Nonpharmacologic Intervention to Reduce Blood Pressure in Older Patients With Mild Hypertension

Abstract

Our data indicate that a nonpharmacologic intervention will lower systolic and diastolic blood pressure levels in older people with borderline or mild elevations of diastolic blood pressure.

Guidelines for management of hypertension: report of the third working party of the British Hypertension Society

“…Recent controlled trials 12,13,15,16,[78][79][80][81][82][83] have confirmed that changes in diet and lifestyle do lower blood pressure and may also reduce cardiovascular risk. Clear verbal and written advice on the measures below should be provided for all hypertensive patients and also for those with high-normal blood pressure or a strong family history.…”

“…13 For example, three vigorous training sessions per week may be appropriate for fit younger patients 82 or brisk walking for 20 min per day for older patients. 81,90 Increased fruit and vegetable consumption is now supported by controlled-trial evidence showing that an increase from two to seven portions daily lowered blood pressure significantly in hypertensive patients, by 7/3 mm Hg.…”

“…13,[78][79][80][81]86 Antihypertensive therapy is indicated and clearly beneficial in people aged 60 years or more, when blood pressure averages are Ͼ160 mm Hg systolic and Ͼ90 mm Hg diastolic. 114 There is no firm evidence to guide policy for systolic blood pressure 140-159 mm Hg and diastolic blood pressures Ͻ90 mm Hg (borderline isolated systolic hypertension).…”

“…patients [3][4][5][6][7] ; treatment of isolated systolic hypertension in the elderly 8 ; comparison of the antihypertensive efficacy and tolerability of different classes of drug [9][10][11] ; and the role of non-pharmacological measures in the prevention [12][13][14][15] and treatment 16 of hypertension. There has been a vigorous debate about the safety of dihydropyridine calcium antagonists, 17,18 but also new evidence from randomised controlled trials for their efficacy and safety, particularly in isolated systolic hypertension in the elderly.…”

Efecto de una intervención educativa en la calidad de vida del paciente hipertenso

“…2,3 Este manejo es efectivo para disminuir las cifras de presión arterial de las personas con niveles normales en límites altos 4 y en los pacientes con hipertensión. [5][6][7][8] Al evaluar el impacto de la enfermedad y del tratamiento, es esencial medir y evaluar el grado de alivio de los síntomas, mismos que podrían traducirse en una mejoría de la calidad de vida (CV), 9 considerada esta última como la sensación de bienestar físico y de satisfacción emocional, psíquica y social del individuo. 10 Para evaluar la CV se emplean instrumentos que abarcan diferentes dominios relacionados con los valores subjetivos del paciente, determinados a su vez por los contextos sociales, culturales y económicos, que también se ven afectados por la enfermedad o por el tratamiento mismo.…”