What should I do if my blood pressure is high during the onboarding physical examination

High blood pressure during the onboarding physical examination can be intervened through adjusting diet, regular exercise, weight control, reducing sodium intake, and following medical advice. Elevated blood pressure may be related to genetic factors, mental stress, obesity, high sodium diet, chronic kidney disease, and other factors.

1. Adjust diet

Reduce intake of high-fat and high cholesterol foods, increase the proportion of fresh vegetables, fruits, and whole grains. Control the daily salt intake within 5 grams and avoid pickled and processed foods. Moderate supplementation of foods rich in potassium, magnesium, and calcium, such as bananas, spinach, and low-fat dairy products, can help with sodium ion excretion.

2. Regular Exercise

Engage in 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, and cycling. During exercise, the heart rate should be controlled at 60% -70% of the maximum heart rate to avoid sudden increases in blood pressure caused by intense exercise. It is recommended to exercise in the afternoon or evening, and be cautious during the peak blood pressure stage in the morning.

3. Control weight

If the body mass index exceeds 24, a weight loss plan should be developed. Losing 1 kilogram of weight can reduce systolic blood pressure by 1 millimeter of mercury. Combining dietary calorie control with exercise is recommended to lose 0.5-1 kilogram per week. Pay special attention to waist circumference not exceeding 90 centimeters for males and 85 centimeters for females.

4. Reduce sodium salt

Avoid consuming high sodium condiments such as soy sauce, monosodium glutamate, and sauces. Read food labels and choose products with a sodium content of less than 120 milligrams per 100 grams. When cooking, replace salt with herbs, spices, lemon juice, etc. to gradually reduce dependence on salty taste.

5. Medication according to medical advice

If blood pressure remains above 140/90 mmHg after 3 months of lifestyle intervention, antihypertensive medication should be used under the guidance of a cardiovascular physician. Commonly used drugs include nifedipine controlled-release tablets, valsartan capsules, metoprolol sustained-release tablets, etc. The dosage cannot be adjusted or discontinued by oneself.

Establish the habit of regularly measuring blood pressure in the morning and evening, and record the data to avoid smoking, drinking, and staying up late. Long hours of work require getting up and moving around every hour, and relieving stress through deep breathing. If symptoms such as persistent headache and blurred vision occur, seek medical attention immediately and regularly check metabolic indicators such as blood glucose and blood lipids. When blood pressure slightly increases, lifestyle adjustments can mostly restore it to normal without excessive anxiety, but long-term management should be taken seriously.