The current study cleared that thirty-four percent of hypertensive adolescents had family history from obesity at a far relative degree. Following a study done by (Souza, et al., 207) who supported that the nutritional status was significantly associated with the increase in systolic and diastolic blood pressures, being higher in overweight and obese children. The highest prevalence of high blood pressure was found in children classified as obese. (Malatesta-Muncher, & Mitsnefes, (202) get these results that obesity, environmental factors such as negative smoking, and a sedentary lifestyle are important in development of hypertension even in preschool age children.
The present study indicates improvement in the healthy lifestyle of hypertensive adolescents after the healthy lifestyle program. 96.3% and 89.3% of teens after the program also agreed that physical activity should take place every two to three days every week from thirty minutes to one hour. (Dobbins, et al., 203) this study recommends the necessity of promoting continuous physical activity due to its evidence of positive effects on lifestyle behaviors a
nd physical health status measures where physical inactivity is associated with elevated blood lipids and hypertension for children. The Greek a dolescents study of (Tsioufis, et al., 20) analyzed data from 496 students aged 27 years who concluded that physical activity should be practiced at a moderate intensity level in everyday life. According to study of (Riley, et al., (208) who stated as all children with hypertension and vitamin D deficiency should make lifestyle changes to lower blood pressure as referred for comprehensive, intensive, family-oriented behavioral intervention programs as healthy diet, sports, and regular exercise. Other study (Lips, et al., 204) found that vitamin D status can be improved through combination of sunlight exposure, nutrition, food fortification, and supplements is desirable to obtain sufficient vitamin D. These studies in the same line with current study confirm that the highest proportion after the program was in the appropriate diet as it limits foods rich in sugar and sodium. The best healthy lifestyle in the vitamin D source was natural sun exposure/ultraviolet B irradiation.