Related Experiment Video
Updated: May 25, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Hypertension, Obesity, and Target Organ Injury in Children: An Emerging Health Care Crisis
Andrew H Tran1,2, Aaron Walsh3,4, Elaine M Urbina5,6
1The Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. andrew.tran@nationwidechildrens.org.
Insights
Rising childhood hypertension and obesity harm target organs. Early intervention can improve cardiac, renal, and vascular health, reducing long-term cardiovascular risks.
Area of Science:
- Pediatric Cardiology
- Public Health
- Nephrology
Background:
- Childhood hypertension and obesity prevalence are increasing globally.
- Health disparities contribute significantly to these rising trends.
- These conditions activate detrimental pathways like the renin-angiotensin-aldosterone system.
Purpose of the Study:
- To examine the link between hypertension, childhood obesity, and target organ damage.
- To review the effects of interventions on these conditions and organ damage.
Main Methods:
- Systematic review of existing data.
- Analysis of epidemiological trends.
- Evaluation of intervention study outcomes.
Main Results:
- Hypertension and obesity promote inflammation, impacting blood pressure regulation and renal function.
- Adverse cardiac, vascular, renal, neurocognitive, and retinal changes are associated with elevated blood pressure.
- Interventions show promise in improving left ventricular hypertrophy, cardiac function, and renal outcomes.
Conclusions:
- Childhood hypertension and obesity have profound impacts on target organs.
- Effective management and screening can mitigate future cardiovascular complications.
- Interventions targeting blood pressure and obesity can reverse or improve organ damage.
Purpose Of Review:
To review data regarding the association between hypertension and childhood obesity on target organ damage. We will also review data regarding the impact of intervening on hypertension and childhood obesity on target organ damage.
Recent Findings:
The prevalence of hypertension and obesity are rising in children despite efforts to address these risk factors. Health disparities play a role in contributing to the rise in prevalence. Hypertension and obesity promote pro-inflammatory cytokines that activate the renin-angiotensin-aldosterone system and sympathetic nervous system which result in adverse effects on blood pressure regulation and renal function. Adverse cardiac, vascular, renal, neurocognitive, and retinal changes can be seen with elevated blood pressure. Recent intervention studies are few, but adequate treatment of hypertension and obesity can result in improvement in target organ damage. Hypertension and obesity have significant impacts upon target organs. Interventions to decrease blood pressure and treat obesity are associated with reductions in left ventricular hypertrophy, improvement in measures of systolic and diastolic function, and improvement in renal outcomes. Appropriate screening and management of these conditions can lessen potential future cardiovascular impact.
More Related Videos
08:22Combined Intravital Microscopy and Contrast-enhanced Ultrasonography of the Mouse Hindlimb to Study Insulin-induced Vasodilation and Muscle Perfusion
Published on: March 20, 2017
07:51Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
Related Concept Videos
Hypertension and Regulation of Blood Pressure
Obesity
Errors occurring during blood pressure monitoring
Several factors...
Factors affecting Blood pressure
Physiological Factors:
Stress Prevention and Stress Management Techniques IV
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....