Non‐pharmacological management of hypertension

Abstract Hypertension is an insidious disease which predisposes to cardiovascular complications and if not treated properly can lead to various serious complications. Economic limitations, having additional benefits with few or almost no side effects have made non‐pharmacological management of hyper...

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Main Authors: Narsingh Verma, Smriti Rastogi, Yook‐Chin Chia, Saulat Siddique, Yuda Turana, Hao‐min Cheng, Guru Prasad Sogunuru, Jam Chin Tay, Boon Wee Teo, Tzung‐Dau Wang, Kelvin Kam Fai TSOI, Kazuomi Kario
Format: Article
Language:English
Published: Wiley 2021-07-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.14236
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author Narsingh Verma
Smriti Rastogi
Yook‐Chin Chia
Saulat Siddique
Yuda Turana
Hao‐min Cheng
Guru Prasad Sogunuru
Jam Chin Tay
Boon Wee Teo
Tzung‐Dau Wang
Kelvin Kam Fai TSOI
Kazuomi Kario
author_facet Narsingh Verma
Smriti Rastogi
Yook‐Chin Chia
Saulat Siddique
Yuda Turana
Hao‐min Cheng
Guru Prasad Sogunuru
Jam Chin Tay
Boon Wee Teo
Tzung‐Dau Wang
Kelvin Kam Fai TSOI
Kazuomi Kario
author_sort Narsingh Verma
collection DOAJ
description Abstract Hypertension is an insidious disease which predisposes to cardiovascular complications and if not treated properly can lead to various serious complications. Economic limitations, having additional benefits with few or almost no side effects have made non‐pharmacological management of hypertension an attractive approach for dealing with hypertension, in developed and developing countries alike. A MEDLINE search was done for relevant references with emphasis on original studies, randomized controlled trials, and meta‐analyses for this review paper. Lifestyle modifications including changes in the dietary pattern, adopting special diets with low sodium, saturated fat and high calcium, magnesium and potassium and trying the new methods like time restricted meal intake which work in tandem with the circadian rhythm are opening new vistas in the field of non‐pharmacological management of hypertension. Lifestyle modifications that effectively lower blood pressure are increased physical activity, weight loss, limited alcohol consumption, relaxation techniques of Yoga, Acupuncture, Tai chi, mindfulness‐based stress‐reduction program, and Transcendental Meditation. Air pollution of the surrounding air is linked with poor health outcomes and is a major contributor to the global burden of disease. Fine particulate matter <2.5 μm in diameter (PM2.5) is strongly associated with cardiovascular morbidity and mortality. Short‐term PM exposure (hours to weeks) increases the likelihood of adverse cardiovascular events including myocardial infarction, stroke, and heart failure, and longer‐term exposure multiplies that risk. Non‐pharmacological methods should be initiated early phase of disease and should be continued with medication.
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spelling doaj.art-a4234f92ea1a4f7a803deb857ecbbd2d2023-10-30T13:30:36ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-07-012371275128310.1111/jch.14236Non‐pharmacological management of hypertensionNarsingh Verma0Smriti Rastogi1Yook‐Chin Chia2Saulat Siddique3Yuda Turana4Hao‐min Cheng5Guru Prasad Sogunuru6Jam Chin Tay7Boon Wee Teo8Tzung‐Dau Wang9Kelvin Kam Fai TSOI10Kazuomi Kario11Department of Physiology King George's Medical University Lucknow IndiaDepartment of Physiology King George's Medical University Lucknow IndiaDepartment of Medical Sciences School of Healthcare and Medical Sciences Sunway University Bandar Sunway MalaysiaDepartment of Cardiology Fatima Memorial Hospital Lahore PakistanFaculty of Medicine and Health Sciences Atma Jaya Catholic University of IndonesiaDepartment of Medicine Taipei Veterans General Hospital Medical Education and Research National Yang‐ming University Taipei TaiwanDepartment of Cardiology MIOT Hospital Chennai IndiaDepartment of General Medicine Tan Tock Seng Hospital Singapore SingaporeDepartment of Medicine division of Nephrology Wang National University Singapore Yong Loo Lin School of Medicine Singapore SingaporeCardiovascular Center and Division of Cardiology Department of Internal Medicine National Taiwan University Hospital Taipei TaiwanFaculty of Medicine JC School of Public Health and Primary Care JC Institute of Ageing SH Big Data Decision Analytics Research Centre The Chinese University of Hong Kong Hong Kong Hong KongDivision of Cardiovascular Medicine Department of Medicine Jichi Medical University School of Medicine Shimotsuke Tochigi JapanAbstract Hypertension is an insidious disease which predisposes to cardiovascular complications and if not treated properly can lead to various serious complications. Economic limitations, having additional benefits with few or almost no side effects have made non‐pharmacological management of hypertension an attractive approach for dealing with hypertension, in developed and developing countries alike. A MEDLINE search was done for relevant references with emphasis on original studies, randomized controlled trials, and meta‐analyses for this review paper. Lifestyle modifications including changes in the dietary pattern, adopting special diets with low sodium, saturated fat and high calcium, magnesium and potassium and trying the new methods like time restricted meal intake which work in tandem with the circadian rhythm are opening new vistas in the field of non‐pharmacological management of hypertension. Lifestyle modifications that effectively lower blood pressure are increased physical activity, weight loss, limited alcohol consumption, relaxation techniques of Yoga, Acupuncture, Tai chi, mindfulness‐based stress‐reduction program, and Transcendental Meditation. Air pollution of the surrounding air is linked with poor health outcomes and is a major contributor to the global burden of disease. Fine particulate matter <2.5 μm in diameter (PM2.5) is strongly associated with cardiovascular morbidity and mortality. Short‐term PM exposure (hours to weeks) increases the likelihood of adverse cardiovascular events including myocardial infarction, stroke, and heart failure, and longer‐term exposure multiplies that risk. Non‐pharmacological methods should be initiated early phase of disease and should be continued with medication.https://doi.org/10.1111/jch.14236cardiovascular diseasediastolic blood pressurehypertensionNon‐pharmacologicalsystolic blood pressure
spellingShingle Narsingh Verma
Smriti Rastogi
Yook‐Chin Chia
Saulat Siddique
Yuda Turana
Hao‐min Cheng
Guru Prasad Sogunuru
Jam Chin Tay
Boon Wee Teo
Tzung‐Dau Wang
Kelvin Kam Fai TSOI
Kazuomi Kario
Non‐pharmacological management of hypertension
The Journal of Clinical Hypertension
cardiovascular disease
diastolic blood pressure
hypertension
Non‐pharmacological
systolic blood pressure
title Non‐pharmacological management of hypertension
title_full Non‐pharmacological management of hypertension
title_fullStr Non‐pharmacological management of hypertension
title_full_unstemmed Non‐pharmacological management of hypertension
title_short Non‐pharmacological management of hypertension
title_sort non pharmacological management of hypertension
topic cardiovascular disease
diastolic blood pressure
hypertension
Non‐pharmacological
systolic blood pressure
url https://doi.org/10.1111/jch.14236
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