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Lifestyle interventions for the prevention and treatment of hypertension

Valenzuela, Pedro L. ; Carrera-Bastos, Pedro LU ; Gálvez, Beatriz G. ; Ruiz-Hurtado, Gema ; Ordovas, José M. ; Ruilope, Luis M. and Lucia, Alejandro (2021) In Nature Reviews Cardiology 18(4). p.251-275
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. In this Review, we provide a summary of the epidemiological research supporting the preventive and antihypertensive effects of major lifestyle interventions (regular physical exercise, body weight management and healthy dietary patterns), as well as other less traditional recommendations such as stress management and the promotion of adequate sleep patterns coupled with circadian entrainment. We also discuss the physiological mechanisms... (More)

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. In this Review, we provide a summary of the epidemiological research supporting the preventive and antihypertensive effects of major lifestyle interventions (regular physical exercise, body weight management and healthy dietary patterns), as well as other less traditional recommendations such as stress management and the promotion of adequate sleep patterns coupled with circadian entrainment. We also discuss the physiological mechanisms underlying the beneficial effects of these lifestyle interventions on hypertension, which include not only the prevention of traditional risk factors (such as obesity and insulin resistance) and improvements in vascular health through an improved redox and inflammatory status, but also reduced sympathetic overactivation and non-traditional mechanisms such as increased secretion of myokines.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nature Reviews Cardiology
volume
18
issue
4
pages
251 - 275
publisher
Nature Publishing Group
external identifiers
  • scopus:85092407944
  • pmid:33037326
ISSN
1759-5002
DOI
10.1038/s41569-020-00437-9
language
English
LU publication?
yes
id
6c776b10-88f8-4659-993c-61ac4ed03f87
date added to LUP
2020-11-03 11:35:04
date last changed
2024-06-14 01:23:19
@article{6c776b10-88f8-4659-993c-61ac4ed03f87,
  abstract     = {{<p>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. In this Review, we provide a summary of the epidemiological research supporting the preventive and antihypertensive effects of major lifestyle interventions (regular physical exercise, body weight management and healthy dietary patterns), as well as other less traditional recommendations such as stress management and the promotion of adequate sleep patterns coupled with circadian entrainment. We also discuss the physiological mechanisms underlying the beneficial effects of these lifestyle interventions on hypertension, which include not only the prevention of traditional risk factors (such as obesity and insulin resistance) and improvements in vascular health through an improved redox and inflammatory status, but also reduced sympathetic overactivation and non-traditional mechanisms such as increased secretion of myokines.</p>}},
  author       = {{Valenzuela, Pedro L. and Carrera-Bastos, Pedro and Gálvez, Beatriz G. and Ruiz-Hurtado, Gema and Ordovas, José M. and Ruilope, Luis M. and Lucia, Alejandro}},
  issn         = {{1759-5002}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{251--275}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Nature Reviews Cardiology}},
  title        = {{Lifestyle interventions for the prevention and treatment of hypertension}},
  url          = {{http://dx.doi.org/10.1038/s41569-020-00437-9}},
  doi          = {{10.1038/s41569-020-00437-9}},
  volume       = {{18}},
  year         = {{2021}},
}