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How to Keep Your Blood Pressure Under Control: Essential Guidelines

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High Blood Pressure: A Common Health Concern

High blood pressure, or hypertension, has become a widespread health issue today. According to the latest expert guidelines, in the early stages, lifestyle modifications are considered more important than immediately starting medications. Recognizing early warning signs and taking timely action can help reduce the risks associated with high blood pressure.


How Lifestyle Impacts Blood Pressure

Fast-paced modern life, unhealthy diet, and lack of physical activity have led to a global increase in hypertension cases. Studies show that 30% of adults are affected by high blood pressure, and many are either unaware or ignore the problem.

When a systolic reading exceeds 120, patients often wonder whether to start medication or rely on lifestyle changes. Previously, doctors recommended starting medication at 130+, but now experts suggest lifestyle modifications for readings in the 130–139 range.


Blood Pressure Readings and Their Levels

BP Category Systolic (Upper) Diastolic (Lower) Action Needed
Normal <120 <80 Maintain healthy habits
Elevated 120–129 80–89 Monitor closely
Stage 1 Hypertension 130–139 80–89 Lifestyle modifications
Stage 2 Hypertension ≥140 ≥90 Medication may be needed
Hypertensive Emergency ≥180 ≥120 Immediate medical attention required

Focus on Lifestyle Improvements

According to the American College of Cardiology and American Heart Association, patients without diabetes, kidney disease, or heart problems should prioritize lifestyle changes over starting medications in the 130–139 BP range. Medications may be prescribed based on doctor’s advice, especially if readings are ≥140/90.


Key Lifestyle Measures to Control Blood Pressure

  1. Balanced Diet

    • Reduce salt intake: High BP patients should limit sodium to 2.3g/day initially, gradually reducing to 1.5g/day.

    • Follow the DASH diet: Increase consumption of fruits, vegetables, legumes, and reduce sugar, fried foods, saturated fats, and processed foods.

  2. Regular Exercise

    • Aim for at least 150 minutes of brisk walking per week.

    • Incorporate yoga and pranayama to reduce stress and improve heart health.

  3. Weight Management

    • Overweight individuals should aim for 5% weight loss.

    • Every kilogram of weight loss can positively impact blood pressure.

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