Nonpharmacologic Treatment of Pediatric Hypertension

  • Stephen R. DanielsEmail author
  • Sarah C. Couch
Reference work entry


The treatment of blood pressure elevation once it is recognized is quite important. The first line of treatment for children with either elevated blood pressure or hypertension is nonpharmacologic treatment. In fact, a meaningful trial of nonpharmacologic approaches is always important before considering using medication.

Nonpharmacologic treatment largely focuses on weight management, changes in diet and increased physical activity. For children and adolescents who are overweight or obese, improvement in the body mass index (BMI) percentile can be effective in lowering blood pressure and may be the most important aspect of blood pressure management. Dietary modifications that include reduction of overall calories, as well as reduction of sodium, have been shown to reduce blood pressure in some individuals. The Dietary Approaches to Stop Hypertension (DASH) diet is also helpful in management of hypertension. Finally, increasing physical activity, particularly aerobic physical activity, can lower blood pressure even when increased physical activity does not result in weight loss. Health care providers must learn approaches to behavior change that help patients and their families modify their diet and activity behaviors.


Diet Physical activity Behavior change Weight management Obesity Sodium 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of PediatricsUniversity of Colorado School of Medicine and Children’s Hospital ColoradoAuroraUSA
  2. 2.Department of Nutritional SciencesUniversity of Cincinnati Medical CenterCincinnatiUSA

Section editors and affiliations

  • Karen M. Redwine
    • 1
  1. 1.Department of Pediatrics, Arkansas Children's HospitalUniversity of Arkansas for Medical SciencesLittle RockUSA

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