Causes of High Blood Pressure

Clinical Nutrition
Lesson 28: Hypertension

Causes of High Blood Pressure

Factors that cannot be changed

  • Age: The older a person is, the greater the likelihood that he or she will develop high blood pressure, especially elevated systolic readings. This is largely due to arteriosclerosis, or "hardening of the arteries."
  • Race
  • Socioeconomic status: High blood pressure is found more commonly among the less educated and lower socioeconomic groups.
  • Family history (heredity): The tendency to have high blood pressure appears to run in families.
  • Gender: Generally men have a greater likelihood of developing high blood pressure than women. This likelihood varies according to age and among various ethnic groups.

  • Factors that can be changed
  • Obesity: As body weight increases, the blood pressure rises.
  • Obese people are two to six times more likely to develop high blood pressure than people whose weight is within a healthy range.
  • Not only the degree of obesity is important, but also the manner in which the body accumulates extra fat. Some people gain weight around their belly (central obesity or "apple-shaped" people), while others store fat around their hips and thighs ("pear-shaped" people). "Apple-shaped" people tend to have greater health risks for high blood pressure than "pear-shaped" people.
  • Sodium (salt) sensitivity: Some people have high sensitivity to sodium (salt), and their blood pressure increases if they use salt. Reducing sodium intake tends to lower their blood pressure.
  • Alcohol use: Drinking more than one to two drinks of alcohol per day tends to raise blood pressure in those who are sensitive to alcohol.
  • Birth control pills (oral contraceptive use): Some women who take birth control pills develop high blood pressure.
  • Lack of exercise (physical inactivity): A sedentary lifestyle contributes to the development of obesity and high blood pressure.
  • Medications: Certain drugs, such as amphetamines (stimulants), diet pills, and some medications used for cold and allergy symptoms such as pseudoephedrine, tend to raise blood pressure.

In almost 90% of people, the cause for high blood pressure is not known, hence it is termed as ‘essential hypertension’. In the rest, the hypertension is a secondary symptom occurring due to a problem in some other organ such as kidneys.

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Last modified: Saturday, 5 November 2011, 2:54 PM