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HIGH BLOOD PRESSURE: ROLE OF INHERITANCE AND EXCESS WEIGHT
Inheritance and Blood Pressure
If blood pressures are measured in a large number of apparently healthy people, a wide range is found; most have clearly normal pressures, a few have obviously high blood pressure, and there is a continuous gradation between these. There is no particular level dividing ‘high’ from ‘normal’. This is analogous to one’s height; and like tallness and shortness it is partly controlled by our genes. If one or more of your relatives has hypertension it is far from inevitable that your own blood pressure will be high. But there is a somewhat greater chance of being hypertensive; and a blood-pressure check is especially worth while, if only to reassure you.
Though we cannot change our genes, there are three factors affecting our blood pressure which are partly under our control. These are weight gain, salt consumption and emotion.
Gaining Excess Weight Raises the Blood Pressure
Doctors have long been aware that fat people are more likely than thin ones to have high blood pressure. But only in the past few years has it been realized how important obesity may be in leading to hypertension. This is the outcome of research by Professor W. Holland in London and by Dr J. Stamler in Chicago. Dr Stamler has shown, for example, that a fat man is about twice as likely as a thin one to develop high blood pressure. Even more important, Stamler has followed up a group of over 700 men during a twenty-year period; he finds that those who gain weight substantially in early adult life are three to five times more likely to develop high blood pressure in middle age..
So it seems likely that avoiding obesity is one way to help prevent high blood pressure in later life. And when an overweight person with high blood pressure starts a reducing diet his blood pressure often decreases. If you keep your weight steady through adult life you may be doing a lot to avert high blood pressure. This is especially worth while if there is a tendency to high blood pressure in your family.
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