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High blood pressure, a relatively rare pathology diagnosed in pediatric age, is becoming more and more common in the diagnoses of children, thus becoming a real health problem, with the alarming increase in obesity in this age group. The prevalence of hypertension in children differs depending on age groups. In adolescents, the percentage reaches 10%, and in newborns at term 0.2%, therefore 3.5% of children are diagnosed with hypertension. Peripheral vascular resistance and cardiac output determine the force that blood flow exerts on the arterial wall and thus define blood pressure. Depending on the stage of hypertension and the clinician’s analysis, the management of hypertension is guided by two pillars: lifestyle along with non-pharmacological measures and drug therapy. A hypertensive child today is a future hypertensive adult tomorrow, for this reason we consider hypertension a real issue, especially in the context in which pediatric obesity is a global health problem. [ABSTRACT FROM AUTHOR]