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Western blood pressure guidelines may be too high for Asian patients, particularly the elderly. High blood pressure is a key risk factor for stroke, but the link between the two is much stronger in Asians than it is in Europeans or North Americans, said the experts.
The global number of people with poorly controlled high blood pressure has risen from 600 million in 1980 to almost 1 billion in 2008, and predicted to rise a further 60 percent to 1.56 billion by 2025. The prevalence of high blood pressure in Asian countries has risen sharply in the past 30 years, and particularly over the past decade, as a result of increasing urbanization and the adoption of a Western lifestyle.

High blood pressure among Asian populations has unique features in terms of the response to drug treatment, risk of complications, and outcomes, say the authors.
Treating high blood pressure in elderly Asian patients is particularly challenging, they said. Disclaimer: This article does not necessarily reflect the views of AsianScientist or its staff. Soy products, popular in Asian diets, have been shown to be beneficial in helping young adults lower their blood pressure.
The new research, conducted by Safiya Richardson, a graduating medical student at Columbia University's College of Physicians and Surgeons and the study's lead investigator, was recently presented at the American College of Cardiology's 61st Annual Scientific Session. Isoflavones, a key compound in soy milk, tofu, green tea, and even peanuts, are thought to work by increasing the production of enzymes that create nitric oxide (NO), a substance that helps to dilate or widen blood vessels, thereby reducing the pressure created by blood against the vessel walls.
To help put this into context, an eight ounce glass of soy milk has about 22 mg of isoflavones, and 100 g of roasted soybeans have as much as 130 mg. Researchers analyzed data from the twentieth year of the Coronary Artery Risk Development in Young Adults (CARDIA) study, an NIH-funded study created to examine the development and determinants of cardiovascular disease. Even after controlling for age, sex, BMI, smoking, alcohol, physical activity, and total caloric intake, the relationship between daily isoflavones and lower systolic blood pressure remained. Richardson says this study helps lay the groundwork for randomized controlled trials to help better understand the association between isoflavones and blood pressure.

YourHealth disclaims all responsibility for any losses, damage or personal injury suffered directly or indirectly from reliance on such information. 3, 2015) - European and North American blood pressure guidelines, issued last year, may actually boost the stroke risk if used for Asian patients, particularly the elderly, suggested an expert opinion published online in Heart Asia.
This leads to disproportionately high rates of death and ill health from stroke compared with Western populations. Some Asian guidelines have recommended more stringent targets in these patients, they said. And the threshold for systolic blood pressure recommended by Western guidelines could boost the risk of stroke in these patients. 28, 2012) - Soy products, popular in Asian diets, have been shown to be beneficial in helping young adults lower their blood pressure. Our results strongly suggest a blood pressure benefit for moderate amounts of dietary isoflavone intake in young black and white adults," said Richardson.
The twentieth year was the first year that the 5,115 African American and white American participants aged 18-30 years old completed an extensive dietary survey.

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