Moderate high blood pressure, can persistent jogging bring it down? Whether to exercise first or take medicine first depends on the situation

Moderate high blood pressure, insist on jogging, okay? Can it be lowered by jogging 3-6 kilometers a day?

This is a question raised by a friend. Let’s talk about running and lowering blood pressure based on the actual situation.

First, let me briefly introduce what is moderate hypertension. The general diagnostic standard of hypertension is that when the blood pressure is measured in the clinic, if the high pressure exceeds 140 and the low pressure exceeds 90, it can be diagnosed as high blood pressure. When the blood pressure exceeds 140/90, When the blood pressure exceeds 160/100, it is usually called grade one hypertension or mild hypertension, and when the blood pressure exceeds 160/100 but not more than 180/110, it is generally called grade two hypertension or moderately high blood pressure.

Generally speaking, if it is found to be moderately high blood pressure, the doctor will suggest adding antihypertensive drugs to strengthen blood pressure control on the basis of strengthening life conditioning, so as to control blood pressure as soon as possible. Therefore, if you already have moderate hypertension with blood pressure exceeding 160/100, simply trying to control your blood pressure through running is often not enough.

Situations where medication can be skipped

If you are a younger friend, the health of the blood vessels has been evaluated by a doctor, the degree of arteriosclerosis is not serious, and the risk of cardiovascular and cerebrovascular diseases is only high blood pressure. For moderate high blood pressure, you can try Strengthen blood pressure control by running and exercising.

This friend said that he jogged about 3-6 kilometers every day. I don’t know how much time it takes, but generally speaking, this amount of exercise is still acceptable. Generally speaking, it is recommended that for friends with high blood pressure, the most effective way to control blood pressure It is a moderate-intensity aerobic exercise, so as to keep the body able to obtain the effect of exercise, but do not engage in strenuous exercise that is too overloaded. Therefore, from the perspective of jogging, it is still very suitable for life conditioning and blood pressure reduction. The amount of exercise is appropriate and can be persisted for a long time. Usually, with long-term exercise, our blood pressure will be adjusted and improved to a certain extent.

Specifically, whether it can be lowered simply by exercising, you have to monitor it yourself. For example, after 7 to 10 days of exercise, we might as well measure our blood pressure again. If the blood pressure has dropped or improved significantly, then congratulations, it shows that your way of lowering blood pressure through exercise is very effective, you should Continue to persist, and if after a week of exercise, the blood pressure is still high, and after another three weeks, after a month of exercise, the blood pressure still does not drop or drops very little. Such results indicate at least two problems ——

First, it is possible that the exercise method you choose is unreasonable or the exercise intensity is not enough;

Second, exercise alone cannot effectively regulate and lower blood pressure.

If it is a jogging exercise method, I believe that the blood pressure cannot be lowered, or the second case is more likely. We want to control blood pressure through life conditioning. In addition to strengthening exercise, we should actively control salt in our diet, arrange dietary intake reasonably, maintain a peaceful and optimistic attitude, maintain a good work and rest, actively control weight, quit smoking and limit alcohol, etc. Conditioning is also an important aspect of blood pressure regulation. For those who are already moderately hypertensive, it is often difficult to completely control blood pressure levels through exercise alone. Even young people with good physical fitness and simple moderate In the case of high blood pressure, it is also recommended to carry out comprehensive life conditioning to control blood pressure.

And some friends will find that even if they insist on jogging and have made strict self-control and improvement in other aspects of life, their blood pressure still cannot be effectively controlled to reach the target. If life is adjusted for 3 to 6 months, blood pressure still cannot Effectively control the level below 130/80, then it is recommended that friends in this situation, no matter how old they are, no matter whether they feel it or not, as long as their blood pressure is still high after life adjustments, they should choose suitable antihypertensive drugs to assist in strengthening blood pressure Only by keeping the blood pressure below 130/80 can we better reduce the health hazards caused by high blood pressure and protect the health of our cardiovascular, cerebrovascular, kidney and other target organs.

Situations where it is not advisable to exercise first

If you are middle-aged and elderly friends, in addition to moderate hypertension with blood pressure exceeding 160/100, you also have hyperlipidemia, diabetes and other related chronic diseases, atherosclerosis is also serious, and friends with high risk of cardiovascular and cerebrovascular diseases , Under such circumstances, if you find that your blood pressure is high, you want to run as soon as you come up to lower your blood pressure. This is usually strongly not recommended.

For friends who are at high risk of cardiovascular disease, exercise on the premise that moderate hypertension is not under control. During the exercise, the oxygen consumption of the heart increases and the heart rate increases, which will further increase blood pressure and cardiovascular events. The probability of disease risk and the risk of exercise are very high. Therefore, for friends with this kind of problem, we might as well take antihypertensive drugs first while doing other life adjustments. Usually, for moderate high blood pressure, Not only do you need to take medicine, but it is also recommended to combine two kinds of antihypertensive drugs to control blood pressure. If you want to exercise, it is best to take medicine and other aspects of life conditioning. When the blood pressure is at least controlled below 150mmhg, then choose the one that suits you It is more reasonable to carry out moderate-intensity exercise to assist in the conditioning and control of high blood pressure.

Why do some patients with moderate hypertension who are also moderately hypertensive do not need to take medicine first, while others need to control their blood pressure before exercising? In fact, the reason is very simple. If the risk is low, the elasticity of the blood vessels is good, and the physical condition is good, the health risks caused by exercise will be small, and the health benefits will be greater. Exercise + life conditioning to strengthen blood pressure control, and for moderately hypertensive patients with high cardiovascular and cerebrovascular risks, if they do not control their blood pressure, they are forced to exercise, and the health risks brought by exercise , the risk of acute cardiovascular and cerebrovascular events will be greater. In this case, first control high blood pressure first, and then exercise, so as to be able to exercise more safely and obtain greater health benefits. Therefore, it is said In the end, exercise for high blood pressure is ultimately a balance of risks and benefits. It is best to grasp this balance, exercise safely and reasonably, and strengthen blood pressure control.