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What are the new blood pressure guidelines for seniors 2022?

The new guidelines change nothing if you're younger than 60. But if you're 60 or older, the target has moved up: Your goal is to keep your blood pressure at 150/90 or lower. If you have kidney disease or diabetes, your target used to be 130/80 or lower; now it's 140/90 or lower.

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En español l It sounded like great news for thousands of older people: New blood pressure guidelines might free them from the anxiety of taking powerful medications to control their blood pressure, and the side effects those pills sometimes brought. But almost immediately, several members of the panel of medical experts recommending the change strongly dissented and warned that the new guidelines could endanger some people. The result has been confusion similar to that created late last year with the muddled rollout of new guidelines for using cholesterol-lowering statin drugs. The controversy began when a panel of 17 national experts announced in December that, based on a five-year analysis of the best available research, the target for treating high blood pressure should be nudged a little higher for those age 60-plus and for those with diabetes or kidney disease. Its findings were published in the Journal of the American Medical Association. However, five panel members disagreed and published a follow-up article in the Annals of Internal Medicine warning that the change could put more patients at risk for heart disease and stroke.

Do you think it's okay to change these guidelines? Join the discussion

The American Heart Association has also resisted the change, saying that it could undermine recent progress in reducing deaths from these conditions. "Hypertension is such a strong risk factor, especially if you have other diseases. This is not the time to loosen control over blood pressure," says the group's president, Mariell Jessup, M.D., medical director of the University of Pennsylvania's heart and vascular center. Guidelines from the previous panel in 2003 defined high blood pressure in older adults as 140/90 or above, meaning that's the threshold for taking medication to bring those numbers down. (The top number represents the pressure inside the arteries when the heart beats, and the bottom number is the pressure between beats, when the heart rests.)

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What is a good snack for high blood pressure?

Instead of snacking on chips or sweets, eat unsalted pretzels or nuts, raisins, low-fat and fat-free yogurt, frozen yogurt, unsalted plain popcorn with no butter, and raw vegetables. Read food labels to choose products that are lower in sodium.

One of the steps your doctor may recommend to lower your high blood pressure is to start using the DASH diet. DASH stands for Dietary Approaches to Stop Hypertension (high blood pressure). The diet is simple:

Eat more fruits, vegetables, and low-fat dairy foods

Cut back on foods that are high in saturated fat, cholesterol, and trans fats

Eat more whole-grain foods, fish, poultry, and nuts

Limit sodium, sweets, sugary drinks, and red meats

In research studies, people who were on the DASH diet lowered their blood pressure within 2 weeks. Another diet -- DASH-Sodium -- calls for cutting back sodium to 1,500 milligrams a day (about 2/3 teaspoon). Studies of people on the DASH-Sodium plan lowered their blood pressure as well.

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