What is an appropriate initial treatment for confirmed Stage 1 hypertension?

In the management of Stage 1 hypertension, which is defined as having a systolic blood pressure of 130-139 mm Hg or diastolic blood pressure of 80-89 mm Hg, lifestyle modifications are often recommended as the initial approach. This is because many individuals can effectively lower their blood pressure through non-pharmacological strategies, which may include dietary changes (such as reducing sodium intake), increasing physical activity, quitting smoking, reducing alcohol consumption, and managing stress.

These lifestyle interventions can lead to significant improvements in blood pressure without the need for medications, particularly in patients without a history of cardiovascular disease or elevated cardiovascular risk. Furthermore, incorporating these changes not only aids in achieving better blood pressure control but also contributes to overall health and can reduce the risk of developing complications associated with long-term hypertension.

Implementing lifestyle modifications as an initial treatment aligns with clinical guidelines, which emphasize the importance of such changes before considering medications—especially for those diagnosed with Stage 1 hypertension. This approach allows for a more holistic management of the patient's health. If lifestyle adjustments alone do not lead to adequate blood pressure control, medication can be considered subsequently.