How to Control High Blood Pressure for Women

What counts as normal and high blood pressure for women?

Nearly 50 million Americans have high blood pressure. Older women are particularly likely to develop high blood pressure. More than half of all women over age 60 have it.

Others who are at a high risk of developing high blood pressure are African Americans, those who are overweight, have a family history of high blood pressure, and those whose normal blood pressure is naturally high.

Male and female couple running together
Compassionate Eye Foundation / Andrew Olney / Digital Vision / Getty Images​ 

What Exactly Is High Blood Pressure?

Blood is pumped by the heart through vessels to bring oxygen and nutrients to the body. Blood pressure is the force of the blood against the vessel walls. The higher the pressure, the harder the heart is working.

Blood pressure often goes up and down during the day. When it goes up and stays high, then it is high blood pressure. The medical term is hypertension.

An easy test measures blood pressure. It uses an inflatable cuff around an arm. If the pressure is high, the test will be repeated over several days to get an accurate reading. You probably have had such a test on a visit to your healthcare provider.

Measuring High Blood Pressure

The test gives two numbers: The systolic pressure is the pressure of blood in the vessels as the heart beats. The diastolic pressure is the pressure of the blood between heartbeats.

The numbers are usually written as a fraction with the systolic above or to the left. An example is 120/80 mm Hg (millimeters of mercury), a normal adult blood pressure. Both numbers count.

Your blood pressure is high if the systolic pressure is 130 or above, or the diastolic pressure is 80 or above, or both are high.

"The Silent Killer"

If you do not know your blood pressure, you should have it taken. Those with high blood pressure often do not feel sick. In fact, high blood pressure is often called "the silent killer," because it may cause no symptoms for a long time. But untreated, it can damage the kidneys and raise the chances of stroke, heart attack or other cardiovascular (heart and blood vessel) problems. It causes three of every five cases of heart failure in women. Heart failure is a severe condition in which the heart cannot adequately supply the body with blood.

Women who have both diabetes and high blood pressure are at an even higher risk of stroke, heart and kidney problems than those who have only high blood pressure.

Are You in Control?

You may be surprised to learn that many women take blood pressure drugs but still have high blood pressure. This is especially true for older women.

Why? There are numerous reasons. Some women may not take their drugs as prescribed, whether incorrect amounts or at the wrong times. For others, a drug may not lower their blood pressure enough.

To lower your risk of stroke, heart attack or heart failure, blood pressure should ideally be controlled to below 130/80.

So make sure you're in control of your high blood pressure. Talk with your healthcare provider and ask about your blood pressure level. If it is too high, ask about adjusting your drug and making lifestyle changes that will bring your blood pressure to below 130/80.

Taking Control

All women can and should take steps to control their high blood pressure. This is especially important for women who have heart disease. When blood pressure is lowered, the heart does not work as hard. Women who have had a heart attack are less likely to have another if they reduce their high blood pressure.

You can control your blood pressure with these steps:

  • Lose weight if you are overweight
  • Become physically active
  • Choose foods low in salt and sodium
  • Limit your alcohol intake
  • If prescribed, take high blood pressure pills

These lifestyle steps also help prevent high blood pressure, so both you and your family can follow them together for healthy benefits.

3 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Centers for Disease Control and Prevention. Know your risk for high blood pressure.

  2. American Heart Association. Why high blood pressure is a "silent killer".

  3. Kaul S. Evidence for the universal blood pressure goal of <130/80 mm Hg is strong. Hypertension. 2020;76:1391-1399. doi:10.1161/HYPERTENSIONAHA.120.14648

By Marian Anne Eure
Marian Eure, RN, is a registered nurse with more than 25 years of experience in adult health care, health promotion, and health education.