Citation
Charchar, Fadi J. and Prestes, Priscilla R. and Mills, Charlotte and Ching, Siew Mooi and Neupane, Dinesh and Marques, Francine Z. and Sharman, James E. and Vogt, Liffert and Burrell, Louise M. and Korostovtseva, Lyudmila and Zec, Manja and Patil, Mansi and Schultz, Martin G. and Wallen, Matthew P. and Renna, Nicolás F. and Islam, Sheikh Mohammed Shariful and Hiremath, Swapnil and Gyeltshen, Tshewang and Chia, Yook-Chin and Gupta, Abhinav and Schutte, Aletta E. and Klein, Britt and Borghi, Claudio and Browning, Colette J. and Czesnikiewicz-Guzik, Marta and Lee, Hae-Young and Itoh, Hiroshi and Miura, Katsuyuki and Brunström, Mattias and Campbell, Norm R.C. and Akinnibossun, Olutope Arinola and Veerabhadrappa, Praveen and Wainford, Richard D. and Kruger, Ruan and Thomas, Shane A. and Komori, Takahiro and Ralapanawa, Udaya and Cornelissen, Véronique A. and Kapil, Vikas and Li, Yan and Zhang, Yuqing and Jafar, Tazeen H. and Khan, Nadia and Williams, Bryan and Stergiou, George and Tomaszewski, MacIej
(2024)
Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension.
Journal of Hypertension, 42 (1).
pp. 23-49.
ISSN 0263-6352; ESSN: 1473-5598
Abstract
Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic blood pressure (DBP) at least 90 mmHg (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. Hypertension is associated with increased risk of cardiovascular disease (CVD) events (e.g. coronary heart disease, heart failure and stroke) and death. An international panel of experts convened by the International Society of Hypertension College of Experts compiled lifestyle management recommendations as first-line strategy to prevent and control hypertension in adulthood. We also recommend that lifestyle changes be continued even when blood pressure-lowering medications are prescribed. Specific recommendations based on literature evidence are summarized with advice to start these measures early in life, including maintaining a healthy body weight, increased levels of different types of physical activity, healthy eating and drinking, avoidance and cessation of smoking and alcohol use, management of stress and sleep levels. We also discuss the relevance of specific approaches including consumption of sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting as well as integrated strategies to implement these recommendations using, for example, behaviour change-related technologies and digital tools.
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