Women with lean body shape but high blood pressure may be related to genetic, environmental, physiological factors, and pathological conditions, and medication treatment or lifestyle adjustments should be taken according to specific reasons. Common antihypertensive drugs include calcium channel blockers, angiotensin-converting enzyme inhibitors, and beta blockers, while also requiring attention to diet and exercise management.

1. Genetic factors: Women with a history of hypertension in their family, even if they are underweight, may have an increased blood pressure due to genetic predisposition. It is recommended to regularly monitor blood pressure and, if necessary, use antihypertensive drugs such as amlodipine, enalapril, or metoprolol under the guidance of a doctor.
2. Environmental factors: Long term exposure to high-pressure work environments or high levels of life stress may lead to elevated blood pressure. Thin bodied women have less fat reserves and are more sensitive to physiological responses to stress. It is recommended to relieve stress through psychological counseling, meditation, or yoga, and if necessary, combine medication treatment.
3. Physiological factors: Women may experience fluctuations in blood pressure before and after menopause due to changes in hormone levels. Thin bodied women are more susceptible to hormone effects due to their higher metabolic rate. It is recommended to regulate by supplementing with phytoestrogens or using antihypertensive drugs such as valsartan and losartan.
4. Pathological condition: If a thin female suffers from hyperthyroidism, kidney disease or diabetes, it may cause secondary hypertension. It is necessary to treat the primary disease, such as using methimazole to treat hyperthyroidism, or using diuretics such as hydrochlorothiazide to control blood pressure. In terms of diet, it is recommended to have a low salt and low-fat diet, increase foods rich in potassium and magnesium such as bananas and spinach, and avoid high sugar and high-fat foods. In terms of exercise, it is recommended to engage in 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking and swimming, combined with strength training to enhance physical fitness.
Women with lean body shape but high blood pressure need to consider genetic, environmental, physiological, and pathological factors comprehensively and adopt personalized treatment plans. By managing medication, diet, and exercise, blood pressure can be effectively controlled and the risk of cardiovascular disease can be reduced. Regular physical examinations and blood pressure monitoring are key to preventing and managing hypertension.
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