Managing Hypertension Through Lifestyle Changes

Author: Anum Shabbir, RPh (Community), MW, IMC

Reviewed by: Dr Azuka Ezeike, MBBS, FWACS, FMCOG, MSc (PH)

HIGHLIGHTS

  • High blood pressure increases heart and organ risks, so regular monitoring is essential.
  • The DASH diet helps lower blood pressure by promoting the intake of fruits, vegetables, and whole grains.
  • Regular exercise reduces blood pressure and lowers the risk of heart disease.
  • Practising deep breathing, meditation, and exercise can help lower stress-induced blood pressure spikes.
  • Reducing salt and alcohol intake supports healthy blood pressure levels.
  • Maintaining a healthy weight and regularly monitoring blood pressure at home improve long-term control.


Let's manage hypertension with lifestyle changes. In this article, you will come to know how balanced nutrition, exercise, and stress management can help you manage hypertension and give you an overall healthy life.

 What is hypertension?

If the blood is pushing too hard against the walls of your blood vessels, it is known as high blood pressure or hypertension. As time goes by, this can affect your heart and other major organs of your body. 

Definition of hypertension

Hypertension, or high blood pressure, means the force inside your blood vessels is too much (140/90 mmHg or more). Some patients with high blood pressure don't have any symptoms. The only method to find out is to check your blood pressure.

Your blood pressure changes throughout the day, based on what you do. If it stays too high, it means you have high blood pressure.

Factors that play a key role in having high blood pressure include: [1]

  • Eating a poor diet

  • No physical activity

  • Some diseases, like diabetes 

  • Too much alcohol and tobacco intake

  • Family history

  • Age  

How food helps control high blood pressure

DASH diet 

         The DASH diet helps you make long-term smart food choices. In 2025, U.S. News & World Report named it the top diet for high blood pressure and for heart health.It involves eating a lot of fruits, veggies, and whole grains. Add to this fish, beans, nuts, oils from plants, and dairy with little or no fat.Cut down on food with a lot of saturated fats like: [2]

  • Full-fat dairy products (like whole milk, butter, and cheese)
  • Fatty meats (like beef, lamb, and processed meats)
  • Tropical oils (like coconut oil, palm kernel oil, and palm oil)

          

Physical activity and blood pressure reduction


Working out often gives you many health benefits and keeps you safe from heart issues and high blood pressure. Studies have shown it can lower the upper blood pressure reading by 5 mmHg. This results in heart disease deaths going down by 9% and reduces stroke cases by 14%. Physical activity plays a major role in reducing hypertension.[3]

Begin your aerobic workout with easy moves for 10 to 20 minutes. Then, slowly make it harder and keep going for 30 to 60 minutes more. Along with these, add strong and still exercises like weightlifting. They help drop blood pressure, quickly burn calories, and make muscles stronger.[4]

Reducing hypertension through stress management


Stress makes our bodies create hormones called norepinephrine and epinephrine. These make your heart beat faster and your blood vessels get narrower, which can lead to high blood pressure. As this happens, the pressure in your blood vessels goes up. [5]

Stress over a long time leads to more release of adrenaline, which can make blood pressure worse. When you relax, your blood vessels get wider, making it easier for blood to move around. When you are relaxed, your body produces a substance called nitric oxide, which makes the walls of your blood vessels relax, helping to lower your blood pressure.

Ways to reduce stress : [6]

  • Deep breathing: Slow breathing will keep the body calm.
  • Meditation: It helps in mindfulness and improves your focus.
  • Exercise:  Keeping your body moving, like in yoga or walking, helps blood flow well.
  • Soft music: Soft sounds help you stay calm.
  • Good sleep: Try to sleep well to keep blood pressure low.
  • Sharing thoughts: Sharing thoughts with friends, family, or a helper can free you from stress.
  • Behavioural therapies: By this technique, you can change bad thoughts to good ones and keep blood pressure under control.

Restricting the use of salt and alcohol

Both salt and alcohol can raise your blood pressure when taken in excess.

Salt: When you eat more salt, your body holds water. This added water raises the amount of blood in your body, and that shoots up your blood pressure.

Alcohol: Too much alcohol also raises your blood pressure. Alcohol interrupts how your body deals with blood pressure, making your heart push harder.

Eating a lot of salt for a long time slowly raises blood pressure with age. Cutting back salt to 5-6 g/day helps to lower it, but it's not the best fix.In the United States, it is often said that most adults should eat under 6 grams of salt each day. For people at high risk, like the elderly, African Americans, and those with high blood pressure or long-term illnesses, the advised amount is even less, at 4 grams per day. Eating less salt can help keep blood pressure in check and make your heart healthier.

In developed countries, baby foods and formula milk now have minimal salt. However, children's salt intake increases due to processed, fast, and restaurant foods. This high intake can lead to hypertension later in life. Reducing salt through food industry changes, school programs, and parental guidance can significantly improve public health at a low cost.[6]Reducing alcohol intake is effective in lowering blood pressure. Heavy drinkers should gradually cut back over time. [7]

Why weight control matters

Excessive fat accumulation is harmful to health. Obesity is commonly assessed using the Body Mass Index (BMI). A BMI of 30 or more indicates obesity. Central obesity, where fat accumulates around the abdomen, increases the risk of health issues like hypertension (high blood pressure). To avoid obesity, adopting a healthy lifestyle is key. Focus on: 

  • Eating a balanced diet with fewer calories
  • Engaging in regular physical activity


Small steps like eating less junk food and cutting down on sugary drinks can help. Doing a bit each day, like walking and eating the right amount, makes a big impact. These actions stop you from gaining weight and lower the chance of high blood pressure and other health issues, making you feel better overall.[8]

Checking your blood pressure at home

It is important to detect and treat high blood pressure early. It may not show symptoms, but it can cause heart problems, strokes, and pregnancy complications. Checking it frequently at home is essential. You can use a home device to check your blood pressure and consult with doctors. Make sure to follow these steps while monitoring blood pressure at home:

  • Make sure the cuff fits right.
  • Sit with your feet flat and back straight.
  • Avoid eating, drinking, or smoking just before taking readings.
  • Take a short time to calm down before you start.

Your blood pressure can vary if you are resting or moving. To manage your blood pressure well, talk with your doctor for personal advice and steps.When you use self-measured blood pressure (SMBP), with help from a doctor, it can lower your blood pressure. It is safe and works well. Take 2 to 3 readings, write them down each day, and get help from your doctor. SMBP aids in good control of blood pressure. [9]

Plans for Best BP Control

According to the European Society of Cardiology (ESC), you can bring down your blood pressure by keeping in mind the following factors: [10]

  • Lowering salt intake
  • Drinking less alcohol
  • Eating lots of fruit, vegetables, and fewer fats,
  • Weight loss 
  • Working out regularly
  • Taking medicine as per expert advice.


Conclusion

To manage high blood pressure, adopt a balanced diet, regular exercise, stress reduction, and a healthy weight. The DASH diet, increased activity, relaxation techniques, and limiting alcohol and salt can lower blood pressure and improve well-being. Regular home monitoring helps detect issues early.Lifestyle changes alone aren't enough. Regular check-ups ensure proper guidance, timely intervention, and adherence to prescribed treatment. A doctor-tailored plan enhances management and reduces risks. Combining healthy habits with expert care keeps blood pressure in check and boosts overall health.

References


1.     High Blood Pressure Risk Factors | High Blood Pressure | CDC [Internet]. [cited 2025 Jan 26]. Available from: https://www.cdc.gov/high-blood-pressure/risk-factors/index.html

2.     DASH Eating Plan | NHLBI, NIH [Internet]. [cited 2025 Jan 26]. Available from: https://www.nhlbi.nih.gov/education/dash-eating-plan

3.     Media. World Health Organization - Regional Office for the Eastern Mediterranean. [cited 2025 Jan 26]. High blood pressure and physical activity. Available from: http://www.emro.who.int/media/world-health-day/physical-activity-factsheet-2013.htm

4.     Shin J, Park JB, Kim KI, Kim JH, Yang DH, Pyun WB, et al. 2013 Korean Society of Hypertension guidelines for the management of hypertension: part I-epidemiology and diagnosis of hypertension. Clin Hypertens. 2015;21:1.Available from https://pubmed.ncbi.nlm.nih.gov/26893915/

5.     Ayada C, Toru Ü, Korkut Y. The relationship of stress and blood pressure effectors. Hippokratia. 2015;19(2):99–108.Available from https://pmc.ncbi.nlm.nih.gov/articles/PMC4938117/pdf/hippokratia-19-99.pdf

6.     Samadian, Fariba & Dalili, Nooshin & Jamalian, Ali. (2016). Kidney disease, Lifestyle Modifications to Prevent and Control Hypertension. Iranian journal of kidney diseases. 10. [Internet]. [cited 2025 Jan 26]. Available from: https://www.researchgate.net/publication/309266974_KIDNEY_DISEASES_Lifestyle_Modifications_to_Prevent_and_Control_Hypertension

7.     Husain K, Ansari RA, Ferder L. Alcohol-induced hypertension: Mechanism and prevention. World J Cardiol. 2014 May 26;6(5):245–52. Available from:https://pmc.ncbi.nlm.nih.gov/articles/PMC4038773/

8.     Shariq OA, McKenzie TJ. Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland Surg. 2020 Feb;9(1):80-93. doi: 10.21037/gs.2019.12.03. PMID: 32206601; PMCID: PMC7082272. [Internet]. [cited 2025 Jan 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/32206601/

9.     Measuring Your Blood Pressure | High Blood Pressure | CDC [Internet]. [cited 2025 Jan 26]. Available from:  https://www.cdc.gov/high-blood-pressure/measure/

10.     Jankowska-Polańska B, Uchmanowicz I, Dudek K, Mazur G. Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient Prefer Adherence. 2016 Dec 7;10:2437-2447. doi: 10.2147/PPA.S117269. PMID: 27994443; PMCID: PMC5153315. [Internet]. [cited 2025 Jan 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/27994443/

Published: February 28, 2025