2010 Hong Kong Reference Framework for Hypertension Care for ...

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Chapter 6.Component 1: Prevention Of HypertensionAdoption Of A Healthy LifestyleThere are two complementary approaches to reducing the incidence ofhypertension in the population:●●The ‘population approach’, the aim of this approach is to reduce the averagelevel of risk for developing hypertension across the entire population. Theinterventions required include:»»increasing physical activity levels,»»improving diet and nutrition,»»preventing excess dietary salt intake, and»»preventing and reducing overweight and obesity.●●The ‘individual-based/high-risk approach’, which aims to identify those atincreased risk of developing hypertension, offer them appropriate advice onhow to reduce the risk, and support them to lose weight and increase theirphysical activity levels. People with multiple risk factors for developinghypertension should also be given advice and support opportunistically tominimise their risk.RecommendationsAdvise individuals at increased risk of developing hypertensionand patients with hypertension to maintain optimal body weight,restrict dietary salt intake, abstain from smoking and practisehealthy lifestyles.ASupporting evidence●●Individuals with above-optimal blood pressure, including stage 1hypertension (refer to Table 1), can make multiple lifestylechanges such as weight loss, sodium reduction, increasedphysical activity and dietary changes, to help lower their bloodpressure and reduce cardiovascular risk 4 .1+5 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Chapter 7.Component 2: Early Identification OfPeople With HypertensionRoutine blood pressure measurement is of value in detecting hypertension andalso provides a useful record of baseline blood pressure in normotensive patients.Classification of blood pressure and recommendations on the frequency ofblood pressure screening are depicted in Table 1. For accurate blood pressuremeasurement, please refer to Module 2.RecommendationsOpportunistic blood pressure measurement in all adults from 18years of age at least every 2 years 5 .ATable 1. Classification Note 1 of blood pressure and recommendations forfrequency of blood pressure screening (Adapted from the seventh report of theJoint National Committee on Prevention, Detection, Evaluation, and Treatment ofHigh Blood Pressure) 1Blood pressureclassificationInitial BloodPressure(mmHg) Note 2SystolicDiastolicRecommendedminimum reviewperiod Note 3ActionNormal
Page 2: ContentPreface.....................
Page 6 and 7: Key To Evidence Statements And Grad
Page 8 and 9: Chapter 1.EpidemiologyHypertension
Page 14 and 15: Chapter 7.Component 2: Early Identi
Page 16 and 17: Chapter 8.Component 3: Clinical Car
Page 26 and 27: Chapter 9.Component 4: Patient Empo
Page 28 and 29: Appendix 1. Smoking Cessation Servi
Page 30 and 31: AcknowledgmentsDr CHU Leung-wingDr
Page 32 and 33: AcknowledgmentsDr CHAN Wai-manDr Jo
Page 34 and 35: AcknowledgmentsDr Betty YOUNG Wan-y
Page 36 and 37: AcknowledgmentsProfessor YU Cheuk-m
Page 38 and 39: Reference10. Sacks FM, Svetkey LP,
Page 40 and 41: Module 1 Framework for Population A
Page 42 and 43: Module 1Framework for Population Ap
Page 44 and 45: Module 2Blood Pressure Measurement2
Page 46 and 47: Module 2Blood Pressure Measurement4
Page 48 and 49: Module 3 Secondary Hypertension 1,2
Page 50 and 51: Module 4Evaluation for All Newly Di
Page 52 and 53: Module 4Evaluation for All Newly Di
Page 54 and 55: Module 5Dietary InterventionFood Gr
Page 56 and 57: Module 5Dietary InterventionMeals a
Page 58 and 59: Module 5Dietary InterventionReferen
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Module 6Exercise Recommendations to
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Module 7Drug Treatment for People w
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Module 8Annual AssessmentLaboratory
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