As your blood pressure increases, so does your risk of cardiovascular disease. That's why it's so important to control prehypertension. The key is a commitment to healthy lifestyle changes.
June 23, 2015
- Eat healthy foods. Eat a healthy diet. Try the Dietary Approaches to Stop Hypertension (DASH) diet. Choose fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which can help lower blood pressure. Eat less saturated fat and trans fat.
- Maintain a healthy weight. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your blood pressure and lower your risk of related health problems. If you're overweight, losing even 5 pounds (2.3 kilograms) can lower your blood pressure.
Use less salt. The Dietary Guidelines for Americans recommend limiting sodium to less than 2,300 mg a day. A lower sodium level — 1,500 milligrams (mg) a day — is appropriate for people 51 years of age or older, and individuals of any age who are black or who have hypertension, diabetes or chronic kidney disease.
While you can reduce the amount of salt you eat by putting down the saltshaker, you usually should also pay attention to the amount of salt that's in the processed foods you eat, such as canned soups or frozen dinners.
Increase physical activity. Regular physical activity can help lower your blood pressure, manage stress, reduce your risk of other health problems and keep your weight under control.
For most healthy adults, the Department of Health and Human Services recommends that you get at least 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic activity, or a combination or moderate and vigorous activity. Aim to do muscle-strengthening exercises at least two days a week.
- Limit alcohol. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger. One drink equals 12 ounces of beer, 5 ounces of wine or 1.5 ounces of 80-proof liquor.
- Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. If you smoke, ask your doctor to help you quit.
- Manage stress. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too.
- What is high blood pressure? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hbp. Accessed May 6, 2015.
- AskMayoExpert. How is hypertension classified? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- James PA, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311:507.
- Kaplan NM. Prehypertension. http://www.uptodate.com/home. Accessed May 6, 2015.
- U.S. Preventive Services Task Force. Screening for high blood pressure: U.S. Preventive Services Task Force reaffirmation recommendation statement. Annals of Internal Medicine. 2007;147:783.
- Kaplan NM, et al. Overview of hypertension in adults. http://www.uptodate.com/home. Accessed May 8, 2015.
- Understand your risk for high blood pressure. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/UnderstandYourRiskforHighBloodPressure/Understand-Your-Risk-for-High-Blood-Pressure_UCM_002052_Article.jsp. Accessed May 8, 2015.
- Kaplan NM, et al. Diet in the treatment and prevention of hypertension. http://www.uptodate.com/home. Accessed April 8, 2015.
- Dietary Guidelines for Americans, 2010. U.S. Department of Health and Human Services. http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm. Accessed May 8, 2015.
- 2008 Physical Activity Guidelines for Americans. U.S. Department of Health and Human Services. http://www.health.gov/PAGUIDELINES/guidelines/default.aspx. Accessed May 8, 2015.
- Bushman B. Promoting exercise as medicine for prediabetes and prehypertension. Current Sports Medicine Reports. 2014;13:233.
- Collier SR, et al. Treatment of prehypertension: Lifestyle and/or medication. Vascular Health and Risk Management. 2012;8:613.
- Sheps SG. 5 Steps to Controlling High Blood Pressure. 2nd ed. Rochester, Minn.: Mayo Clinic; 2015.
- Ambulatory blood pressure monitoring and white coat hypertension in adults. http://www.uptodate.com/home. Accessed May 19, 2015.
- Sheps SG (expert opinion). Mayo Clinic, Rochester, Minn. May 19, 2015.