Document Detail

Non-pharmacological management of essential hypertension.
MedLine Citation:
PMID:  10645695     Owner:  NLM     Status:  MEDLINE    
Lifestyle modifications are universally accepted, not only as the first step in the management of hypertension but also a way to prevent hypertension. The INTERSALT study of 52 communities worldwide showed that weight, among all measured characteristics except age, had the strongest, significant, most consistent and independent correlation with blood pressure. INTERSALT epidemiological data had demonstrated a positive association between sodium intake and level of blood pressure. A rigorous analysis of 23 randomly controlled trials showed that 100 mmol/day reduction in sodium intake was associated with a decline of 5-7 mm Hg (systolic)/2.7 mm Hg (diastolic) in hypertensive subjects. Excessive alcohol consumption is another important risk factor for hypertension and has been reported to account for 5-30% of all hypertension. Moderately intense exercise at 40 to 60% of maximum oxygen consumption e.g., 30 to 45 minutes of brisk walking on 4-5 days a week, can lower blood pressure. The incidence of stroke and coronary artery disease in hypertensive patients who smoke is 2-3 times greater than in non-smoking patients with comparable blood pressure and stopping smoking rapidly reduces this risk. There have been several studies showing the stress reduction with various behavioural procedures, such as yoga, relaxation biofeedback, transcedental mediation and psychotherapy benefit hypertensive patients by lowering their blood pressure.
M P Anand
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Indian Medical Association     Volume:  97     ISSN:  0019-5847     ISO Abbreviation:  J Indian Med Assoc     Publication Date:  1999 Jun 
Date Detail:
Created Date:  2000-02-04     Completed Date:  2000-02-04     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7505608     Medline TA:  J Indian Med Assoc     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  220-5     Citation Subset:  IM    
Lady Ratan Tata Medical Centre, Mumbai.
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MeSH Terms
Alcohol Drinking / adverse effects
Hypertension / etiology,  prevention & control,  therapy*
Life Style
Obesity / complications
Randomized Controlled Trials as Topic
Relaxation Therapy
Risk Factors
Smoking / adverse effects
Sodium Chloride, Dietary / adverse effects
Stress, Psychological / complications
Reg. No./Substance:
0/Sodium Chloride, Dietary

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