Causes and risk factors associated with High blood pressure

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In most cases, high blood pressure does not have a single identifiable cause. This is known as essential or primary hypertension and is the most common type. Its development is associated with the interaction of genetic, environmental, metabolic and lifestyle factors. 

Less commonly, high blood pressure can be secondary, meaning that it is caused by an identifiable condition or factor. The most common causes include certain kidney diseases, hormonal or endocrine disorders, renal artery disease, obstructive sleep apnoea, the use of certain medicines and other specific conditions. 

Several factors, in addition to its direct causes, can increase the risk of developing high blood pressure. Some of these are modifiable, meaning they can be prevented or managed through lifestyle changes and regular medical follow-up. 

Some of the modifiable risk factors include: 

Pie, meat and sausage

Unhealthy diet

Scale with an arrow pointing upwards indicating a weight increase

Excess weight and obesity 

Sofa with a box of popcorn

Inactivity and a sedentary lifestyle

Cigarette

Smoking

Person with symbols on the head representing stress, anxiety, confusion, disorientation, headache or migraine

Long-term stress

A pitcher of beer and a Martini or cocktail glass

Alcohol consumption

Salt and salt shakers

Excessive salt consumption 

Substantiated information by:

Published: 20 February 2018
Updated: 18 August 2026

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