Is a Blood Pressure Reading of 149/57 Good?
Your blood pressure level is borderline high. What should you exercise nigh information technology?
Perhaps this has happened to yous: Y'all go to the medico, for a checkup or a sprained ankle, and find that your blood pressure is high.
Not actually high, not hypertension high, but borderline high. Say 130 over 85. Normal blood force per unit area is 120/fourscore or below, and hypertension is defined as 140/90 or college.
Should you be worried? Is there something yous can exercise now to ward off a later diagnosis of hypertension?
Hypertension increases your chance for heart assault and stroke, besides as for kidney disease and vision loss. And hypertension is very mutual: The Centers for Disease Control and Prevention estimates that one of every three American adults has the condition.
But the cardiovascular risks don't all of a sudden brainstorm at the magic number of 140/90. "It's of import to realize that there'south a continuum of gamble," says Elliott Antman, president of the American Heart Association and a cardiologist at Brigham and Women'south Hospital in Boston. "The college the blood pressure, the college the risk."
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The label "prehypertension" became official when clinical practice guidelines were updated in 2003. Since and so, researchers accept continued to detect significant risks associated with deadline high blood pressure level. A 2013 review of studies encompassing more than a million people found that those with prehypertension had a 28 percent increased take a chance of dying from cardiovascular disease and a 41 percent increased risk of dying from stroke compared with people who had normal claret force per unit area.
For someone going in for a checkup, it'southward important to remember that blood pressure readings are not static; they modify with activity level, time of day and stress level. Then a single college-than-normal reading should not guide treatment decisions.
Doctors are well enlightened of a phenomenon called "white coat hypertension" — when blood pressure readings are high in the doc's office considering a patient is nervous. (At that place'south an opposite instance known as "masked hypertension" — when blood pressure readings are low in the doctor'due south office because a patient feels particularly safety and relaxed.)
By givingnear-hypertension the label of prehypertension, doctors hope patients will take this in-betwixt status more seriously. It'southward a warning sign and offers a adventure to prevent a progression to full-blown hypertension, which requires more-aggressive treatments such as a lifetime prescription for antihypertensive drugs, which can mean a lifetime of side effects.
Domenic Sica, president of the American Guild of Hypertension and an internist at the Virginia Commonwealth University Medical Center in Richmond, says he hopes that "with a diagnosis of prehypertension, people are more likely to change their health behaviors than if their doctor tells them, 'Practise this because it's salubrious.' "
Withal, not all doctors are happy with the term "prehypertension." "Those words, to a patient, say, 'I don't have to worry yet,' " Antman says.
What tin you lot exercise about prehypertension? Healthful eating and do are the two biggies. Antman also recommends reducing salt in your diet.
The AHA exercise recommendation for lowering blood pressure is to get an average of 40 minutes of aerobic activity three or 4 times a week.
Diet recommendations include eating enough of fruits and vegetables and choosing whole grains. The AHA besides emphasizes watching your salt intake.
The average American consumes well-nigh three,400 milligrams of common salt daily, according to a 2013 Plant of Medicine report. For reducing blood pressure level, the AHA sets a fairly strict goal of 1,500 milligrams per 24-hour interval. The American Social club of Hypertension is a bit more lenient, recommending ii,300 milligrams for most people and 1,500 for those at high risk, such as people who already accept hypertension and African Americans, who, studies have shown, are sensitive to the high blood pressure effects of salt consumption.
Both the AHA and the ASH recommend the DASH diet (Dietary Approaches to Stop Hypertension). "The DASH diet will help lower blood pressure, fifty-fifty without lowering salt," Marla Heller, a registered dietitian who has written 4 bestselling books almost the diet, said in an email. "The showtime DASH study showed blood pressure reduction equal to the first-line medications at a daily sodium intake of 3300 mg of sodium."
Experts say that people with prehypertension should monitor their blood pressure. You lot can exercise this at some physicians' offices and drugstore kiosks; yous can even buy a blood pressure cuff to use at home. (Cuffs tin vary significantly in price and quality, so it's worth doing some research.) If you're exercising and eating meliorate, information technology can be very motivating to encounter the positive effects in lower claret pressure numbers. In turn, that positive feedback can inspire people to stick with newly adopted healthful behaviors.
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Source: https://www.washingtonpost.com/national/health-science/your-blood-pressure-is-borderline-high-what-should-you-do-about-it/2015/02/23/398314c0-b6d6-11e4-aa05-1ce812b3fdd2_story.html
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