posted on 2017-06-27, 09:18authored byRoseanne Norris, Richard J. Fitzgerald
Hypertension or elevated blood pressure (BP) is a global health concern, thought to affect up
to 30 % of the adult population in developed and developing countries. It is defined by a BP
measurement of 140/90 mmHg or above. Hypertension is a major risk factor concomitant
with cardiovascular disease (CVD) states such as coronary heart disease, peripheral artery
disease and stroke, and kidney disease. Essential hypertension, the most common type of
hypertension and to which 90-95% of cases belong, is manifested as an increase in an
individual’s BP due to an unknown cause. This class of hypertension can be improved with
lifestyle choices such as regular exercise, heart-healthy eating, non smoking, reducing
sodium intake and reducing the level of stress [1]. For these reasons it is defined as a
controllable risk factor of CVD. At present there is a range of synthetic drugs on the market
for treatment of hypertension including diuretics, adrenergic inhibitors such as α- and β-
blockers, direct vasodilators, calcium channel blockers, angiotensin II (Ang II) receptor
blockers and angiotensin converting enzyme (ACE) inhibitors. However, although
hypertension can be controlled by pharmacological agents, it represents a major burden on
annual global healthcare costs. According to the Centre for Disease Control and Prevention
(CDC) [2], it was estimated that hypertension-related costs reached $76.6 billion in the USA
in 2010. It is thought that prevention through lifestyle choices and early treatment for
individuals with mild hypertension can significantly reduce global health-care costs.
History
Publication
Antihypertensive Peptides from Food Proteins, Bioactive Food Peptides in Health and Disease, Dr. Blanca Hernández-Ledesma (Ed.);chapter 3, pp. 45-72