How to Reduce Blood Pressure: 10 Lifestyle Changes That Work

Lower your blood pressure naturally and reduce your risk of heart disease by adopting these 10 effective lifestyle changes.

If you’ve been diagnosed with high blood pressure, you might be wondering about medication. However, adopting a healthy lifestyle is crucial in managing hypertension. In many cases, strategic lifestyle adjustments can be sufficient to prevent, delay, or even decrease your reliance on medication for blood pressure control.

Here are 10 evidence-backed lifestyle modifications that can help you reduce blood pressure and maintain healthy levels long-term.

1. Achieve a Healthy Weight and Manage Your Waistline

Body weight is directly linked to blood pressure. As weight increases, blood pressure often follows suit. Furthermore, being overweight can contribute to obstructive sleep apnea, a condition characterized by interrupted breathing during sleep, which further elevates blood pressure.

Weight loss, therefore, is a cornerstone of blood pressure management. Even modest weight reduction can yield significant benefits. For every kilogram (approximately 2.2 pounds) of weight lost, you might see a decrease of about 1 mm Hg in blood pressure.

Waist circumference is another important indicator of health risks associated with high blood pressure. Excess abdominal fat is particularly concerning.

Generally accepted guidelines suggest:

• Men should be concerned if their waist measurement exceeds 40 inches (102 centimeters).
• Women should be concerned if their waist measurement exceeds 35 inches (89 centimeters).

It’s important to note that these figures can vary depending on ethnicity. Consult your healthcare provider to determine a healthy waist size specific to you.

2. Engage in Regular Physical Activity

Consistent aerobic exercise is a powerful tool for lowering high blood pressure, potentially reducing it by 5 to 8 mm Hg. The key is consistency; regular exercise is necessary to maintain these benefits and prevent blood pressure from creeping back up. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.

Exercise is not just for those with hypertension. It plays a preventative role, helping to keep slightly elevated blood pressure from progressing to full-blown hypertension. For individuals already diagnosed with hypertension, regular physical activity can effectively lower blood pressure to safer levels.

Effective aerobic exercises include:

• Brisk walking
• Jogging
• Cycling
• Swimming
• Dancing
• High-Intensity Interval Training (HIIT): Alternating short bursts of intense exercise with periods of lighter activity.

Strength training is also beneficial and should be incorporated at least two days per week. Consult with a healthcare professional to create a personalized exercise plan that suits your needs and abilities.

3. Adopt a Heart-Healthy Diet

What you eat has a profound impact on your blood pressure. A diet rich in whole grains, fruits, vegetables, and low-fat dairy, while being low in saturated fat and cholesterol, can lower high blood pressure by as much as 11 mm Hg. Two well-regarded dietary approaches for blood pressure management are the Dietary Approaches to Stop Hypertension (DASH) diet and the Mediterranean diet.

Potassium is a vital mineral that helps mitigate the negative effects of sodium on blood pressure. Processed foods often contain high levels of added sodium. Aim for a daily intake of 3,500 to 5,000 milligrams (mg) of potassium, which can potentially lower blood pressure by 4 to 5 mm Hg. Discuss your individual potassium needs with your doctor.

4. Reduce Sodium Intake

Even a small reduction in dietary sodium can significantly benefit heart health and blood pressure. While sodium’s impact varies, general recommendations advise limiting sodium intake to 2,300 mg per day or less. For optimal heart health, aiming for 1,500 mg per day or less is even more beneficial and may lower high blood pressure by approximately 5 to 6 mm Hg.

Practical steps to reduce sodium consumption:

• Scrutinize Food Labels: Opt for low-sodium versions of your favorite foods and beverages.
• Minimize Processed Foods: The majority of sodium in our diets comes from processed foods, not naturally occurring sources.
• Skip the Table Salt: Season your meals with herbs and spices instead of adding salt.
• Cook at Home: Preparing your own meals gives you complete control over sodium content.

5. Moderate Alcohol Consumption

Limiting alcohol intake can have a positive effect on blood pressure. For women, limiting alcohol to one drink per day, and for men, two drinks per day, may help lower blood pressure by about 4 mm Hg. A standard drink is defined as 12 fluid ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor.

Conversely, excessive alcohol consumption can significantly raise blood pressure and interfere with the effectiveness of blood pressure medications.

6. Stop Smoking

Smoking has a direct and detrimental effect on blood pressure, causing it to rise. Quitting smoking is one of the most impactful lifestyle changes you can make for your overall health, including blood pressure reduction. Beyond lowering blood pressure, quitting smoking dramatically reduces the risk of heart disease and improves overall health, potentially extending lifespan.

7. Prioritize Quality Sleep

Chronic sleep deprivation, defined as consistently getting less than seven hours of sleep per night, can contribute to hypertension. Sleep disorders such as sleep apnea, restless legs syndrome, and insomnia can disrupt sleep and exacerbate blood pressure issues.

Adults should aim for 7 to 9 hours of quality sleep each night. If you experience frequent sleep difficulties, consult your healthcare provider to identify and address any underlying sleep disorders. For those without diagnosed sleep disorders, these tips can promote more restful sleep:

• Establish a Regular Sleep Schedule: Go to bed and wake up at the same time every day, even on weekends, to regulate your body’s natural sleep-wake cycle.
• Optimize Your Sleep Environment: Create a cool, dark, and quiet sleep space. Engage in relaxing activities in the hour before bed, such as a warm bath or relaxation exercises. Minimize exposure to bright light from screens (TVs, phones, computers) before sleep.
• Mindful Eating and Drinking Habits: Avoid going to bed overly hungry or full. Refrain from large meals close to bedtime. Limit or avoid nicotine, caffeine, and alcohol in the hours leading up to sleep.
• Limit Daytime Naps: If you nap, keep them short (under 30 minutes) and earlier in the day to avoid disrupting nighttime sleep.

8. Manage Stress Effectively

Chronic stress may play a role in the development of high blood pressure, although ongoing research is exploring the precise mechanisms and effectiveness of stress reduction techniques in lowering blood pressure.

Regardless, managing stress is beneficial for overall health and well-being. Identify your personal stress triggers – these could be work-related, family issues, financial concerns, or health problems. Once you understand your stressors, you can develop strategies to manage them. Consider these stress-reducing techniques:

• Prioritize and Delegate: Avoid overcommitting yourself. Plan your day, focus on essential tasks, and learn to say “no” when necessary. Allow ample time for tasks.
• Focus on Controllables and Problem-Solve: Address issues you can influence. For work-related problems, communicate with your manager. For interpersonal conflicts, seek constructive resolution strategies.
• Avoid Stress Triggers: If rush hour traffic is a major stressor, consider alternative commute times or public transportation. Minimize contact with individuals who consistently cause you stress.
• Schedule Relaxation Time: Dedicate time each day for quiet relaxation and deep breathing exercises. Engage in enjoyable hobbies and activities like walking, cooking, or volunteering.
• Practice Gratitude: Expressing gratitude to others can reduce stress levels and improve your overall mood.

9. Monitor Blood Pressure at Home and Attend Regular Checkups

Home blood pressure monitoring is a valuable tool to ensure your lifestyle changes and medications are effectively managing your blood pressure. Home blood pressure monitors are readily available without a prescription. Consult your healthcare provider for guidance on home monitoring techniques before you begin.

Regular visits to your healthcare provider are also essential for blood pressure management. Even with well-controlled blood pressure, it’s important to discuss with your doctor how frequently you need to schedule checkups. You may be able to reduce the frequency of checks to once a day or less if your blood pressure is consistently within the target range.

10. Manage Cholesterol and Blood Sugar Levels

Elevated blood sugar and high levels of non-HDL (“bad”) cholesterol significantly increase the risk of heart disease. Many of the same healthy lifestyle habits that lower blood pressure also contribute to managing cholesterol and blood sugar. These include adopting a healthy diet, engaging in regular exercise, maintaining a healthy weight, and abstaining from smoking. Follow your healthcare provider’s specific recommendations for managing your cholesterol and blood sugar.

Implementing these 10 lifestyle changes is a journey that requires ongoing commitment. There will be days that feel more challenging than others. Lean on your support network of family and friends for encouragement. They can provide valuable support, accompany you to appointments, or join you in adopting healthier habits.

If you need support beyond your immediate circle, consider joining a support group. Connecting with others facing similar challenges can provide emotional support, motivation, and practical coping strategies.

References

1. Johnson RJ, et al. Nonpharmacologic prevention and treatment of hypertension. In: Comprehensive Clinical Nephrology. 7th ed. Elsevier; 2024. https://www.clinicalkey.com. Accessed April 2, 2024.
2. AskMayoExpert. Hypertension (adult). Mayo Clinic; 2023.
3. Hall ME, et al. Weight-loss strategies for prevention and treatment of hypertension: A scientific statement from the American Heart Association. Hypertension. 2021; doi:10.1161/HYP.0000000000000202.
4. Shimbo D, et al. Self-measured blood pressure monitoring at home: A joint policy statement from the American Heart Association and the American Medical Association. Circulation. 2020; doi:10.1161/CIR.0000000000000803.
5. 2020-2025 Dietary guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture. https://www.dietaryguidelines.gov. Accessed April 2, 2024.
6. Libby P, et al., eds. Systemic hypertension: Mechanisms, diagnosis, and treatment. In: Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed April 2, 2024.
7. Sleep deprivation and deficiency: Healthy sleep habits. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health/sleep-deprivation/healthy-sleep-habits. Accessed April 2, 2024.
8. Managing stress to control high blood pressure. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/managing-stress-to-control-high-blood-pressure. Accessed April 2, 2024.
9. Lloyd-Jones DM, et al. Life’s essential 8: Updating and enhancing the American Heart Association’s construct of cardiovascular health: A presidential advisory from the American Heart Association. Circulation. 2022; doi:10.1161/CIR.0000000000001078.
10. Life’s essential 8 fact sheet. American Heart Association. https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8/lifes-essential-8-fact-sheet. Accessed April 3, 2024.
11. Life’s essential 8: How to manage blood sugar fact sheet. American Heart Association. https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8/how-to-manage-blood-sugar-fact-sheet. Accessed April 3, 2024.
12. Life’s essential 8: How to control cholesterol fact sheet. American Heart Association. https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8/how-to-control-cholesterol-fact-sheet. Accessed April 3, 2024.