Primary Prevention on Hypertension - National Heart, Lung ...

National High Blood Pressure Education Program

Primary Prevention of Hypertension:

Clinical and Public Health Advisory from the National High Blood Pressure Education Program

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

NATIONAL INSTITUTES N AT I O N A L H E A RT, L U N G , A N D

OF HEALTH BLOOD INSTITUTE

Primary Prevention of Hypertension:

Clinical and Public Health Advisory from the National High Blood Pressure Education Program

National Institutes of Health National Heart, Lung, and Blood Institute National High Blood Pressure Education Program

NIH PUBLICATION NO. 02-5076 NOVEMBER 2002

Contents

PRIMARY PREVENTION OF HYPERTENSION CLINICAL AND PUBLIC HEALTH ADVISORY

FROM THE NATIONAL HIGH BLOOD PRESSURE EDUCATION PROGRAM

The Working Group

iv

THE NATIONAL HIGH BLOOD PRESSURE EDUCATION PROGRAM COORDINATING

COMMITTEE MEMBER ORGANIZATIONS

v

FOREWORD

vi

BACKGROUND

1

Method of guideline development

1

Evidence of classifications

2

LIFETIME BURDEN OF ELEVATED BLOOD PRESSURE

3

APPROACHES TO PRIMARY PREVENTION OF HYPERTENSION

4

Population-based strategy

4

Intensive targeted strategy

4

INTERVENTIONS WITH DOCUMENTED EFFICACY

6

Weight loss

6

Dietary sodium reduction

6

Increased physical activity

8

Moderation of alcohol consumption

8

Potassium supplementation

8

Modification of whole diets

8

INTERVENTIONS WITH UNCERTAIN OR LESS PROVEN EFFICACY

10

Calcium supplementation

10

Fish oil supplementation

10

Herbal or botanical dietary supplements

10

PRIMARY PREVENTION IN CHILDREN

11

ADDITIONAL RESEARCH

12

BARRIERS TO IMPROVEMENT

13

SUMMARY

14

REFERENCES

15

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