High blood pressure and health risks
According to data from the American Heart Association (AHA), nearly half of adults in the US are currently living with high blood pressure, a leading risk factor for heart disease, stroke, heart failure, kidney disease and even dementia.
For the first time since 2017, the AHA and the American Academy of Cardiology have issued updated guidelines for 2025 to help better control the disease.
The 2025 update reflects the latest evidence, opening up opportunities for people to live longer and healthier, said Dr Daniel W. Jones, Head of the Faculty and Honored Professor at the School of Medicine, University of Mississippi Medical Center, and Chairman of thefording Committee for his guidance.
The blood pressure measurements remain the same: normally below 120/80 mmHg; pre-hypertension 120 - 129/80 mmHg; increase blood pressure from 130/80 mmHg or more.
Six important recommendations in the new guidelines
Taking medicine earlier
If lifestyle changes within 3 - 6 months are not effective, patients should start taking medication. New research shows that high blood pressure is also associated with cognitive decline.
According to Dr. Scott Jerome, Director of Outpatient and Access to Cardiovascular Medicine at the University of Maryland School of Medicine, taking medication should go hand in hand with exercise routine and a scientific diet.
Reduce salt more
The new recommendation continues to limit sodium to below 2,300 mg/day, with an ideal target of 1,500 mg. People should read food labels, avoid processed foods and increase potassium-rich foods such as bananas, spinach, mushrooms.
Limit or quit alcohol
Men should not drink more than 2 glasses/day, women should not drink more than 1 glass. Research in 2023 shows that each additional alcohol unit can cause blood pressure to increase over time.
Manage stress
Prolonged stress is harmful to the heart. Instructions encourage maintaining 75 - 150 minutes of exercise per week and combining yoga, meditation, deep breathing.
Lose at least 5% of your weight
People who are overweight or obese should lose 5% or more of their body weight. In addition to lifestyle changes, you can discuss with your doctor about supportive injections or weight loss surgery.
Adopting the DASH diet
The DASH diet continues to be recommended: lots of vegetables, whole grains, beans, nuts, low-fat dairy, fish and poultry, while limiting salt and processed foods.
The importance of monitoring blood pressure
Knowing your blood pressure is a prerequisite for effective application of the new guidelines is a prerequisite for effective application, emphasizes Dr. Allen Taylor, Head of Cardiology at Med Star Cardiovascular Institute, Washington DC. However, many people are not really monitoring regularly."
He encourages each family to have a blood pressure monitor at home and share data during medical examinations. Regular monitoring will help doctors promptly adjust medication and lifestyle.
