“Prescription” to sit less, move more advised for slightly high blood pressure and cholesterol

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A “prescription” for sitting less and moving more is the first optimal treatment option to reduce mild to moderately high blood pressure and cholesterol in adults in other healthy cases, according to the new scientific statement from the American Heart Association released today in the American Heart Association magazine Hypertension.

“Current American Heart Association Diagnostic Guidelines and cholesterol recognize that healthy individuals who have slightly or moderately high levels of these cardiovascular risk factors should attempt to actively reduce these risks. The first treatment strategy for many of these patients should be a change in the healthy lifestyle that begins with the increase. said Bethany Barone Gibbs, Ph.D., FAHA, chair of the statement writing group and associate professor in the Department of Health and Human Development and Clinical and Translational Sciences at the University of Pittsburgh in Pittsburgh, Pennsylvania.

It is estimated that 21% of U.S. adults, about 53 million, have systolic blood pressure (upper number) between 120-139 mm Hg or diastolic blood pressure (lower number) between 80-89 mm Hg; both values ​​are abnormally high. People in this range who are at low risk for heart disease or stroke meet the criteria of the American College of Cardiology (ACC) / American Heart Association (AHA) High Blood Pressure Guide. exclusive lifestyle treatment for high blood pressure.

Similarly, the authors of the scientific statements estimate that 28% of adults in the United States, approximately 71 million, have an LDL cholesterol score above 70 mg / dL and otherwise meet the low-risk criteria. of heart disease or stroke. These people would meet the criteria of the 2018 AHA / ACC Cholesterol Treatment Guidelines for Lifestyle-Only Treatment. Highlighted lifestyle changes in the guidelines on blood pressure and cholesterol include increased physical activity, weight loss, improved diet, smoking cessation, and moderate alcohol intake.

“Increasing physical activity can help lower blood pressure and cholesterol, along with many other health benefits.” Said Gibbs. Physical activity also has benefits beyond cardiovascular health, including a lower risk of some cancers, improved bone, brain and mental health, and better sleep.

Increased physical activity leads to clinically significant reductions in systolic and diastolic , usually an average reduction of 3 or 4 mm Hg. Similar improvements are seen with . For example, increased physical activity typically lowers LDL cholesterol by 3 to 6 mg / dL.

The statement highlights research that concludes that physically active people are 21% less likely to develop cardiovascular disease and 36% less likely to die from cardiovascular disease compared to those who are not physically active.

To improve health, the U.S. Department of Health and Human Services ’2018 physical activity guidelines suggest that people participate in 150 minutes of moderate-intensity cumulation. , or 75 minutes of vigorous weekly aerobic activity plus two or more strength training sessions each week.

However, there is no minimum time to receive benefits from physical activity. “Every activity is better than none,” Gibbs said. “Even small initial increases of 5 to 10 minutes a day can occur . “

The statement provides suggestions for physicians to provide “prescriptions” for exercise, such as patient counseling, incorporating health care professionals (e.g., health coaches), and connecting patients with local resources, such as community centers, to help. to meet your physical activity needs.

According to the statement, the statute of limitations includes:

  • Analyze patients about physical activity in each interaction, as recommended by the American College of Sports Medicine’s “Exercise is Medicine” campaign. Doctors may ask patients to report their physical activity with a few questions or via a portable device.
  • Provide ideas and resources to help patients improve and maintain regular physical activity;
  • Get to know patients where they are exploring activities that the patient enjoys and provide ideas for early success; i
  • Encourage and celebrate small increases in physical activity, such as walking more or climbing stairs.

“In our world where physical activity is increasingly designed outside of our lives and the overwhelming default is to sit, and even more so now, as the nation and the world practice quarantine and isolation to reduce the spread of coronavirus, the message that we must be relentless in our quest to “sit less and move more” throughout the day is more important than ever, ”Gibbs said.


Heart patients were advised to move more to prevent heart attacks and strokes


More information:
Hypertension (2021). DOI: 10.1161 / HYP.0000000000000196

Citation: “Prescription” to sit less, move more advised for slightly high blood pressure and cholesterol (2021, June 2) recovered on June 2, 2021 at https://medicalxpress.com/news/2021-06- prescription-mildly-high-blood -pressure.html

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