Robust statistically significant effects were found for improved diet , aerobic exercise , alcohol and sodium restriction , and fish oil supplements : mean reductions in systolic blood pressure of 5.0 mmHg [ 95 % confidence interval ( CI ) : 3.1 - 7.0 ] , 4.6 mmHg ( 95 % CI : 2.0 - 7.1 ) , 3.8 mmHg ( 95 % CI : 1.4 - 6.1 ) , 3.6 mmHg ( 95 % CI : 2.5 - 4.6 ) and 2.3 mmHg ( 95 % CI : 0.2 - 4.3 ) , respectively , with corresponding reductions in diastolic blood pressure .
Relaxation significantly reduced blood pressure only when compared with non-intervention controls .
We found no robust evidence of any important effect on blood pressure of potassium , magnesium or calcium supplements .
Available evidence does not support relaxation therapies , calcium , magnesium or potassium supplements to reduce blood pressure
PURPOSE To quantify effectiveness of lifestyle interventions for hypertension .
Superiority of nonpharmacologic therapy compared to propranolol and placebo in men with mild hypertension: a randomized, prospective trial.
We compared the effects of nonpharmacologic therapy , propranolol monotherapy , and placebo on blood pressure , metabolic , exercise , and quality of life variables in a 12-week , r and omized , placebo-controlled trial of 79 male patients with hypertension . A significant reduction in diastolic blood pressure was observed with both nondrug therapy ( -8.0 + /- 1.08 mm Hg ) and propranolol ( -9.5 + /- 1.46 mm Hg ) compared to placebo ( -0.1 + /- 2.01 mm Hg ) . However , only patients receiving nonpharmacologic therapy showed a reduced body mass index , lower total and low-density lipoprotein serum cholesterol levels , and increased exercise tolerance compared to both propranolol and placebo . Patients receiving propranolol felt less anxious and unsure but showed a significant decrement in nocturnal penile tumescence compared to both placebo and nondrug therapy . Patients receiving nondrug therapy felt more energetic and reported improved sexual arousal and greater sexual satisfaction after treatment . Reductions in blood pressure in the nondrug treatment group were related to both weight reduction and improved fitness . We conclude that nondrug therapy is effective in controlling blood pressure in men with mild hypertension and is associated with improvements in weight , lipoprotein levels , and exercise tolerance compared to both propranolol and placebo .  Quality of life assessment s further support the use of nondrug therapy in this context
Robust statistically significant effects were found for improved diet , aerobic exercise , alcohol and sodium restriction , and fish oil supplements : mean reductions in systolic blood pressure of 5.0 mmHg [ 95 % confidence interval ( CI ) : 3.1 - 7.0 ] , 4.6 mmHg ( 95 % CI : 2.0 - 7.1 ) , 3.8 mmHg ( 95 % CI : 1.4 - 6.1 ) , 3.6 mmHg ( 95 % CI : 2.5 - 4.6 ) and 2.3 mmHg ( 95 % CI : 0.2 - 4.3 ) , respectively , with corresponding reductions in diastolic blood pressure .
Relaxation significantly reduced blood pressure only when compared with non-intervention controls .
We found no robust evidence of any important effect on blood pressure of potassium , magnesium or calcium supplements .
Available evidence does not support relaxation therapies , calcium , magnesium or potassium supplements to reduce blood pressure
PURPOSE To quantify effectiveness of lifestyle interventions for hypertension .