HI, thanks for using healthcare magic Both the systolic (the top reading) and the diastolic (the bottom reading) are abnormal. Hypertension can be managed with lifestyle changes and medication if needed. The lifestyle changes involve: (1) weight loss of any excess weight due diet changes and exercise. At present his weight is too much for his height. He would need to reduce the use of sodas/fruit juices INcrease use of water Increase the use of fruits/vegetables/salads Reduce carbohydrate portion sizes Reduce any alcohol use (2)reduce salt intake (3)exercise regularly- it is normally recommended for at least 3 to 5 times a week for at least 150 minutes total each week If the lifestyle changes are not enough to reduce the blood pressure then his doctor would start medication. Keeping the blood pressure normal would reduce his risk of heart disease and stroke. I hope this helps