Adolescent blood pressure is a strong predictor of adult BP but the role of dietary sodium and potassium on adolescent BP is unclear. Our goal was to estimate effects of dietary sodium, potassium and the ratio of the two on adolescent BP. Data from 2379 girls, initially ages 9–10, and followed 10 years in the National Growth and Health Study, was used. Mean sodium and potassium intakes were 3.1 and 2.0 g respectively from an average of 6.6 sets of 3‐ day diet records. While sodium and potassium intakes were highly correlated (r=0.59), they had opposite BP effects. ANCOVA & repeated measures mixed models were used to estimate mean BP change over 10 yrs and at 18–20 yrs of age, controlling for height, race, TV/video time, activity, total energy, low‐fat dairy, BMI. Adjusted mean BP levels (mean age=18.3 yrs) declined linearly with increasing tertiles of potassium intake (SBP:109.5, 109.1, 108.4 mmHg; DBP:66.2, 65.2, 64.9 mmHg; p‐trend<0.05 for both). BP also declined with increasing tertiles of K:Na ratio (SBP:109.6, 109.5, 108.0 mmHg; DBP:65.9, 65.6, 64.9 mmHg; ns). In longitudinal models, girls with the highest K:Na ratio (>;0.75) & potassium intakes (>;2275 mg) had statistically significantly lower systolic (but not diastolic) BP levels throughout adolescence. Sodium intake had no effect on adolescent BP. This study suggests that dietary potassium may play a more important role than sodium in determining adolescent BP levels.Grant Funding Source: NIDDK and National Dairy Council