Hypertension treatment guidelines: weight control first

summary

Hypertension is too common. Hypertension refers to a clinical syndrome characterized by increased systemic arterial blood pressure (systolic and / or diastolic blood pressure) (systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg), which can be accompanied by functional or organic damage of heart, brain, kidney and other organs. Hypertension is the most common chronic disease and the main risk factor of cardiovascular and cerebrovascular diseases. The blood pressure of normal people fluctuates in a certain range with the changes of internal and external environment. Let's talk about the guidelines for the treatment of hypertension.

Hypertension treatment guidelines: weight control first

First: weight control: overweight people should try to lose weight, which is the best way to reduce blood pressure. Japan's research data also believe that obesity is the main cause of hypertension, 80% of patients with hypertension through weight loss, can make blood pressure drop. Chinese medical experts point out that weight loss can reduce blood pressure, heart rate, plasma uric acid, cholesterol and blood glucose, and reduce the dosage of drugs, whether in patients with hypertension or obese people with normal blood pressure. Simple method of weight measurement: height (CM) - 105 ± 10% is the normal range of body weight (kg), over the upper limit is overweight. For ordinary workers with obesity below + 10% and normal people who exercise, it is appropriate for men to consume 2000 kcal and women to consume 1800 kcal per day; for those with obesity above + 20%, it is appropriate for men to consume 1700 kcal and women to consume 1500 kcal; for those with high obesity, it is appropriate for men to consume 1100-1400 kcal and women to consume 1000-1200 kcal. The mechanism of reducing blood pressure may be related to the decrease of insulin, the inhibition of sympathetic nerve and the inhibition of renin aldosterone.

Second: proper exercise: at least 3 times a day, 20 minutes each time to do gymnastics or exercise, can improve blood pressure. Chinese scholars advocate that Taijiquan exercise for middle-aged and elderly patients, and pay attention to the tranquility of heart, relaxation of body, harmony of Qi, and persistence, which is helpful to the recovery of hypertension. Therefore, patients with hypertension should regularly participate in some sports within their ability, such as dancing, walking, jogging, Taijiquan, etc., but should avoid competitive or violent sports.

Third: limit salt: under normal circumstances, the physiological requirement of human body for sodium is only 2-3 grams per day, but the actual salt content in the diet is as high as 10-15 grams. The daily salt content of patients with hypertension should not exceed 5 grams, which is too low for patients to accept.

matters needing attention

Modern medical research has proved that all the bad mental stimulation such as worry, sadness, anxiety and irritability can increase the secretion of catecholamines and other vasoactive substances in the blood, and increase the blood pressure. Therefore, patients with hypertension should pay attention to controlling their emotions, eliminating distractions, and maintaining a comfortable mood and psychological balance, which are conducive to maintaining the normal function of the high-level nerve center and reducing blood pressure .