2010 Hong Kong Reference Framework for Hypertension Care for ...
2010 Hong Kong Reference Framework for Hypertension Care for ... 2010 Hong Kong Reference Framework for Hypertension Care for ...
Chapter 8.Component 3: Clinical Care Of Adults With Hypertension8.2 Treatment of adults with hypertensionThe aim of the treatment is to obtain maximal reduction in overall cardiovascularrisk which requires:●●●●●●Correcting risk factors e.g. lifestyle modification, smoking cessation,Maintaining good blood pressure control, andMonitoring potential complications and timely referral to specialist care whenindicated.8.2.1 Lifestyle modificationAdoption of a healthy lifestyle is critical for the prevention of high blood pressureand is an indispensable part of the management of those with hypertension 7 .Lifestyle modifications including healthy eating, dietary salt restriction, regularphysical activity and stress management can reduce blood pressure, enhanceantihypertensive drug efficacy, and reduce cardiovascular risk.8.2.1.1 Weight controlRecommendationsEncourage overweight and obese a hypertensive patients to loseweight.Aa According to the World Health Organization, overweight and obesity in the Asianpopulation are defined as BMI ≥ 23 and BMI ≥ 27.5 (ref. Appropriate body mass index forAsian populations and its applications for policy and intervention strategies. WHO ExpertConsultations. Lancet 2004; 363: 157-63), respectively where BMI is measured as weight inkg/height in m 2 .9 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Chapter 8.Component 3: Clinical Care Of Adults With HypertensionSupporting evidence●●A study showed that weight loss of 9.5 lbs (4.3 kg) amongoverweight adults reduced systolic blood pressure by 3.7 mmHgand diastolic blood pressure by 2.7 mm Hg at six months 8 .Another study showed that an 18-month weight loss interventionprogram was significantly associated with a 77% long termreduction in the incidence of hypertension among subjects withblood pressure in the high normal range 9 .1+8.2.1.2 Healthy eatingRecommendationsIncrease consumption of fruits and vegetables to five portionsper day, and reduce total and saturated fat consumption.ASupporting evidence●●Patient with high blood pressure is benefited by adoption of theDietary Approaches to Stop Hypertension (DASH) eating plan 10which is a diet rich in fruits, vegetables, and low in fat dairyproducts with a reduced content of dietary cholesterol as well assaturated and total fat. (Module 5)1+HK Reference Framework for Hypertension Care for Adults in Primary Care Settings10
- Page 2: ContentPreface.....................
- Page 6 and 7: Key To Evidence Statements And Grad
- Page 8 and 9: Chapter 1.EpidemiologyHypertension
- Page 12 and 13: Chapter 6.Component 1: Prevention O
- Page 14 and 15: Chapter 7.Component 2: Early Identi
- Page 18 and 19: Chapter 8.Component 3: Clinical Car
- Page 20 and 21: Chapter 8.Component 3: Clinical Car
- Page 22 and 23: Chapter 8.Component 3: Clinical Car
- Page 24 and 25: 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
- Page 60 and 61: Module 6Exercise Recommendations to
- Page 62 and 63: Module 6Exercise Recommendations to
- Page 64 and 65: Module 6Exercise Recommendations to
Chapter 8.Component 3: Clinical <strong>Care</strong> Of Adults With <strong>Hypertension</strong>8.2 Treatment of adults with hypertensionThe aim of the treatment is to obtain maximal reduction in overall cardiovascularrisk which requires:●●●●●●Correcting risk factors e.g. lifestyle modification, smoking cessation,Maintaining good blood pressure control, andMonitoring potential complications and timely referral to specialist care whenindicated.8.2.1 Lifestyle modificationAdoption of a healthy lifestyle is critical <strong>for</strong> the prevention of high blood pressureand is an indispensable part of the management of those with hypertension 7 .Lifestyle modifications including healthy eating, dietary salt restriction, regularphysical activity and stress management can reduce blood pressure, enhanceantihypertensive drug efficacy, and reduce cardiovascular risk.8.2.1.1 Weight controlRecommendationsEncourage overweight and obese a hypertensive patients to loseweight.Aa According to the World Health Organization, overweight and obesity in the Asianpopulation are defined as BMI ≥ 23 and BMI ≥ 27.5 (ref. Appropriate body mass index <strong>for</strong>Asian populations and its applications <strong>for</strong> policy and intervention strategies. WHO ExpertConsultations. Lancet 2004; 363: 157-63), respectively where BMI is measured as weight inkg/height in m 2 .9 HK <strong>Reference</strong> <strong>Framework</strong> <strong>for</strong> <strong>Hypertension</strong> <strong>Care</strong> <strong>for</strong> Adults in Primary <strong>Care</strong> Settings
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