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Health & Medicine for Senior Citizens

Alternative Therapies May Help Lower Blood Pressure But Don’t Match Traditional Methods

New scientific statement from American Heart Association looks at yoga, slow breathing, meditation, hand-grip exercise and more - Over half of those 60+ have hypertension

High Blood pressure WMVApril 23, 2013 – Don’t kid yourself about effective ways to reduce your life-threatening high blood pressure – some alternative methods can help, especially if they involve physical exercise, but they shouldn’t replace the proven methods long promoted by the American Heart Association.

Alternative therapies such as aerobic exercise, resistance or strength training, and isometric hand grip exercises may help reduce your blood pressure, according to information from AHA in a new scientific statement published in its journal Hypertension

The association said alternative approaches could help people with blood pressure levels higher than 120/80 mm Hg and those who can’t tolerate or don’t respond well to standard medications.

 

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However, alternative therapies shouldn’t replace proven methods to lower blood pressure — including physical activity, managing weight, not smoking or drinking excess alcohol, eating a low sodium balanced diet and taking medications when prescribed, the association said.

Senior citizens and high blood pressure

High blood pressure - a major risk factor for heart attack and stroke - affects more than 26 percent of the population worldwide and contributes to more than 13 percent of premature deaths.

Many people get high blood pressure as they get older, according to the Senior Health Website of the National Institutes of Health. In fact, over half of all Americans age 60 and older have high blood pressure. About 72 million American adults - nearly 1 in 3 - have high blood pressure.

An expert panel assessed three alternative remedy categories: exercise regimens; behavioral therapies such as meditation; and non-invasive procedures or devices including acupuncture and device-guided slow breathing. The panel did not review dietary and herbal treatments.

“There aren’t many large well-designed studies lasting longer than a few weeks looking at alternative therapies, yet patients have a lot of questions about their value,” said Robert D. Brook, M.D., Chair of the panel and an associate professor of medicine at the University of Michigan in Ann Arbor.

“A common request from patients is, ‘I don’t like to take medications, what can I do to lower my blood pressure?’ We wanted to provide some direction.”

The alternative therapies rarely caused serious side effects and posed few health risks, but the analysis revealed some approaches were more beneficial than others and could be part of a comprehensive blood pressure-lowering treatment plan.

Brook and colleagues reviewed data published in 2006-11, including 1,000 studies on behavioral therapies, non-invasive procedures and devices, and three types of exercise (aerobic, resistance or weight training and isometric exercises, most commonly handgrip devices).

The studies also examined the effects of yoga, different styles of meditation, biofeedback methods, acupuncture, device-guided breathing, relaxation and stress reduction techniques.

High Blood Pressure

Also called: Benign essential hypertension, Essential hypertension, HBP, HTN, Hypertension 

Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps out blood into the arteries.

Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure.

Your blood pressure reading uses these two numbers, the systolic and diastolic pressures. Usually they are written one above or before the other. A reading of

   ● 120/80 or lower is normal blood pressure

   ● 140/90 or higher is high blood pressure

   ● Between 120 and 139 for the top number, or between 80 and 89 for the bottom number is prehypertension

High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure. You can control high blood pressure through healthy lifestyle habits and taking medicines, if needed.

NIH: National Heart, Lung, and Blood Institute

The panel found:

   ● All three types of exercise reduced blood pressure. Walking programs provided modest benefit while, somewhat surprisingly, four weeks of isometric hand grip exercises resulted in some of the most impressive improvements - a 10 percent drop in systolic and diastolic blood pressure. However, isometric exercise should be avoided among people with severely-uncontrolled high blood pressure (180/110 mm Hg or higher).

    ● Behavioral therapies such as biofeedback and transcendental meditation may help lower blood pressure by a small amount. However, there’s not sufficient data to support using other types of meditation.

   ● Strong clinical evidence is also lacking to recommend yoga and other relaxation techniques for reducing blood pressure.

   ● There isn’t enough evidence to recommend acupuncture for lowering blood pressure, particularly given the complexities involved in employing this treatment. However, device-guided slow breathing did prove effective in lowering blood pressure when performed for 15-minute sessions three to four times a week.

“Most alternative approaches reduce systolic blood pressure by only 2-10 mm Hg; whereas standard doses of a blood pressure-lowering drug reduce systolic blood pressure by about 10-15 mm Hg,” Brook said.

“So, alternative approaches can be added to a treatment regimen after patients discuss their goals with their doctors.”

Given the global public health burden of high blood pressure more research is needed to look at the long-term cardiovascular health impact of alternative therapies and the effects of combining them together or adding them to other proven lifestyle measures, Brook said.

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