Health
Blood pressure in US adults is rising during a pandemic
New studies using health data from nearly 500,000 Americans show that blood pressure levels rise during a pandemic, with women and the elderly experiencing higher rises. The The findings were published in the journal of the American Heart Association on December 6, 2021. circulation..
“Most people didn’t take care of themselves when the pandemic began. Elevated blood pressure caused changes in eating habits, increased alcohol consumption, decreased physical activity, decreased medication adherence, and mental health. It may be related to increased stress and lack of sleep. ” Luke J. Raffin, MD, Co-Director of Blood Pressure Disorders Center at Cleveland Clinic, Ohio, and Lead Author of Research American Heart Association (AHA) Press Release.. “And we know that even a slight increase in blood pressure raises our blood pressure. Stroke risk And other adverse events of cardiovascular disease. “
The results of these findings are important and they check what doctors see in the clinic every day, he says. Lawrence Phillips, MD, Cardiologist Medical Director of Outpatient Cardiology at NYU Langone Health in New York City. Dr. Phillips was not involved in the study. “During the COVID pandemic, the management of chronic conditions, including blood pressure control, has been overlooked by patients, as in other lives. Stressor It was amplified, “he says.
Almost half of adults in the United States have high blood pressure
by Centers for Disease Control and Prevention (CDC), Almost half of the adults in the United States (47%, or 116 million) have high blood pressure. That is, systolic blood pressure exceeds 130 millimeters of mercury (mmHg) or diastolic blood pressure exceeds 80 mmHg.Or they are taking medicine for High blood pressure..
Blood pressure is a measure of the pressure of blood that pushes against the arterial wall. National Institutes of Health (NIH).. Systolic blood pressure is the highest number in your blood pressure measurement and indicates the pressure that blood exerts on the arterial wall with each contraction. Dilated blood pressure is the lowest number in a blood pressure measurement and indicates the pressure that blood exerts on the arterial wall while the heart is at rest between contractions.
If blood pressure remains high for a long time, it can damage organs and raise blood pressure. Risk of heart attack, Stroke, heart failure, And renal failure.
Blood pressure level rises during a pandemic
To study changes in blood pressure levels COVID-19 Pandemic, Researchers used anonymized health data from 464,585 employees enrolled in the wellness program and their spouses or partners. The average age of participants was 46, with 54% being female.
Subject Measured blood pressure During employee health checkups every year from 2018 to 2020. Participants were divided into four groups: usually elevated, Stage 1 hypertension, And stage 2 hypertension according to current AHA blood pressure guidelines.
Researchers have found that average blood pressure has the following trends:
- When researchers compared the years of study before the pandemic began, blood pressure measurements did not change much. During the pandemic from April to December 2020, monthly mean blood pressure increases range from 1.10 to 2.50 mmHg for systolic blood pressure and 0.14 to 0.53 mmHg for diastolic blood pressure compared to the corresponding period in 2019. was.
- Higher increases in blood pressure measurements were seen in both systolic and diastolic blood pressure women, older participants in systolic blood pressure, and younger participants in diastolic blood pressure.
- From April to December 2020, 26.8% of participants were in the higher blood pressure category compared to the pre-pandemic period, but only 22% moved to the lower blood pressure category.
According to the authors, a slight increase in blood pressure population levels is associated with an increased long-term incidence of major cardiovascular adverse events, and these findings later imply increased mortality from cardiovascular disease. There is a possibility.
This study wasn’t set up to clarify why blood pressure rose during a pandemic, but it’s probably because of a life-changing way, says Phillips. “When the pandemic began, people spent more time at home, less exercise, increased alcohol intake, poor diet, weight gain, and higher levels of general stress. It’s not surprising that the factor caused high blood pressure, “he says.
Although other studies have shown that Americans have gained weight According to the author, the reason for the increased blood pressure observed in this study during the pandemic was not extra weight. In this population, men actually lost weight on average, and females gained weight the same as during the pre-pandemic period.
This is a bit surprising, says Phillips. “Anecdotally, I have seen weight gain as a key factor in the exacerbation of chronic conditions in many people. Similarly, managing risk factors such as weight and seeing improvements in condition and risk factors, I’ve seen people with high blood pressure, “he says.
Expert advice for managing your blood pressure — and your overall health
If a pandemic upsets your normal daily routine and healthy habits, there is no better time to get back on track than it is now. This is what Phillips talks to his patient.
I know your number. This continues to be very important, he says. “As a result of the pandemic, people are more at home than ever before, which means more home monitoring is needed. With a sphygmomanometer cuff, on a regular basis Check and take ownership of the number to see if the number is rising, “he says.
Stay in touch with your doctor. “Many of these changes in blood pressure are due to non-compliance with medication and lack of follow-up,” says Philips. Don’t be afraid to go to the doctor when you need care, and use telemedicine to get better contact with your provider, he says.
Double your lifestyle changes. According to Philips, both patients and healthcare providers have experienced a lot in the last few years. “In the early stages of the pandemic, the types of weight management, diet, and exercise lay down. Now we need to challenge to resume what we let go. , You will be better able to manage chronic diseases such as: Control blood pressure“He says.
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