Controllable and Uncontrollable Factors that Affect Blood Pressure
May is High Blood Pressure Education Month
5/19/2023
Melissa Wendell, Nurse Practioner with Aspirus Cardiology
High blood pressure is
a serious medical condition. It's one of the leading risk factors for heart
disease and early death, according to the American College of
Cardiology (ACC). It's also really common—nearly 1 in 2 adults in the U.S.
has it, according to the ACC/American Heart Association (AHA) High Blood
Pressure Guidelines.
Blood pressure
represents the force that blood exerts against the walls of blood vessels as it
is pumped by the heart muscle. Your blood pressure should be 120/80 mm/Hg or
lower; hypertension is defined as any reading of 140/90 or higher.
“High blood pressure
can affect your health in many ways, causing serious damage to your heart,
brain, eyes, kidneys, abdomen and legs,” says Melissa
Wendell, Nurse Practitioner with Aspirus Cardiology – Wausau. “Fortunately,
a number of the factors that increase your risk for high blood pressure are
things you can change, and in turn, lower your risk for other serious health
problems.”
Risk factors that are under
your control
According to the AHA,
risk factors that you can change to help prevent and manage high blood pressure
include:
- Living a sedentary life. Not getting
enough regular physical activity raises your risk for high blood pressure.
Physical activity is also good for your heart in general, so it's a win-win. Be
sure to check with your provider before starting a new exercise regimen.
- Eating an unhealthy diet, especially one high in
sodium. Focusing on good nutrition—like fruits, vegetables, whole
grains and low-fat dairy—is important. Eating foods that are high in sodium
(salt), and high in calories, saturated and trans fats, and sugar increase your
risk for high blood pressure and other chronic health conditions.
- Being overweight or obese. Excess weight
adds to your risk for high blood pressure.
- Drinking alcohol. Regular, excessive use
of alcohol doesn't just raise your blood pressure, it increases your risk for
other cardiovascular problems like heart failure and stroke.
- Sleep apnea. Obstructive sleep apnea—a
sleeping disorder—may raise your risk for high blood pressure.
- High cholesterol. Most people who have
high blood pressure have high levels of cholesterol too.
- Diabetes. According to the AHA, most
people who have diabetes also develop high blood pressure.
- Smoking. Smoking tobacco can temporarily
increase your blood pressure and add to arterial damage.
- Stress. Too much stress can raise your
blood pressure.
Risks you can't change
Some things that raise
your risk for high blood pressure are outside your control. According to the
AHA, they include:
- Family history. If your parents or other
close relatives have high blood pressure, you're at increased risk for having
it too.
- Age. You're more likely to get high blood
pressure as you grow older.
- Gender. Until age 64, men are more likely
to get high blood pressure than women. From age 65 and up, women are more
likely to get high blood pressure than men.
- Race. African Americans are more likely to
develop high blood pressure than people of any other racial background in the
U.S. High blood pressure also tends to be more severe in African Americans, and
some drug treatments are less effective.
- Chronic kidney disease. People with
chronic kidney disease are at increased risk for high blood pressure. Having
high blood pressure also can worsen the effects of chronic kidney disease.
In the United States,
one out of every three deaths is caused by cardiovascular disease. Most who die
suddenly from cardiovascular-related disease have no previous symptoms. Because
of this, it is important to be aware of your heart risks. Learn your heart’s biological age and discover tips on
risk factor reduction at www.aspirus.org/health-assessments.
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