Whether you are a male or female friend, after entering middle age, your body will have some minor problems one after another, and some people will have abnormal blood pressure. A few days ago, a friend asked: Does 's blood pressure reach 145/95 count as high blood pressure? Can the blood pressure be lowered by means of brisk walking every day? Dr. Zhang will talk to friends about this issue.
The incidence of hypertension in my country is not high: What are the harms of poor blood pressure control?
The incidence of hypertension in adults in my country is very high, as high as 20%. What worries doctors is that the effective control rate of hypertension is less than 20%. This has a lot to do with the risk factors of hypertension. The risk factors of hypertension include: genetics, age, high-salt diet, obesity, poor living habits, long-term mental stress, and poor control of underlying diseases. In modern life, many high-risk factors have not been effectively controlled. Therefore, the effective control rate of hypertension is so low.
Many friends have no symptoms in the early stage of hypertension, but if blood pressure is not well controlled for a long time, it is easy to cause a series of complications such as heart disease, cerebral infarction, cerebral hemorrhage, kidney failure, visual impairment, etc. disease. It can be seen that hypertension has the characteristics of high morbidity, great harm, and low control rate. In order to achieve effective control of hypertension, " early detection and early treatment" is very important. How should it be in daily life? Found high blood pressure?
How to diagnose hypertension in daily life?
Many friends have no symptoms in the early stages of high blood pressure, so the problem of high blood pressure is easy to be ignored. Measuring blood pressure is the main way to diagnose hypertension. For adults who are normally healthy and healthy, blood pressure should be measured once a year so that blood pressure rises can be detected in time. If you have a family history of hypertension, it is recommended to measure your blood pressure every six months or even every quarter to find abnormalities in blood pressure as early as possible.Give prompt treatment.
Hypertension is defined as: without using any antihypertensive drugs, measuring the blood pressure in the office 3 times on different days, systolic blood pressure ≥ or 140 mm of mercury and If the pressure is ≥90 mmHg, it can be diagnosed as hypertension. For the classification of blood pressure levels, there are the following situations:
- normal blood pressure: systolic blood pressure <120,> diastolic blood pressure <80;>
- high normal value: systolic blood pressure is between 120~139 and ( Or) Diastolic blood pressure is between 80~89;
- Primary hypertension: systolic blood pressure is 140~159 and (or) diastolic blood pressure is 90~99;
- secondary hypertension: systolic blood pressure ≥160 And (or) diastolic blood pressure ≥100.
The latest guidelines for 2020 have cancelled the third grade hypertension, so I won't repeat it here.
Through the above discussion, friends can understand that blood pressure 145/95 can be diagnosed as hypertension, and it belongs to the first level of hypertension. The treatment of this type of hypertension includes two aspects: lifestyle adjustment and medication . It is recommended that friends with a blood pressure of 145/95 can adopt a healthy lifestyle for adjustment within 3-6 months after discovering an increase in blood pressure. If a healthy lifestyle still cannot restore blood pressure to normal, you need to take antihypertensive drugs.
blood pressure 145 95,Is it possible to return to normal by brisk walking?
Brisk walking is a very good aerobic exercise. Many chronic diseases can be improved by brisk walking. For friends with high blood pressure, the following benefits can be obtained by brisk walking:
- Enhance cardiopulmonary function, improve blood supply to organs, and reduce complications.
- Remove excess water and sodium from the body, reduce the fluid content in blood vessels, and reduce the burden on the heart.
- Long persistence can reduce weight.
- Improve the condition of hyperlipidemia, diabetes and hyperuricemia.
- During exercise, the body can secrete a large amount of endorphins, which can improve the bad mood of sick friends.
The above-mentioned effects are very good for blood pressure control. However, the control of blood pressure by exercise varies from person to person and cannot be generalized. Many friends still cannot restore their blood pressure to the normal range after a long period of exercise, so they need to insist on taking antihypertensive drugs. If a middle-aged friend suffers from high blood pressure and wants to rely on this method to adjust, Dr. Zhang has a few suggestions:
- It is enough to insist on 4~6 times a week, and each exercise should be between 30~60 minutes. If the time is too short or too long, there is not much benefit to blood pressure control.
- Choose a suitable venue, the ground should be level, and the light should be sufficient to prevent various accidents.
- Choose suitable shoes and wear suitable sports equipment to prevent sports injuries.
- Choose a suitable exercise time. For friends with high blood pressure, because there will be a "morning peak" in blood pressure, it is not recommended for friends with high blood pressure to exercise in the morning to prevent cardiovascular and cerebrovascular accidents.
- should be combined with one's own situation,Go step by step and don't rush for quick success.
In terms of life adjustment, in addition to exercise, you also need to pay attention to a low-salt and high-potassium diet, control your weight, get rid of bad habits, and maintain an optimistic mood. Hypertension is a very complex chronic disease. Don't try to solve it in a simple way.
Summary
Middle-aged friends can be diagnosed with high blood pressure if their blood pressure reaches 145/95, which is the first level of hypertension. For the treatment of first-level hypertension, it is not necessary to take drugs in the early stage, but to control it by improving lifestyle. Brisk walking is a very good way of exercise, long-term persistence is very good for blood pressure control. But in the process of exercise, you must pay attention to protection, choose a good venue, do not rush for quick success, and adopt scientific and reasonable exercise time and frequency. If the blood pressure cannot return to normal after 3 to 6 months after adjusting the exercise mode, you need to take antihypertensive drugs.
Regarding the question of "whether the middle-aged person’s blood pressure 140/95 can be diagnosed as hypertension, and whether the blood pressure can be restored to normal by brisk walking", let’s talk here today. If you agree with Dr. Zhang’s point of view, welcome You pay attention, like or leave a message. It is not easy to create. Thank you for your support. If you have any other questions or views, you are also welcome to leave a message in the message area. Good questions are also an important source of inspiration for my creation. I look forward to your feedback Help, I'm Zhang Wei, the outsider doctor, and we'll see you next time.
References
【1】 Chinese Medical Doctor Association Hypertension Professional Committee, Chinese Hypertension Alliance, Chinese Medical Association Cardiovascular Branch. Family blood pressure monitoring Chinese expert consensus[J]. Chinese Hypertension Magazine, 2012, 20 (6): 525 -529.
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