The American Heart Association’s revised blood pressure guidelines emphasize the importance of lifestyle changes, including reducing body weight by 5% or more, to help control blood pressure. For individuals with diabetes, these stricter cut-offs are especially crucial in preventing organ damage.
According to Dr. Vijay Negalur, Head of Diabetology at KIMS Hospitals, “Even mildly elevated readings can speed up damage to blood vessels, kidneys, eyes, and nerves.” The revised guidelines suggest that a sustained 5% reduction in body weight or more than 3 kg/m2 reduction in BMI+ is recommended.
Dr. Negalur explains that excess weight and diabetes often contribute to high blood pressure by increasing insulin resistance, raising insulin levels, and stiffening arteries. Even losing 5% of body weight can lower blood pressure by 5-10 mmHg. The dual benefit of weight management also improves blood sugar control and reduces the risk of heart and kidney problems.
The revised guidelines classify readings as: Elevated (120-129/80 mmHg), Stage 1 Hypertension (130-139/80-89 mmHg), and Stage 2 Hypertension (140 or higher/90 mmHg or higher). Experts emphasize the importance of lifestyle changes, such as following a heart-healthy eating pattern, reducing sodium intake, increasing potassium intake, adopting a moderate physical activity program, managing stress, and reducing alcohol intake.
For individuals with diabetes, maintaining a healthy weight is crucial in preventing long-term heart, kidney, and eye health issues. The guidelines recommend monitoring blood pressure at home, having annual kidney function tests, and staying active to improve insulin sensitivity and lower BP.
Source: https://indianexpress.com/article/lifestyle/health/american-heart-association-revised-blood-pressure-guidelines-cutting-5-per-cent-or-more-bodyweight-hypertension-blood-sugar-diabetics-experts-10209656