Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Fadi J. Charchar, Priscilla R. Prestes, Charlotte Mills, Siew Mooi Ching, Dinesh Neupane, Francine Z. Marques, James E. Sharman, Liffert Vogt, Louise M. Burrell, Lyudmila Korostovtseva, Manja Zec, Mansi Patil, Martin G. Schultz, Matthew P. Wallen, Nicolás F. Renna, Sheikh Mohammed Shariful Islam, Swapnil Hiremath, Tshewang Gyeltshen, Yook Chin Chia, Abhinav GuptaAletta E. Schutte, Britt Klein, Claudio Borghi, Colette J. Browning, Marta Czesnikiewicz-Guzik, Hae Young Lee, Hiroshi Itoh, Katsuyuki Miura, Mattias Brunström, Norm R.C. Campbell, Olutope Arinola Akinnibossun, Praveen Veerabhadrappa, Richard D. Wainford, Ruan Kruger, Shane A. Thomas, Takahiro Komori, Udaya Ralapanawa, Véronique A. Cornelissen, Vikas Kapil, Yan Li, Yuqing Zhang, Tazeen H. Jafar, Nadia Khan, Bryan Williams, George Stergiou, MacIej Tomaszewski

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic blood pressure (DBP) at least 90 mmHg (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. Hypertension is associated with increased risk of cardiovascular disease (CVD) events (e.g. coronary heart disease, heart failure and stroke) and death. An international panel of experts convened by the International Society of Hypertension College of Experts compiled lifestyle management recommendations as first-line strategy to prevent and control hypertension in adulthood. We also recommend that lifestyle changes be continued even when blood pressure-lowering medications are prescribed. Specific recommendations based on literature evidence are summarized with advice to start these measures early in life, including maintaining a healthy body weight, increased levels of different types of physical activity, healthy eating and drinking, avoidance and cessation of smoking and alcohol use, management of stress and sleep levels. We also discuss the relevance of specific approaches including consumption of sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting as well as integrated strategies to implement these recommendations using, for example, behaviour change-related technologies and digital tools.

Original languageEnglish (US)
Pages (from-to)23-49
Number of pages27
JournalJournal of hypertension
Issue number1
StatePublished - Jan 1 2024

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

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