Wholesome modifications in weight-reduction plan, exercise improved treatment-resistant hypertension

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People with refractory hypertension adopt a diet (DASH) diet plan to stop hypertension and lose weight by participating in a structured diet and exercise program at an accredited cardiac rehabilitation facility. By improving aerobic fitness, we have succeeded in lowering blood pressure.A new study published today in the American Heart Association’s flagship journal circulation..

Uncontrolled high blood Pressure (130/80 mm Hg and above) is a condition known as tolerance, despite using three or more drugs in different classes, including diuretics, to lower blood pressure. High blood pressure.. Estimates vary, but resistant hypertension affects about 5% of the general world population and can affect 20% to 30% of adults with hypertension. Resistant hypertension is also associated with a 50% increased risk of end organ damage and adverse cardiovascular events, including stroke. heart attack And death.

Diet and exercise High blood pressure.. In June 2021, the American Heart Association advised that physical activity was the best first treatment for adults with mild to moderate blood pressure and blood cholesterol and a low risk of heart disease.

This new study, Treatment of Resistant Hypertension (TRIUMPH) Using Lifestyle Changes to Promote Health, Lifestyle Changes in people with resistant hypertension.Researchers found it Behavioral changesRegular aerobic exercise, adoption of the DASH (Dietary Approaches to Stop Hypertension) diet, reduction of salt consumption, weight loss, etc., significantly lower blood pressure in people with resistant hypertension and improve cardiovascular health can do. The Dash Diet Plan is rich in fruits, vegetables, low-fat dairy products, and limited salt, and is in harmony with the nutrition of the American Heart Association. Recommendations..

The 4-month clinical trial enrolled 140 adults with resistant hypertension (mean age 63 years, 48% women, 59% black adults, 31% type 2 diabetes, 21% chronic kidney disease). Participants were randomly divided into two groups. 90 participants received weekly dietary counseling and exercise training in an intensively monitored cardiac rehabilitation environment three times a week. The other 50 participants received a briefing session from a health educator and developed guidelines on exercise, weight loss, and nutritional goals to follow.

Researchers have found the following:

  • Participants in the surveillance program had a decrease in systolic blood pressure of approximately 12 points compared to 7 points in the self-guided group. Systolic blood pressure (the first blood pressure measurement) indicates the pressure that blood exerts on the arterial wall when the heart beats, and is recognized as a major risk factor for cardiovascular disease in adults over the age of 50.
  • Blood pressure measurements obtained during routine 24-hour outpatient monitoring per day showed a 7-point decrease in systolic blood pressure in the supervised lifestyle program group, but no change in blood pressure in the self-guided group. It became clear.
  • Participants in the monitored program have also significantly improved other key indicators of heart health, suggesting a lower risk of future heart events.

“Our findings show that lifestyle changes in people with resistant hypertension may help them lose weight and increase physical activity, resulting in lower blood pressure and a lower risk of heart attack and stroke. “We have shown that there is,” said Dr. James A. Blumental. .D. , The first senior author of the study, and JP Gibbons Professor of Psychiatry and Behavioral Sciences at Duke University School of Medicine in Durham, NC. “Some people can make lifestyle changes themselves, but a structured program of supervised exercise and dietary changes carried out by an interdisciplinary team of medical professionals in a cardiac rehabilitation program. Is probably more effective. “

Blumenthal said the success of the supervised program does not mean that people with resistant hypertension can stop taking the drug. However, it is advisable to discuss with your doctor the possibility of reducing your dose or changing your medication based on your lower blood pressure.

Because the study was conducted by a single institution called Duke University School of Medicine, it may not be possible to generalize the findings to a wider group of people. However, the intensive, structured and supervised part of the study took place at some of the leading CPR centers in central North Carolina, demonstrating educational and cultural diversity. Researchers believe the program can be successfully implemented at similar CPR centers throughout the county. Also, the impact of studies beyond four months of monitoring is limited by whether participants who have significantly changed their lifestyle maintain them. “Unless healthy lifestyle habits are maintained, the benefits of lifestyle changes can diminish,” Blumenthal said.

“The most important thing is that it’s not too late to lower the blood. pressure Adopting a healthy lifestyle by choosing a healthy lifestyle is blood pressure Despite taking 3 or more antihypertensive drugs, it remains elevated. “

American Heart Association volunteer experts Bethany Barone Gibbs, Ph.D., and FAHA said the data would provide clinicians with another evidence-based tool to assist patients with resistant hypertension. ..

“We are usually thinking of recommending lifestyle changes such as losing weight and gaining weight. Physical activity Before starting dosing, this study provides an important reinforcement to add lifestyle changes in combination with dosing, and to be an effective strategy when dosing alone is ineffective. ” Gibbs, an associate professor in the Department of Health and Human Development and Clinical, said. Translation Science at the University of Pittsburgh. “Also, Blumenthal, et. Al. Used a cardiac rehabilitation model that could replicate in many settings.”

Gibbs, chair of the June 2021 Scientific Statement Writing Group of the Association on Lifestyle Treatment of Hypertension, urged patients to address lifestyle changes. Taking at least 1,000 steps per day will give you health benefits.

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For more information:
circulation (2021). www.ahajournals.org/doi/10.116… LATIONAHA.121.055329

Provided by
American Heart Association

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