title: Treatment of obesity-related hypertension in children and adolescents.
abstract: The obesity epidemic has become a common concern among pediatricians, with an estimated 32 % of US children and adolescents classified as overweight and 18 % as obese. Along with the increase in obesity, a growing body of evidence demonstrates that chronic diseases, such as Type 2 diabetes, primary hypertension, and hyperlipidemia, once thought to be confined solely to adulthood, are commonly seen among the obese in childhood. Following a brief summary of the diagnosis and evaluation of hypertension in obese children and adolescents, this review will highlight recent research on the treatment of obesity-related hypertension. Pharmacologic and non-pharmacologic treatment will be discussed. Additionally, current and emerging therapies for the primary treatment of obesity in children and adolescents, which have been gaining in popularity, will be reviewed.
authors.affiliation: Division of Nephrology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, USA. susan.halbach@seattlechildrens.org
authors.forename: Susan M
authors.initials: SM
authors.lastname: Halbach
authors.forename: Joseph
authors.initials: J
authors.lastname: Flynn
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000628:therapy*; D008019:Life Style; D009765:Obesity / Q000150:complications / Q000453:epidemiology / Q000628:therapy*; D012307:Risk Factors