BACKGROUND: Hypertension is a significant public health challenge globally, affecting millions of individuals. Despite numerous pharmacological treatments, lifestyle interventions remain a cornerstone of hypertension management. METHODS: This study was a randomized controlled trial conducted at a primary care clinic with a sample size of 200 patients diagnosed with hypertension. Participants were randomly assigned to one of two groups: dietary modification and increased physical activity, or standard care. The study duration was 12 months. RESULTS: Both interventions resulted in statistically significant reductions in systolic and diastolic blood pressure. However, the group receiving combined dietary and physical activity interventions showed a more significant reduction compared to the standard care group. CONCLUSION: Lifestyle interventions, specifically a combination of dietary changes and increased physical activity, are effective in managing hypertension in a primary care setting and offer a viable alternative to medication for some patients.

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