{"id":594,"date":"2016-10-03T14:01:05","date_gmt":"2016-10-03T19:01:05","guid":{"rendered":"http:\/\/resources.swirca.org\/en\/?p=594"},"modified":"2016-08-26T14:03:02","modified_gmt":"2016-08-26T19:03:02","slug":"prevention-high-blood-pressure","status":"publish","type":"post","link":"https:\/\/resources.swirca.org\/en\/prevention-high-blood-pressure\/","title":{"rendered":"Prevention of High Blood Pressure"},"content":{"rendered":"<p>In America, it estimated that 29 to 31 % of adults are living with hypertension. A commonly used term for hypertension is high blood pressure. \u00a0Also, due to the aging Baby Boomer population, the number of older adults with high blood pressure is expected to increase (Basile &amp; Bloch, 2016).\u00a0 \u00a0\u00a0The purpose of this article is to define blood pressure and high blood pressure, list risk factors for high blood pressure, identify ways to prevent high blood pressure, and discuss complications which can occur from high blood pressure.<\/p>\n<p><!--more--> According to the National Institutes of Health (2015), \u201cblood pressure is the force of blood pushing against the walls of the blood vessels as the heart pumps.\u201d Two numbers are recorded for blood pressure.\u00a0 The top number is the systolic pressure which represents the force of the blood pushing against the blood vessel wall as the heart contracts.\u00a0 The bottom number is the diastolic pressure which represents the force of blood pushing against the blood vessels as the heart relaxes.<\/p>\n<p>The Joint National Committee (JNC) publishes guidelines every few years to help healthcare providers identify at what point blood pressure is considered to be high. Healthcare providers may refer to high blood pressure as hypertension.\u00a0 Doctors may provide care based on the Joint National Committee Eighth Guideline (JNC 8).\u00a0\u00a0 It is important for individuals to consult with a healthcare provider to determine blood pressure goals as the guidelines may not be appropriate for everyone. The JNC 8 guidelines for blood pressure are individualized and population focused.\u00a0 The JNC 8 Guidelines are listed below.<\/p>\n<ul>\n<li>For people 60 years and older, the desired BP is &lt;150\/90.<\/li>\n<li>For people younger than 60 years and healthy, the desired BP is &lt;140\/90.<\/li>\n<li>For people of any age who have Chronic Kidney Disease or Diabetes, the desired BP is &lt;140\/90.<\/li>\n<li>High BP is anything at or above the targeted BP ranges listed above for the specific populations (Basile &amp; Bloch, 2016).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>There are some factors that increase one\u2019s risk of developing high blood pressure. \u00a0The most common form of high blood pressure is called primary hypertension (Basile &amp; Bloch, 2016). \u00a0This type has no clear cause and tends to develop as one ages. \u00a0The risk factors for high blood pressure are listed below.<\/p>\n<ul>\n<li>Family history (especially parents, siblings, or children with hypertension)<\/li>\n<li>African-American ethnicity<\/li>\n<li>Age older than 60 or post-menopausal women<\/li>\n<li>Smoking<\/li>\n<li>A diet high in sodium<\/li>\n<li>Caffeine intake<\/li>\n<li>Excessive alcohol intake<\/li>\n<li>Being overweight<\/li>\n<li>Physical inactivity<\/li>\n<li>High cholesterol<\/li>\n<li>High stress (Basile &amp; Bloch)<\/li>\n<\/ul>\n<p>Another type of high blood pressure is secondary hypertension. \u00a0This type is caused by another medical condition or medication use and is usually resolved after the condition is treated or the medication is stopped. \u00a0Some of the medical conditions and medications that cause secondary hypertension are listed below.<\/p>\n<ul>\n<li>Chronic kidney disease<\/li>\n<li>Adrenal disease<\/li>\n<li>Thyroid problems<\/li>\n<li>Medications\n<ul>\n<li>Anti-depressants<\/li>\n<li>Decongestants<\/li>\n<li>Weight loss medicines<\/li>\n<li>NSAIDS (ibuprofen &amp; aspirin)<\/li>\n<li>Tylenol<\/li>\n<li>Hormone replacements (Basile &amp; Bloch, 2016)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>With these known risk factors, it is important to understand the steps individuals can take to prevent their chances of developing high blood pressure.\u00a0 By adopting these lifestyle changes recommended by the National Institutes of Health (2015), one can greatly reduce the risk of developing hypertension.\u00a0 If obese or overweight, losing even 10 pounds can lower one\u2019s blood pressure.\u00a0 A healthy weight is considered a body mass index (BMI) between 19 and 25.\u00a0 Participating in exercise or physical activity three or four days per week for about 30 minutes can also help lower high blood pressure.\u00a0 A simple way to do this is by walking.\u00a0 A healthy diet is\u00a0 important in maintaining a normal blood pressure.\u00a0 A well-balanced diet contains a variety of fruits, vegetables, whole-grains, low-fat dairy products, fish, poultry, legumes, and nuts.\u00a0 In addition, individuals should limit their salt intake to 1500-2400 mg per day.\u00a0 Therefore, it is important to read food labels carefully to check the amount of salt or sodium they contain.\u00a0 Typically, processed meats, canned soups and vegetables, pre-packaged foods, and items from fast-food restaurants have high sodium content.\u00a0 Try to use alcohol sparingly.\u00a0 Men should drink no more than two alcoholic drinks per day.\u00a0 Women should have no more than one alcoholic drink per day.\u00a0 Along with these diet changes, it is important to avoid caffeine and to stop smoking, because these substances can constrict the blood vessels, which increases the blood pressure.\u00a0 Stress contributes to high blood pressure, so participating in stress reducing activities such as yoga and meditation can be beneficial.\u00a0 Getting a good night\u2019s sleep also plays a role in reducing blood pressure.\u00a0 It is recommended to get eight hours of sleep per night.\u00a0 Lastly, it is important to get annual blood pressure screenings to track trends in blood pressure (National Institutes of Health).\u00a0 There are multiple business locations in the Evansville area that offer free blood pressure checks, some of which include Wal-Mart, Walgreens, and CVS.\u00a0 In addition, there are certain locations in Vanderburgh County that offer free blood pressure screenings to the public. \u00a0Dates, times, and locations of these free blood pressure screenings in the Vanderburgh County area can be found on <a href=\"http:\/\/www.evansville.in.gov\">www.evansville.in.gov<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>Over time, continuous high blood pressure can cause multiple serious complications.\u00a0 Heart failure can result, because the heart has to continually work harder to push the blood forward when the pressure in the system is high (National Institutes of Health, 2015).\u00a0 High blood pressure can also cause the blood vessels in the kidneys to narrow, which can lead to kidney failure.\u00a0 In addition, the elevated pressure can make the arteries hard and stiff, which can cause a heart attack, stroke, or peripheral vascular disease.\u00a0 Lastly, if high blood pressure goes untreated for a long period of time or gets extremely high, it can result in death.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>In conclusion, high blood pressure is a very common issue, especially in the older adult population.\u00a0 There are many factors that can affect the blood pressure.\u00a0 Some of these risk factors can be reduced, and in turn, prevent one\u2019s chance of developing high blood pressure.\u00a0 Other risk factors, such as age and ethnicity, cannot be changed.\u00a0 Preventing the onset of high blood pressure will keep complications from developing and lead to better overall health.\u00a0 It is important to ask for advice from a medical professional when considering diet or lifestyle changes to prevent high blood pressure.<\/p>\n<p>&nbsp;<\/p>\n<p>Kristen Reckelhoff, BSN Student<\/p>\n<p>Morgan Hacker, BSN Student<\/p>\n<p>Pam Thomas, MSN, RN, CCRN<\/p>\n<p>Charlotte Connerton, EdD, RN, CNE-BC<\/p>\n<p>University of Southern Indiana College of Nursing and Health Professions<\/p>\n<p>&nbsp;<\/p>\n<p>References<\/p>\n<p>Basile, J., Bloch, M. (2016).\u00a0\u00a0Overview of hypertension in adults. In G. Bakris, N. Kaplan &amp; J. Forman (Eds.),\u00a0<em>UpToDate<\/em>.\u00a0\u00a0Retrieved from www.uptodate.com<\/p>\n<p>National Institutes of Health. (2015). High blood pressure. Retrieved from http:\/\/nihseniorhealth.gov\/highbloodpressure\/whatishighbp\/01.html<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In America, it estimated that 29 to 31 % of adults are living with hypertension. A commonly used term for hypertension is high blood pressure. \u00a0Also, due to the aging Baby Boomer population, the number of older adults with high blood pressure is expected to increase (Basile &amp; Bloch, 2016).\u00a0 \u00a0\u00a0The purpose of this article [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":580,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-594","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-overall-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Prevention of High Blood Pressure - Senior Resource Guide of Southwest Indiana<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/resources.swirca.org\/en\/prevention-high-blood-pressure\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prevention of High Blood Pressure - Senior Resource Guide of Southwest Indiana\" \/>\n<meta property=\"og:description\" content=\"In America, it estimated that 29 to 31 % of adults are living with hypertension. 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