This paper reviewed the available research literature to determine the role of exercise training in reducing resting blood pressure in adolescents. Similar to the adult population, there is little evidence to support the efficacy of exercise training for reducing resting blood pressure in normotensive adolescents, although several studies reported small decreases in either or both systolic and diastolic pressure. In hypertensive adolescents, aerobic-type exercise training consistently reduced both systolic and diastolic pressure, but seldom to completely normal levels. Resistance training has not been studied as extensively, but may be of some benefit. It is recommended that chronic aerobic and strength activities be part of an overall health maintenance program.