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Blood pressure after 60: Why “120/80” might not be the right target anymore

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Experts say that after age 60, aiming for the classic 120/80 blood pressure reading may not be ideal — stability matters more than perfection.

Getting older brings changes that few of us can avoid — and your blood pressure is one of them.

What was once considered a “perfect” reading in your 30s or 40s may not be ideal later in life. In fact, trying to force your numbers to fit that long-standing 120/80 rule could do more harm than good.

When the numbers shift

After the age of 60, blood vessels naturally lose some of their flexibility. This makes it harder for the heart to pump blood efficiently, and as a result, blood pressure tends to rise slightly.

According to the European Society of Cardiology, a healthy range for older adults is a systolic pressure between 130 and 139 mmHg and a diastolic pressure between 70 and 79 mmHg. The key is not perfection, but stability.

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Maintaining consistent readings below 140/90 is generally considered safe for most active older adults without major health problems.

On the other hand, blood pressure that drops too low — below 110/70 — can increase the risk of dizziness, weakness, and dangerous falls.

The risks of imbalance

High blood pressure that remains unchecked over time puts enormous strain on the heart and arteries.

It increases the likelihood of stroke, heart attack, and kidney disease — all conditions that can appear silently until damage is done.

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But lowering blood pressure too aggressively can also backfire. Over-medicating or following overly restrictive diets may lead to hypotension, leaving older people light-headed and fatigued.

This is why doctors recommend individualized monitoring rather than a one-size-fits-all approach.

Keeping blood pressure steady

Experts agree that lifestyle habits are the foundation of blood pressure control in later life. The right balance involves moderate exercise, good nutrition, and adequate rest — not just medication.

Practical ways to maintain stability include:

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  • Following a balanced diet rich in vegetables, fruits, legumes, whole grains, and unsalted nuts
  • Limiting salt and processed foods to reduce fluid retention
  • Staying active with low-impact activities such as walking, cycling, or gentle stretching
  • Managing stress and sleeping 7–8 hours each night
  • Checking blood pressure regularly, both at home and during medical visits

Living well with the numbers you have

Blood pressure goals should reflect each person’s overall health, not just age. Some older adults thrive with slightly higher readings, while others benefit from closer monitoring.

The most important thing is to avoid sudden changes and to keep your cardiovascular system functioning smoothly.

Healthy blood pressure isn’t about hitting an exact number — it’s about giving your heart the support it needs to keep going strong.

The article is based on information from Larazon

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