1. © 2003, PrevMedix LLC New Blood Pressure Norms Normal < 120/80 Prehypertension 120-139 / 80-89 High blood pressure 140/90+ Healthy People 2010 Leading Health Indicator JNC 7 Report, JAMA May 21, 2003

2. © 2003, PrevMedix LLC Prevalence of High Blood Pressure Percent (%) JAMA 290:199-206, Jul 9, 2003

3. Prevalence of High Blood Pressure All adults 29% (58.4 million people) –Men27% –Women30% –African-Americans34% Persons 60+ yrs old 64% Increase since 1990 4% JAMA 290:199-206, Jul 9, 2003

4. © 2003, PrevMedix LLC Lifestyle Modifications to Lower Blood Pressure 1. Maintain a healthy weight - BMI less than 25, or - Lose 10-15 pounds - BP drops 5-20 points with 10 kg wt loss JNC 7 Report, JAMA May 21, 2003

5. © 2003, PrevMedix LLC Lifestyle Modifications to Lower Blood Pressure 2. Follow the DASH diet eating plan - Eat an abundance of fruits and vegetables - 8 to10 servings per day - Use non or low fat dairy products - Include whole grains, nuts, and legumes - Limit foods high in saturated fat (e.g. meats, butter) - BP drops 8-14 points on the DASH diet JNC 7 Report, JAMA May 21, 2003

6. © 2003, PrevMedix LLC Lifestyle Modifications to Lower Blood Pressure 3. Reduce sodium intake - Eat less salt and salty foods - Limit sodium intake to 2400 mg/day or less - Limiting sodium reduces BP by 2-8 points JNC 7 Report, JAMA May 21, 2003

7. © 2003, PrevMedix LLC Lifestyle Modifications to Lower Blood Pressure 4. Engage in regular aerobic physical activity - At least 30 minutes per day - Most days of the week, daily when possible - Moderate activities such as brisk walking - BP drops 4-9 points with increased activity JNC 7 Report, JAMA May 21, 2003

8. © 2003, PrevMedix LLC Lifestyle Modifications to Lower Blood Pressure 5. Limit alcohol intake, if used at all - Alcohol raises blood pressure - BP drops 2-4 points by limiting alcohol JNC 7 Report, JAMA May 21, 2003

9. © 2003, PrevMedix LLC JAMA 288:1882-88, Oct. 16, 2002 Blood Pressure Reduction and Mortality