How to optimize the lifestyle of the elderly with hypertension?

1. Optimize lifestyle: Elderly patients with hyperlipidemia should pay attention to the regularity of their lifestyle. Participate in sports and recreational activities appropriately, maintain a good attitude, and try to avoid adverse effects of adverse psychological and spiritual factors such as mental stress, emotional overexcitement, frequent late nights, overwork, anxiety or depression on lipid metabolism.

2. Drinking tea, quitting smoking and limiting alcohol: Experimental studies have proved that all kinds of tea have the effect of reducing blood lipids and promoting fat metabolism, among which green tea has the best effect on lowering blood lipids.

Therefore, the elderly with hyperlipidemia may wish to drink more tea. Scientific studies have shown that long-term smoking or alcohol abuse can interfere with blood lipid metabolism and increase cholesterol and triglycerides. Therefore, it is best for the elderly to quit smoking and limit alcohol.

3. Low-fat and low-cholesterol diet: the elderly with hyperlipidemia should strictly control the intake of animal fat or cholesterol, and the edible oil is mainly vegetable oil rich in unsaturated fatty acids, such as soybean oil, peanut oil, corn oil, and no more than 1 egg per day, or 1 egg in 2 to 3 days.

One: It's best to wear loose clothing. Clothes for elderly patients with high blood pressure should be soft and loose, and it is best to wear cotton clothes with good air penetration, which is both relaxed and warm. Do not tie your trouser belt or tie too tightly to avoid blood pressure fluctuations.

2. Pay attention to orthostatic hypotension. The elderly are prone to orthostatic hypotension, so when elderly patients change from lying flat to upright in blood pressure lowering and experience dizziness, it indicates the possibility of orthostatic hypotension and should be taken seriously.

Three: Eat reasonably. The diet of elderly hypertensive patients should pay attention to the principles of low salt, low fat and high protein.

The daily intake of table salt should not exceed 10 grams, preferably less than 5 grams. Limiting the intake of animal fats and cholesterol and eating mainly vegetable oils not only helps prevent atherosclerosis, but also facilitates blood pressure control. Consume a moderate amount of protein, in addition to the protein provided by cereals, you should also give milk, lean meat, fish, etc.

At the same time, eat more potassium-rich foods, such as vegetables and fruits, to replenish vitamins and regulate the electrolyte balance in the body to ensure smooth stools. A certain amount of potassium and calcium intake can reduce the sensitivity of the cardiovascular system to sodium salts in the elderly, thereby lowering blood pressure.

Four: Be happy and emotionally stable. Bad emotions can cause the heart to beat faster and blood pressure to rise, so elderly patients with hypertension should maintain a calm mind and avoid being emotional and too nervous.

Five: Exercise in moderation and get enough sleep. Elderly patients with hypertension should be able to live sometimes, move appropriately, combine work and rest, and get enough sleep.

A regular and scientific lifestyle can maintain stable blood pressure; Overexertion can raise blood pressure and worsen the condition. Older people should get 8 to 9 hours of adequate sleep a day.

Six: Take the medicine persistently, and do not stop the drug by yourself. Medications are the mainstay of hypertension in the elderly.

Elderly patients with hypertension should insist on taking antihypertensive drugs according to the doctor's instructions to gradually control the blood pressure within the normal range. During the application of antihypertensive drugs, elderly patients should sit up and stand up as slowly as possible.

Lifestyle changes are one of the most important aspects of controlling high blood pressure. Elderly patients with hypertension should pay attention to the following points in their lifestyle, one is to limit the intake of salt in the diet, the elderly common salt-sensitive hypertension, limiting salt intake is particularly important, it is recommended that the daily salt intake should be less than 6g, and should be vigilant against hyponatremia caused by excessive salt restriction. The second is to have a balanced diet, encouraging the elderly to consume more fresh vegetables, fruits, fish, soy products, whole grains and skimmed milk, as well as other foods rich in potassium, calcium, dietary fiber and polyunsaturated fatty acids.

The third is to quit smoking and avoid second-hand smoke, because tobacco will significantly increase the incidence and mortality of cardiovascular and cerebrovascular diseases. Fourth, limit drinking, discourage the elderly from drinking, and limit the amount of alcohol consumed by patients every day, the daily alcohol intake should be less than 25g for men and less than 15g for women, and at the same time pay attention to the impact of alcohol on drugs. Fifth, it is necessary to lose weight moderately, weight loss helps to lower blood pressure, and it is recommended to control the body mass index at 25kg, especially for the elderly.

However, it is also important to note that weight control should not be too strict, because strict dietary restrictions and salt intake in the diet can actually lead to malnutrition and electrolyte disorders, such as low sodium or low potassium. Rapid or excessive weight loss in the elderly will also affect the quality of life and even lead to a decrease in immunity. Sixth, it is necessary to adhere to regular aerobic exercise, regular exercise can help lower blood pressure, exercise can be based on personal hobbies and physical conditions, choose to walk or boxing, etc.

In addition, it is still necessary to maintain good mental health and avoid mood swings, as anxiety and depression will also increase the occurrence of high blood pressure. The blood pressure of the elderly is also susceptible to seasonal changes, and when the seasons change, it is also necessary to monitor the changes in blood pressure to adjust the antihypertensive drugs in time.

For the elderly with high blood pressure, in daily life, first of all, it is necessary to avoid emotional agitation, in terms of diet, the diet should be light, reduce the intake of high-oil, high-fat, high-salt and high-sugar foods, moderate reasonable exercise, and slowly control blood pressure through lifestyle changes.

Hypertension in older people needs to be controlled depending on the severity of the condition. If the elderly are only mildly high blood pressure and have no physical discomfort, they do not need to take antihypertensive drugs to control it, they can be controlled by diet, try to eat less salty food, as long as it is controlled within 6 grams per day, you can eat more diets containing high potassium and low sodium, and at the same time, you must also eat coarse grains containing dietary fiber, you must quit smoking and drinking, and you must eat less desserts. Elderly people can choose sports that suit them, but also maintain a good attitude, not overworked, and not stay up late.

If the blood pressure is high, it is necessary to use appropriate blood pressure lowering drugs for the patient under the guidance of a doctor.

Hope mine is helpful to you.

Elderly friends with high blood pressure, need to go to the hospital for examination, combined medication to control the disease, in addition to the need to control personal weight, moderate consumption of tea, can reduce blood lipids, blood sugar and other good friends should also pay attention to personal diet, to eat less high-salt food, should eat light food, eat more vegetables and fruits, can effectively control blood pressure.

When it comes to high blood pressure, we are still familiar with it, patients with high blood pressure need to pay special attention, especially some elderly friends, the continuous increase in blood pressure may lead to the formation of cerebral hemorrhage and other complications in the human body, which will bring great harm to the body, we must pay special attention. How to regulate high blood pressure in the elderly, the following will explain the relevant content for you in detail, I hope to help you.

1. The blood pressure of the elderly friends is relatively high and needs to take drugs for a long time to control the disease, patients and friends need to go to the hospital regularly to do liver and kidney function tests to prevent other complications in the human body, if the blood pressure control is not ideal, it is necessary to take a combination of medication methods, which can effectively alleviate the symptoms, and patients need to go to the hospital regularly to check the blood sugar and blood lipid levels of the human body.

2. Elderly friends should also pay attention to personal eating habits, in daily life must reduce the intake of salt, the daily intake of salt can not exceed four grams, in addition to high-fat food to eat less, lard and other fried food as much as possible not to eat or eat less, it is recommended that male elderly friends need to supplement the appropriate amount of vegetables and fruits, and can not drink, otherwise it will lead to increased blood pressure.

3. Elderly friends can drink tea, preferably green tea, which can effectively prevent the accumulation of blood lipids in the blood vessels, and drinking tea can also reduce the content of cholesterol and triglycerides, and can also promote the decomposition of fat, and can also effectively alleviate the symptoms.

How to regulate high blood pressure in the elderly is introduced here, I believe you have some understanding. Elderly friends need to strengthen sports to enhance personal physical fitness, but also to maintain weight, it is recommended that elderly friends can choose jogging, tai chi exercises, these exercises, can promote the recovery of the human body as soon as possible, elderly friends also need to reasonably control their weight, prevent excessive obesity, pay more attention to rest, do not be too tired.

Hypertension in the elderly is mainly regulated from three aspects, the first is **, patients should pay more attention to observe their physical condition every day, if there are symptoms such as dizziness, nausea and vomiting, blurred vision, and difficulty breathing, they should go to the hospital for examination in time. Daily patients should also pay attention to taking drugs to lower blood pressure, but they should not be taken at will, they must be taken under the guidance of a doctor, and the dosage and time of taking the medicine should be grasped. Patients should also visit the hospital regularly for check-ups and adjust their medications according to their condition.

The diet of hypertension in the elderly should also be paid special attention to, and each meal should be regular and quantitative, and overeating should not be allowed, otherwise it will have an adverse impact on health. The patient's diet should be reasonable, and the combination of meat and vegetables can better supplement nutrition, and should not be picky. Daily must be a low-salt diet, control the amount of salt consumed daily, do not eat salty food, vegetables and fruits can be eaten more, can supplement vitamins and minerals, good for health.

Elderly patients with hypertension should also develop good living habits, rest more, and exercise appropriately, which can help promote blood circulation, reduce cholesterol, and help lower blood pressure, but should not exercise excessively, otherwise it will lead to hypertension. Patients should also pay attention to quitting smoking and drinking, adjust their physical and mental state, do not put too much mental pressure on themselves, and maintain a relaxed and optimistic attitude.

Principles of coexistence of hypertension and multiple diseases in the elderly

Concomitant heart failure: if not contraindicated, ACE inhibitors (ARBs), receptor blockers, and diuretics may be used. Try to avoid the use of CCB, and for those whose blood pressure is difficult to control, dihydropyridine CCB (felodipine or amlodipine) with high vascular selectivity can be used.

with coronary artery disease: receptor blockers and ACE inhibitors should be preferred, and should be used early if there are no contraindications; Elderly coronary heart disease with uncontrollable blood pressure, or complicated by vasospasmodic angina, can choose CCB plus nitrate;

With atrial fibrillation: meta-analyses have shown that ACE inhibitor ARB significantly reduces atrial fibrillation and atrial fibrillation** in patients with heart failure, which may be preferred; Persistent rapid atrial fibrillation can be controlled with receptor blockers or nondihydropyridine CCBs.

Combined with stroke: the blood pressure reduction should be stable in acute stroke, and the key is to maintain cerebral blood flow in elderly hypertensive patients with chronic cerebrovascular disease; Blood pressure target is 140 90 mmHg; Long-acting CCBs, ACE inhibitors, ARBs, diuretics, etc. may be preferred.

Combined with diabetes: the application of ACE inhibitor ARB can improve glucose metabolism and endothelial function, reduce urine microalbumin, and delay the occurrence of diabetic nephropathy while lowering blood pressure.

with renal insufficiency: ACE inhibitor arb can lower proteinuria and reduce the incidence of end-stage renal disease, which may be preferred, but serum creatinine and electrolyte levels should be monitored; When the antihypertensive efficacy is not met, long-acting dihydropyridine CCBs can be added, and there is a tendency to fluid retention, and low-dose diuretics can be combined.

Antihypertensive in frail older adults**

There is a lack of evidence on the benefit of lowering blood pressure** in older patients with stage 1 hypertension (systolic blood pressure 140 to 150 mmHg), so a systolic blood pressure of 160 mmHg is recommended as the cut-off value for initiating blood pressure lowering**.

The goal of systolic blood pressure control in frail older patients is 150 mmHg but not less than 130 mmHg; When blood pressure falls below this value, the dose of antihypertensive drugs should be reduced, or even stopped.

Attention should be paid to the application of home self-measurement of blood pressure and ambulatory blood pressure monitoring in elderly patients.

Calcium channel blockers, thiazide diuretics, and angiotensin-converting enzyme inhibitors should be the preferred antihypertensive agents in older patients.

There are 2 peak periods of blood pressure changes every day, that is, 6 am to 8 am and 18 pm to 8 pm, which are also the peak periods of myocardial infarction, angina, sudden cardiac death, and stroke. Therefore, it is necessary to control blood pressure to a satisfactory level throughout the day, that is, blood pressure is lower than 140 85 mmHg or lower in patients with simple hypertension, and in patients with diabetes and urine protein (+), blood pressure must be strictly controlled, and must be reduced to 130 80 mmHg. In this way, patients are required to strictly change their lifestyle, including low-salt and low-fat diet, quit smoking and limit alcohol, **, avoid nervousness, adhere to aerobic exercise, etc., and use drugs rationally according to the law of blood pressure fluctuations and the time of action of antihypertensive drugs in the body.

The first dose of the drug should be taken at 6 a.m., and if it is a short-acting antihypertensive drug, it should be taken once at 12 noon and from 17 p.m. to 18 p.m.; If it is a medium-acting antihypertensive drug, it should be given once in the morning and once in the evening, and if the blood pressure rises at night, it is best to use long-acting or moderate-acting antihypertensive drugs. To stabilize blood pressure control, most of the drugs are combined, blood pressure should be measured at the peak of blood pressure fluctuations or during exercise, and under the guidance of a doctor, start with a small dose of a drug, gradually increase the dose or variety, and increase it slowly. When satisfactory results are obtained from clinical occasional blood pressure measurements, it is best to use 24-hour ambulatory blood pressure monitoring to determine whether the blood pressure is stable.