New blood pressure guidelines have recently been released. The research was based on the 2018 studies using the national health and nutrition examination survey, and the SPRINT survey (Systolic Blood Pressure Intervention Trial) as well as other published cardiovascular research articles.
The researchers found that controlling blood pressure to below 120 systolic and 80 diastolic (120/80) prevent additional cardiovascular events including strokes. The previous 2017-2018 Guidelines were to control blood pressure to 130 systolic over 80 diastolic (130/80) or lower.
Stage 1 high blood pressure is now 130-139/80 to 89 and Stage 2 is 140/90 or higher. The potential adverse effects from additional medication that may be needed was a consideration in making the new recommendations.
The researchers noted that high blood pressure is the most common and most modifiable risk factor for heart disease. The 2025 Guideline recommendations are to address individual risks early and offer more tailored strategies to treat high blood pressure.
Specific recommendations to lower and maintain a lower blood pressure include,
- Limiting sodium intake to less than 2300 mg per day (about 1 tsp/day), with the ideal limit of 1500 mg per day
- Cutting back on alcohol or eliminating alcohol
- Managing stress through exercise meditation, and other techniques
- Maintaining a healthy weight with a goal of at least 5% weight loss if needed
- Increasing physical activity to 75 to 150 minutes a week including aerobic exercise as well as strength training
- Following a heart healthy diet high in veggies, fruits, whole grains, legumes, nuts, and seeds
Home blood pressure monitoring is also recommended to help healthcare providers confirm a diagnosis of high blood pressure. This helps in identifying a pattern of blood pressure results. There is also a new risk calculator to determine the need for blood pressure medication.
Corporate wellness programs and occupational health center initiatives that educate employees on the new guidelines and goals as well as on lifestyle behavior changes to lower blood pressure are extremely beneficial. Scheduling periodic screenings help with early detection and management. It is always a surprise to us that many employees do not check their blood pressure through a healthcare provider, but only with the occupational health nurse if there is one available, or when respirator medical clearance is needed.
We are happy to send information about the DASH nutrition plan if you are interested. We do not ever encourage dieting for weight loss, but we do encourage cultivating a healthy relationship with food and food choices. The DASH plan was researched in the late 1980s and early 1990s and found to make a significant reduction in blood pressure for most. The current dietary guidelines are based on DASH. We are also happy to discuss Cultivating Inner and Outer Nutritional Wisdom.
AHA Journals.Org;
Heart.org newsroom
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