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Originally published February 16, 2021
Last updated June 28, 2025
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High blood pressure affects of adults in the United States, but only 1 in 4 has it under control. Also called hypertension, high blood pressure happens when the force required to pump blood through your blood vessels is . This can cause damage to your blood vessels, making them stiffer and decreasing blood flow and oxygen to your heart, eventually leading to β the No. 1 cause of death in the country.
Here we debunk some myths and highlight ways to reduce your risk for high blood pressure.
Fact: High blood pressure is over 130/80 mm Hg.
βWhile high blood pressure used to be defined as over 140/90 mm Hg, that definition has changed in the past few years,β explains Parveen Garg, MD, a cardiologist with the ίχίδΙηΗψ Cardiac and Vascular Institute, part ofΒ ίχίδΙηΗψ. βToday, if someone has blood pressure over 130/80 mm Hg and has a history of cardiovascular disease β or, if they are at high risk for having a cardiovascular event β their physician may recommend taking blood pressure medication.β
What if only one number is high?
βThe top and bottom numbers both matter β if either of them is high, then you have hypertension, and your risk of a heart attack or stroke is increased,β he says.
Fact: High blood pressure has no symptoms.
βUnless your blood pressure is dangerously high, you will not have any symptoms,β Dr. Garg says. βThe long-term damage high blood pressure has on your arteries, however, occurs regardless of whether you have symptoms or not.β
Fact: Itβs not just table salt you have to worry about.
You may already know that causes high blood pressure. But salt isnβt just what you add to your food from the saltshaker. According to Dr. Garg, some of the most common sources of dietary sodium also include:
βIt helps to reduce your dietary sodium intake to less than 2,300 mg a day and to follow the (Dietary Approaches to Stop Hypertension) eating plan, which consists of a diet rich in fruits, vegetables and low-fat dairy products,β he says. βFollowing the DASH diet may reduce your systolic blood pressure by 8 to 14 mm Hg.β
Fact: It generally doesnβt β but alcohol can.
Because caffeine is a stimulant, you might think it gets your your blood pressure up, however, most research doesnβt show that to be the case.
βRegular caffeine consumption doesnβt typically raise your blood pressure, but it may be a factor for people who ingest it in high amounts from things like soda, coffee or energy drinks,β Dr. Garg says.
Alcohol, on the other hand, does have an impact. βExcessive alcohol intake can raise blood pressure,β he says.
Reducing alcohol consumption can have a positive impact on your blood pressure. Dr. Garg points out that limiting alcohol consumption to no more than 2 drinks per day for men and 1 drink per day for women can reduce systolic blood pressure by 2 to 4 mm Hg.
Fact: It depends on age.
βBefore the age of 50, hypertension is more common in men than women, but after , a womanβs risk increases and can even be higher than a manβs,β Dr. Garg says.
have a few additional considerations for high blood pressure. Taking birth control pills may raise their risk of hypertension. Women with high blood pressure may have a greater risk of complications during pregnancy; and women who develop high blood pressure during are more at risk of having high blood pressure later in life.
Fact: Black adults have an increased risk of developing high blood pressure.
βAlthough the reasons why arenβt completely clear, hypertension is more common among Black adults than adults of other races and ethnicities,β Dr. Garg says.
High blood pressure may also develop at a younger age, be more severe and be more likely to lead to hospitalization. Experts think this may be because obesity and diabetes are more common among African Americans. There may also be genetic and socioeconomic components.
Fact: Although hypertension does affect older people, young people can have it, too.
βItβs true that high blood pressure is more common among ,β Dr. Garg says. βThis is because our arteries naturally stiffen as we age, and that increases the resistance within our arteries, which increases blood pressure.β
But younger adults can have high blood pressure, too, and this may be behind a disturbing trend toward more among younger adults. Children and teens can also have high blood pressure, possibly because of an increase in childhood obesity.
Fact: Lifestyle changes can reduce your risk.
βHigh blood pressure can run in families β if your parents or close blood relatives have had high blood pressure, you are more likely to develop it, too,β Dr. Garg says. βHowever, lifestyle choices have allowed many people with a family history of high blood pressure to avoid it themselves.β
In addition to following a healthy diet, maintaining a healthy weight and regular exercise can have a large impact on reducing blood pressure, according to Dr. Garg.
βSignificant weight loss can decrease systolic blood pressure by 5 to 20 mm Hg,β he says. βExercising for 30 minutes every day can reduce systolic blood pressure by 4 to 9 mm Hg.β
Itβs also important to reduce stress and make sure that you are getting enough shut-eye.
βChronically high levels of stress and inadequate sleep can both contribute to high blood pressure,β Dr. Garg says. βManaging stress and ensuring you get adequate sleep can help reduce your blood pressure.β
Fact: You still need to continue a healthy lifestyle.
βThere is no substitute for trying to adhere to a heart-healthy diet and exercise! It is the most important measure you can take to reduce your risk for a heart attack or stroke,β Dr. Garg says. βWhen your doctor starts you on blood pressure medication, it is only because they believe these lifestyle measures are not enough to lower your blood pressure to normal.β
Fact: You should continue taking it.
βHigh blood pressure is a lifelong condition. Medications do not cure hypertension,β Dr. Garg says. βIf you stop taking your medications, then your blood pressure will rise again.β
If you have any questions or concerns about your medications or treatment plan for high blood pressure, talk to your doctor.
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