At what age should BP screenings to detect end-organ damage begin in children?

Blood pressure screenings in children are essential for the early detection of hypertension and associated end-organ damage. The American Academy of Pediatrics recommends that blood pressure measurements begin at age 3 during routine health visits. At this age, children are more likely to have stable and consistent blood pressure readings that can be compared against standardized growth charts for pediatric blood pressure. This early detection is crucial, as untreated hypertension can lead to serious complications in the future, including damage to the heart, kidneys, and other vital organs.

Screening before age 3 typically does not provide reliable data for diagnosing hypertension as blood pressure can vary significantly due to developmental changes. Thus, initiating screenings at 3 years allows for a systematic approach to monitoring a child's cardiovascular health as they grow.