Real-World Strategies to Treat Hypertension Associated with Pediatric Obesity.

Abstract:

PURPOSE OF REVIEW:To review the most recent literature on current strategies for the treatment of hypertension associated with pediatric obesity. RECENT FINDINGS:Over the last three decades, childhood and adolescent overweight and obesity prevalence in the USA has continued to rise. Unsurprisingly but rather disturbingly, this rising prevalence has been paralleled by an increase in cardiovascular disease (CVD) risk factors in childhood such as hypertension, dyslipidemia, and diabetes that become manifest earlier than previously reported. These childhood CVD risk factors are not only associated with target organ damage in childhood but also track into adulthood, increasing the risk of long-term CVD morbidity and mortality. There have been several mechanisms proposed to explain the role of obesity on the development of hypertension in childhood. However, central to the management of obesity-related hypertension is a multifaceted approach targeting lifestyle modifications and weight loss. Effective treatment often also requires a pharmacologic approach and rarely bariatric surgery.

journal_name

Curr Hypertens Rep

authors

Binka E,Brady TM

doi

10.1007/s11906-019-0922-2

subject

Has Abstract

pub_date

2019-02-12 00:00:00

pages

18

issue

2

eissn

1522-6417

issn

1534-3111

pii

10.1007/s11906-019-0922-2

journal_volume

21

pub_type

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