Pediatr. praxi. 2024;25(5):311-314 | DOI: 10.36290/ped.2024.059

Non-pharmacological therapy of hypertension in childhood

doc. MUDr. Mgr. Terezie Šuláková, Ph.D.¹, MUDr. Miroslava Burešová¹, MUDr. Michael Řepišťák¹, MUDr. Kristýna Láner¹, prof. MUDr. Tomáš Seeman, CSc.^{1, 2}

¹ Klinika dětského lékařství, Fakultní nemocnice Ostrava a Lékařská fakulta Ostravské univerzity, Ostrava

² Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova, Praha

Arterial hypertension is the most important modifiable risk factor for cardiovascular morbidity and mortality. Appropriate therapy of the disease should be initiated in children and adolescents as early as possible; mostly at the time of the diagnosis confirmation and the evaluation of the risk factors for hypertension-mediated organ damage (HMOD). Therapy includes non-pharmacological and pharmacological interventions. Nonpharmacological therapy consists from combined lifestyle interventions (diet, physical activity, body weight changes and behavioral therapy components). The complex of lifestyle interventions can lead to effective reduction in blood pressure without pharmacotherapy in the case of primary hypertension, and is important part of therapeutic approach in the case of secondary hypertension in children and adolescents, where the medication is necessary.

Keywords: hypertension, children, adolescents, lifestyle, diet, exercise, sleep.

Accepted: October 21, 2024; Published: November 15, 2024  Show citation