After the age of 70, determining the right blood pressure becomes more complex.
What’s too high, what’s too low – and when should treatment begin?
Blood pressure doesn’t have to rise with age
While rising blood pressure is common in old age, it’s not a biological inevitability.
Studies of indigenous populations show stable blood pressure throughout life, even after 70, suggesting environmental and lifestyle factors – not age – are the cause.
Also read: Do You Stick a Leg Out From Under the Covers? Here’s What Your Body Is Trying to Do
Diet and lifestyle make a big difference
Groups like the Yanomami and Tsimané eat unprocessed food, consume very little salt, and stay active.
Their blood pressure doesn’t rise with age, highlighting how Western habits – not aging – lead to hypertension.
Ideal blood pressure mirrors that of healthy young adults
Theoretically, older adults should aim for the same levels as younger people: systolic below 120 mmHg and diastolic below 80 mmHg.
However, these targets may not be realistic or safe when medication is involved.
Also read: Have You Inherited Cancer? Scientists Can Finally Give You the Answer
Too low is dangerous too
In seniors, excessively low blood pressure can increase the risk of falls, fainting, and reduced brain perfusion, potentially leading to cognitive decline.
That’s why aggressive treatment should be avoided.
Clinical targets are more flexible than theoretical ideals
In practice, slightly higher blood pressure is often acceptable for older adults to avoid side effects. A perfect number isn’t always worth the risk of complications.
When should treatment begin?
According to the guidelines, treatment should start for those over 70 when systolic pressure hits 140 mmHg or more – provided the patient tolerates treatment well.
Also read: This Spoonful of Oil Might Be the Secret to Lower Blood Pressure
Be cautious in very old patients
For those over 80, treatment decisions should consider overall health and functional status.
Frail patients with multiple conditions should avoid aggressive medication strategies.
Treatment goal: 130–139 mmHg systolic
Once treatment begins, the systolic target is usually between 130 and 139 mmHg – as long as it’s well tolerated.
Lower than 130 mmHg isn’t recommended in very old patients due to risks.
Also read: Do You Have Sore Muscles? It Might Be a Hidden Warning Sign
Diastolic pressure shouldn’t fall below 70–80 mmHg
Dropping below 70 mmHg diastolic is discouraged, as it may reduce blood flow to the brain and kidneys. Safety comes before chasing the "perfect" reading.
Individualized care is essential
Age alone shouldn’t dictate treatment. It’s crucial to consider overall frailty, functional independence, and how well the patient tolerates medication.
In frail seniors, slightly higher pressure may be safer to prevent dangerous side effects.
This article is based on information from Healthy.thewom.it.
Also read: Study Reveals the Ideal Number of Eggs You Can Eat Per Week