6. Quit smoking
Each cigarette you smoke increases your blood pressure for many minutes after you finish. Quitting smoking helps your blood pressure return to normal. People who quit smoking, regardless of age, have substantial increases in life expectancy.
7. Cut back on caffeine
The role caffeine plays in blood pressure is still debated. Caffeine can raise blood pressure by as much as 10 mm Hg in people who rarely consume it, but there is little to no strong effect on blood pressure in habitual coffee drinkers.
Although the effects of chronic caffeine ingestion on blood pressure aren't clear, the possibility of a slight increase in blood pressure exists.
To see if caffeine raises your blood pressure, check your pressure within 30 minutes of drinking a caffeinated beverage. If your blood pressure increases by 5 to 10 mm Hg, you may be sensitive to the blood pressure raising effects of caffeine. Talk to your doctor about the effects of caffeine on your blood pressure.
8. Reduce your stress
Chronic stress is an important contributor to high blood pressure. Occasional stress also can contribute to high blood pressure if you react to stress by eating unhealthy food, drinking alcohol or smoking.
Take some time to think about what causes you to feel stressed, such as work, family, finances or illness. Once you know what's causing your stress, consider how you can eliminate or reduce stress.
If you can't eliminate all of your stressors, you can at least cope with them in a healthier way. Try to:
- Change your expectations. Give yourself time to get things done. Learn to say no and to live within manageable limits. Try to learn to accept things you can't change.
- Think about problems under your control and make a plan to solve them. You could talk to your boss about difficulties at work or to family members about problems at home.
- Know your stress triggers. Avoid whatever triggers you can. For example, spend less time with people who bother you or avoid driving in rush-hour traffic.
- Make time to relax and to do activities you enjoy. Take 15 to 20 minutes a day to sit quietly and breathe deeply. Try to intentionally enjoy what you do rather than hurrying through your "relaxing activities" at a stressful pace.
- Practice gratitude. Expressing gratitude to others can help reduce stressful thoughts.
9. Monitor your blood pressure at home and see your doctor regularly
Home monitoring can help you keep tabs on your blood pressure, make certain your lifestyle changes are working, and alert you and your doctor to potential health complications. Blood pressure monitors are available widely and without a prescription. Talk to your doctor about home monitoring before you get started.
Regular visits with your doctor are also key to controlling your blood pressure. If your blood pressure is under control, you might need to visit your doctor only every six to 12 months, depending on other conditions you might have. If your blood pressure isn't well-controlled, your doctor will likely want to see you more frequently.
10. Get support
Supportive family and friends can help improve your health. They may encourage you to take care of yourself, drive you to the doctor's office or embark on an exercise program with you to keep your blood pressure low.
If you find you need support beyond your family and friends, consider joining a support group. This may put you in touch with people who can give you an emotional or morale boost and who can offer practical tips to cope with your condition.
May 30, 2015
- Johnson RJ. Nonpharmacologic prevention and treatment of hypertension. In: Comprehensive Clinical Nephrology. 5th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed May 11, 2015.
- Kaplan NM, et al. Diet in the treatment and prevention of hypertension. http://www.uptodate.com/home. Accessed May 11, 2015.
- Kaplan NM. Obesity and weight reduction in hypertension. http://www.uptodate.com/home. Accessed May 11, 2015.
- AskMayoExpert. What is the optimal therapy in patients with hypertension? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- Basile J, et al. Overview of hypertension in adults. http://www.uptodate.com/home. Accessed May 11, 2015.
- Kaplan NM. Exercise in the treatment and prevention of hypertension. http://www.uptodate.com/home. Accessed May 11, 2015.
- Your guide to lowering your blood pressure with DASH. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/resources/heart/hbp-dash-how-to. Accessed May 11, 2015.
- Kaplan NM. Salt intake, salt restriction and primary (essential) hypertension. http://www.uptodate.com/home. Accessed May 11, 2015.
- Tobacco and blood pressure. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/PreventionTreatmentofHighBloodPressure/Tobacco-and-Blood-Pressure_UCM_301886_Article.jsp. Accessed May 12, 2015.
- Harms of cigarette smoking and health benefits of quitting. National Cancer Institute. http://www.cancer.gov/cancertopics/causes-prevention/risk/tobacco/cessation-fact-sheet. Accessed May 12, 2015.
- Giardina EG. Cardiovascular effects of caffeine and caffeinated beverage. http://www.uptodate.com/home. Accessed May 12, 2015.
- Stress and blood pressure. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/PreventionTreatmentofHighBloodPressure/Stress-and-Blood-Pressure_UCM_301883_Article.jsp. Accessed May 12, 2015.
- Bonow RO, et al. Systemic hypertension: Mechanisms and diagnosis. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed May 11, 2015.
- Kaplan NM. Ambulatory blood pressure monitoring and white coat hypertension in adults. http://www.uptodate.com/home. Accessed May 11, 2015.
- Home blood pressure monitoring. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/SymptomsDiagnosisMonitoringofHighBloodPressure/Home-Blood-Pressure-Monitoring_UCM_301874_Article.jsp. Accessed April 3, 2015.
- Barbara Woodward Lips Patient Education Center. Measuring your blood pressure at home. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2003.
- Keeping high blood pressure under control. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/PreventionTreatmentofHighBloodPressure/Keeping-High-Blood-Pressure-Under-Control_UCM_460131_Article.jsp. Accessed May 12, 2015.
- Tips to sticking with lifestyle changes. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Cholesterol/PreventionandTreatmentofofHighCholesterol/Tips-to-Sticking-with-Lifestyle-Changes_UCM_434366_Article.jsp. Accessed May 12, 2015.
- Sheps SG, ed. Watch the Salt. In: 5 Steps to Controlling High Blood Pressure. 2nd ed. Rochester, Minn.: Mayo Clinic; 2015.