Schools are unique settings to provide athletic and performing arts activities, and education-based activities can maximize the benefits that can be gained through sports and performing arts activities. Since students spend much of their time at school, education-based activities may offer easier access to athletic and performing arts activities. This may be particularly true for students who have lesser resources to access, and afford to participate in, such activities. Education-based activities promote more positive attitudes toward school and increase school engagement, which can increase academic motivation and performance. Co-curricular activities are generally designed to support and work in concert with the academic goals of the schools. Education-based activities staff are trained to not only to teach students athletic or performing arts skills, but skills that help students do well in school and in life. Schools are centers of learning where teaching and learning are intentionally designed and implemented. If communities and societies want to be intentional about what students learn, make the most of athletic and performing arts activity participation as well as help promote academic learning in school, they need education-based co-curricular activities.
Thiazide diuretics, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, beta blockers, and calcium channel blockers are safe, effective, and well tolerated in children. 9 When choosing an initial medication, concurrent medical conditions and the patient's lifestyle should be considered. For example, an angiotensin-converting enzyme inhibitor would be a good choice for a child with proteinuric renal disease, 9 and a beta blocker should not be given to a competitive athlete because it is prohibited in some athletic events. 3 The NHBPEP recommends beginning with the lowest recommended dosage of the antihypertensive medication, and then titrating up until the blood pressure goal is achieved. If the goal is not achieved with a maximum dosage of a single medication, a second medication with complementary action should be added. 9 Table 5 includes dosing information for antihypertensive medications. 9 , 10 , 29