Is your blood pressure reading 146/90? Does that mean you have to worry? Here’s everything you need to understand about a 146/90 blood pressure level, along with some advice on how to manage it.
So you have a 146 over 90 blood pressure – is it good or bad?
A blood pressure of 146/90 indicates that you are having a STAGE 1 HYPERTENSION which can be a health crisis overtime.
Was this helpful?
So what’s next? Scroll down to learn:
- What does a 146/90 blood pressure mean?
- What should you do if you have 146/90 blood pressure?
- Some easy to do home remedies and supplementations.
- Frequently asked question that will answer many of your queries regarding your 146/90 blood pressure.
🚨 Exclusive Offer for TheEMTSpot Readers 🚨
Are you looking for a reliable way to monitor your blood pressure at home? Look no further! Introducing the CheckMe BP2 Blood Pressure Monitor—your go-to device for accurate and hassle-free readings.
Use code EMTSPOT15 at checkout and get an instant 15% OFF THE PRICE!
Don’t miss out on this limited-time offer. Take control of your health today!
What does a 146 over 90 (146/90) blood pressure mean?
A level of 146/90 means that the person is going through the first stage of hypertension. A trained physician clinically diagnoses it over the course of time.
When your blood pressure is in the range of 140/90 – 160/100 for a period extending more than 7 days, your doctor may clinically diagnose it has stage one hypertension.
Blood pressure chart
mm Hg [upper #]
mm Hg [lower #]
Less than 80
Less than 50
Less than 90
Less than 60
Less than 120
Less than 80
Less than 80
Hypertension STAGE 1
Hypertension STAGE 2
140 or higher
90 or higher
Consult your doctor immediately
Higher than 180
Higher than 120
Stage 1 hypertension, or mild hypertension, means that the person is at higher risk of cardiovascular disorders and other comorbidities if medical attention is not sought at the right time.
The person in question must be put through to a physician to discuss the medication that will be best suited to him. Also, he will need to keep a firm check on his lifestyle.
Even though 146/90 may pose a long-term risk, it doesn’t put the patient in immediate danger and, therefore, doesn’t need hospitalization.
You may feel mild symptoms at the start which may aggravate over time, and can lead to stage 2 or other comorbidities if not treated.
Some of the symptoms you may feel when you 146/90 mm/Hg are:
- Nausea and dizziness
- Severe headache
- Excess sweating
- Difficulty in breathing
- Weight gain
What should you do if you have 146 over 90 (146/90) blood pressure?
Here is a set-by-step procedure to follow when you figure out you have a blood pressure of 146/90.
1. Consult your doctor for accurate blood pressure reading
If your blood is 146/90 and you have checked the same in your home setup, it is highly recommended to get it checked at your doctor’s office.
A trained professional has to clinically assess your condition and confirm that your 146/90 is, in fact, clinically valid.
There are instances when your reading at home setup might give you a reading which is incorrectly reported. It could be because of an error in reading it, damage to your device, your physical or mental condition on that particular day, etc.
Therefore, a doctor has to assess it over the course of 7 – 30 days periodically before he/she can confirm the accurate stage of your blood pressure.
Now, let’s delve a bit into specific cases of blood pressure anomalies.
The European Society of Hypertension identifies “white coat hypertension” as a condition where blood pressure readings are high at the doctor’s office (at least 140/90 mmHg) but average out to be lower at home or during daily activities (less than 130/80 mmHg).
This designation is for individuals who have not been previously treated for hypertension.
Interestingly, this differs from the “white coat effect,” a phenomenon where blood pressure is elevated in a clinical setting as opposed to home or daily activity measurements.
This can occur in both treated and untreated patients. A difference of more than 20/10 mmHg between clinical and non-clinical settings is considered significant.
About 13% of people may experience white coat hypertension.
On the flip side, “masked hypertension” is a condition where blood pressure readings appear normal in a clinical setting but are actually elevated when measured at home.
A study in the European Journal of Preventive Cardiology suggests that up to 30% of individuals might have masked hypertension, which is correlated with a higher risk of heart disease.
Both white coat and masked hypertension, as well as the white coat effect, are intricately linked to physiological and psychological factors.
Hence, it is crucial for these conditions to be thoroughly assessed and validated by a medical professional.
2. Adopt these lifestyle changes to regulate your blood pressure
A level of 146/90 indicates stage one hypertension; therefore, it is high time you shift gears for a healthy lifestyle. Multiple facets of your physical health will determine your blood pressure.
A few healthy lifestyle choices that you can incorporate are:
- Try getting adequate rest every day.
- Reduce the consumption of sodium salts.
- Support a healthy diet and exercise daily.
- Try to maintain a healthy weight.
- Quit smoking and drinking, or at least keep it in check.
- Manage your stress and anxiety.
3. Consider using medications for blood pressure management
Based on your doctor’s recommendation, you may have to go with one or more of the following drugs to treat your 146/90 blood pressure. All of these are prescription drugs, and the dosage is designed based on your condition
- Water pills: these are the medications that help in the withdrawal of sodium salts from the bloodstream and help the body’s hydration to a better extent. Because of the removal of sodium, your blood vessels experience less pressure over them.
- Angiotensin II Receptor Blockers: these supplements help stop the contraction of blood vessels. Therefore, the blood vessels are relaxed, and the blood pressure over the vessels is reduced.
- Diltiazem: this is a type of Calcium Channel Blocker. This medication stops the intermixing of Calcium minerals in your blood. Because of this, the heart rate of the person is lessened, which will help regulate the blood pressure.
- Alpha-blockers: are the medications that stop the nutrients and chemicals in the body from narrowing the blood vessels.
4. Plan a diet specifically for 146/90 blood pressure
Don’t worry. Ever since the advent of human civilization, blood pressure has been a major threat. When humans started to treat it, natural remedies were the first life of defense.
Here are some of the foods to watch for when you have a 146/90 blood pressure condition:
- Limit sodium intake: High sodium intake is associated with heart attack and stroke risks. Excess sodium in blood will increase the blood volume by retaining water, which further aggravates the 146/90 blood pressure. Processed foods, pickles, bread, pizzas, junk foods, etc. shall be avoided.
- Eat potassium: An important mineral necessary for the functioning of the sodium-potassium pump, which helps in the rejection of excess sodium from the body. Bananas, leafy veggies, tuna, dairy, etc., are rich in potassium.
- Say no to caffeine: Caffeine in coffee, tea, and some aerated beverages is directly linked to the working of your heart. Even though there is no evidence that it can prolong high blood pressure, it gives an instant boost to your existing 146/90 blood pressure.
- Dark chocolate is good to go: Flavonoids in dark chocolate can help to bring down your elevated 146/90 blood pressure back to normal. Make sure you opt for a non-alkalized cocoa product with no added sugar.
- Sugar is a killer: The carbohydrate surge created by sugar is linked to an increased incidence of heart problems. Since your blood pressure is high, it is advised to avoid or atleast cut short the intake of sugar, especially artificial sweetening agents.
- Calcium-rich helps: Calcium is an important mineral that helps in the working of cardio muscles. A deficiency of calcium is often linked to increased blood pressure. Beans, tofu, leafy veggies, and dairy are some good sources of calcium.
5. Monitor for additional health conditions associated with blood pressure 146/90
Some of the comorbidities associated with high blood pressure include coronary artery disease, chronic kidney disease, chronic obstructive pulmonary disease, stroke, and cardiovascular disorders.
When you have 146/90, the above-mentioned comorbidities may follow; if correctly, medical attention is not sought.
Therefore, it is highly recommended to treat your hypertension, get it back to a normal level of 120/80 and maintain it.
Some diseases like diabetes, sleep apnea, stress or depression, etc., can cause your blood pressure to increase.
This is why it is important to get medical attention rather than treating yourself so that the root cause will be rectified and corrected.
6. Try natural supplements to support healthy blood pressure level
Sometimes managing blood pressure is all about supplementing your body with the right diet. Food is undoubtedly the best primary source to supplement your body.
However, in the current scenarios, we all know how much adultered our foodstuff is, and most of us are pushed towards processed foods to feed ourselves in this fast-paced world.
All these food are high in sugar and sodium and doesn’t contain any vital nutrients that are important for a healthy heart.
This is where some of the nutraceutical-based blood pressure supplements come in handy. These products combine all critical nutrients your heart craves, thereby assisting the better function of your cardiovascular system.
Generally, these supplements are a concoction of herbs, plant-based products, dairy products, and some animal products. They are 100% organic and natural and don’t contain any harmful chemicals.
If you are hearing about these segments of products for the first time, to start with, you may blindly go for Blood Pressure Support from Vita Balance Inc, Blood Pressure Optimizer from HFL, or Corsanum, marketed by PLT Group.
Blood Pressure Support
Blood Pressure Optimizer
Blood Pressure Support combines hawthorn berry, olive leaf, hibiscus, and some vitamins like C, B6, B12, niacin, and folate alongside a bunch of other medicinal herbs to support the healthy working of the heart.
Blood Pressure Optimizer has MegaNatural®-BP grape seed extract and Celery3nB™ celery seed extract alongside common vitamins and minerals, which can help increase your cardiovascular elasticity.
Corsanum is a refined combination of olive, iron, and grapevine alongside regular products like coriander, hawthorn, and oregano, all of which are foods known to maintain cardiovascular health.
Only one thing to keep in mind is that, choose the best blood pressure-lowering supplement, because when it comes to heart, there is no taking of risk!
All the above practices are supposed to be followed in conjunction with the clinical treatment regimen your doctor chooses for you.
With 146/90 pressure, it is highly recommended to focus on therapeutic drugs which treat supplements and exercise as a heart health enhancer.
What should you do when your blood pressure is 146/90 during pregnancy?
Pregnancy introduces a unique set of variables that make managing a 146 over 90 blood pressure a bit more complicated. If you are pregnant and find yourself with a blood pressure of 146/90, immediate medical consultation is necessary.
A team of healthcare professionals including an obstetrician, cardiologist, and possibly a maternal-fetal medicine specialist will likely be involved in your care.
Medical practitioners may prescribe blood pressure medications that are safe for both mother and child, or modify current medications to ensure safety.
Lifestyle modifications are equally crucial. Unlike non-pregnant individuals, you may require more frequent prenatal check-ups to monitor both your well-being and your baby’s growth.
According to a study by the American Heart Association, even slightly elevated blood pressure in the first 20 weeks of pregnancy can impact the pregnancy’s outcome.
The study involved 47,874 women with healthy pre-pregnancy blood pressure levels. Some of these women had slightly high blood pressure, either stage 1a (not too high) or stage 1b (a bit higher).
Both groups faced slightly higher risks of developing gestational diabetes, preterm delivery, and having a baby with low birth weight compared to those with normal blood pressure.
Importantly, women with stage 1a and 1b high blood pressure were at a higher risk of developing more severe high blood pressure problems later in their pregnancies.
This increased risk was true for both normal-weight women and those who were overweight or obese before pregnancy.
Is blood pressure 146/90 high for a man?
In men, a blood pressure of 146/90 is considered stage 1 hypertension and calls for immediate lifestyle changes and potential medication. Men are generally at a higher risk for cardiovascular diseases, so it’s crucial to act immediately.
Exercise, especially aerobic activities, can significantly help to reduce blood pressure. Also, reducing sodium intake and eliminating smoking and excessive alcohol consumption can be particularly effective.
Medications are usually prescribed depending on other risk factors like age, family history, and existing comorbidities.
Is blood pressure 146/90 high for a woman?
For women, 146/90 also falls under stage 1 hypertension. Women often experience fluctuating blood pressure levels due to hormonal changes, especially during menstruation, pregnancy, and menopause. This makes it all the more critical to consult a healthcare provider for a tailored treatment plan.
Similar to men, lifestyle changes are imperative. For some women, birth control pills can exacerbate blood pressure, so a healthcare provider may suggest alternative methods of contraception.
Is blood pressure 146/90 high for an elderly?
In the elderly, a blood pressure reading of 146/90 does fall into the range of stage 1 hypertension.
However, it’s essential to note that blood pressure guidelines can sometimes be less stringent for older adults due to various factors like multiple comorbidities and the risks associated with medication side effects.
It is generally recommended that older adults aim for a blood pressure below 130/80 mm Hg, but the ideal target can vary from individual to individual.
It’s crucial to consult a healthcare provider for a tailored treatment plan that may include medications and lifestyle changes like diet adjustments and moderate exercise.
Is blood pressure 146/90 high for children?
A blood pressure reading of 146/90 is usually considered high for children and adolescents.
Children are not typically expected to have blood pressure levels in the hypertensive range, and a reading this high calls for immediate medical attention.
The diagnostic procedures may include multiple readings over time and possibly additional tests to rule out underlying conditions.
Lifestyle changes such as better dietary choices, increased physical activity, and even medication could be considered depending on the case.
Is blood pressure 146/90 high for an adult?
For adults, a blood pressure of 146/90 is indeed considered to be stage 1 hypertension.
It serves as a clear indicator that lifestyle modifications are needed, and medical treatment may be necessary depending on other risk factors like existing cardiovascular diseases or diabetes.
Immediate consultation with a healthcare provider is advised for a comprehensive diagnosis and treatment plan, which may include medication and lifestyle changes like diet and exercise.
FAQ (Frequently Asked Questions)
What is the blood pressure, and what are the normal values?
Blood pressure, in essence, is a barometer of the force exerted by blood flow on the walls of your arteries. This force is created by the pumping action of your heart as it circulates blood throughout your body. Imagine the heart as a tireless engine, tirelessly working to deliver life-sustaining oxygen and nutrients to every cell in your body.
It’s your heart’s task, with every beat, to push the blood into the intricate network of vessels that reach every corner of your body. When the heart contracts and pumps, this generates a ‘high’ pressure wave. As the heart relaxes between beats, the pressure decreases, creating a ‘low’ wave.
For health professionals, two key figures represent your blood pressure. The first, or top number, reflects systolic pressure. This is the pressure in your arteries when your heart beats. The second number denotes diastolic pressure, that is the pressure when the heart is at rest between beats.
Understanding normal blood pressure ranges is crucial. As a general guide, an ideal reading falls between 90/60 mmHg and 120/80 mmHg. These numbers represent the systolic and diastolic pressure respectively.
Let’s break that down further. A systolic reading below 120 mmHg is considered healthy. It’s an indication that the heart is efficiently pumping blood without excessive force on the arterial walls. The diastolic counterpart, if below 80 mmHg, is also deemed in the safe zone.
However, when these values rise consistently beyond the ideal range, problems may arise. Hypertension, or high blood pressure, is diagnosed when readings regularly surpass 130/80 mmHg. Persistently low readings, under 90/60 mmHg, can also signal potential health issues.
It’s important to know that blood pressure can fluctuate during the day. Stress, exercise, and sleep can all affect readings. Regular monitoring, therefore, is essential to understanding your overall cardiovascular health.
What is Stage 1 Hypertension?
Stage 1 Hypertension is the initial, clinically-recognized stage of elevated blood pressure, usually falling within the range of 140/90 to 160/100 mmHg. This diagnosis is made by a healthcare provider and often follows a period of Prehypertension.
The elevation in blood pressure at this stage puts the individual at an increased risk for developing cardiovascular diseases, kidney problems, and other comorbidities. While the condition isn’t an immediate emergency, neglecting medical intervention at this point can escalate the situation and potentially lead to more serious health issues.
How is Stage 1 Hypertension different from prehypertension?
Prehypertension is a precursor to Stage 1 Hypertension and generally falls in the range of 120/80 to 139/89 mmHg. It serves as an early warning signal, indicating that your blood pressure is higher than ideal but not yet in the range that’s clinically defined as hypertension.
Prehypertension usually necessitates lifestyle modifications but often doesn’t require medication. Stage 1 Hypertension, however, has higher blood pressure readings and carries a greater risk of developing heart and vascular diseases. At this point, medical advice is crucial, and medication is often recommended alongside lifestyle changes.
What are the blood pressure ranges for Stage 1 Hypertension?
The blood pressure readings that define Stage 1 Hypertension typically range from 140/90 mmHg to 160/100 mmHg. These aren’t isolated high readings caused by stress or other temporary factors. Rather, a diagnosis is usually made when such elevated readings are consistent across a period of more than 7 days.
Clinicians may require additional tests and ongoing monitoring to rule out other underlying conditions or factors, like “white coat hypertension,” where the blood pressure rises only in a clinical setting.
How is Stage 1 Hypertension diagnosed?
Diagnosis of Stage 1 Hypertension is a multi-step process, generally starting with a clinical assessment by a healthcare provider. An initial high reading, often in the range of 140/90 to 160/100 mmHg, may prompt the provider to schedule a series of follow-up readings over a span of 7 to 30 days.
This is essential for ruling out any transient factors like stress, anxiety, or the “white coat effect,” where the mere setting of a healthcare facility can induce high blood pressure. Blood tests and urine tests may also be done to rule out kidney issues or other underlying health conditions that could be pushing the blood pressure up.
What does systolic and diastolic pressure mean in the context of Stage 1 Hypertension?
Systolic and diastolic pressures are the two components of a blood pressure reading, usually presented as systolic over diastolic (e.g., 140/90 mmHg). Systolic pressure is the force of the blood against the artery walls when the heart pumps, and for Stage 1 Hypertension, it ranges from 140 to 160 mmHg.
Diastolic pressure, on the other hand, is the blood pressure when the heart is between beats, and it typically falls between 90 and 100 mmHg for this stage. Both pressures are critical in evaluating the state of one’s cardiovascular health, and elevated readings in either or both could signify Stage 1 Hypertension.
How often should blood pressure be monitored if diagnosed with Stage 1 Hypertension?
For those diagnosed with Stage 1 Hypertension, frequent monitoring is key. The general recommendation is to check your blood pressure at least once a week, but your healthcare provider may suggest more frequent checks depending on your overall health profile.
Monitoring blood pressure at home with a calibrated machine is a good supplement to the periodic checks done at the healthcare facility. This allows for a more comprehensive data set that can inform your treatment plan. It’s also essential to log these readings, as consistent data over time can help your healthcare provider fine-tune your medication and lifestyle interventions.
Are there any symptoms associated with Stage 1 Hypertension?
Stage 1 hypertension symptoms are often subtle and easily overlooked. In many cases, the condition may not present any noticeable signs, making it a silent risk to health. However, some individuals might encounter mild headaches, feelings of dizziness, or unexplained bouts of fatigue.
While it’s easy to dismiss these symptoms as the results of stress or a busy life, they could indeed be your body signaling a rise in blood pressure. Less frequently, people with Stage 1 Hypertension might experience nosebleeds or heart palpitations.
Given the elusive nature of these symptoms, it’s crucial to consult a healthcare provider for accurate diagnosis and appropriate treatment if you experience any of these indicators.
What are the risk factors for developing Stage 1 Hypertension?
Risk factors for developing Stage 1 Hypertension are numerous and can range from lifestyle choices to genetic predispositions. Unhealthy eating habits, such as consuming foods high in salt, along with sedentary behavior, amplify the chances of developing this condition. Excessive use of alcohol or caffeine, as well as smoking, further worsen the situation by constricting blood vessels and adding stress to the heart.
In addition to lifestyle factors, your age and family medical history can make you more susceptible. As you age, the likelihood of elevated blood pressure increases, and a family history of hypertension could mean you’re genetically predisposed to it. Some existing health issues like kidney disease or hormonal imbalances can also serve as catalysts, escalating the risk.
Lastly, psychological factors like stress and anxiety, often not given their due attention, can be significant contributors to rising blood pressure levels.
What lifestyle changes are recommended for managing Stage 1 Hypertension?
The management of Stage 1 Hypertension often starts at home with lifestyle alterations.
- Diet is crucial; a balanced meal plan rich in fruits, vegetables, and lean proteins can help. Reducing salt and sugar intake is also advised.
- Physical activity can’t be ignored. Aim for at least 30 minutes of moderate exercise most days of the week to help lower your blood pressure.
- Stress management techniques, like mindfulness and deep-breathing exercises, can be beneficial too.
- Limit or eliminate alcohol and tobacco use—these substances can contribute to elevated blood pressure.
- Lastly, maintaining a healthy weight is key; even losing a few pounds can make a difference in managing your blood pressure levels.
What medical treatments are available for Stage 1 Hypertension?
Stage 1 Hypertension treatment often involves a multi-pronged approach when lifestyle modifications alone don’t yield the desired results. One common route is medication, and this could mean a prescription for thiazide diuretics, also known as water pills, that assist the kidneys in eliminating surplus sodium and water from your system, thus reducing both blood volume and pressure.
Another option could be Angiotensin-converting enzyme (ACE) inhibitors, which focus on relaxing your blood vessels to facilitate smoother blood flow.
Calcium channel blockers are another alternative, which limit calcium entry into your heart and vessel cells, helping them to relax.
Additionally, beta blockers may be employed to reduce your heart’s workload.
A healthcare provider’s guidance is indispensable for tailoring the treatment to your unique condition and discussing any possible medication side effects.
What antihypertensive medications are commonly prescribed for Stage 1 Hypertension?
Several classes of antihypertensive medications are available, each working differently to control high blood pressure. Here are some commonly prescribed:
- Diuretics: Also known as water pills, they help the kidneys expel excess water and salt.
- Beta Blockers: These reduce the heart rate and the heart’s output of blood, thereby lowering pressure.
- ACE Inhibitors: They relax blood vessels by reducing the levels of angiotensin II, a hormone that narrows blood vessels.
- Angiotensin II Receptor Blockers (ARBs): These work like ACE inhibitors but are often prescribed when ACE inhibitors aren’t well-tolerated.
- Calcium Channel Blockers: These prevent calcium from entering cells of the heart and blood vessel walls, thus relaxing the vessels.
Are there any side effects associated with these medications?
Yes, all medications come with a risk of side effects. Here’s what you might encounter:
- Diuretics: Frequent urination, dehydration, and electrolyte imbalance.
- Beta Blockers: Fatigue, cold hands and feet, and weight gain.
- ACE Inhibitors: Dry cough, elevated blood potassium, and kidney dysfunction.
- ARBs: Dizziness, elevated blood potassium, and occasional kidney dysfunction.
- Calcium Channel Blockers: Constipation, headache, and palpitations.
It’s crucial to discuss these side effects with your healthcare provider. The key is to balance the medication’s benefits in controlling your blood pressure against any potential drawbacks.
Which healthcare providers are typically involved in diagnosing and treating Stage 1 Hypertension?
Managing hypertension is often a team effort, and multiple healthcare providers could be involved. Here’s who you might see:
- Primary Care Physicians: Often the first point of contact, they can diagnose, treat, and manage Stage 1 Hypertension in many cases. They may also refer you to a specialist for more complex cases.
- Cardiologists: These are doctors specialized in heart and cardiovascular health. They’re experts in managing all types of hypertension and related cardiac issues.
- Nephrologists: These kidney specialists may be involved, especially if hypertension is affecting kidney function or vice versa.
- Endocrinologists: They deal with hormonal aspects that could influence blood pressure, such as thyroid disorders or adrenal issues.
- Nurse Practitioners: They often work in collaboration with physicians for the monitoring and ongoing management of hypertension.
- Pharmacists: While not diagnosing or directly treating hypertension, pharmacists play a vital role in medication management, including advice on proper dosages and potential drug interactions.
Each healthcare provider brings their expertise to the table, making it a multi-disciplinary approach to manage and treat Stage 1 Hypertension effectively.
What does the American Heart Association (AHA) recommend for managing Stage 1 Hypertension?
The American Heart Association has specific recommendations for managing Stage 1 Hypertension, aiming to mitigate cardiovascular risks. The AHA generally recommends:
- Lifestyle Changes: AHA encourages a heart-healthy diet, regular exercise, and weight management as the first line of defense.
- Medication: For those who have a history of cardiovascular disease or are at high risk, medication is often recommended alongside lifestyle changes.
- Regular Monitoring: The AHA advises frequent blood pressure checks to ensure the effectiveness of the treatment plan.
Are there any established guidelines for healthcare providers?
Absolutely, healthcare providers often follow protocols based on evidence-based guidelines for diagnosing and treating hypertension. Some commonly referenced guidelines include:
- AHA/ACC Guidelines: These are the American Heart Association and American College of Cardiology combined guidelines, which are very comprehensive and widely followed.
- JNC Guidelines: The Joint National Committee has historically issued guidelines, known as JNC reports, although many providers now refer to AHA/ACC guidelines.
- European Society of Hypertension: For providers outside the U.S., these guidelines are often consulted.
- Local and National Protocols: Sometimes healthcare organizations have specific guidelines tailored to their patient demographics.
These guidelines provide a roadmap for healthcare providers to offer standardized and evidence-based care for patients with Stage 1 Hypertension.
What complications can arise from untreated Stage 1 Hypertension?
Stage 1 Hypertension complications can be numerous and serious if the condition is left untreated. The heart is particularly vulnerable, with a heightened risk of cardiovascular disease that could lead to heart attacks and strokes. Kidney health is another concern, as untreated hypertension can evolve into chronic kidney disease.
Vision may also be compromised due to damage to the blood vessels in the eyes, potentially leading to vision loss. Moreover, prolonged exposure to elevated blood pressure has been linked with cognitive decline, including issues with memory.
Are there other conditions commonly associated with Stage 1 Hypertension?
Yes, Stage 1 Hypertension often occurs alongside other medical conditions. Diabetes is a frequent coexisting condition that can complicate hypertension treatment. High cholesterol levels can increase cardiovascular risk when combined with hypertension. Obesity is also often a precursor to hypertension and can make its management more challenging.
What kind of diet is recommended for managing Stage 1 Hypertension?
Lowering salt intake is crucial, and foods rich in potassium, such as bananas, are beneficial.
Whole grains like whole-wheat bread and brown rice are better choices than processed grains. Lean proteins like fish and skinless chicken are preferable to red meat for maintaining heart health.
In a study published in the Journal of Clinical Hypertension, an 11-week trial focused on the DASH diet—which emphasizes fruits, vegetables, low-fat dairy, and less fatty foods—significantly lowered blood pressure.
This diet had effects starting in just two weeks and lasted for an additional six weeks. For people with normal blood pressure, the DASH diet lowered systolic blood pressure by 3.5 mm Hg and diastolic blood pressure by 2.1 mm Hg.
Remarkably, for individuals with high blood pressure—especially black patients—the systolic was lowered by 11.4 mm Hg and the diastolic by 5.5 mm Hg.
Beyond dietary patterns, other studies indicate that having more potassium in your diet can lower blood pressure by about 2-3 points.
Magnesium intake around 500-1000 mg a day might also help, depending on the dosage.
Calcium is another beneficial element; people who consume more than 800 mg per day have a 23% lower chance of developing high blood pressure compared to those who consume only 400 mg.
However, calcium supplements alone didn’t show a significant impact on blood pressure in one large study.
A different study, known as TOHP, found that for people who already had high blood pressure, reducing salt intake and losing weight were effective measures.
So, apart from eating right, it’s crucial to exercise and lose weight if necessary to manage your blood pressure effectively.
How does exercise contribute to the management of Stage 1 Hypertension?
Regular exercise plays a significant role in managing Stage 1 Hypertension. Even moderate physical activity can lower blood pressure to a healthier level. Exercise also helps control weight, which is a key factor in managing hypertension. Cardiovascular exercises like running, swimming, or cycling can also strengthen the heart and further contribute to lowering blood pressure.
Recent findings show that resistance training, such as weight lifting, also has blood pressure-lowering effects. It can reduce systolic blood pressure (the top number) by about 2% and diastolic blood pressure (the bottom number) by 4%. Furthermore, resistance training can lead to healthier heart and lungs, lowering systolic blood pressure by 3.2 mmHg and diastolic by 3.5 mmHg, along with a reduction in resting heart rate.
While the exact mechanisms are not entirely understood, exercise may lower blood pressure by reducing activity in the nervous system, altering the balance of certain chemicals, and increasing the production of nitric oxide. These changes help your blood vessels relax, thereby reducing blood pressure.
Even basic aerobic exercise, like walking or biking, can have a substantial impact. It can lower systolic blood pressure by around 5.09 mmHg, irrespective of the intensity, duration, or frequency of the activity. The combination of exercise and weight loss can produce even more significant results. People with high blood pressure may experience larger drops in systolic blood pressure compared to those with normal levels.
How to correctly check my blood pressure at home?
Keeping tabs on your blood pressure at home can be an important part of managing your health. With the advent of easy-to-use, accurate home blood pressure monitors, this task has become much simpler. Here’s a step-by-step guide on how to correctly measure your blood pressure at home:
- Choose the right equipment: First, you’ll need a home blood pressure monitor. Look for a monitor that measures blood pressure on your upper arm for the most accurate readings. Wrist and finger monitors are not as reliable.
- Prepare for the reading: Avoid eating, drinking caffeinated beverages or alcohol, or smoking for at least 30 minutes before taking a reading. Use the bathroom and make sure to rest for at least 5 to 10 minutes before you start.
- Set the right environment: It’s important to be relaxed when taking your blood pressure. Sit in a quiet, comfortable place. Rest your arm on a flat surface at the level of your heart. Keep your legs uncrossed and your feet flat on the floor.
- Position the cuff correctly: The cuff should be placed on your upper arm and should be snug, but not too tight – you should be able to slip two fingertips underneath it. Make sure the bottom of the cuff is placed directly above the bend of the elbow.
- Take multiple readings: Take at least two readings, with a minute or so in between. It may be helpful to record your blood pressure readings each time so you can track them over time and share this information with your healthcare provider.
- Interpret your readings: Normal blood pressure is generally considered to be around 120/80 mmHg. However, blood pressure can vary based on many factors, so it’s important to discuss your readings with your healthcare provider.
Prevalence and Related Factors of White Coat Hypertension and Masked Hypertension in Shunde District, Southern China. 2022. Hailan Zhu, Haoxiao Zheng, Xiaoyan Liang, Chunyi Huang, Lichang Sun, Xiong Liu, Min Qiu, Weiyi Mai, Yuli Huang https://www.frontiersin.org/articles/10.3389/fphys.2022.936750/full
Masked hypertension incidence and risk factors in a prospective cohort study. 2018. Xavier Trudel, Chantal Brisson, Mahée Gilbert-Ouimet, Caroline S Duchaine, Violaine Dalens, Denis Talbot, Alain Milot. https://journals.sagepub.com/doi/abs/10.1177/2047487318802692
Current status of white coat hypertension: where are we?. 2020. Gani Nuredini, Alec Saunders, Chakravarthi Rajkumar, Michael Okorie. https://journals.sagepub.com/doi/10.1177/1753944720931637
Increased Adverse Pregnancy Outcomes Associated With Stage 1 Hypertension in a Low-Risk Cohort. 2020. Dan-dan Wu, Ling Gao, Ou Huang, Kamran Ullah, Meng-xi Guo, Ye Liu, Jian Zhang, Lei Chen, Jian-xia Fan, Jian-zhong Sheng, Xian-hua Lin, He-feng Huang. https://www.ahajournals.org/doi/full/10.1161/HYPERTENSIONAHA.119.14252
Can Exercise Help Regulate Blood Pressure and Improve Functional Capacity of Older Women with Hypertension against the Deleterious Effects of Physical Inactivity?. 2021. Leitão L, Marocolo M, Souza HLR, Arriel RA, Vieira JG, Mazini M, Louro H, Pereira A. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431286/
Salt Reduction to Prevent Hypertension and Cardiovascular Disease: JACC State-of-the-Art Review. 2020. He FJ, Tan M, Ma Y, MacGregor GA. https://pubmed.ncbi.nlm.nih.gov/32057379/
Population study of blood pressure and associated factors in St Lucia, West Indies. 1982. Khaw KT, Rose G. https://pubmed.ncbi.nlm.nih.gov/6984027/
A prospective study of nutritional factors and hypertension among US women. 1989. Witteman JC, Willett WC, Stampfer MJ, et al. https://pubmed.ncbi.nlm.nih.gov/2805268/