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High blood pressure (HBP) in children causes pre-clinical damage to the heart and accelerates atherosclerosis. Current pharmacological treatments have limited ability to prevent end-organ damage, particularly that of the kidneys. A contrasting element between adult vs. pediatric HPB treatment, is the emphasis in adults on exercise regimens that target increments in cardiorespiratory fitness [CRF, (peak VO2)]. The aim of this study was to evaluate the association of CRF with blood pressure percentiles and blood pressure status in childre