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Lifestyle Modifications to Prevent and Control Hypertension.

Iranian journal of kidney diseases
September 1, 2016
Fariba Samadian et al. (3 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the impact of high salt intake on hypertension risk and the potential benefits of reducing salt consumption for public health.

Results Summary

High salt intake may predispose children to hypertension later in life, and a modest reduction in population salt intake could significantly improve public health. The abstract also discusses other dietary and lifestyle factors influencing hypertension but does not provide specific data on salt's effects.

Population

General population, with specific mention of children.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
High salt intake
increase
hypertension
children
-
may predispose
#1
A modest reduction in population salt intake
increase
public health
population worldwide
-
would result in a major improvement
#2
Targeted weight loss interventions
increase
prevention of hypertension
population subgroups
-
might be more effective
#3
A diet rich in high-potassium fruit and vegetables
neutral
-
-
-
is strongly recommended
#4
Calcium supplementation
decrease
blood pressure
hypertensive individuals during chronic nitric oxide synthase inhibition
-
reduces
#5
high calcium diet
increase
vasorelaxation
nitric oxide-deficient hypertension
-
enhances
#6
Magnesium
neutral
prevent or treat high blood pressure
anyone
-
should be considered
#7
Alcohol usage
increase
hypertension
-
-
is a more frequent contributor
#8
stress management
neutral
-
hypertensive patients in whom stress appears to be an important issue
-
should be considered as an intervention
#9
Individualized cognitive behavioral interventions
increase
-
-
-
are more likely to be effective
#10
Abstract

Hypertension is the most important, modifiable risk factor for cardiovascular disease and mortality. High salt intake may predispose children to develop hypertension later. A modest reduction in population salt intake worldwide would result in a major improvement in public health. Regarding smoking as another risk factor, there are various strategies that can be used to promote smoking cessation. Physicians are in an excellent position to help their patients stop smoking. Targeted weight loss interventions in population subgroups might be more effective for the prevention of hypertension than a general-population approach. A diet rich in high-potassium fruit and vegetables is strongly recommended. Fresh products are best; normal potassium content is reduced when foods are canned or frozen. Calcium supplementation reduces blood pressure in hypertensive individuals during chronic nitric oxide synthase inhibition and high calcium diet enhances vasorelaxation in nitric oxide-deficient hypertension. Magnesium should be considered by anyone seeking to prevent or treat high blood pressure. The foundation for a healthy blood pressure consists of a healthy diet, adequate exercise, stress reduction, and sufficient amounts of potassium and magnesium, but further investigations are required before making definitive therapeutic recommendations on magnesium use. Alcohol usage is a more frequent contributor to hypertension than is generally appreciated. For hypertensive patients in whom stress appears to be an important issue, stress management should be considered as an intervention. Individualized cognitive behavioral interventions are more likely to be effective than single-component interventions.

Medical Subject Headings (MeSH)
Calcium, DietaryDiet TherapyDiet, Sodium-RestrictedDietary SupplementsExerciseFruitHumansHypertensionLife StyleMagnesiumSmokingSmoking CessationVegetablesWeight Loss
Study Links
PubMed ID27721223
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality60/10
Citation Metrics
Total Citations68
Citations/Year7.6
Relative Citation Ratio3.12
NIH Percentile85.8%
Research Impact Scores
APT Score0.95
Weight Score0.86
Normalized Score0.60
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