Researchers followed 84,000 female nurses (mean age at entry, 36; mean follow-up, 14 years) biennially to evaluate the effects of six lifestyle factors (body-mass index, exercise, adherence to an antihypertensive diet, alcohol intake, use of non-narcotic analgesics, and supplemental intake of folic acid) on risk for new-onset hypertension. Overall, 12,000 participants (15%) developed hypertension. All 6 modifiable risk factors were independently associated with the risk of developing hypertension during follow-up after adjusting for age, race, family history of hypertension, smoking status, and use of oral contraceptives. The relation between each risk factor and likelihood of developing hypertension was statistically significant with obesity (BMI greater than 25) risk for hypertension was almost 5-fold higher in obese women than in women with normal BMI (less than 25).
Comment:
The study shows that new onset of hypertension in women can be prevented by adopting low-risk dietary and lifestyle factors. How much evidence do we need to shift the medical communities focus from treatment to prevention?
-Dr. Abida Wali, N.D.
Forman JP et al. Diet and lifestyle risk factors associated with incident hypertension in women. JAMA 2009 Jul 22/29; 302:401.
Medline abstract (Free)
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