Non-Pharmacological Treatments to Control Hypertension
Non-Pharmacological Treatments to Control Hypertension
Participants in a primary care session for Hypertension 2022 discuss physical activity, dietary interventions, and other non-pharmacological approaches to controlling hypertension.
Moderator: Stephen Juraschek, MD, PhD, FAHA
Physical Activity and the Prevention and Control of Hypertension
Kelley Pettee Gabriel, MS, Ph.D., FACSM, FAHA
Dietary Interventions That Lower Blood Pressure
Cheryl Anderson, PhD, MPH, FAHA
Complementary and Alternative Approaches for Hypertension
Anika Hines, PhD, MPH
Moderator: Chinelo Onyilofor, MD, MPH
Content
1.38 -> foreign
9.139 -> Internal Medicine a physician and a
12.36 -> researcher at Beth Israel Deaconess
14.4 -> Medical Center in Boston delighted to
16.619 -> moderate this session today with three
18.9 -> wonderful speakers focused on
20.48 -> non-pharmacologic interventions and
22.619 -> approaches to
24.56 -> hypertension and hypertension prevention
26.96 -> we first have Dr Gabriel who's talking
29.64 -> to us about the importance of physical
31.32 -> activity and its role in preventing
33.3 -> hypertension her talk is followed by Dr
36.48 -> Anderson who's speaking about dietary
38.46 -> interventions and their roles in
40.32 -> lowering blood pressure and the third
43.02 -> presentation is by Dr Anika Hines who
45.96 -> focuses on alternative and complementary
48.36 -> medicines to prevent hypertension
51.42 -> hi I'm Kelly Gabriel I'm a professor of
54 -> epidemiology at the University of
55.98 -> Alabama at Birmingham
57.66 -> I'm a physical activity epidemiologist
59.76 -> and focused specifically on chronic
61.92 -> disease outcomes like hypertension
64.44 -> so in my presentation I provided an
66.78 -> overview of the evidence to date that
69.72 -> was highlighted for the 2018 physical
72.06 -> activity guidelines for Americans
74.7 -> that provided the evidence to date on
76.92 -> the role of physical activity for the
78.9 -> prevention and control of hypertension
82.68 -> with this we found very strong evidence
85.02 -> to support the role of physical activity
87.659 -> regardless of whether the individual has
90.96 -> normal blood pressure pre-hypertension
93.06 -> or hypertension
95.1 -> in addition by reviewing this evidence
97.56 -> we highlighted different key areas that
100.02 -> are in need of future research
102.119 -> the first is whether or not the
103.979 -> association between physical activity
105.84 -> and hypertension varies based on
108.659 -> participant level characteristics like
110.64 -> age sex and race ethnicity
113.82 -> the second is whether or not the role of
116.579 -> physical activity and hypertension
118.579 -> varies based on how you assess physical
121.38 -> activity in this presentation I provided
124.32 -> preliminary evidence from the National
126 -> Health and examination survey
128.34 -> in their 2011-12 and 2013-14 Cycles
133.319 -> they had participants where a wrist worn
136.2 -> device for 24 hours a day seven days a
139.26 -> week
140.16 -> and with that accelerometer based
142.92 -> methods we can get a better sense of
144.959 -> whether different intensity types matter
147.36 -> in terms of the prevention and control
149.04 -> of hypertension as well as if the timing
151.98 -> of physical activity over the course of
154.319 -> a day matters and so this highlights
156.78 -> again an area of future research there
159.78 -> are several studies of hypertension now
161.7 -> that are including wristworn devices and
164.34 -> this is key to answering some of the
167.12 -> unanswered questions that the physical
169.5 -> activity guidelines advisory committee
171.3 -> highlighted
173.66 -> I'm Cheryl Anderson and my topic today
177 -> was dietary interventions that lower
179.04 -> blood pressure
180.54 -> we had an interesting discussion about
182.72 -> the current guidelines for dietary
186.26 -> intake which include consuming diets
190.08 -> that are consistent with the dietary
193.08 -> approaches to stop hypertension dietary
195.18 -> patterns and the variety of ways that
197.76 -> people in America can get there they can
201.26 -> use exclusionary patterns or use
204.36 -> patterns that are compositive U.S
206.879 -> recommendations or patterns that are
208.8 -> specific to geography or culture and
211.98 -> they're even patterns now that take into
214.2 -> consideration once socioeconomic status
217.68 -> as well as budgetary constraints
220.4 -> we shifted quite quickly from the
224.28 -> efficacy data that we know are strong
227.76 -> with regards to how dietary
229.5 -> interventions lower blood pressure to
231.84 -> talk about our reality in America a
235.08 -> reality that's captured very well in our
237.36 -> national health and nutrition
238.44 -> examination survey
240.44 -> that people in America do not achieve
244.68 -> healthy dietary intakes
246.959 -> and the reason for this lack of
250.68 -> adherence to dietary guidelines is
253.56 -> largely our food structure our food
256.859 -> systems and the structures that we have
260.1 -> in this country that do not promote
261.84 -> healthy intake so
264.24 -> the big takeaway from this morning's
266.52 -> session was in addition to thinking
268.38 -> about the individual approach to
270.9 -> lowering blood pressure via dietary
273.6 -> intervention we also need to think about
275.94 -> a socio-ecological framework a framework
279 -> that addresses where people live where
281.88 -> they learn where they work where they
283.74 -> play where they pray and it makes things
288.36 -> better in those environments so that the
291.66 -> healthy choice for foods can be the
294.12 -> default choice for foods
297.24 -> hi my name is Anika Hines I'm an
299.52 -> assistant professor in health behavior
301.139 -> and policy at the Virginia Commonwealth
303.06 -> University School of Medicine today my
305.46 -> talk was on complementary and
307.32 -> alternative medicine for hypertension we
310.199 -> started out with an overview of stress
311.759 -> and what it is and also difficulties in
314.28 -> managing and diagnosing it in the
315.96 -> context of primary care then we went
318.06 -> over some evidence supporting
319.86 -> complementary and alternative medicine
322.44 -> within the context of Health Equity
324.539 -> specifically in terms of achieving blood
328.08 -> pressure control for marginalized groups
330.3 -> and we've walked away with some
332.58 -> directions from the AHA statement on
335.94 -> Mine Heart body connection with regards
338.58 -> to what primary care clinicians can do
340.44 -> mainly assessing stress within the
343.32 -> context of their encounters with
344.699 -> patients with hypertension or at risk
346.5 -> for hypertension as well as taking
348.36 -> stress into consideration in their
350.039 -> evaluations with patients and steps
352.02 -> forward as a takeaway there is some
354.479 -> evidence supporting some of these
355.979 -> methods there's so much much more work
358.02 -> to be done however with regards to
359.639 -> research in this area and connecting
361.8 -> these stress outcomes with biological
364.02 -> processes and hypertension as well as
366.3 -> with methods that may be used to
367.86 -> mitigate those threats so thank you all
370.32 -> for attending uh this really engaging uh
373.259 -> series of Talks by our presenters I
376.199 -> think we learned quite a bit about
377.46 -> physical activity diet and alternative
380.94 -> and complementary medications or
382.62 -> approaches to prevent hypertension and
386.52 -> lower blood pressure I think we can all
388.979 -> learn for these patient-centric
391.819 -> approaches on strategies to complement
395.9 -> pharmacologic interventions with the
398.34 -> goal of preventing cardiovascular
399.96 -> disease by lowering blood pressure
402.9 -> foreign
Source: https://www.youtube.com/watch?v=dz54k4xwnCg