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    Home > Food News > Nutrition News > Healthy diet and exercise can improve antihypertensive treatment

    Healthy diet and exercise can improve antihypertensive treatment

    • Last Update: 2021-10-10
    • Source: Internet
    • Author: User
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    Although three or more different types of drugs including diuretics are used to lower blood pressure, uncontrollable hypertension (130/80 mmHg or higher) is called refractory hypertension
    .
    Although estimates vary, refractory hypertension may affect approximately 5% of the global general population and may affect 20% to 30% of adults with hypertension

    .
    Refractory hypertension is also associated with end-organ damage, which increases the risk of adverse cardiovascular events by 50%, including stroke, heart attack, and death

    .

    Diet and exercise are recognized treatments for high blood pressure
    .
    In June 2021, the American Heart Association recommended that physical exercise is the best treatment of choice for adults with mild to moderately elevated blood pressure and blood cholesterol and a lower risk of heart disease

    .

    This new study, using life>
    .
    Researchers found that behavioral changes, including regular aerobic exercise, adopting DASH (diet method to stop high blood pressure) diet, reducing salt intake and losing weight, can significantly reduce blood pressure in hypertensive patients and improve cardiovascular health

    .
    The DASH diet plan is rich in fruits, vegetables, low-fat dairy products and limited salt, and meets the nutritional recommendations of the American Heart Association

    .

    This 4-month clinical trial involved 140 adults with refractory hypertension (average age 63; 48% women; 59% adult blacks; 31% had type 2 diabetes; 21% had chronic kidney disease)
    .
    Participants were randomly divided into two groups.
    90 participants received diet counseling and intensive, supervised cardiac rehabilitation training 3 times a week

    .
    Another 50 participants received a single information session from health educators and received written instructions on exercise, weight loss, and nutritional goals

    .

    The researchers found:

    • The systolic blood pressure of participants in the supervised program dropped by about 12 points, while those in the self-directed group dropped by 7 points
      .
      Systolic blood pressure (the first number in a blood pressure reading) represents the pressure exerted by blood on the arterial wall when the heart beats, and is considered a major risk factor for cardiovascular disease in adults 50 years and older

      .

    • In a typical day, blood pressure measurements obtained through 24-hour dynamic monitoring showed that the systolic blood pressure of the group receiving the supervised life>
      .

    • Participants in the supervised program also have greater improvements in other key indicators of heart health, which indicates that they have a lower risk of heart disease in the future
      .

    "Our research results show that changing the life>
    .
    " said Dr.
    James A.
    Blumenthal, he is The first author and senior author of the study, and the jp of psychiatry and behavioral sciences at Duke University School of Medicine in Durham, North Carolina

    .
    Professor Gibbons

    .
    "Although some people can make life>
    .
    "

    Blumenthal pointed out that the success of the monitoring program does not mean that patients with refractory hypertension can stop taking the medication; however, it suggests that they may want to discuss possible dose reductions with their doctors or change them based on their reduced blood pressure.
    Drugs

    .

    The study was conducted at a single institution, Duke University School of Medicine, so the results of the study may not be generalized to a wider population
    .
    However, the concentrated, organized, and supervised part of the research took place in several representative cardiac rehabilitation centers in central North Carolina, and the educational and cultural diversity is well reflected

    .
    Researchers believe that the project can be successfully implemented in similar cardiac rehabilitation centers throughout the county

    .
    In addition, the impact of this study extends beyond four months of monitoring, depending on whether participants who have undergone major changes in their life>
    .
    Blumenthal said: "Unless you can maintain healthy life>
    .
    "

    He said: "The most important point is that it is not too late to choose a healthy life>
    .
    " "A healthy life>

    .
    "

    American Heart Association volunteer expert Dr.
    Bethany Barone Gibbs pointed out that these data provide clinicians with another evidence-based tool to help patients with refractory hypertension

    .

    "Although we usually recommend life>
    .
    " said Gibbs, associate professor in the Department of Health and Human Development and Clinical and Translational Sciences at the University of Pittsburgh

    .
    "Equally exciting is that Blumenthal et al.
    used a cardiac rehabilitation model that can be replicated in many environments

    .
    "

    The statement is written by the chairman of the group Gibbs Association in June 2021, the scientific statement of life>
    .

    Journal Reference :

    1. James A.
      Blumenthal, Alan L.
      Hinderliter, Patrick J.
      Smith, Stephanie Mabe, Lana L.
      Watkins, Linda Craighead, Krista Ingle, Crystal Tyson, Pao-Hwa Lin, William E.
      Kraus, Lawrence Liao, Andrew Sherwood.
      Effects of Life> .
      Circulation , 2021; DOI: 10.
      1161/CIRCULATIONAHA.
      121.
      055329


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