Lifestyle management of hypertension

Charchar, Fadi J.a,b,c; Prestes, Priscilla R.a; Mills, Charlotted; Ching, Siew Mooie,f; Neupane, Dineshg; Marques, Francine Z.h,i; Sharman, James E.j; Vogt, Liffertk; Burrell, Louise M.l; Korostovtseva, Lyudmilam; Zec, Manjan,o; Patil, Mansip,q; Schultz, Martin G.k; Wallen, Matthew P.r; Renna, Nicolás F.s; Islam, Sheikh Mohammed Sharifult; Hiremath, Swapnilu; Gyeltshen, Tshewangv; Chia, Yook-Chinw,x; Gupta, Abhinavy; Schutte, Aletta E.z,aa,bb; Klein, Britta; Borghi, Claudiocc; Browning, Colette J.a; Czesnikiewicz-Guzik, Martadd,ee; Lee, Hae-Youngff; Itoh, Hiroshigg; Miura, Katsuyukihh; Brunström, Mattiasii; Campbell, Norm R.C.jj; Akinnibossun, Olutope Arinolaa; Veerabhadrappa, Praveenkk; Wainford, Richard D.ll,mm; Kruger, Ruannn,oo; Thomas, Shane A.a; Komori, Takahiropp; Ralapanawa, Udayaqq; Cornelissen, Véronique A.rr; Kapil, Vikasss,tt; Li, Yanuu; Zhang, Yuqingvv; Jafar, Tazeen H.ww,xx; Khan, Nadiayy; Williams, Bryanzz; Stergiou, Georgeaaa; Tomaszewski, Maciejbbb,ccc. 
Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension. Journal of Hypertension ():10.1097/HJH.0000000000003563, September 13, 2023. | DOI: 10.1097/HJH.0000000000003563 


Copyright © 2023, Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.


The International Society of Hypertension (ISH) College of Expert has published the recommendations to prevent or delay the onset of hypertension and reduce cardiovascular risk. Experts call for the adoption of lifestyle goals as first-line treatment in grade 1 hypertension. The document is based on a review of the literature and guidelines and is endorsed by the World Hypertension League and the European Society of Hypertension. 

Among the well-known lifestyle recommendations, such as healthy eating and drinking, not smoking and physical activity, stress reduction practices and holistic patient care are now emphasised. Interestingly, the recommendations distinguish between physical activity and mind-body care. While regular exercise and movement are still a therapy for hypertension, evidence shows the effectiveness of meditation, deep breathing, yoga and mindfulness in reducing psychosocial stress, despite the fact that they are not integrated into the health or insurance system.

As reported by the BBC, one of the authors, British blood pressure expert Prof. Bryan Williams, stated: “It all sounds like it is a bit soft and fluffy and not as dynamic, for example, as taking drugs but these things make such an important contribution to reducing the effects of stress on the cardiovascular system and the evidence is accumulating.”

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