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Home » Blood Pressure

Mind & Blood Pressure: The Connection Between Hypertension and Cognitive Decline

Michael Rotman, MD, FRCPC, PhD

Michael Rotman, MD, FRCPC, PhD | Fact checked by Robin Backlund, BHSc
Last update: May 9, 2023

Explore the relationship between hypertension and cognitive decline. Find out how managing high blood pressure can protect against early brain aging and memory loss.

Hypertension and Cognitive Decline

Quick Summary

  • High blood pressure has been shown to increase the risk of cognitive decline, including memory loss and early brain aging.
  • Hypertension can cause damage to blood vessels and restrict blood flow to the brain, leading to a decline in cognitive function.
  • Effective management of hypertension through regular monitoring, lifestyle changes, and medication can help maintain healthy blood pressure levels and protect against cognitive decline.
  • In addition to managing blood pressure, engaging in mentally stimulating activities, maintaining overall physical health, and reducing stress can also positively impact cognitive health.

As we age, our bodies face many health challenges, and one of the most pressing is the risk of hypertension. This condition can have far-reaching effects on our overall well-being, including its impact on our cognitive health.

Recent research highlights a strong connection between hypertension and cognitive decline, making it more critical than ever to understand the relationship between our blood pressure and brain function.

Through this article, we will try to understand the connection between hypertension and cognitive decline, explore how high BP affects our minds, and how we can maintain healthy blood pressure and protect our cognitive health.

In this article hide
1. Can High Blood Pressure Cause Cognitive Decline?
2. How Does Blood Pressure Affect Cognitive Function?
3. What Are The Signs Of Cognitive Decline?
4. How To Manage Your Blood Pressure And Your Brain Health?
4.1. Manage Elevated Blood Pressure Effectively
4.2. Check Your Blood Pressure Levels
4.3. Adhere to the Medication Regimen
4.4. Natural supplements
5. Conclusion

Can High Blood Pressure Cause Cognitive Decline?

Many studies have found that having high blood pressure in middle age can have a negative impact on cognitive function, including overall thinking ability, memory, and processing speed.

One study, Honolulu-Asia Aging Study, followed a group of over 3,700 Japanese-American men who had their blood pressure measured over 20 years earlier.

The study found that for each 10-unit increase in blood pressure, the risk of poor brain function increased by 9%.

These findings establish the vital link between high blood pressure and brain health and highlight the importance of managing blood pressure to maintain cognitive health.

How Does Blood Pressure Affect Cognitive Function?

The brain is only 2 percent of body weight, but it receives approximately 20% of the blood flow, So if it does not receive the blood regularly and unhindered, some damage can happen.

High blood pressure can harm the brain by reducing or blocking its essential blood flow. Unhealthy blood pressure can also lead to scarring, narrowing, and disease in the blood vessels over time, hindering blood flow to the brain.

Various pathologies in the brain, including cerebrovascular damage, shrinkage of white and gray matter, micro infarcts, and possibly Alzheimer’s plaques and tangles, are caused by high blood pressure.

Thus, monitoring systolic blood pressure is crucial for older individuals as it is a major factor in cognitive decline.

Note

The interaction between high blood pressure and vascular brain damage, and its relationship with dementia-related processes, is still being studied.

What Are The Signs Of Cognitive Decline?

Cognitive decline refers to a decrease in mental abilities and thinking skills, which can occur as a normal part of aging or as a result of certain medical conditions. The signs of cognitive decline can vary from person to person, but some common symptoms include the following:

  • Memory loss or difficulty remembering new information, such as names, dates, and appointments.
  • Difficulty with planning, organizing, and problem-solving, such as managing finances or following a recipe.
  • Struggling with familiar tasks, such as operating familiar appliances or finding familiar locations.
  • Confusion, disorientation, and getting lost, especially in familiar places.
  • Language difficulties, such as finding the right words or following a conversation.
  • Decreased focus and concentration, such as having trouble following a TV program or reading a book.
  • Decreased visual-spatial abilities, such as difficulty judging distance or recognizing objects.
  • Mood and behavior changes, such as becoming more irritable, anxious, or apathetic.
  • Decreased ability to make decisions, such as choosing appropriate clothing for the weather.

It’s important to note that these changes may be normal as we age, but if they are sudden or noticeable, it’s best to seek medical evaluation. Early diagnosis and treatment can help slow down or prevent further cognitive decline.

How To Manage Your Blood Pressure And Your Brain Health?

To mitigate the risk of cognitive decline due to high blood pressure, it is recommended to follow these steps:

Manage Elevated Blood Pressure Effectively

If your blood pressure exceeds recommended levels, consult a healthcare provider to discuss appropriate steps.

Lifestyle modifications such as weight management, regular physical activity, and a diet low in sodium and rich in fruits and vegetables can help keep blood pressure healthy. In some cases, medication may be prescribed.

Check Your Blood Pressure Levels

Monitor blood pressure frequently at home or the clinic.

High blood pressure often goes unnoticed, especially in younger individuals, as it lacks noticeable symptoms. Still, it is imperative to be aware of it.

Adhere to the Medication Regimen

According to the Centers for Disease Control and Prevention, nearly half of all individuals with high blood pressure have uncontrolled levels.

One of the reasons for this is non-adherence to prescribed medication or failure to take it as directed. Hence, it is crucial to follow the medication regimen prescribed by a healthcare provider.

Natural supplements

Natural blood pressure supplements are an alternative to regulating blood pressure and maintaining brain health. These supplements contain ingredients like magnesium, calcium, potassium, and antioxidants that work together to support healthy blood pressure levels.

By taking natural supplements, individuals can help lower high blood pressure, prevent damage to the brain, and maintain good cognitive function. They are often considered a safer option compared to pharmaceutical drugs,

Conclusion

Hypertension can have a negative impact on cognitive health. Keeping a check on blood pressure, combined with lifestyle changes and medication, can help reduce the risk of cognitive decline.

Additionally, promoting overall health and engaging in mentally stimulating activities can improve cognitive health and reduce the risk of developing related conditions.

It is never too late to begin taking control of your blood pressure and brain health, so consider making positive changes to protect your mind and well-being.

References

Giuseppe Forte et. al., Effects of Blood Pressure on Cognitive Performance: A Systematic Review J Clin Med. 2020 Jan; 9(1): 34. Published online 2019 Dec 22. doi: 10.3390/jcm9010034

Felicia C Goldstein et. al., “High blood pressure and cognitive decline in mild cognitive impairment” J Am Geriatr Soc. 2013 Jan;61(1):67-73. doi: 10.1111/jgs.12067. Epub 2013 Jan 10.

C Tzourio et.al., “Cognitive decline in individuals with high blood pressure: a longitudinal study in the elderly. EVA Study Group. Epidemiology of Vascular Aging” Neurology. 1999 Dec 10;53(9):1948-52. doi: 10.1212/wnl.53.9.1948.

Jiate Wei, MD et.al., “Association between hypertension and cognitive function: A cross‐sectional study in people over 45 years old in China” J Clin Hypertens (Greenwich). 2018 Nov; 20(11): 1575–1583. Published online 2018 Sep 26. doi: 10.1111/jch.13393

Nereida K. C. Lima, MD, PhD Hypertension and cognition decline: Is there an ultimate link? J Clin Hypertens (Greenwich). 2018 Nov; 20(11): 1584–1586. Published online 2018 Sep 26. doi: 10.1111/jch.13401

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Michael Rotman, MD, FRCPC, PhD

About Michael Rotman, MD, FRCPC, PhD

Michael Rotman is a Structural Heart Specialist, Interventional Cardiologist and Scientist. He has more than a decade of experience in treating heart related desease, as well as authoring and reviewing health and wellness-related content. Currently work for a St. Michael’s Hospital in Toronto.

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Fact checked by Robin Backlund, BHSc

robin backlundRobin Backlund is a dedicated journalist and a medical student who has written several articles and essays exposing the falseness and hollowness of online resources in the medical science niche.

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