Elevated Blood Pressure in Pediatrics — 14yo Child | Pediatric Cardiology | SMLE Q#812

SMLE Question #812

Pediatrics Pediatric Cardiology
Last updated: February 2026
A 14-year-old boy is seen in clinic for elevated blood pressure. The average of auscultatory measurements on three separate visits is at the 96th percentile for age, sex, and height. He is otherwise healthy, has a BMI at the 60th percentile, does not smoke, and denies alcohol or drug use. He participates in school sports and has no family history of premature cardiovascular disease. You plan lifestyle modification as initial management. Which lifestyle change would most directly help lower his blood pressure?

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