An estimated 46% of hypertensive adults are unaware that they have the condition. Thus they remain moody.  (Representative image: Pixabay)
Medicine

Is Hypertension Making Your Dad Moody? Here’s What Science Says

Why Is My Hypertensive Dad So Moody? The Link Between Blood Pressure & Mood

MBT Desk

Ever feel like your dad’s blood pressure has a mind of its own—calm one moment and soaring the next? You are not alone. Many people, myself included, experience these unpredictable swings, making high blood pressure seem like a straight-up mood. Let's take a look at why this happens in our hypertensive dads and what you can do about it.

Nature of Blood Pressure Fluctuations

Blood pressure is not static; it ebbs and flows throughout the day. While minor changes are common, significant jumps can be alarming. These fluctuations, known as blood pressure variability (BPV), are linked to increased risks of heart problems and other health issues.

What's Behind Mood Swings?

Researchers at the Max Planck Institute for Human Cognitive and Brain Sciences have conducted an in-depth analysis of the relationship between mental health, elevated blood pressure, and hypertension. Their study used comprehensive psychological, clinical, and imaging data collected from an elderly population to explore these connections. [1]

To obtain statistically robust answers, we used the extremely large sample size of the UK Biobank with over 500,000 elderly study participants.
Dr. Lina Schaare, Researcher, Neurobiosocial Group

Stress and Emotions:

Ever felt your heart racing during a tense meeting or after an argument? Stress and anxiety can cause a temporary increase in blood pressure. This is your body's natural "fight or flight" response.

The link between high blood pressure and mood swings is evident in research, which indicates that high blood pressure can significantly affect mood and mental health. High blood pressure triggers the body's stress response, leading to feelings of anxiety and irritability. Studies show that people with high blood pressure often experience irritability, fatigue, and low energy, all of which contribute to unstable moods. [2]

Aside from medical causes, other factors may be raising your dad’s blood pressure, including:

  • Physical Activity: Sweating at the gym? Exercise may raise blood pressure temporarily, but don't worry—regular exercise helps lower it over time. Those post-workout spikes should disappear after you cool down.

  • Medication: Taking over-the-counter medication like ibuprofen? Some medicines can cause blood pressure to rise. It's a good idea to check with your doctor about any side effects.

  • Health Conditions: Problems like lack of sleep or kidney issues can affect blood pressure. For example, a rare adrenal gland tumor called pheochromocytoma can cause dramatic spikes.

  • Lifestyle Choices: Love salty snacks, coffee, or the occasional cocktail? High sodium, caffeine, and alcohol can all send blood pressure on a roller-coaster ride. Moderation is key.

How Does High Blood Pressure Affect the Brain?

High blood pressure can alter brain function by increasing stress chemicals in the bloodstream. This chemical imbalance can lead to neurotic behaviors characterized by anxiety, anger, and depression. The brain's response to chronic stress from high blood pressure creates a vicious cycle where mood disorders exacerbate blood pressure problems. [3]

Why should you care about these fluctuations?

Why Should You Care About These Fluctuations?

Big swings in blood pressure aren't just annoying—they can cause serious problems for your heart and arteries. Monitoring these changes is crucial to avoiding long-term health risks.

High blood pressure isn't just a heart concern; it significantly affects cognitive function. Research increasingly shows that high blood pressure contributes to cognitive decline, especially in middle-aged and older adults. Here’s how:

  1. Accelerated Cognitive Decline
    Studies show that high blood pressure speeds up memory loss and other cognitive impairments. Even modest increases can affect memory, verbal fluency, attention, and reasoning skills. [4,5]

  2. Structural Brain Changes
    High blood pressure can cause structural damage in the brain, similar to the effects of a stroke. It can damage small blood vessels, leading to "silent strokes," which don’t cause immediate symptoms but contribute to long-term cognitive impairment. [4,5]

  3. Increased Risk of Dementia
    Chronic high blood pressure, especially in midlife, is linked to a higher risk of developing dementia later in life. Research suggests that people with high blood pressure may experience cognitive decline equivalent to an extra 2.7 years of aging by the time they reach 70 and older. [4,5]

  4. Neuroinflammation
    High blood pressure is associated with neuroinflammation and brain atrophy, both of which contribute to cognitive decline and increase the risk of neurodegenerative diseases like Alzheimer's.

Less than half of hypertensive adults (42%) are diagnosed and treated. Approximately 1 in 5 adults (21%) with hypertension have it under control.

Tips to Control Blood Pressure Beast

  • Keep an eye on it: Check your blood pressure regularly at different times of the day to detect patterns or triggers.

  • Chill out: Practice relaxation techniques such as meditation, deep breathing, or yoga to keep stress levels in check.

  • Adopt healthy habits: Eat a balanced, low-sodium diet, limit caffeine and alcohol, and stay physically active.

  • Stick to your medications: Take prescribed medications as directed and discuss any concerns with your doctor.

  • Schedule regular checkups: Regular doctor visits can help catch and manage any underlying issues contributing to blood pressure fluctuations.

Conclusion

The relationship between hypertension and mood is complex but crucial for overall health. High blood pressure not only poses physical risks but also contributes to emotional instability. Remember, even though the blood pressure may seem moody, understanding what’s behind the fluctuations can help manage it better and stay on top of your father's health.

Note: This content is purely informational and isn’t medical guidance. It shouldn’t replace professional medical counsel. Always consult your physician regarding treatment risks and benefits.

REFERENCES:

  1. Max Planck Institute. "Associations Between Mental Health and Blood Pressure." Max Planck Society, April 13, 2023. https://www.mpg.de/20163652/0413-nepf-how-high-blood-pressure-affects-mental-health-149575-x. Accessed January 10, 2024.

  2. Holistic Medical Services. "Can High Blood Pressure Cause Mood Swings?" Holistic Medical Services, n.d. https://holisticmed.clinic/can-high-blood-pressure-cause-mood-swings/. Accessed January 8, 2024.

  3. Jagruti Rehabilitation Centre. "How Does High Blood Pressure Cause Mental Health Issues?" Jagruti Rehabilitation Centre, n.d. https://www.jagrutirehab.org/how-blood-pressure-cause-mental-health-issues.html. Accessed January 8, 2024.

  4. Healthline. "High Blood Pressure May Contribute to Neurotic Behavior in Some People." Healthline, n.d. https://www.healthline.com/health-news/high-blood-pressure-may-contribute-to-neurotic-behavior-in-some-people. Accessed January 8, 2024.

  5. Johns Hopkins Medicine. "Hidden Brain Risk: Midlife High Blood Pressure." Johns Hopkins Medicine, n.d. https://www.hopkinsmedicine.org/health/wellness-and-prevention/hidden-brain-risk-midlife-high-blood-pressure. Accessed January 8, 2024.

By Muhammad Faisal Arshad

MSM

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