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Lifestyle interventions for the prevention and treatment of hypertension

Valenzuela, Pedro L. (author)
University of Alcalá
Carrera-Bastos, Pedro (author)
Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Skåne University Hospital
Gálvez, Beatriz G. (author)
European University of Madrid
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Ruiz-Hurtado, Gema (author)
12 de Octubre University Hospital
Ordovas, José M. (author)
Tufts University,Madrid Institute For Advanced Studies (IMDEA) Food Institute
Ruilope, Luis M. (author)
12 de Octubre University Hospital
Lucia, Alejandro (author)
12 de Octubre University Hospital,European University of Madrid
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 (creator_code:org_t)
2020-10-09
2021
English.
In: Nature Reviews Cardiology. - : Springer Science and Business Media LLC. - 1759-5002 .- 1759-5010. ; 18:4, s. 251-275
  • Research review (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

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