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Prevent
and Control High Blood Pressure
Who
Does High Blood Pressure Impact? |
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- More than 65 million American adults have
high
blood pressure (HBP)
- Another 59 million Americans have prehypertension
- Nearly 21 million American adults have diabetes
which increases their chances of developing
HBP
- African Americans are more likely to develop
HBP than any other ethnic group and tend to
develop it earlier and more severely than others
- 122 million American adults are overweight
or obese which increases their chances of developing
HBP
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Classification
and Management of Blood Pressure for Adults
U.S. Department of Health
and Human Services; National Institutes of Health; National
Heart, Lung, and Blood Institute; Seventh Report of the
Joint National Committee on Prevention, Detection, Evaluation,
and Treatment of High Blood Pressure; May 2003. Aubertin
MA. The hypertensive patient in dental practice: Updated
recommendations for classification, prevention, monitoring,
and dental management. General Dentistry 2004;Nov-Dec:544-552.
Bennett JD, Rosenberg MB. Medical emergencies in dentistry.
Philadelphia: W.B. Saunders; 2002:142.
Malamed SF. Sedation: A guide to patient management, ed.
4. St. Louis: C.V. Mosby, Inc; 2003. |
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Interventions
by the Dental Hygienist
- Obtain an appropriate
medical history
- Measure and record blood
pressure at every visit for clients with known
hypertension, cardiovascular disease, diabetes,
and chronic kidney disease
- Use the teachable moment
after taking a client’s blood pressure
to tell them their blood pressure numbers and
what they mean
- If the presence of hypertension
is suspected, make an appropriate referral to
the client’s primary care provider
- Provide clients with
educational materials that highlight the risks
of high blood pressure and offer tips for prevention
and control
- Help clients understand
the importance of following medication directions
and the consequences of noncompliance
- Talk to clients about
how often simple lifestyle modifications, such
as weight reduction, eating fruits and vegetables
and low-fat or no-fat dairy products, sodium
reduction, physical activity and moderation
of alcohol consumption, can help prevent and
control high blood pressure
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| Lifestyle
Modifications
Adoption of healthy lifestyles
by all persons is critical for the prevention
of high blood pressure and is an indispensable
part of the management of those with hypertension.
Major lifestyle modifications shown to lower blood
pressure include weight reduction in those individuals
who are overweight or obese, adoption of the Dietary
Approaches to Stop Hypertension (DASH) eating
plan which is rich in potassium and calcium, dietary
sodium reduction, physical activity, and moderation
of alcohol consumption. Lifestyle modifications
reduce blood pressure, enhance antihypertensive
drug efficacy, and decrease cardiovascular risk.
What
you should know about preventing and controlling
high blood pressure (96 k pdf)
Prevent
and control high blood pressure following the
DASH eating plan (145 k pdf) |
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Lifestyle
Modifications to Manage Hypertension*
* For overall cardiovascular
risk reduction, stop smoking. The effects of implementing
these modifications are dose and time dependent, and
could be greater for some individuals.
CDHA’s
Healthy Eating and Physical Activity For A Lifetime
CDHA’s
Smoking Cessation Initiative |
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