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Blood pressure fluctuates throughout the day for several reasons, but it’s helpful to know what to expect and when your fluctuating blood pressure might be abnormal.
Circadian rhythms
Your blood pressure is strongly influenced by your body’s circadian rhythms, including your natural sleep cycle. Your circadian rhythm is connected to the master clock in your brain which regulates your body function throughout the day.
As the sun goes down and it gets dark, your master clock tells you it’s time to go to bed and get some rest. In contrast, when the sun is up, your master clock makes sure you have enough energy to stay alert and go about your day. Your heart rate and blood pressure will adjust according to this pattern,¹ so it’s normal for your blood pressure to dip while you sleep and rise throughout the day.
Physical activity
Being active and exercising regularly helps reduce your risk of developing high blood pressure in the long term. For people with diagnosed hypertension, exercise has been found to cause a blood pressure dip called postc-exercise hypotension (PEH).
You might notice your blood pressure reading change slightly during or after exercise. This is normal, but a significant change could suggest you have hypertensive response to exercise (HRE).² In HRE, blood pressure in normal, healthy people elevates significantly with exercise (systolic blood pressure rises to 210mm Hg for men and 190mm Hg for women or higher). HRE is thought to be an early warning sign for developing hypertension.
Nervousness and stress
When you feel nervous or stressed, your body enters “fight or flight” mode and releases more of the hormones adrenaline and cortisol. When this happens, your heart rate rises and your blood vessels narrow (vasoconstriction), raising your blood pressure temporarily. This is a normal response from your body.
White-coat syndrome
Have you ever wondered why your blood pressure reading is normal at home and rises at the doctors? This is white-coat syndrome, and it occurs when you feel stressed about visiting your doctor or being in a clinical environment. A high reading caused by white-coat syndrome doesn’t always mean you have hypertension.
Eating and drinking
Consuming food and drink affects your blood pressure, with some foods having more of an influence than others. While it’s normal for blood pressure to drop slightly when you are digesting food after a meal, caffeine³ and foods containing added sugar⁴ have been shown to temporarily elevate blood pressure.
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