4.5 Review

Lifestyle, psychological, socioeconomic and environmental factors and their impact on hypertension during the coronavirus disease 2019 pandemic

Journal

JOURNAL OF HYPERTENSION
Volume 39, Issue 6, Pages 1077-1089

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/HJH.0000000000002770

Keywords

cardiovascular risk; coronavirus disease 2019; diet; environmental; hypertension; life style; psychological; salt; severe acute respiratory syndrome coronavirus 2; smoking

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The COVID-19 pandemic has had a significant impact on various aspects of daily life, including blood pressure control and cardiovascular risk. Lifestyle factors, dietary patterns, alcohol consumption, and other behaviors may influence blood pressure during the pandemic, necessitating preventive measures to improve blood pressure control.
The coronavirus disease 2019 (COVID-19) pandemic considerably affects health, wellbeing, social, economic and other aspects of daily life. The impact of COVID-19 on blood pressure (BP) control and hypertension remains insufficiently explored. We therefore provide a comprehensive review of the potential changes in lifestyle factors and behaviours as well as environmental changes likely to influence BP control and cardiovascular risk during the pandemic. This includes the impact on physical activity, dietary patterns, alcohol consumption and the resulting consequences, for example increases in body weight. Other risk factors for increases in BP and cardiovascular risk such as smoking, emotional/psychologic stress, changes in sleep patterns and diurnal rhythms may also exhibit significant changes in addition to novel factors such as air pollution and environmental noise. We also highlight potential preventive measures to improve BP control because hypertension is the leading preventable risk factor for worldwide health during and beyond the COVID-19 pandemic.

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