Brief Answer:
Healthy diet , regular lifestyle , aerobic exercise and medicine .

Detailed Answer:
Hello,

Considering the age of 59, in most probability your father has essential hypertension. However ruling out atleast kidney as secondary cause of hypertension. Because in that case it might be reversible. A renal doppler and USG- KUB which is sonography of the kidney and its vessels; Baseline blood test; kidney profile; urine for micro albumin and eyes check up for retinopathy; Echocardiography and TMT for heart will complete the evaluation of the patient .

Now the Primary Aim is to keep the blood pressure under control whether it is with diet , exercise or medicine .
1) try maintaining blood pressure upper under 135 and lower under 85mm hg with lifestyle and medication as required
2) if overweight, losing weight should be a priority, try achieving bmi less than 25.
3) 40-45 mins of aerobic exercise daily which includes walking , jogging , swimming , light sports atleast 5 times a day
4) be regular with your medication, don't skip doses or stop abruptly.
5) in diet -low salt. XXXXXXX 3 gms a day. - avoid preserved food, as all preservatives have salt. - no pickles, papads, chips, farsam as all have high salt and. - atleast 2 serving of fresh fruits in a day. - 1 serving 35-40 gms of nuts like walnuts, almond to be included - if you take fish 2 serving of fatty fish per week like salmon. -avoid red meat, egg yellow, fried and spicy oily food - may shift to better oils like olive in cooking
6) may consider supplements, like cod fish oil capsules, flax seeds, chia seeds, krill oil as they have good content of omega 3 fatty acid.
We generally know everything, it's just following which is important.
Lastly if there is any stress event going on in life, dealing with it in a mature way so that it doesn't affect your health is important .

Do message me his blood pressure reading , medication he is taking , what diet he prefers , so i can send you a diet plan , and precaution to be taken with medicine .
Regards Dr. Priyank Mody

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Brief Answer:
low in sodium (salt) and rich in potassium and fibre (fruits, vegetables )

Detailed Answer:
The baic ideology for diet plans is that it should be low in sodium (salt) and rich in potassium and fibre (fruits, vegetables )
So a strict NO to all preserved food , pickles ,papad, farsan , chips , outside snacks as they all have high content of salt for taste.

Dietary Approaches to Stop Hypertension (DASH) is the most widely used diet plan for hypertension with good results . It was found that people who followed the DASH diet had notable lower or normal blood pressure after just few weeks.

Features of the DASH Diet

DASH diet is low in sodium, reducing it to 1,500 milligrams a day, which is about 2/3 teaspoon of salt.
The diet of fruits, vegetables, whole grains, fish, poultry, nuts legumes, and low fat dairy are high in key nutrients such as potassium, magnesium, calcium, fibre, and protein.
Fruits and vegetables are rich in potassium and should be included in the diet. Sweet potatoes, tomatoes, orange juice, potatoes, bananas, peas, and prunes and raisins should be added to the diet.
Salt use should be minimized. Salt can be substituted with lime, garlic, pepper or other herbs and spices.
Alcohol, if consumed, should be in moderate quantity.

DASH Limits of Diet Plans: Serve Table Analysis

Grains: Daily servings for about 7 to 8 times.
Serving Sizes: 1 slice bread, ½ cup cooked rice , 1 ounce dry cereal.

Vegetables: Daily serving for about 4-5 times.
Serving Sizes: 1 cup raw leafy greens, ½ cup cooked vegetables.

Fruits: Daily serving for about 4-5 times.
Serving Sizes: 1 medium fruit, ½ cup fresh or frozen fruit, ¼ cup dried fruit, 6 ounces fruit juices.

Low fat or Fat free dairy products: Daily servings for about 2-3 times.
Serving Sizes: 8 ounces milk, 1 cup yogurt, 1.5 ounces cheese.

Lean meat, poultry and fish: Just about 2 or fewer daily servings.
Serving Sizes: 3 ounces cooked meat, poultry, or fish.

Nuts seeds and legumes: 4-5 servings per week.
Serving Sizes: 1/3 cup nuts, 2 tablespoon seeds, ½ cup cooked dry beans or seeds.

Fats and oils: 2-3 servings per day.
Serving Sizes: 1 table spoon of vegetable oil or soft margarine, 1 table spoon low fat mayonnaise, 2 table spoons light salad dressing.

Sweets: Try to limit to less than 5 servings a week.
Serving Sizes: 1 table spoon sugar or jelly jam.

The following foods in the below section should be included in your diet to increase the intake of potassium, magnesium and fibre.

FRUIT PULP
Apples, Beat greens, Green beans, Grapes, Melons, Pineapples, Spinach, Yogurt(fat free),Apricots, Broccoli, Dates, Green peas, Oranges, Potatoes, Strawberries, Tomatoes, Bananas, Carrots, Mangoes, Peaches, Resins, Sweet potatoes, Tuna.

Your father is on a mild dose of hypertension so good diet plan and aerobic exercise may help us wean him totally from medication .
Hoping i could help .
Do rate for others reference
Regards Dr. Priyank Mody

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