Čes-slov Pediat 2026, 81(88):20-27

Hypertension in children with obesity: a practical guide to diagnosis and treatment

Bohuslav Procházka¹, Tomáš Seeman^{2, 3}

¹ MUDr. Bohuslav Procházka s.r.o., Dětská kardiologie, Kutná Hora

² Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova, Fakultní nemocnice Motol a Homolka, Praha

³ Klinika dětského lékařství, Lékařská fakulta, Ostravská univerzita, Fakultní nemocnice Ostrava

The article emphasizes the importance of early recognition of arterial hypertension in children with obesity and highlights the need for targeted therapeutic interventions. Obesity in children, frequently associated with hypertension, is a

major risk factor for the development of cardiovascular disease, with clinical manifestations that may appear as early as the third or fourth decade of life. In combination with other metabolic complications, it may result in substantial organ damage and an unfavourable long-term prognosis. The

article also provides practical recommendations for the diagnosis and management of hypertension in children and adolescents with obesity, including the basic steps of pharmacological therapy and lifestyle interventions that are essential for preventing future health consequences.

Keywords: hypertension, obesity, children, cardiovascular diseases, treatment, prevention

Accepted: March 31, 2026; Published: March 1, 2026  Show citation