Treatments for hypertension
Lifestyle changes are important for both treatment and prevention of high blood pressure, and they can be as effective as a drug treatment. These lifestyle changes can also have wider benefits for heart health and overall health.
The lifestyle measures shown to reduce blood pressure and recommended by experts include:
Salt restriction - typical salt intake is between 9 and 12 g a day and modest blood pressure reductions can be achieved even in people with normal levels by lowering salt to around 5 g a day - the greatest effects are seen in people with hypertension
Moderation of alcohol consumption - expert guidelines say moving from moderate to excessive drinking is "associated both with raised blood pressure and with an increased risk of stroke"
High consumption of vegetables and fruits and low-fat - people with, or at risk of, high blood pressure are advised to minimize intake of saturated fat and total fat and to eat whole-grain, high-fiber foods, at least 300 g of fruit and vegetables a day, beans, pulses, and nuts, and omega-3-rich fish twice a week.
Reducing weight and maintaining it - hypertension is closely correlated with excess body weight, and weight reduction is followed by a fall in blood pressure.
Regular physical exercise - guidelines say "hypertensive patients should participate in at least 30 min of moderate-intensity dynamic aerobic exercise (walking, jogging, cycling or swimming) on 5 to 7 days a week".
Stress reduction - avoiding sources of stress, where possible, and developing healthy coping strategies for managing unavoidable stress can help with blood pressure control, especially as many people turn to alcohol, drugs, smoking and unhealthy foods or overeating to cope with stress.
Smoking can also raise blood pressure, and because of its wider effects on heart health and the rest of the body, giving up smoking is highly recommended for people with high blood pressure.