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HOME ECONOMICS

ing on the Massachusetts-based Framingham Heart Study who followed the health of some 2,700 people for as long as 34 years. They discovered that those who had normal diastolic pressure but high systolic readings of 140 to 159 (up to 140 is usually considered normal) were at greater risk of suffering the consequences of heart disease than people with systolic readings below 140. Dubbed borderline isolated systolic hypertension, the condition affected nearly one in five people over the age of 65 and ranked as the most common type of high blood pressure that was left untreated. Compared to people with normal blood pressure, those with the “borderline” 1 condition were more likely over the long run to end up with high blood pressure in which either one or both numbers were severely elevated, putting them at an even greater risk of ill health and early death.

Keeping Down That

First Number

1 Unfortunately, in addition to being one of the most underdiagnosed and least treated types of high blood pressure, borderline isolated systolic hypertension is the least thoroughly studied. Experts aren’t sure which drugs, if any, can help bring systolic pressure down. But some preliminary research suggets that non-drug measures in general may1 help prevent the problem from worsening into full-blown high blood pressure or hypertension, in which the systolic and/or diastolic numbers are severely elevated.

The recenly released Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure recommends the following lifestyle strategies:

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