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In the United States the frequency of high blood pressure rose steadily until it reached a peak in the 1960's, then began a dramatic decline: from 37.2% to 2.7% around 1990. No one really knows why.https://www.ahajournals.org/doi/full/10.1161/circulationaha.106.683243#TBL3186313 …
Americans are gigantic and yet they're not being punished for it: blood pressure and heart attack mortality have both declined even as obesity has increased. This has happened in the US, Europe, Japan, and Korea despite very different overall diets.
Changes in obvious risk factors like smoking fail to explain a majority of the decline: I suspect changes in infection and inflammation to be important, as evidenced in the simultaneous decline in average body temperature.
Pharmaceutical interventions - Lysinopril, Lipitor, etc. were not available in the early part of the range. Bad diet and exercise habits are monetized now. And if you did of Covid or another problem aggravated by obesity, the numbers can become misleading@
What of simply the drugs that counter this?
They don't come close to explaining the decline by themselves.
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