16 Non-Drug Ways to Lower Blood Pressure
By Rebecca Abma
All too often, diabetes and hypertension go hand in hand. As many as two out of three adults with diabetes have hypertension (high blood pressure), too. And both conditions increase your risk of heart attack, stroke, and eye and kidney diseases.
Like blood sugar, your blood pressure levels can fluctuate throughout the day. Normal readings are at or below 120/80 mmHg, but a single reading above that isn't cause for alarm. Hypertension is defined as two or more consecutive readings above 140/90.
However, people with diabetes have a lower blood pressure target than the general public: Because of the increased risk of heart disease that comes with diabetes, the American Diabetes Association and the National Institutes of Health recommend that people with diabetes keep their blood pressure below 130/80.
If your blood pressure is elevated, your doctor may recommend lifestyle changes, such as following the DASH diet, before prescribing medication. The following are some other, non-drug blood-pressure reducers worth adopting whether or not you have hypertension.
1. Cut back on salt. It's no surprise that sodium can raise your blood pressure. If everyone in America cut their salt intake to no more than 1,500 mg a day, 16 million cases of high blood pressure would be prevented every year, according to the Centers for Disease Control and Prevention. (Current average daily intake for Americans exceeds 3,400mg.)
2. De-stress. A recent review of 107 studies on stress reduction techniques and blood pressure found that Transcendental Meditation, biofeedback, stress management training, and progressive muscle relaxation were all effective in lowering blood pressure.
Also, a study presented at the American Society of Hypertension's annual meeting in May 2008 found that listening to relaxing music for 30 minutes a day reduces blood pressure.
3. Go easy on the alcohol. Experts recommend no more than one drink a day for women and two drinks a day for men. In fact, studies show that when heavy drinkers cut down on alcohol, it lowers blood pressure. If you drink alcohol and are at risk of high blood pressure, talk to your doctor.
Reviewed by Susan Weiner, R.D., M.S., C.D.E., C.D.N. 10/08
- American Academy of Family Physicians. High Blood Pressure: Things You Can Do To Lower Yours. (Accessed July 28, 2008)
- American Diabetes Association. Treating High Blood Pressure in People With Diabetes. (Accessed July 29, 2008)
- American Heart Association. Blood Pressure. (Accessed July 23, 2009)
- American Heart Association. Your High Blood Pressure Questions Answered: Blood Pressure and Exercise. (Accessed August 1, 2008)
- Centers for Disease Control and Prevention, 2010, press release: http://www.cdc.gov/media/pressrel/2010/r101001.html?s_cid=mediarel_r101001 (Accessed January 24, 2011).
- Chan, P., B. Tomlinson, Y.J. Chen, J.C. Liu, M.H. Hsieh, and J.T. Cheng. 2000. A double-blind placebo-controlled study of the effectiveness and tolerability of oral stevioside in human hypertension. British Journal of Clinical Pharmacology. 50:215-220
- Duke, James A. 1997. The Green Pharmacy: The Ultimate Compendium of Natural Remedies from the World's Foremost Authority on Healing Herbs. Emmaus, Pa.: Rodale Press.
- Fatehi, M., T. Rashidabady, and Z.F. Hassanabad. 2007. Effects of petals extracts of saffron on rat blood pressure and on responses induced by electrical field stimulation in the rat isolated vas deferens and guinea-pig ileum. Acta Horticulturae. 739:347-350
- Ferrari, Antonella, Giuseppina Costanzo, Annamaria Vetere, Ignazio Simonetti, Gian F. Gensini, and Pietro A. Modesti. Daily Sessions of Music Listening in Mild Hypertension Can Reduce 24-Hour Ambulatory Blood Pressure after One Month. Paper presented at the 23rd Annual Meeting for the American Society of Hypertension, May 14-17, 2008 in New Orleans, La.
- Forman, J.P., E.B. Rimm, M.J. Stampfer, and G.C. Curhan. 2005. Folate intake and the risk of incident hypertension among US women. Journal of the American Medical Association. 293(3):320-9.
- Hawkley, L.C., C.M. Masi, J.D. Berry, and J.T. Cacioppo. 2006. Loneliness is a unique predictor of age-related differences in systolic blood pressure. Psychology and Aging. 21(1):152-64.
- Houston, Mark C. and Karen J. Harper. 2008. Potassium, magnesium, and calcium: Their role in both the cause and treatment of hypertension. Journal of Clinical Hypertension (Greenwich) 10(7 suppl 2): 2–11.
- Institute of Medicine. Dietary Reference Intakes: Electrolytes and Water. http://www.iom.edu/Object.File/Master/20/004/0.pdf (accessed August 4, 2008)
- Linus Pauling Institute. Micronutrient Information Center. Calcium. http://lpi.oregonstate.edu/infocenter/minerals/calcium/ (accessed August 12, 2008)
- Linus Pauling Institute. Micronutrient Information Center. Essential Fatty Acids. http://lpi.oregonstate.edu/infocenter/othernuts/omega3fa/ (accessed August 4, 2008)
- Linus Pauling Institute. Micronutrient Information Center. Magnesium. http://lpi.oregonstate.edu/infocenter/minerals/magnesium/ (accessed August 12, 2008)
- Linus Pauling Institute. Micronutrient Information Center. Potassium. http://lpi.oregonstate.edu/infocenter/minerals/potassium/ (accessed August 4, 2008)
- Medline Plus, Herbs and Supplements. Omega-3 fatty acids, fish oil, alpha-linolenic acid. (accessed August 4, 2008)
- National Heart Lung and Blood Institute. Your Guide To Lowering High Blood Pressure. (Accessed July 23, 2008)
- Norat, Teresa, Richard Bowman, Robert Luben, Ailsa Welch, Kay Tee Khaw, Nick Wareham, and Sheila Bingham. 2008. Blood pressure and interactions between the angiotensin polymorphism AGT M235T and sodium intake: a cross-sectional population study. American Journal of Clinical Nutrition. 88:392-397.
- Parr, A., F. Mellon, I. Colquhoun, and H. Davies. 2005. Dihydrocaffeoyl polymines (kukoamine and aillies) in potato (Solanum tuberosum) tubers detected during metabolite profiling. Journal of Agriculture Food Chemistry. 53(13):5461-5466.
- Pescatello, Linda S. Exercise and hypertension: Recent advances in exercise prescription. 2005. Current Hypertension Reports 7:281-286.
- Rainforth, Maxwell V., Robert H. Schneider, Sanford I. Nidich, Carolyn Gaylord-King, John W. Salerno and James W. Anderson. 2007. Stress reduction programs in patients with elevated blood pressure: A systematic review and meta-analysis. Current Hypertension Reports 9:520-528.
- Reid, K., O.R. Frank, N.P. Stocks, P. Fakler, and T. Sullivan. 2008. Effect of garlic on blood pressure: a systematic review and meta-analysis. BMC Cardiovascular Disorders. 8:13.
- Taubert, D., R. Roesen, C. Lehmann, N. Jung, and E. Schomig. 2007. Effects of low habitual cocoa intake on blood pressure and bioactive nitric oxide: a randomized controlled trial. Journal of the American Medical Association. 298(1):49-60.
- Webb, A.J., N. Patel, S. Loukogeorgakis, M. Okorie, Z. Aboud, S. Misra, R. Rashid, P. Miall, J. Deanfield, N. Benjamin, R. MacAllister, A.J. Hobbs, and A. Ahluwalia. 2008. Acute blood pressure lowering, vasoprotective, and antiplatelet properties of dietary nitrate via bioconversion to nitrite. Journal of Hypertension. 51(3):784-90.
- Whitaker, Julian M. 2001. Reversing Hypertension: A Vital New Program to Prevent, Treat, and Reduce High Blood Pressure. New York: Grand Central Publishing.
- Xin, X., J. He, M.G. Frontini, L.G. Ogden, O.I. Motsamai, and P.K. Whelton. 2001. Effects of alcohol reduction on blood pressure: a meta-analysis of randomized controlled trials. Journal of Hypertension. 38(5):1112-7.
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