Dr Larkins will be discussing the significance of hypertension among children and adolescents as a predictor of future cardiovascular and kidney events. Obesity is the strongest predictor of blood pressure in childhood, and the impact of increasing obesity on prevalence of essential hypertension will be presented provoking discussion about optimal care of children with multiple cardiovascular risk factors and preventative healthcare for children in Australia more broadly. This presentation occurs in the context of the forthcoming first Australian Guidelines for the Identification and Management of Hypertension among Children and Adolescents.