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- Obesity: Individuals with a body mass index (BMI, or body fat content) of 30.0 or higher are more likely to develop high blood pressure. An individual is considered underweight if their BMI is less than 18.5. A BMI of 18.5 to 24.9 is considered a "normal" weight. A BMI of 25 to 29.9 is considered overweight. Individuals who fall into the BMI range of 25-34.9 begin having some health risk concerns, such as the development of diabetes, hypertension (high blood pressure), and heart disease. Specifically those who have a waist size of more than 40 inches for men, or 35 inches for women, have a higher risk for obesity-related health problems. A BMI of 30 or more qualifies as individual as obese. A BMI over 40 indicates that a person is morbidly obese. The greater the number, the greater the chances of developing health concerns.
- Salt sensitivity: Salt (or sodium chloride) contains sodium, which may cause fluid retention and thereby cause pressure around the blood vessels which can lead to hypertension. It is noted that approximately 60% of the essential hypertension population may decrease blood pressure (BP) by decreasing sodium (salt) intake.
- Drinking too much alcohol: Chronic (long-term) use of alcohol can increase blood pressure dramatically by placing stress on the heart and blood vessels.
- Lack of physical activity: An inactive lifestyle makes it easier to become overweight and increases the chance of high blood pressure. Physical inactivity increases the risk of hypertension by 30%.
- Smoking: Cigarette smoking can repeatedly produce a temporary rise in blood pressure (BP) of approximately 5-10mmHg. This effect may be most prominent with the first cigarette of the day in habitual smokers. However, research indicates that habitual or chronic (regular) smokers in general have lower BP than non-smokers, possibly due to weight loss associated with smoking. Experts agree that smoking should be avoided in any person with high blood pressure because it can substantially increase the risk of secondary cardiovascular complications such as atherosclerosis (hardening of the arteries) and appears to enhance the progression of kidney disease. Cigarette smoking also increases the chances of men having erectile dysfunction (ED), or the inability to get or maintain and erection.
- Stress: Stress is a normal part of everyday life. Responses to stress vary from person to person, but chronic (regular) stress can lead to an increase in the release of the stress hormone cortisol from the adrenal glands (above the kidneys). Cushing's disease can also cause too much cortisol to be released. Scientists think that excess cortisol can lead to an increase in blood pressure, an inability of insulin to control blood sugar (insulin sensitivity), inflammation, and weight gain.
- Ethnicity (race): African American's develop high blood pressure more often than Caucasians, and it tends to occur earlier and be more severe. Compared to other groups, African Americans tend to get high blood pressure earlier in life, usually have more severe high blood pressure, and have a higher death rate from stroke (lack of blood and oxygen to the brain), coronary heart disease CHD, or the lack of blood and oxygen to the heart), and kidney failure.
- Heredity: Having a parent or other close blood relatives with high blood pressure increases the chances of developing it.
- Age: In general, blood pressure increases with age, occurring most often in people over age 35. Men seem to develop it most often between age 35 and 55. Women are more likely to develop it after menopause. Over half of all Americans aged 60 and older have high blood pressure.
- Diet: A diet poor in fruits, vegetables, and whole grains and high in sodium (salt), high fat foods such as dairy (milk, cheese, sour cream), animal fat, and fried foods (potato chips, French fries, fried chicken) can lead to high cholesterol levels in the blood, which can lead to high blood pressure.
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