The Silent Danger: High Blood Pressure in the 30-40 Age Group Linked to Dementia, Says Brain Specialist

Warning: Untreated High Blood Pressure in Middle Age Linked to Increased Risk of Dementia

September 19, 2023

In a recent Facebook post, Dr. Teerawat Hemachutha, a respected brain specialist at Chula Hospital, issued a grave warning to individuals aged between 30 and 40. According to Dr. Hemachutha, high blood pressure in this age group cannot be easily controlled, and it could potentially lead to dementia. He emphasized that this silent danger is often overlooked by people, resulting in its gradual accumulation over a decade before revealing itself.

This alarming revelation begs individuals to pay attention to the risks as high blood pressure is a commonly underestimated threat. Many wrongly assume that the absence of headaches means their blood pressure is normal and fail to monitor it regularly.

However, the gradual increase in blood pressure goes unnoticed, allowing a deterioration of the blood vessels over time, leading to conditions such as coronary artery disease, heart attack, and even brain hemorrhage resulting in paralysis.

Scientific evidence now supports the notion that high blood pressure brings about changes in the brain. In a study published in the JAMA Journal of the American Medical Association network, a relationship between uncontrolled high blood pressure in the 30-40 age range and the development of Alzheimer’s disease and other forms of dementia was discovered. The study utilized advanced brain imaging techniques to assess the state of the brain’s white matter, the fibers responsible for transmitting nerve signals.

The study findings suggest that individuals who do not control their blood pressure during middle age are susceptible to abnormal brain changes, including the deterioration of brain tissue, brain fibers, and blood vessels. Notably, this abnormality was more apparent in men around 75 years old who had uncontrolled high blood pressure in their 30s and 40s compared to those without hypertension.

The study also revealed that uncontrolled high blood pressure was associated with a decrease in gray matter volume and abnormalities in the white matter of the brain, specifically affecting brain connectivity and the presence of excess free water. These discoveries underline the significance of early blood pressure management to reduce the burden of cognitive decline and the subsequent need for medical assistance.

While this study had a relatively small sample size, it carried out thorough follow-ups, and further research on brain-computer interactions is warranted.

Notably, the study also highlighted gender differences, suggesting that female hormones may have a protective effect against the brain atrophy associated with high blood pressure. Moreover, it indicated differing regions of the brain affected by weight changes between men and women.

Compellingly, the study aligns with previous research showing a correlation between high blood pressure at younger ages and degeneration of specific brain regions such as the frontal, temporal, and parietal lobes, as well as the hippocampus. Consequently, there is an urgent need for early health screenings and timely medical interventions to combat these potential neurological consequences.

However, managing blood pressure is not solely related to weight; factors such as body mass index and physical fitness should also be taken into consideration. Regular physical exercise is vital in maintaining optimal blood pressure.

In addition, it is crucial to emphasize the importance of lifestyle choices when it comes to high blood pressure. Smoking should be avoided entirely, and those currently smoking should cease immediately. Likewise, alcohol consumption should be moderated, with a limit of 30 grams per day to maintain good health. It is also advisable to adopt a diet rich in plant-based foods.

Addressing these risks will contribute to a prosperous and healthier society, ultimately reducing the strain on our healthcare resources. Additionally, these measures must go hand in hand with efforts to control toxic dust, air pollution, and the presence of chemicals in our food supply, to ensure the well-being of the population and a sustainable future.

As we confront the challenges ahead, it is imperative that individuals prioritize their health and take proactive steps to mitigate the risks associated with high blood pressure and other preventable health conditions.

Dr Teerawat Hemachutha, a brain specialist at Chula Hospital, posted a warning to the 30-40 age group that high blood pressure cannot be controlled. Definitely dementia. Draws attention to the fact that it is a silent danger that people are not interested in. And this “villain” will accumulate for 10 years before gradually revealing itself.

September 19, 2023 Dr. Teerawat Hemajutha, brain specialist Head of the Center for Health Science Emerging Diseases Faculty of Medicine Chulalongkorn Hospital posted on Facebook Thiravat Hemachudha Thiravat Hemachudha topic about high blood pressure. That many people have. Especially starting when entering the elderly phase. or already elderly who are disappearing, there may be people who placed Dr. Teerawat the subject as follows:

High blood pressure between 30 and 40 is not manageable. Definitely dementia.

High blood pressure It is a silent danger that people are not interested in. There is often a misconception that there is no headache at all. There is no need to measure blood pressure.

Not getting a headache This is because blood pressure is gradually increasing. Climb up the level bit by bit. There will be no abnormal symptoms at all. And finally the soft blood vessels will begin to harden with or without tartar. and leads to coronary artery disease, coronary artery disease, and heart attack Brain hemorrhage that causes paralysis

This villain has been building up for 10 years and is gradually revealing himself.

High blood pressure causes changes in the brain. There is increasingly clear evidence. from computer examination of the brain in various ways They found a clear link between uncontrolled high blood pressure between the ages of 30 and 40 and the pathology of Alzheimer’s disease. and other dementias and abnormal changes in the white matter of the brain By measuring the movement of water along the brain’s fibers From one location to another (fractional anisotropy), the efficiency in controlling blood supply to different parts of the brain in each situation. and the space around the blood vessels in the brain which act as a drain for the removal of waste from the brain and the amount of free water

Changes in brain tissue, brain fibres, and blood vessels in the brain These abnormalities build up over time. Since middle age, blood pressure has not been controlled. with ages ranging from 30 to 40 years

high blood pressure The highest level is 130 and the lowest level is 80. In Americans, it is estimated that at least 44 to 46% have high blood pressure, with men more often than women. But after age 65, women begin to experience higher blood pressure than men due to menopause. Estrogen deficiency

Knowing and realizing the importance of controlling blood pressure from the start will greatly reduce the burden of having to take care of your health.

The study, reported in the JAMA Journal of the American Medical Association network that opened April 3, 2023, used data from Kaiser’s healthy aging and diverse life experiences (KHANDEL) project and the study of healthy aging in African Americans (STAR) , which included Asian Populations. Blacks, whites, and Latinos. It is assumed that blood pressure that occurs between the ages of 30 and 40 will have an effect on biological indicators that indicate dementia. and stability in the condition of the brain’s white matter, which is mainly made up of nerve fibres.

By evaluating with brain computer images

Study population from both projects Assessments began between 1964 and 1985 and have been followed since then. Until 2017 and 2021, the population in this study was 427 people.

The results of the study found that elderly People around 75 years old, especially men. There will be an abnormality in the brain. If you have uncontrolled high blood pressure when you are still in your 30s and 40s, compared to people who do not have high blood pressure.

The abnormality that is clearly seen is The gray matter volume of the cerebral cortex (cortex) has collapsed, including the frontal and temporal lobes, causing the volume of brain tissue to decrease. and it made it seem like the hydrocephalus was bigger. and there are abnormalities in the white matter of the brain It is measured by the efficiency of connecting different parts of the brain (brain connectivity) and free water as mentioned above.

This study, although the population was not large, But it has a good follow-up. Although there may be limitations to studying brain computers, It will be done at one point.

But the results of that study can show differences between males and females. In women, it was considered possible that female hormones might protect against the effects of high blood pressure on brain atrophy. Until the hormones stop and women seem to have differences in the locations of their brains that are affected by weight compared to men.

A 5 mm increase in systolic blood pressure was associated with a shrunken temporal lobe volume, while a 5 mm increase in systolic blood pressure was associated with a larger wrinkled parietal lobe (parietal cortex).

The results of the study are consistent with a report that analyzed about 30 studies that found high blood pressure at a young age. Associated with brain degeneration in the frontal, temporal and parietal lobes. and the inner temporal lobe, called the hippocampus. That’s where current memory or short-term memory is stored. And several other studies have found a relationship with changes in the white matter of the brain as well.

All these things This shows the importance of screening. Or screening for health conditions from young people reaching the age of 30 and over and quickly managing them.

However, this is not just about weight. But it is a matter of weight which we call body mass index and fitness condition. Pay attention to exercise

You must not start smoking at all and if you are still smoking you must stop immediately. It’s called broken cigarettes because no one has died from broken cigarettes.

If you don’t know how to drink alcohol, you don’t have to start. If you drink, you can reduce the amount to drink for health, which does not exceed 30 grams per day, This can be calculated from the percentage of alcohol. to the volume of the drink and as close to vegetarian as possible.

Just like this, Thailand and Thailand will be completely prosperous and they will not have to waste the country’s budget. Go treat Thai people who are full of sick people.

And also when will we be able to control toxic dust, air pollution, and food from contaminated chemicals?

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