Doctors should ‘prescribe’ exercise for people with slightly high blood pressure, cholesterol

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In a new report from the University of Pittsburgh, researchers suggest doctors should encourage otherwise healthy adults with slightly elevated blood pressure or cholesterol to sit less and move more to improve heart health.

The American Heart Association scientific statement suggests doctors write exercise “prescriptions” for people with mild to moderately high blood pressure and cholesterol.

The prescriptions would include suggestions for how they can increase daily physical activity along with resources, such as health coaches and connections to community centers.

An estimated 21% of U.S. adults – about 53 million people – have blood pressure that’s considered a little too high.

This is measured by the top number, known as systolic blood pressure, falling between 120-139 mmHg or the bottom number, called diastolic blood pressure, falling between 80-89 mmHg.

Likewise, roughly 28% of U.S. adults, or about 71 million people, have slightly high cholesterol levels. This is measured by a “bad” LDL cholesterol score above 70 mg/dL.

The guidelines for blood pressure and cholesterol both suggest people in those slightly high ranges who otherwise have a low risk of heart disease or stroke be treated through lifestyle changes only.

These include increased physical activity, weight loss, improving diet, stopping smoking and moderating alcohol intake.

The new AHA statement recommends doctors ask patients about their physical activity levels at every visit, help them identify activities they enjoy and connect them to resources.

It also calls upon doctors to encourage and celebrate small improvements, such as walking or climbing the stairs more often.

Studies show increasing physical activity can lower systolic and diastolic blood pressure by an average of 3-4 mmHg and can decrease LDL cholesterol by 3-6 mg/dL.

The statement highlights research showing physically active people have a 21% lower risk of developing cardiovascular disease and a 36% lower risk of death from cardiovascular diseases compared to inactive people.

Federal physical activity guidelines suggest people participate in either a cumulative 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous aerobic activity weekly, plus two or more strength training sessions each week.

If you care about high blood pressure, please read studies about this diet may help prevent high blood pressure and findings of blood pressure recording over 24 hours could predict heart disease best.

For more information about blood pressure and your health, please see recent studies about why sleep is so important for your blood pressure and results showing that over half of patients skip or stop using high blood pressure drugs.

The study is published in Hypertension. One author of the study is Bethany Barone Gibbs.

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