This will reduce the risk of dying from high blood pressure.

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This will reduce the risk of dying from high blood pressure.

This will reduce the risk of dying from high blood pressure.

This will reduce the risk of dying from high blood pressure.

Posted by Junko Onishi | , 13/06/2022

2022-06-13T14: 52

2022-06-13T14: 52

2022-06-13T14: 52

nikkei asian review

healthy

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Posted by Junko Onishi A study in China found that even if a person with hypertension were taking blood pressure medication, it would not be effective enough to reduce the risk of death unless lifestyle improvements such as stopping it were made. smoking and exercise. A healthy lifestyle is essential even when taking antihypertensive drugs. Hypertension is closely linked to the development of cardiovascular diseases such as stroke and myocardial infarction, as well as death from these diseases. In addition, it has also been found to increase the risk of certain types of cancer. If patients diagnosed with hypertension do not lower their blood pressure despite efforts to improve their lifestyle, they are prescribed antihypertensive drugs. Two important aspects of managing hypertension are taking prescription medications and improving your lifestyle. It is known that if you follow a healthy lifestyle, the condition of blood vessels improves and the risk of cardiovascular disease is reduced. However, some patients rely too heavily on antihypertensive drugs and do not make active efforts to improve their lifestyle or follow a healthy lifestyle. As a result, the researchers compared the risk of overall mortality, death from cardiovascular disease and cancer. For this study, information collected up to 2018 was used. In terms of lifestyle, five factors were taken into account, which are given in the latest recommendations for the prevention and treatment of hypertension: body mass index, smoking history, diet, physical activity and duration of sleep. Each factor was rated on a three-point scale from 0 (bad habits) to two points (good habits). For example, in terms of body mass index, two points were assigned to values ​​18.5 – 24.9 (normal weight), 0.9 (first degree obesity) – one point, with values ​​of 30 and above (second degree obesity) or below 18.5 (underweight) – zero points. When evaluating smoking history, two points were given to those who had never smoked or quit smoking ten years ago, one point to those who quit smoking less than ten years ago, and zero points to those who still smoke. frequency and average duration of physical activity in leisure (ho walking, jogging, cycling, ball games, dancing, tai chi, swimming or fitness activities), at the level suggested by the driver, ie at least 150 minutes per week of moderate intensity exercise or 75 minutes a week of high-intensity exercise, gave two points if the level was below the recommended – one point and zero if the person does not exercise at all. In terms of diet, one grade was given for eating vegetables at least twice a day, fruits at least once a day and meat less than once a day. If you score three points, you get two points. Two points were given one point and zero or one – zero. In terms of sleep duration, two points were given for six to eight hours, for 5 – 5.9 or 8.1 – 10 hours – one point and zero degrees if the person has slept less than five or more than ten hours. The fact is that the relationship between sleep and overall mortality is represented by a J-shaped curve. Based on the sum of the points for these five factors, individuals were divided into three groups: with bad habits (0 – 4 points), with moderate ( 5 – 7 points) and with good habits (8 – 10 points) Regarding antihypertensive drugs, their use was considered if one took them within two weeks before the studies. Medications and good habits reduce the risk of death and cancer by 70% Factors that may influence the analysis are also taken into account: information on age, sex, education, alcohol use, duration of hypertension, presence of diabetes or cardiovascular disease and the use of lipid-lowering drugs (cholesterol lowering) The final studies included 14,392 hypertensive patients (median age 65.6 years, 50.6% of men) who did not have cancer at the time of enrollment and All the necessary information was available.The 1st follow-up period was 7.3 years.During this period, 2015 people died: 761 from cardiovascular disease and 525 from cancer, bad habits, not taking antihypertensive drugs (0 – 4 points) Compared to this group, the lowest risks were in people who used drugs and followed a healthy lifestyle (8 – 10 points): the reduction was about 70%, the group group who took blood pressure medication but had bad habits did not show a significant reduction in the risk of death from cardiovascular disease and cancer compared to the control group. Lifestyle chart Horizontal scores and reduced risk of death on the vertical axis show that the risk of overall mortality, death from cardiovascular disease and cancer decreases with increasing b scores for good habits in both drug groups. pressure as well as in the untreated groups. The researchers also looked at the effect of lifestyle changes over time on mortality risk. The study took into account questionnaires from 6,863 people from the Dongfeng-Tongji county. The results showed that if people who initially had bad habits then improved their lifestyle to levels classified as moderate or healthy, the risk of overall mortality and death from cardiovascular disease was reduced. Almost 50%. One must take antihypertensive drugs, maintain a healthy lifestyle, monitor weight, stop smoking, exercise in the recommended amounts, eat healthy foods and get enough sleep. These studies have shown that this will help prevent premature death in adult patients with hypertension. It seems that medicines alone are not enough to reduce the risk of death – it is important to maintain a healthy lifestyle for a long time.

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