is called secondary hypertension. If the disease is successfully treated, blood pressure usually returns to normal. Some medicines can cause high blood pressure, but when they're discontinued, blood pressure usually returns to normal.

At one time, doctors thought that most high blood pressure in children was secondary (that is, caused by other disease). Now they know this isn't so. Some children have higher blood pressures for unknown reasons. These children are said to have primary or essential hypertension.

Research scientists don't know why some children have higher blood pressure than others. Children who are overweight usually have higher blood pressure. Some children inherit the tendency toward higher blood pressure from one or both parents. High blood pressure is more frequent and more severe in families of African Americans than in whites. The reasons aren't fully understood.

A special diet and regular physical activity may be prescribed by the doctor to lower high blood pressure in overweight children. The doctor may also prescribe medication if diet and regular physical activity don't bring the high blood pressure under control.

Cigarette smoking isn't directly related to high blood pressure, but youngsters who smoke should stop for a variety of health reasons. Smoking increases the overall risk for cardiovascular disease. Parents should set a good example by not smoking and help educate their children about the dangers of smoking.

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