Breaking News
June 22, 2018 - Osteopathic manual therapy affecting the diaphragm improves chronic low back pain
June 22, 2018 - Researchers create revolutionary model to study pulmonary diseases
June 22, 2018 - Diagnosing Heart Disease Using AI
June 22, 2018 - Increasing biodefense risks posed by synthetic biology
June 22, 2018 - Many Women Report Vasomotor Symptoms in Their 60s
June 22, 2018 - Rare mutation of gene carried by Quebec family gives insight into how the brain is wired
June 22, 2018 - Summer is good time to check for signs of skin cancer
June 22, 2018 - Innovative method can help identify patients with spastic cerebral palsy
June 22, 2018 - Exercise alters characteristics of blood to reduce inflammation in obese people
June 22, 2018 - Researchers examine complications across different types of breast reconstructive surgeries
June 22, 2018 - Rhesus macaque model could be useful to test therapies for congenital Zika virus syndrome
June 22, 2018 - AHA: New Insights Into Sickle Cell and Stroke Risk
June 22, 2018 - Doctors prescribe opioids at high rates to those at increased overdose risk
June 22, 2018 - Reduction in US cigarette smoking rates
June 22, 2018 - Preconception binge drinking may have negative effect on future offspring
June 22, 2018 - FDA expands approval of novel diabetes management device to include younger pediatric patients
June 22, 2018 - Researchers confirm weight loss benefits of the 16:8 diet
June 22, 2018 - FDA approves Eversense CGM system for use in adults with diabetes
June 22, 2018 - State opioid monitoring programs are not created equal
June 22, 2018 - Autistic teens who are bullied have higher rates of depression
June 22, 2018 - Penn Medicine team launches universal stroke awareness program
June 22, 2018 - Scientists discover the molecular trigger of necroptosis
June 22, 2018 - Researchers report unusually high levels of herpesvirus in the brains of people with Alzheimer’s disease
June 22, 2018 - Theoretical models predict how juveniles evolve to be more susceptible than adults to infection
June 22, 2018 - USC study reveals how the cell launches emergency response to repair damaged DNA
June 22, 2018 - $1.9 million grant aims to enhance behavioral health services in community-based settings
June 22, 2018 - New 3D imaging technique could improve arthritis treatment
June 22, 2018 - Cytokinetics Announces Data From Phase 2 Clinical Study of Reldesemtiv in Patients With Spinal Muscular Atrophy
June 22, 2018 - Polarized cells give the heart its fully developed form
June 21, 2018 - Stem cells appear to help fight obesity in animal models
June 21, 2018 - Harnessing Pediatric Cancer Genomic Data in the Cloud
June 21, 2018 - Training nursing students with cost-effective 3D-printed task trainers
June 21, 2018 - Study provides insight into how planned and spontaneous movements are processed in the brain
June 21, 2018 - Suicide Prevention | SAMHSA – Substance Abuse and Mental Health Services Administration
June 21, 2018 - From designer microbes to stem cells, researchers are investigating new strategies to treat bowel disease
June 21, 2018 - Study suggests state-of-the-art genomic testing for routine autopsy of stillbirths
June 21, 2018 - Christiana Care Health System opens first Epilepsy Monitoring Unit in Delaware
June 21, 2018 - CDC: Obesity Prevalence Higher in Non-Metropolitan Counties
June 21, 2018 - Youths Treated for Non-Suicidal Self Harm at Increased Risk of Suicide Within a Year
June 21, 2018 - WVU researchers increase colorectal cancer screening rates in West Virginia
June 21, 2018 - Pediatric kidney recipients often have subclinical inflammation
June 21, 2018 - OHSU Knight Cancer Institute Director wins 2018 Tang Prize in Biopharmaceutical Science
June 21, 2018 - Researchers study broader effects of neonics on wildlife
June 21, 2018 - Study provides new insight on how antibiotics affect the gut microbiome
June 21, 2018 - InHealth Technologies becomes exclusive distributor of RENÚ Voice, RENÚ Gel in the United States
June 21, 2018 - New analysis links higher BMI to lower breast cancer risk for younger women
June 21, 2018 - Interactive preclinical PET-MR workshop demonstrates benefits of multi-modality imaging
June 21, 2018 - Gene signature could improve early diagnosis of TB
June 21, 2018 - Psychiatric Drug Lithium Tied to Birth Defect Risk
June 21, 2018 - Preclinical study suggests ARID1a may be useful biomarker for immunotherapy
June 21, 2018 - Risks of cancer and mortality found to be lowest in light drinkers
June 21, 2018 - Fetal immune cells are fast-acting first responders to microbes in adulthood
June 21, 2018 - Researchers invent medical device for proliferation, differentiation of neural stem cells
June 21, 2018 - Study explores current understanding of human physiology, pathology, trauma and surgery in space
June 21, 2018 - Scientists explore interactions between chromosomes 12 and 17
June 21, 2018 - People with severe obesity constantly try to reduce or control their weight
June 21, 2018 - Relaxing ‘brain tingles’ may have benefits for both mental and physical health
June 21, 2018 - Breakthrough discovery reveals brain metals that may drive progression of Alzheimer’s disease
June 21, 2018 - New methods of fragment-based lead discovery to identify potential antibiotics
June 21, 2018 - Recovery and Treatment | NIH MedlinePlus the Magazine
June 21, 2018 - Study finds cell-free DNA profiling as versatile method to monitor UTIs
June 21, 2018 - ‘Hidden’ driver discovered that helps prime the anti-tumor immune response
June 21, 2018 - Groundbreaking discovery could be key to preventing cancer metastasis
June 21, 2018 - Impulse control disorders found to be more common in people taking Parkinson’s drugs
June 21, 2018 - Study finds possible link between Type 2 diabetes and common white pigment
June 21, 2018 - Most emergency department patients wish to be involved in medical decision-making
June 21, 2018 - Study highlights growing problem of ‘iPad neck’ among young adults and women
June 21, 2018 - UT Southwestern scientists identify gene mutation linked with perplexing brain condition
June 21, 2018 - Probiotics could cut age-related bone loss in elderly women
June 21, 2018 - New study sheds light on role of vitamin D in healthy pregnancy
June 21, 2018 - Teva Provides Update on Clinical Trial of Fremanezumab for Use in Chronic Cluster Headache
June 21, 2018 - Unlocking the secrets of HIV’s persistence
June 21, 2018 - New guidelines recommend newborns with Down’s syndrome to receive leukemia test
June 21, 2018 - BetterYou’s new Magnesium Bone Lotion helps maximize bone health
June 21, 2018 - UH scientist receives grant to examine understudied part of glaucoma
June 21, 2018 - Lifestyle intervention could normalize unhealthy behaviors that lead to cancer, chronic disease
June 21, 2018 - Combining two anti-malarial vaccines could greatly reduce number of infections
June 21, 2018 - By 2030, prostate and lung cancers expected to be most common cancers among HIV population
June 21, 2018 - Researchers evaluate patient satisfaction and well-being after breast reconstruction
June 21, 2018 - Combining stem cell technology and artificial intelligence to diagnose genetic cardiac diseases
New efforts to curb high blood pressure in Asia

New efforts to curb high blood pressure in Asia

image_pdfDownload PDFimage_print
Awareness, treatment and control rates of high blood pressure in Asian countries and regions. (NA indicates data not available.) Credit: Hypertension

The reality of treating high blood pressure in the world’s most populated continent is trickier these days, experts say. After guidelines recently lowered the threshold for high blood pressure, about half of adults living in Asia now have the chronic condition.

That’s why a group of Asian doctors has come together to study the effects of high blood pressure and implement culturally specific education programs that can increase awareness of hypertension and its relationship to cardiovascular disease throughout Asia. It’s called the HOPE Asia Network, short for Hypertension Cardiovascular Outcome and Prevalence Evidence in Asia.

Researchers are studying ways to improve the management of hypertension in Asia, where the link between high blood pressure and cardiovascular disease is stronger than it is in Western countries, according to a commentary published last month in Hypertension.

The commentary’s coauthors, Dr. Jiguang Wang and Dr. Kazuomi Kario, said lack of health insurance, inability to access care, poor adherence to prescribed medications, and the use of herbs as medicines are significant barriers to diagnosing and managing hypertension throughout the region.

As a result, “hypertension is often diagnosed late in many hypertensive patients,” said Wang, director of the Shanghai Institute of Hypertension. Even when it is diagnosed, because high blood pressure causes no symptoms, many don’t perceive the condition as serious, he said.

Nearly 4 billion people live in Asia. Studies show rates of awareness, treatment and control of high blood pressure are generally low in Asia, vary widely among individual countries, and are impacted by regional, economic and cultural differences. In China, for example, 47 percent of people are aware of their blood pressure, and 14 percent had their hypertension controlled, compared with 74 percent awareness and 69 percent control rate in Singapore.

Lifestyle factors, including diet and stress, may be behind the high hypertension rates in Asia, the researchers said. One common problem is high salt intake. Asians not only tend to have diets high in sodium, but they are genetically more sensitive to sodium.

“If we want to bring the number of cardiovascular events to zero, we need a better approach that is not just medicine,” said Kario, chairman of the Division of Cardiovascular Medicine at Jichi Medical University School of Medicine in Tochigi, Japan, and chairman of the HOPE Asia Network. He noted that lifestyle changes and the use of technology and telemedicine could help Asian patients better control their blood pressure round-the-clock, especially during the crucial morning hours when Asian patients are more likely than Westerners to experience a surge in blood pressure.

The researchers stressed the need to standardize hypertension treatment in Asia. Doing so could more immediately address treatment gaps, given the wide disparities in practice and health care delivery, Kario and Wang wrote.

Yet in doing so, doctors must not overlook young people, Wang said.

“The prevalence of obesity and hypertension in the young is increasing rapidly in the past years,” he said. “If we would not control hypertension, stroke incidence will remain high in Asians in the decades to come.” Unlike in the United States, stroke is more common among Asians than coronary artery disease.

Dr. Daniel Lackland, president of the World Hypertension League, said, “The earlier you do something to lower blood pressure that’s too high, the more likely you are to prevent a stroke or heart attack.” Lackland, a professor of epidemiology and neurology and Medical University of South Carolina, was not involved in the recent commentary.

“Even if your blood pressure is fine,” he said, “it’s important to start making any lifestyle modifications that can help protect it as you get older.”


Explore further:
Blood pressure control best achieved with a multilevel, multicomponent approach

More information:
Kazuomi Kario et al. Could 130/80 mm Hg Be Adopted as the Diagnostic Threshold and Management Goal of Hypertension in Consideration of the Characteristics of Asian Populations?, Hypertension (2018). DOI: 10.1161/HYPERTENSIONAHA.118.11203

Journal reference:
Hypertension

Provided by:
American Heart Association

Tagged with:

About author

Related Articles