One in five adults has high blood pressure？ Control your blood pressure and do this first!

As the weather becomes colder and colder, the human body will also react, for example, blood pressure may fluctuate. Therefore, besides wearing clothes to keep warm, we should also pay attention to the changes of blood pressure and beware of the "silent killer" of high blood pressure.

Hypertension will not only increase the risk of cardiovascular and cerebrovascular diseases, but also cause a series of serious health problems. Fortunately, hypertension can be effectively controlled through early monitoring and management. So, how to realize the early detection of hypertension and take appropriate management measures?

At least one in five adults has hypertension,

About 80% of patients failed to get adequate treatment.

In 2023, the World Health Organization released the Global Hypertension Report, which showed that the number of patients with hypertension in the world has doubled in the past 30 years, from 650 million in 1990 to 1.3 billion in 2019. Among them, nearly half of patients with hypertension don’t know their own illness, and about 80% of patients have not been adequately treated. According to the "Guidelines for the Prevention and Treatment of Hypertension in China (Revised Edition in 2024)" issued by the China Guidelines for the Prevention and Treatment of Hypertension, the weighted prevalence rate of hypertension among adults over 18 years old in China was 27.5% in 2018. It is equivalent to at least one hypertension in every five adults.

It is noteworthy that the prevalence of hypertension among young and middle-aged people is on the rise.Hypertension in young and middle-aged people is mostly "hidden" and has no obvious symptoms in the early stage. For them, early identification and management of hypertension is particularly important.

Hypertension is closely related to the complications of heart, brain, kidney and blood vessels, which can easily lead to a series of serious health problems. The guideline points out that there is a close causal relationship between the blood pressure level in the clinic and the risk of cardiovascular and cerebrovascular diseases and death.Every liter of systolic blood pressure of 20 mm Hg or every liter of diastolic blood pressure of 10 mm Hg increases the risk of cardiovascular and cerebrovascular diseases. Besides cardiovascular risk, hypertension is also an important risk factor for chronic kidney disease. Elevated blood pressure is also closely related to dementia.

Effective prevention and control of hypertension is not only an important guarantee for individual health, but also an important measure to curb cardiovascular and cerebrovascular diseases. It has become a top priority to optimize the management and treatment of hypertension and improve the public awareness rate.

To control blood pressure, the first thing is to measure it regularly and find it early.

Do you know your blood pressure at different times? Blood pressure measurement is very important for blood pressure control. In the guideline, clinic blood pressure measurement is no longer the only means to diagnose and evaluate hypertension, and clinic blood pressure, family blood pressure and ambulatory blood pressure level can all be used as the basis for hypertension diagnosis. Among them, ambulatory blood pressure has attracted more and more attention, especially in identifying hidden, white coat and nighttime hypertension. Ambulatory blood pressure monitoring has advantages, which can evaluate blood pressure risk more accurately and comprehensively. Ambulatory blood pressure values also provide doctors with the basis for making treatment plans.

Ambulatory blood pressure monitoring also plays an important role in the management and control of hypertension. By judging the blood pressure readings of the human body in different time periods and different living conditions, it can help the public to understand and master the laws and characteristics of their blood pressure fluctuations in time.

With the technological innovation in the industry, wearable blood pressure measuring equipment came into being. Compared with traditional electronic sphygmomanometer, wearable devices break through the limitation of blood pressure measurement environment to a certain extent, and users can monitor blood pressure anytime and anywhere, significantly increasing the number of blood pressure measurements.

"Guidelines for Prevention and Treatment of Hypertension in China (Revised Edition, 2024)" mentioned that up to now, wearable wrist electronic sphygmomanometer and wristwatch with oscillometric technology have passed the accuracy verification and can be used for daily blood pressure monitoring.

Wang Jiguang, director of hypertension department of Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine.

On November 26th, 2024, Huawei watch d2 was unveiled, which is Huawei’s second-generation wrist ambulatory blood pressure recorder. It first supported ambulatory blood pressure monitoring and has obtained 7 global medical certifications. As a representative of ambulatory blood pressure monitoring equipment, Huawei watch d2 is light and thin, which can bring users a comfortable wearing experience and make daily blood pressure monitoring more portable.

Huawei watch d2 is equipped with Xuanji sensing system, and adopts blood pressure fusion algorithm and ultra-narrow mechanical airbag to realize medical-grade accurate ambulatory blood pressure measurement, and can generate ambulatory blood pressure report to show the user’s blood pressure data all day. At the same time, Huawei watch d2 has been adapted and adjusted by real user data to ensure that users can accurately measure blood pressure whether standing, sitting or semi-lying. When sleeping at night, the airbag automatically inflates and measures, and the pressure is stable, which is not limited by sleeping posture and does not affect the quality of sleep.

At the same time, users can also view family blood pressure health reports, timely reminders of abnormal blood pressure data and other health data at any time in the family space of HUAWEI Health app on the mobile phone, so as to protect family health remotely.

In addition to monitoring blood pressure,

And do these things well.

Lifestyle is a very important reason for the large number of patients with hypertension. Whether it is to prevent or manage hypertension, we should do the following things well.

0one

Low sodium diet

A low-sodium diet is good for controlling blood pressure. The guidelines point out that all patients with hypertension should take various measures to limit their sodium intake. Those with good renal function are recommended to choose low sodium and rich potassium instead of salt. The guideline makes it clear that compared with common salt, low sodium and rich potassium salt can significantly lower blood pressure, reduce stroke and reduce the risk of cardiovascular events and death.

A study published in the Journal of the American Medical Association in 2023 found that a low-sodium diet can reduce systolic blood pressure. The researchers said in the paper that the effect is similar to that of commonly used first-line antihypertensive drugs.

02

Moderate exercise

The guide emphasizes that for hypertensive patients with well-controlled blood pressure, mixed training with aerobic exercise as the mainstay and resistance exercise as the supplement is recommended, and it is also recommended to combine breathing training with flexibility and stretching training.

A study published in the Journal of Clinical Hypertension in 2021 found that after walking for 3 months, most people’s blood pressure dropped by about 2-3 mm Hg. According to the researchers, for patients with hypertension, walking 4000-8000 steps a day can achieve ideal results in reducing hypertension.

0three

Regular schedule

The guide has added some suggestions about sleep in the intervention chapter of treating life style. Patients with hypertension should keep healthy sleep and improve sleep disorders. Healthy sleep includes adequate sleep time and good sleep quality. Shorter sleep time will increase the risk of hypertension, and insomnia is related to cardiovascular death and all-cause death.

It is recommended that adults sleep for 7-9 hours every night to ensure the quality of sleep and work and rest on time.

0four

Stay away from alcohol and tobacco

According to the guideline, smoking is recognized as an independent risk factor of cardiovascular disease and death, and the greater the smoking amount and the longer the smoking time, the higher the risk of cardiovascular disease and death. Secondhand smoke exposure also increases cardiovascular risks such as coronary heart disease and stroke. In addition, the frequency of drinking increases, and the risk of hypertension will also increase.

0five

Managing stress

With the rapid development of social economy, the pace of life is accelerating, social competition is becoming increasingly fierce, and psychological pressure caused by various factors is gradually increasing. Patients with hypertension are more likely to have mental and psychological problems.

In short, regular monitoring of blood pressure and a good lifestyle can achieve the goal of stable blood pressure. Enjoy health every day!

Editor: Xi Yuxuan

Information: Health Times

* Please indicate the official WeChat from Yangpu, Shanghai.

ShangguanNo. Author: Shanghai Yangpu