Hypertensive individuals are at an increased risk of developing heart disease and stroke. Adopting healthy lifestyles, such as being active on ≥4 days per week, weight-loss in the presence of obesity, consuming a diet rich in fruits and vegetables, and sodium below the recommended threshold, avoiding high alcohol consumption and refraining from smoking have been effective lifestyle therapies to prevent or control stage 1 hypertension (HTN). Among the 1 in 3 Americans who have HTN (systolic blood pressure ≥ 130 mmHg or diastolic blood pressure ≥ 80 mmHg), 16% are diagnosed with resistant HTN (RHT). Although there are comparatively fewer studies examining the blood pressure lowering effects of therapeutic lifestyle interventions in patients with resistant HTN, the available literature appears promising. This paper reviews key studies that quantify the blood pressure lowering effects of certain therapeutic lifestyles in patients with RHT and highlights areas needing more attention.

中文翻译：

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治疗性生活方式改变对顽固性高血压的影响。

高血压患者患心脏病和中风的风险增加。采取健康的生活方式，例如每周 4 天以上的运动、在肥胖的情况下减肥、食用富含水果和蔬菜的饮食、钠含量低于推荐阈值、避免大量饮酒和戒烟。预防或控制 1 期高血压 (HTN) 的有效生活方式疗法。在三分之一患有 HTN（收缩压 ≥ 130 mmHg 或舒张压 ≥ 80 mmHg）的美国人中，有 16% 被诊断为难治性 HTN (RHT)。尽管研究治疗性生活方式干预对抵抗性 HTN 患者降血压效果的研究相对较少，但现有文献似乎很有希望。