Your child's risk factors for high blood pressure depend on underlying health conditions, genetics or lifestyle factors.
Primary (essential) hypertension
Essential hypertension is high blood pressure that occurs on its own, without an underlying condition. This type of high blood pressure occurs more often in older children and adolescents. The risk factors for developing essential hypertension are:
- Being overweight or obese (a body mass index over 25)
- A family history of high blood pressure
- Type 2 diabetes or a high fasting blood sugar level
- High cholesterol and triglycerides
Secondary hypertension is high blood pressure that's caused by an underlying health condition. This is the type of high blood pressure that's more common in young children. Other health conditions that can cause high blood pressure include:
Oct. 23, 2015
- Chronic kidney disease
- Polycystic kidney disease
- Heart problems, such as coarctation of the aorta
- Adrenal disorders
- Pheochromocytoma, a rare tumor in the adrenal gland
- Narrowing of the artery to the kidney (renal artery stenosis)
- Sleep disorders, especially obstructive sleep apnea
- Black HR, et al. Hypertension in children and adolescents. Hypertension: A Companion to Braunwald's Heart Disease. Philadelphia, Pa.: Saunders Elsevier; 2007.
- Marcdante KJ, et al. Hypertension. In: Nelson Essentials of Pediatrics. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinical key.com. Accessed Oct. 3, 2015.
- Mattoo TK. Evaluation of hypertension in children and adolescents. http://www.uptodate.com/home. Accessed Oct. 4, 2015.
- High blood pressure in children. American Family Physician. 2012;85:704.
- Essouma M, et al. Hypertension prevalence, incidence and risk factors among children and adolescents in Africa: A systematic review and meta-analysis protocol. British Medical Journal Open. 2015;5:e008472.
- High blood pressure in children. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/UnderstandYourRiskforHighBloodPressure/High-Blood-Pressure-in-Children_UCM_301868_Article.jsp. Accessed Oct. 4, 2015.
- The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(suppl):555.
- Tips for parents: Ideas to help children maintain a healthy weight. Centers for Disease Control and Prevention. http://www.cdc.gov/healthyweight/children/index.html. Accessed Oct. 4, 2015.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 7, 2015.