For those with high blood pressure, starting blood pressure lowering medication should be a shared decision between them and their healthcare professional and take into account factors such as how much blood pressure is raised, the presence of other medical conditions, and long-term risk of cardiovascular disease.
Lifestyle advice is recommended for everyone with high blood pressure, and this was something I found people were often keen to discuss. Helpful changes that can be made include reducing alcohol intake (if excessive), reducing salt intake, avoiding excessive consumption of caffeine-rich products and increasing physical activity. I would often spend a bit more time discussing physical activity as it has many other health benefits (reduces the risk of developing type 2 diabetes, heart disease, joint pain and certain types of cancer and improves quality of life, sleep and stress levels).
Cochrane Evidence on Walking to Reduce Blood Pressure
A new Cochrane Review, published in 2021, has looked at the effect of walking on blood pressure. The authors looked at studies in adults who had normal, or high, blood pressure where walking programmes were compared to no intervention. They found 73 studies with 5763 participants that met their inclusion criteria. The walking programmes used in the studies varied, but they mainly took place at people’s home or in the community, for example, walking on a treadmill or walking outside. The walking programmes on average took place over 3 months and, in most studies, people walked for 20 to 40 minutes, at a moderate intensity, three to five times a week (average walking time 153 minutes per week). The walking programmes were usually supervised.Resources for People Wanting to Walk More
If you are interested in walking a bit more to help lower your blood pressure, some helpful resources can be found below:- One You Active 10 Walk Tracker app—this free app from Public Health England tracks your walking, helps you set goals and monitor your progress over time.
- walkingforhealth.org.uk—run by The Ramblers charity, Walking for Health is a network of health walks—group walks open to everyone and led by specially trained volunteers.