The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy

Team approach with multidisciplinary professional medical stuffs such as nurse, pharmacologists, et al. are recommended [1]. The report also mentioned utilizing a user-centered, simple digital information systems to reduce data entry jobs of health care workers [1]. Team approach may reduce the burden of health professionals and enable patients to receive more detailed and attentive medical care. The HEARTS technical package, a core element of the Global Hearts Initiative launched by WHO and the United States Centers for Disease Control (CDC), consists of six modules and an implementation guide, including the Team-based care module was introduced in the report [1]. Endorsed by 11 WHO partner organizations such as the American Heart Association (AHA), the Centre for Chronic Disease Control (CCDC), and the International Society of Hypertension (ISH), it provides a public health approach to managing hypertension and cardiovascular risk factors at the primary health care level. This approach proves cost-effective in improving hypertension control, and is already being implemented in approximately 35,000 facilities worldwide [1].

The WHO report emphasizes the significance of non-pharmacological lifestyle modifications for nearly all hypertensive patients, coupled with pharmacological treatment [1]. Within the HEARTS technical package, ‘Healthy lifestyle counselling’ stands out as one of its integral components [13]. The package identifies unhealthy diet, insufficient physical activity, tobacco use, and harmful alcohol consumption as the four main behavioral risk factors for cardiovascular disease (CVD). All new patients diagnosed with hypertension are advised to quit smoking, limit alcohol consumption, maintain a healthy diet (including a lower-sodium diet and potassium-enriched foods), and engage in regular physical activity. The recommendations include consuming a variety of foods, such as fruits, vegetables, legumes, starchy tubers or roots, and foods from animal sources like meat, fish, eggs, and milk. Additionally, it suggests consuming more than 400 g of vegetables and fruits per day, keeping salt intake below 5 g, and ensuring that the amount of total energy consumed from fat is less than 30% for a healthy diet [13].

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