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Peri-menopausal, overweight, elevated blood pressure. Causes for high BP?

Hi, I m a 46 yr old female. and going thru Peri- menopause . I ve recently changed my working hours from afternoon and am now working late nights, 8 pm -4 am. On my last doctors visit, I was found to have had High Blood Pressure . Could the change in my work schedule be the cause. I m also overweight and do very little exercising.
Asked On : Fri, 8 Feb 2013
Answers:  3 Views:  59
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Diseases and Conditions
OBGYN 's  Response
As you said, your lack of proper exercise, schedule of work and obesity are the causative factors for your hypertension. Perimenopausal state is the precipitating factor for many conditions in the body, like hypertension, osteoporosis, abnormal lipid profiles and so on. This is the stage when you need to put extra stress on your dietary habits, body weight and exercise. Do not worry about your blood pressure as it can be easily controlled with proper medication. What you need to do is to maintain a healthy BMI, do some regular exercise(walking would be the best and the easiest), take nutritional supplements and avoid stress while trying to get good sleep. Take care.
Answered: Fri, 8 Feb 2013
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Pathologist and Microbiologist Dr. Anju Choudhary's  Response
hi there, high blood pressure has a multifactorial cause and some of them are
metabolic disorder, overweight
age related
systemic cause like renal/cardiac etc.
As you can see you have many predisposing factors. The late night shift, coupled with weight problem and compounded with hormaonal imbalance due to being in perimenopausal state and lack of exercise is all contributing to your high blood pressure. You need to adopt a healthier lif style with sensible food habit, some form of aerobic exercise, cutting down on your salt intake, losing weight and also visit your gynecologist to take an informed decision on alternatives for hormone replacement therapy.Your problemis multifactorial and so only late nigh shift cannot be blamed for your high BP. Take advise of a physician for long term management of the problem. Take care.
Answered: Fri, 8 Feb 2013
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Emergency Medicine Specialist Dr. Sheeba Stephen's  Response

Hello and welcome to Healthcare Magic. Thanks for your query.

Hypertension is a systemic disease which has a multi-factorial causation. Genetic factors (family history of hypertension), increasing age, obesity, sedentary lifestyle, lack of physical exercise, dietary habits, smoking, stress, etc. can all be causative factors.

So, though stress and lack of proper sleep could be contributory factors, it is not possible to say that they are the direct cause of your hypertension. Irrespective of the cause, I would suggest the following:
- take the appropriate medication which has been prescribed to you regularly
- reduce weight - eat a healthy diet and exercise regularly
- avoid excessive stress and try relaxation exercises.

Wish you all the best.

Dr. Sheeba Stephen
Emergency Medicine Specialist
Answered: Fri, 8 Feb 2013
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