Lifestyle changes and natural
remedies may help to control high blood pressure, but your doctor may also
recommend medication to lower high blood pressure. It is important to work with
your doctor, because untreated high blood pressure may damage organs
in the body and increase the risk of heart attack, stroke, brain
hemorrhage, kidney disease, and vision
loss. See a drawing of a hypertensive heart.
· Coenzyme Q10 (CoQ10)
There is some evidence that the
supplement CoQ10 may help to reduce high blood pressure.
A 12 week double-blind,
placebo-controlled trial of 83 people with systolic hypertension examined the
effect of CoQ10 supplements (60 mg twice daily). After the 12 weeks, there was
a mean reduction in systolic blood pressure of 17.8 mm Hg in the Coq10-treated
group.
Another study conducted at the University of Western Australia looked at the effect of CoQ10 on blood pressure and glycemic control in 74 people with type 2 diabetes. Participants were randomly assigned to receive either 100mg CoQ10 twice daily, 200mg of the drug fenfibrate, both, or neither for 12 weeks.
Another study conducted at the University of Western Australia looked at the effect of CoQ10 on blood pressure and glycemic control in 74 people with type 2 diabetes. Participants were randomly assigned to receive either 100mg CoQ10 twice daily, 200mg of the drug fenfibrate, both, or neither for 12 weeks.
CoQ10 significantly reduced systolic
and diastolic blood pressure(mean reduction 6.1 mm Hg and 2.9 mm Hg
respectively). There was also a reduction in HbA1C, a marker for long-term
glycemic control.
To learn more about CoQ10, read the Coenzyme Q10 (CoQ10) fact sheet.
To learn more about CoQ10, read the Coenzyme Q10 (CoQ10) fact sheet.
· Garlic
In a meta-analysis of seven
randomized controlled trials of garlic supplements, three trials showed a
significant reduction in systolic blood pressure and four in diastolic blood
pressure. Researchers concluded that garlic powder supplement may be of
clinical use in patients with mild high blood pressure.
Garlic supplements should only be used under the supervision of a qualified health practitioner. Garlic can thin the blood (reduce the ability of blood to clot) similar to aspirin. Garlic may interact with many drugs and supplements such as the prescription "blood-thinners" drugs such as Coumadin (warfarin) or Trental (pentoxifylline), aspirin, vitamin E, gingko. It is usually recommended that people taking garlic stop in the weeks before and after any type of surgery.
To learn more about garlic, go to the articles about garlic.
Garlic supplements should only be used under the supervision of a qualified health practitioner. Garlic can thin the blood (reduce the ability of blood to clot) similar to aspirin. Garlic may interact with many drugs and supplements such as the prescription "blood-thinners" drugs such as Coumadin (warfarin) or Trental (pentoxifylline), aspirin, vitamin E, gingko. It is usually recommended that people taking garlic stop in the weeks before and after any type of surgery.
To learn more about garlic, go to the articles about garlic.
· Hawthorn
The herb hawthorn is often used by
traditional herbal practitioners for high blood pressure.
In a randomized controlled trial
conducted by researchers in Reading, UK, 79 patients with type 2 diabetes were
randomized to receive either 1200 mg of hawthorn extract a day or placebo for
16 weeks. Medication for high blood pressure was used by 71% of the patients.
At the end of the 16 weeks, patients
taking the hawthorn supplement had a significant reduction in mean diastolic
blood pressure (2.6 mm Hg). No herb-drug interactions were reported.
· Fish oil
Preliminary studies suggest that
fish oil may have a modest effect on high blood pressure. Although fish oil
supplements often contain both DHA (docohexaenoic acid) and EPA
(eicosapentaenoic acid), there is some evidence that DHA is the ingredient that
lowers high blood pressure. Learn more about fish oil.
· Folic acid
Folate is a B vitamin necessary for
formation of red blood cells. It may help to lower high blood pressure in some
people, possibly by reducing elevated homocysteine levels.
One small study of 24 cigarette
smokers found that four weeks of folic acid supplementation significantly
lowered blood pressure. Learn more about folic
acid.
· Diet
Changing your diet is an important
part of lowering high blood pressure. The DASH (Dietary Approaches to Stop
Hypertension) diet is promoted by the National Heart, Lung, and Blood Institute
of the National Insitutes of Health (NIH).
The DASH diet includes fruits and vegetables, low-fat
dairy foods, beans and nuts. Sodium is limited to 2,400 mg per day.
Studies have found that the DASH
diet can reduce high blood pressure within two weeks. These are the daily
guidelines of the DASH diet:
- 7 to 8 servings of grains
- 4 to 5 servings of vegetables
- 4 to 5 servings of fruit
- 2 to 3 servings of low-fat or
non-fat dairy
- 2 or less servings of meat,
fish, or poultry
- 2 to 3 servings of fats and
oils
- 4 to 5 servings per week of
nuts, seeds, and dry beans
- Less than 5 servings a week of
sweets
Serving Sizes
1/2 cup cooked rice or pasta
1 slice bread
1 cup raw vegetables or fruit
1/2 cup cooked vegetables or fruit
8 oz. of milk
1 teaspoon olive oil
3 ounces cooked meat
3 ounces tofu
1/2 cup cooked rice or pasta
1 slice bread
1 cup raw vegetables or fruit
1/2 cup cooked vegetables or fruit
8 oz. of milk
1 teaspoon olive oil
3 ounces cooked meat
3 ounces tofu
A related diet called the
DASH-Sodium reduces sodium to 1,500 mg a day, which is approximately equal to
2/3 teaspoon from all sources (processed and canned foods contain hidden salt).
Patients following the DASH-Sodium
diet had a significant reduction in high blood pressure.
More: The Salt Wars: Is Salt Restriction Necessary?
More: The Salt Wars: Is Salt Restriction Necessary?
· Calcium, Magnesium, and Potassium
Calcium. Calcium supplementation
appears to have a modest but statistically significiant reduction in systolic
blood pressure (mean difference of 2.5 mm Hg), however better quality studies
are needed. Learn more about getting enough calcium in your diet.
Potassium. A meta-analysis of five
trials indicated that potassium supplementation compared to a control resulted
in a large but statistically non-significant reduction in systolic blood pressure
(mean difference 11.2 mm Hg) and diastolic blood pressure (5.0 mm hg). Learn
about potassium in the diet and find out which foods have potassium.
Magnesium. In 12 randomized
controlled trials, participants receiving magnesium supplements did not have a
significantly reduction in systolic blood pressure, but they did have a
statistically signicantly reduction in diastolic blood pressure (mean
difference 2.2 mm Hg). Read more about magnesium in the diet.
· Mind-Body Interventions
Mind-body interventions,
particularly autogenic training, biofeedback, and yoga, have been found to
modestly reduce high blood pressure compared with placebo.
Autogenic Training
Autogenic training is a technique used for stress reduction and relaxation. It involves a series of sessions in which people learn how to control breathing, blood pressure, heart rate, and body temperature.
People learn six exercises that each involve a certain posture (e.g reclining in a chair), concentration without a goal, imagination, and verbal cues. Each exercise is learned by watching a teacher demonstrate it or by reading a description. It requires regular practice.
Biofeedback
Biofeedback is a technique in which people learn how to gain control over internal body processes that normally occur involuntarily, such as blood pressure, heart rate, muscle tension, and skin temperature.
Biofeedback is primarily used for high blood pressure, migraine, tension headache, chronic pain, and urinary incontinence.
Of the different types of biofeedback, thermal feedback (which measures skin temperature) and electrodermal activity feedback (which uses a probe that responds to sweat) may be more effective than direct blood pressure feedback or electromyography (EMG), which measures muscle tension. Learn more about biofeedback.
Yoga
Preliminary studies have found that yoga may lower blood pressure. Go to the yoga resources page.
Autogenic training is a technique used for stress reduction and relaxation. It involves a series of sessions in which people learn how to control breathing, blood pressure, heart rate, and body temperature.
People learn six exercises that each involve a certain posture (e.g reclining in a chair), concentration without a goal, imagination, and verbal cues. Each exercise is learned by watching a teacher demonstrate it or by reading a description. It requires regular practice.
Biofeedback
Biofeedback is a technique in which people learn how to gain control over internal body processes that normally occur involuntarily, such as blood pressure, heart rate, muscle tension, and skin temperature.
Biofeedback is primarily used for high blood pressure, migraine, tension headache, chronic pain, and urinary incontinence.
Of the different types of biofeedback, thermal feedback (which measures skin temperature) and electrodermal activity feedback (which uses a probe that responds to sweat) may be more effective than direct blood pressure feedback or electromyography (EMG), which measures muscle tension. Learn more about biofeedback.
Yoga
Preliminary studies have found that yoga may lower blood pressure. Go to the yoga resources page.
· Aerobic Exercise
Aerobic exercise is an important
part of the natural approach to lower high blood pressure. A meta-analysis of
105 trials involving a total of 6805 participants found that aerobic exercise
was associated with a mean reduction in systolic blood pressure of 4.6 mm Hg,
with corresponding reductions in diastolic blood pressure.
People with high blood pressure
should speak with their doctor first before embarking on a new exercise
program. Learn about the effect of exercise on blood pressure and the heart.
· Ayurvedic Medicine
In Ayurveda, the traditional
medicine of India, high blood pressure is treated according to each person’s
dosha, or constitutional type.
The pitta type may have a flushed
face, red eyes, headaches, light sensitivity, irritability, and nosebleeds.
The kapha type may have excess
weight, water retention, high cholesterol, sluggishness.
The vata type may feel cold, have
gas, bloating, or constipation, insomnia, or nervousness, worry, or anxiety.
What's Your Ayurvedic Type?
Ayurvedic Foods for Each Type
Ayurveda Factsheet
What's Your Ayurvedic Type?
Ayurvedic Foods for Each Type
Ayurveda Factsheet
· Traditional Chinese Medicine
In traditional Chinese medicine,
high blood pressure is often attributed to a problem with the circulation of
vital energy (qi) in the body. Chinese medicine practitioners believe that
depression, anger, obesity, and high intake of fatty foods are some of the
causative factors.
A combination of acupuncture and
herbs is often recommended. Foods thought to have medicinal properties that may
help high blood pressure include water chestnut, turnip, honey, Chinese celery,
hawthorn berries, and mung beans.
Emotions also play a role in our health. Learn about emotions in traditional Chinese medicine.
Emotions also play a role in our health. Learn about emotions in traditional Chinese medicine.
· Herbs and Supplements To Avoid
Herbs
that have been found or suspected to cause high blood pressure include:
Licorice
Ephedra
Asian Ginseng
Rosemary essential oil
Licorice
Ephedra
Asian Ginseng
Rosemary essential oil
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