Lancet Global Health: Community health workers and hypertension in Bangladesh, Pakistan and Sri Lanka (2) Self-monitoring of blood pressure

24 March, 2021

Hypertension is a candidate for patient partnership. Patients self - monitor, sharing readings with the service medical record and manage lifestyle changes as they monitor their blood pressure.

Blood pressure monitors may be bought for as little as £215.00 sterling [*see note below]

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Nature review cardiology : "Lifestyle interventions for the prevention and treatment of hypertension." https://www.nature.com/articles/s41569-020-00437-9

Pedro L. Valenzuela, Pedro Carrera-Bastos, Beatriz G. Gálvez, Gema Ruiz-Hurtado, José . Ordovas, Luis M. Ruilope & Alejandro Lucia

ABSTRACT

Hypertension affects approximately one third of the world’s adult population and is a major cause of premature death despite considerable advances in pharmacological treatments. Growing evidence supports the use of lifestyle interventions for the prevention and adjuvant treatment of hypertension.

Key points

- Strong evidence supports the benefits of regular physical activity and exercise for the prevention and management of hypertension.

- Sodium intake restriction reduces blood pressure, particularly in patients with hypertension, and the Dietary Approaches to Stop Hypertension (DASH) diet is the most effective dietary approach to prevent hypertension and to reduce blood pressure in individuals with pre-hypertension or hypertension.

- In contrast to common antihypertensive medications, lifestyle interventions, especially exercise, reduce blood pressure through multisystemic and ‘non-traditional’ mechanisms (for example, not only by improving vascular health or reducing sympathetic overactivation).

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HIFA profile: Richard Fitton is a retired family doctor - GP, British Medical Association. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data

Email address: richardpeterfitton7 AT gmail.com

[*Note from HIFA moderator (Neil PW): Blood pressure monitors are indeed available for less than this, eg £50 ($60) https://www.healthandliving.net/best-blood-pressure-monitors/ This will still be unaffordable for many. Can anyone on HIFA share experience or papers on engaging patients in hypertension control?]