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

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Chapter 8.Component 3: Clinical Care Of Adults With Hypertension8.2.1.3 Dietary sodium restrictionRecommendationsEncourage all hypertensive patients to reduce salt intake to lessthan five grams (around one teaspoon of table salt) per day andnot to use added salt.ASupporting evidence●●Systolic and diastolic blood pressure could be lowered by6.7mmHg and 3.5mmHg respectively through decreasing dailydietary salt intake from 9 grams to 3 grams among a groupof adults with blood pressure exceeding 120/80mmHg 10,11,12 .(Module 5)1+8.2.1.4 Physical activityRecommendationsAdvise hypertensive patients to increase level of physical activityand take regular exercises.ASupporting evidence●●Regular aerobic exercises among hypertensive individualswere associated with 4.94mmHg reduction of systolic bloodpressure and 3.73mmHg reduction of diastolic blood pressure 13 .(Module 6)1+11 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Chapter 8.Component 3: Clinical Care Of Adults With Hypertension8.2.1.5 Alcohol consumptionRecommendationsReduce alcohol intake in hypertensive patients to no more thantwo standard drinks per day b for men and one standard drinkper day for women.ASupporting evidence●●●●Alcohol reduction was associated with a significant reductionin mean systolic and diastolic blood pressure. A dose-responserelationship was found between the mean percentage of alcoholconsumption and mean blood pressure reduction 14 .In large population-based studies, the incidence of hypertensionis increased among those who drink more than 3 drinks per day,either in a linear dose-response relationship or with a thresholdwherein smaller quantities are associated with a modest decrease.Chronically, the incidence of hypertension is increased amongwomen who drink more than two drinks per day and amongmen who drink more than three per day 15,16 . The cessation ofheavy drinking is usually followed by significant fall in bloodpressure 17 .1++1++b Each standard drink contains 10 grams of pure alcohol. Defining one standard drink as10 grams of pure alcohol, it equates to about 250 ml of regular beer at 5% of alcohol content,one small glass (100 ml) of wine at 12% alcohol content, or one pub measure (30ml) of hardliquor at 40% of alcohol content.HK Reference Framework for Hypertension Care for Adults in Primary Care Settings12
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 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
Page 60 and 61: Module 6Exercise Recommendations to
Page 66 and 67: Module 7Drug Treatment for People w
Page 68 and 69:
Module 7Drug Treatment for People w
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Module 8Annual AssessmentLaboratory
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