No blood pressure lowering agents prolong survival in diabetes and kidney disease, review showsBMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h2824 (Published 26 May 2015) Cite this as: BMJ 2015;350:h2824
All rapid responses
Diet, physical activity, daily duration sleep and life style will also influence long term survival in addition to antihypertensive drug treatment in hypertensive patients with diabetes mellitus and renal disease. Blood pressure lowering agents alone may not prolong long term survival in hypertensive patients with diabetes mellitus and renal disease (1). The intake of Mediterranean diet has been shown to increase the life span in patients with hypertension, diabetes mellitus and obesity(2).Regular physical activity also increases long term survival in the patients who have hypertension , diabetes mellitus and other cardiovascular disorders(3).
Adequate sleep has been included as a national health priority in Healthy People 2020 in The United States of America (4). Shorter duration of sleep leads to an increase in obesity and cardiovascular disease and mortality (4).There is an increase in number of people having shorter duration of sleep in all the countries(5).Life style influences the long term survival of hypertensive patients(6). Frequent intake of commercially prepared foods increases the intake of salt, saturated fat and decreases the intake of antioxidants (6).There is an association between sleep duration and telomere length (7). Shorter telomere length and poor sleep are more prevalent at older people (7).
Hence Mediterranean Diet, physical activity, and adequate daily sleep may help in improving long term survival in hypertensive patients with diabetes mellitus and renal disease.
1. Mayor S. No blood pressure lowering agents prolong survival in diabetes and kidney disease, review shows BMJ 2015;350:h2824
2.Dontas AS, Zerefos NS, Panagiotakos DB, Vlachou C, Valis DA. Mediterranean diet and prevention of coronary heart disease in the elderly. Clin Interv Aging. 2007;2(1):109-15. Review. Erratum in: Clin Interv Aging. 2008;3(2):397. Vlachou, Cleo [added].
3. Reimers CD, Knapp G, Reimers AK Does physical activity increase life expectancy? A review of the literature. J Aging Res. 2012;2012:243958.
4. Office of Disease Prevention and Health Promotion. Healthy people 2020 objective topic areas. Washington, DC: US Department of Health and Human Services; 2011..
5. Grandner MA. Sleep duration across the lifespan: Implications for health. Sleep medicine reviews. 2012; June 16(3):199-201.
6. Math MV Prehypertension associated with dyslipidaemia in young adults – Life-style & telomeres Indian J Med Res 2012, April 135: 565-566
7. Jackowska M1, Hamer M, Carvalho LA, Erusalimsky JD, Butcher L, Steptoe A. Short sleep duration is associated with shorter telomere length in healthy men: findings from the Whitehall II cohort study . PLoS One. 2012;7(10):e47292.
Competing interests: No competing interests