Beginning with a BP of 115/75 mmHg, cardiovascular disease (CVD) risk doubles for each increased increment of 20/10 mmHg. Those who are normotensive (BP <120/80 mmHg), at age 55 will have a 90% lifetime risk of developing HTN and adoption of a healthy lifestyle is critical to reduce this risk.14 Patients with Elevated BP (BP 120-129/<80) are not candidates for drug therapy and should be firmly and unambiguously advised of health-promoting lifestyle modifications to reduce their risk of progressive rise of BP in the future.14,18 Table 7 presents recommended lifestyle modifications to reduce the risk of developing HTN.14,18
|Weight Loss||Target ideal body weight. But aim for at least a 1-kg reduction in body weight for most adults who are overweight. Expect about 1 mm Hg for every 1-kg reduction in body weight.|
|Healthy diet||Consume a diet rich in fruits, vegetables, whole grains, and low-fat dairy products. Reduce intake saturated and total fat.|
|Reduced intake of dietary sodium||Target goal is <1500 mg/d, but aim for at least a 1000-mg/d reduction in most adults.|
|Enhanced intake of dietary potassium||Aim for 3500–5000 mg/d, preferably by consumption of a diet rich in potassium.|
|Moderation in alcohol intake||In individuals who drink alcohol, reduce alcohol to:
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