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What is the relationship between blood pressure and cognitive decline?

Published in July 21, 2025

A hypertension Blood pressure is one of the most common chronic conditions among Brazilians. But what many people still don't know is that uncontrolled blood pressure doesn't just affect the cardiovascular system. Recent studies show an important relationship between hypertension and cognitive decline, including more serious forms such as dementia.

According to recent studies, such as the one published in the scientific journal NeurologyKeeping blood pressure under control can significantly reduce the risk of developing dementia.

But why is that?

The brain is one of the organs most sensitive to variations in blood pressure. When blood pressure is constantly high or spikes frequently, the blood vessels that supply essential areas of the brain can be damaged over time. This reduces oxygenation and favors the accumulation of lesions that compromise memory, reasoning and other cognitive functions.

In addition, irregular blood pressure is also associated with a higher risk of accelerated cognitive decline. These variations can damage the brain's small vessels and contribute to the development of changes typical of vascular dementia. It is therefore essential to monitor and control not only high blood pressure but also stable blood pressure levels in order to protect long-term brain health.

The good news is that this scenario can be avoided. Blood pressure control, through medical monitoring, the use of appropriate medication and lifestyle changes, is a powerful tool for protecting the brain.

Here are some actions that help keep blood pressure levels under control and, what's more, benefit cognitive health:

  • Reduce your intake of salt, ultra-processed foods and saturated fats;
  • Engage in regular physical activity, even if it's light;
  • Manage daily stress through psychological support, meditation or other relaxation strategies;
  • Take the medication as advised by your healthcare professional;
  • Regular follow-up with a cardiologist and/or neurologist.

Remember that these tips are just general health care guidelines. Always rely on the help of the health professional you trust to develop an individualized care plan.

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