Letter to the editor Response to “Right Analysis—Wrong Conclusion: Obese Youth With Higher BP Are at Risk for Target Organ Damage”

and Falkner very much for their stimulating commentary “Right Analysis—Wrong Conclusion”1 to our contribution on blood pressure (BP) percentiles in youth.2 We acknowledge that they “agreed that BP levels on aver-age are higher in obese youth, but these should not be “forgiven ” but rather, they should be evaluated and managed. ” We agree that there is no outcome data for pediatric hypertension and therefore no clinical threshold, but only associa-tions between BP and preclinical organ damage. There is no doubt that risk factors should be detected and elimi