Blood pressure is exactly what it sounds like — the pressure of blood pushing against your artery walls. Think of it like water pressure in a garden hose. When you turn up the water, the pressure increases. When the pressure gets too high, it can damage the hose over time.
Blood pressure is written as two numbers, like 120/80 (read as “120 over 80”):
- Top number (systolic): The pressure when your heart beats and pushes blood out
- Bottom number (diastolic): The pressure when your heart rests between beats
To use our garden hose example:
- Systolic = pressure when you squeeze the spray nozzle
- Diastolic = pressure when you release it
Normal blood pressure is less than 120/80. But here’s the catch — what’s “normal” for the general population might not be safe for South Asians.
Why It Matters for South Asians
High blood pressure is called the “silent killer” for a reason. You can feel perfectly fine while it quietly damages your body. For South Asians, this is especially dangerous because:
- We develop high blood pressure 5-10 years earlier than other populations
- Many of us have it by age 35-40, even at normal weight
- About 1 in 3 South Asian adults has high blood pressure — many don’t know it
The damage happens slowly but surely:
- Arteries: Become stiff and narrow, like old rubber hoses
- Heart: Works harder, grows thicker, eventually weakens
- Brain: Higher risk of stroke and memory problems
- Kidneys: Gradually lose function
- Eyes: Small blood vessels get damaged, affecting vision
This is why so many South Asians have heart attacks and strokes at young ages — the damage started years earlier with untreated high blood pressure.
Risks Even at “High-Normal” (120-129/80-89)
Here’s something most people don’t know: For South Asians, even “borderline” blood pressure can be dangerous.
Blood Pressure Categories:
- Normal: Less than 120/80
- Elevated: 120-129 (top) and less than 80 (bottom)
- High Stage 1: 130-139/80-89
- High Stage 2: 140/90 or higher
Research shows South Asians have higher risk of heart disease even at the “elevated” level. What doctors call “high-normal” might already be causing damage in our bodies.
White Coat Syndrome Many people have higher blood pressure at the doctor’s office due to anxiety. That’s why a single reading at your annual checkup isn’t enough. You might have:
- Normal pressure at the doctor but high pressure at home (masked hypertension)
- High pressure at the doctor but normal at home (white coat hypertension)
The only way to know your true blood pressure is to check it regularly at home.
How to Measure Blood Pressure Correctly at Home
Taking your blood pressure at home is like checking your weight — you need to do it the same way each time for accurate results.
What You Need:
- A validated digital upper arm cuff (not wrist or finger monitors)
- A quiet place to sit
- A table and chair
- A notebook or app to record readings
Step-by-Step Guide:
- Prepare:
- Don’t measure within 30 minutes of exercise, caffeine, or smoking
- Empty your bladder first
- Sit quietly for 5 minutes before measuring
- Position Yourself:
- Sit with your back supported (not on a bed or sofa)
- Keep both feet flat on the floor (no crossed legs)
- Rest your arm on a table at heart level
- The cuff should be on bare skin, not over clothes
- Take the Reading:
- Put the cuff on your upper arm (follow device instructions)
- Don’t talk or move during the measurement
- Wait 1-2 minutes, then take a second reading
- Record both readings
Important Tips:
- Use the same arm each time (usually your left)
- Take readings at the same times each day
- Morning: Before breakfast and medication
- Evening: Before dinner
- Track for at least one week to see patterns
Remember: One high reading doesn’t mean you have high blood pressure. It’s the pattern over time that matters.
When to Start Monitoring
Don’t wait for symptoms — high blood pressure rarely has any. Start monitoring if you’re:
- 30 years or older
- Any age with diabetes or prediabetes
- Overweight, especially with belly fat
- Have family members with high blood pressure or heart disease
- Experience frequent headaches or dizziness
- Have a stressful job or lifestyle
- Snore heavily (possible sleep apnea)
- Take birth control pills (for women)
What To Do If It’s High
Finding out you have high blood pressure can be scary, but it’s also empowering. Now you can take action before serious damage occurs.
Lifestyle Changes That Work:
- Reduce salt: Aim for less than 1 teaspoon (5g) daily
- Increase potassium: Eat bananas, oranges, spinach, sweet potatoes
- Move more: 30 minutes of walking daily can lower BP by 5-8 points
- Lose belly fat: Even 5-10 pounds can make a difference
South Asian Dietary Tips:
- Use less salt in cooking (try lemon, herbs, spices instead)
- Avoid pickles, papad, and processed foods
- Choose fresh chutneys over store-bought ones
- Limit chai to 2 cups daily (caffeine raises BP temporarily)
Stress Management:
- Practice deep breathing (pranayama) for 10 minutes daily
- Try meditation or prayer
- Take short walks after meals
- Get 7-8 hours of sleep
Natural Helpers:
- Hibiscus tea (studies show it can lower BP)
- Beetroot juice
- Garlic supplements
- Reduce alcohol
Want a complete action plan? Read: What To Do If Your Blood Pressure is High
Key Takeaways
- Blood pressure is the force of blood against your artery walls — high pressure damages them over time
- South Asians develop high blood pressure earlier and at lower body weights than other populations
- Even “borderline” readings (130-139/80-89) are risky for us
- Doctor’s office readings aren’t enough — check at home for accurate results
- Measure correctly: proper position, same time daily, track patterns over weeks
- Start monitoring at age 30 (earlier if you have risk factors)
- High blood pressure is treatable — lifestyle changes can make a huge difference
The Bottom Line
Your blood pressure is like your home’s foundation — problems develop slowly and invisibly until major damage occurs. For South Asians, waiting for symptoms is waiting too long.
The good news? Unlike many health conditions, you can check your blood pressure easily at home. A good blood pressure monitor costs less than a nice dinner out, but it could add years to your life.
Don’t trust that single yearly reading at the doctor’s office. Take charge of your numbers. When you know your true blood pressure, you can protect your heart, brain, and kidneys for years to come.
Remember: High blood pressure isn’t a life sentence — it’s a warning sign that you can act on. The earlier you catch it, the easier it is to control.