Current Hypertension Reports

, Volume 14, Issue 6, pp 619–625

Progression of Prehypertension to Hypertension in Adolescents

Pediatric Hypertension (JT Flynn, Section Editor)


In the 2004 report from the National High Blood Pressure (BP) Education Program Working Group on BP in Children and Adolescents, the term “high normal BP” was replaced with the designation “prehypertension”. It was proposed that BP levels that were higher than normal but did not reach the level of hypertension posed an increased risk for progression to hypertension. The overall intent of this description was to help identify children who were at the greatest risk for the development of hypertension. These are children and adolescents for whom targeted prevention programs are expected to be most beneficial. Following the 2004 report, the prehypertension condition has been examined and described in adolescents as well as adults. This review summarizes the knowledge that has been gained on prehypertension including clinical characteristics, rates of progression to hypertension, and evidence of cardiovascular pathology.


Prehypertension Hypertension Blood pressure BP Pediatrics Adolescents Cardiovascular disease Risk Prevention Lifestyle changes 


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Pediatrics, Division of Pediatric NephrologyUniversity of Arkansas for Medical Sciences & Arkansas Children’s HospitalLittle RockUSA
  2. 2.Department of Medicine, Jefferson School of MedicineThomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Department of Pediatrics, Jefferson School of MedicineThomas Jefferson UniversityPhiladelphiaUSA
  4. 4.Division of Nephrology – MedicinePhiladelphiaUSA

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