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Starting hypertension treatment earlier and stopping drinking alcohol, say the experts

Although the 2025 guidelines do not provide adjustments to these figures, they recommend adding drug therapy for people with high stage hypertension (a systolic reading of blood pressure from 130 to 139 mmHg) if three to six months of lifestyle changes do not reach blood pressure with a normal fork. The previous guidelines, published for the last time in 2017, only recommended lifestyle therapy at this stage.

“Health health experts have been concerned about the risk of high blood pressure for decades,” said Jones. “What is new is increasing proof that the intensive lowering of systolic blood pressure for less than 130 or 120 mmHg reduces the risk of heart disease than the older standard of less than 140 mmHg,” he said.

Alcohol can contribute to high blood pressure

The updated guidelines also suggest that avoiding alcohol is ideal – as research shows that even small amounts of alcohol consumption can lead to high blood pressure. According to the research cited in directives, completely avoiding alcohol leads to the lowest risk of high blood pressure, while the reduction in alcohol intake of at least half can cause normal blood pressure levels.

“The guidelines have long recommended one drink per day for women, and no more than two glasses per day for men,” explains Luke Laffin, MD, co-director of the Center for Herd-Ordorders of the Cleveland Clinic in Ohio. “However, current directives emphasize that any The degree of alcohol consumption can increase blood pressure, “said Dr. Laffin, who has not been involved in writing new recommendations.

“We want the public to know the evidence so that informed decisions can be made,” adds Jones.

Narrower surveillance of blood pressure during pregnancy

The 2025 guidelines also recommend narrower monitoring of hypertension before, during and after pregnancy to help mitigate the risk of short and long -term complications. They advise to treat high blood pressure with certain drugs when the systolic blood pressure measures 140 mm or more, or that the diastolic blood pressure reaches 90 mmHg or more.

“Highter blood pressure during pregnancy can have lasting effects on mother’s health, including an increased risk of blood pressure and future cardiovascular conditions.

Healthy lifestyles can make a big difference for blood pressure

The guidelines always highlight the importance of healthy lifestyles of the heart, which have proven to be effective in preventing and treating high blood pressure.

“”The lifestyle has always been essential for the treatment of hypertension, “explains Laffin.” The treatment is in fact 70% of modification of lifestyle, 30% of drugs. Most people with high blood pressure need medication, but a change in lifestyle is necessary in all patients. »»

The AHA recommends the following habits as the first line of hypertension treatment for all adults:

  • Eat less than 2,300 milligrams (MG) of sodium per day, and aim for an ideal limit of 1,500 mg per day.
  • Abandon alcohol Or reduce the contribution to no more than two glasses per day for men and no more than one glass per day for women.
  • Practice stress management techniques Like yoga, meditation or breathing.
  • Move your body To obtain 75 to 150 minutes of moderate in vigorous intensity exercise per week. Try to incorporate at least two resistance or strength training sessions.
  • Follow a healthy diet of the heart, Like the dash style food plan which is designed to reduce high blood pressure and focuses on the consumption of many fruits, vegetables, whole grains, beans, nuts and seeds, lean and low -fat protein.
  • Maintain or work towards healthy body weight, In order to lose at least 5% of the total body weight in overweight or who have obesity.
  • Monitor your blood pressure at home, This can help follow progress and adapt care.

Who is most at risk of developing high blood pressure – and why is it so dangerous?

The data suggests that almost half of all adults in the United States have high blood pressure, but many do not realize that they have it because there are generally no signs or notable symptoms.

In addition, practically anyone can develop high blood pressure, although the risk can be higher when certain factors are at stake – such as family history of the disease or a state of health such as diabetes, sleep apnea or thyroid disease.

And in addition to the better known cardiac health complications of high blood pressure, directives emphasize that research has recently linked heart disease to a reduction in brain health – making the early detection and treatment of hypertension even more crucial.

“We have always been concerned about the risks of high blood pressure,” said Laffin. “But we are even more sure now than control of blood pressure at lower levels is associated with a reduced cardiovascular risk and a lower risk of light cognitive disability and dementia.”

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