POSTED BY:
Samuel Gidding, MD

The American Academy of Pediatrics recently released new blood pressure assessment guidelines for children, endorsed by the American College of Cardiology and the American Heart Association. The guidelines were last issued in 2004 and restated in 2011. Similar to prior guidelines, children are placed into four groups with regard to blood pressure: normal elevated – to be managed by lifestyle changes including diet and exercise stage 1 hypertension – to be followed by the provider and which may or may not require treatment stage 2 hypertension – which requires further workup and medication What’s Different? A difference from previous guidelines is the development of new normal blood pressure tables. In the older tables, overweight children’s blood pressure measurements were included. Now the tables are based only on children who are not overweight or obese. As a result, the new blood pressure numbers are slightly lower, leading to slightly lower thresholds […]

We don’t usually think of blood pressure as a matter of concern during childhood — and for most kids, it’s not. But blood pressure is an important vital sign and one that your child’s physician should be taking at every check-up. Babies’ blood pressure measurements are taken at birth as part of routine newborn screenings. After that, expert guidelines, including those of the American Academy of Pediatrics (AAP), call for measurements to be taken at well-child visits and sick visits in the pediatrician’s office, starting at age 3. What’s Considered “Normal” Blood Pressure for Kids? Determining normal or optimal blood pressure for children is a bit complex because it depends on a number of factors including age, height and gender. A simplified approach is to use these thresholds: A child from 3 to 11 years should have blood pressure at or below 110/70. From age 12 upward, a measurement of […]