The ‘silent killer’ blood pressure problem that affects under-40s too

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When is the right age to get your blood pressure checked out? You might think it is something only older people need to worry about. The NHS invites people to go for five-yearly heart health checks that include blood pressure from the age of 40 onwards.

But according to a new study, that is far too late – even people in their twenties and thirties should know their blood pressure.

The research also suggested there are twice as many people as thought who have high blood pressure and don’t know about it. So, who is most at risk of having unsuspected high blood pressure, and what can they do about it?

The Reform MPs who face losing their seats according to new poll

Robert Jenrick and Suella Braverman are among four Reform UK MPs who would lose their seats if a general election were held tomorrow, fresh polling by YouGov shows.

Falling behind the Tories

Tory defector Danny Kruger and Sarah Pochin – who beat Labour in a 2025 by-election – would also be unseated, according to the leading UK pollster’s first large-scale election modelling since Andy Burnham became Prime Minister.

LONDON, ENGLAND - AUGUST 11: Reform MP Sarah Pochin speaks at a Reform UK Press Conference in Westminster on August 11, 2025 in London, England. Female Reform UK members including Mayor of Greater Lincolnshire Andrea Jenkyns and Reform MP Sarah Pochin are holding a press conference on crimes that affect women as part of their summer Crime campaign. (Photo by Dan Kitwood/Getty Images)
Former Conservative MP Danny Kruger, who has defected to Reform UK, speaking during a press conference in Westminster, central London. Picture date: Monday September 15, 2025. PA Photo. Photo credit should read: James Manning/PA Wire

Although the party’s numbers of MPs would hugely increase, it would have fewer seats than the Tories overall, marking a significant fall when compared to last year’s polling.

How a Labour government could be formed

The poll predicts that Labour would be the biggest party in a hung parliament.

Lib Dem leader Ed Davey recently ruled out forming a coalition with Reform or the Tories but stopped short of excluding a coalition with Labour.

However, to form a Parliamentary majority in this scenario, Burnham would also need to work with the SNP or Plaid Cymru.

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Reform expanding its operations

The polling comes as Reform is preparing a huge expansion of its operations around the country, targeting London, the South East, the South West and the East of England.

BIRMINGHAM, ENGLAND - SEPTEMBER 05: Reform UK Party Leader Nigel Farage speaks to Jeremy Kyle on the second day of the Reform Party conference at National Exhibition Centre on September 05, 2026 in Birmingham, England. Reform UK enters its September 2026 annual party conference facing a recent dip in opinion polls, dropping to 22%???23% in national voting intention after peaking at 28% in May. For the first time in over 18 months, the party has slipped behind the Conservatives into third place in select polling, squeezed by a resurgent Labour Party under Prime Minister Andy Burnham and new competition on the right. (Photo by Anthony Devlin/Getty Images)
  • Analysis of Reform job adverts by The i Paper suggests the party is pumping resources into areas where it wants to keep its high-profile Tory defectors.

There’s turmoil in the Liberal Democrats. And MPs are struggling for direction

Stagnant in the polls but still a potential kingmaker, the party’s at a crossroads – even its own members are asking what comes next.

Record number of assaults on Britain’s trains – what to know

Assaults on Britain’s railways have hit record levels, new figures from the Office of Rail and Road (ORR) have revealed.

February 8th. 2024. A diesel powered passenger commuter train stops at Hatton Station Warwickshire England UK. It is a bright day and there are no visible people in the picture.

The numbers

The data published on Thursday showed there were 13,464 reported assaults on people who were not railway workers between April 2025 and March 2026, an increase of 36 per cent compared to the previous year.

Avanti Pendolino departing Crewe station as a member of platform staff watch the train leave.
  • 11,289 assaults on rail workers on mainline networks were also recorded, an increase of 12 per cent. This included 6,390 incidents of verbal abuse, 2,487 physical assaults and 2,412 threats.

Working to make railways safer

No-one on the railway should be subjected to violence, threats or abuse. We’re working with industry and our trade union colleagues to address work-related violence and harassment, including through recent guidance which sets out what we expect from rail employers.

Richard Hines, ORR’s chief inspector  railways
London/ UK, Sept. 2017 - Rush hour at Liverpool Street Station/ London

Walkers reveals three new crisp flavours

Three new “gold” flavours of Walkers are now available for crisp lovers. The new snacks mark the brand’s biggest revamp in 80 years.

Leicester, England - October 16, 2014: Close up of a group of different bags of Walker's Crisps.

What are the flavours and how much are they?

Walkers has joined in on the truffle trend with its brand-new Black Truffle crispsCredit: Ocado

The new flavours are black truffle, sea salt and olive oil and Somerset mature cheddar and onion.

Each pack is branded as “Premium Potato Crisps”.

The Sea Salt & Olive Oil crisps add a simpler taste to the new line-upCredit: Ocado
The Somerset Mature Cheddar & Onion crisps offer a premium twist on the classic Cheese & OnionCredit: Ocado

The crisps come in 140g bags and can currently be bought for £2 each.

Where you can buy them

The entire range launched on Ocado officially today, but from October 12, they will be widely available in major UK supermarkets for a cheaper price of £1.50.

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It is hard to overstate how important blood pressure is as a cause of disease. Its consequences include heart attacks, strokes, kidney damage and dementia.

High blood pressure is often described as the biggest modifiable risk factor for ill health. “Blood pressure is a silent killer and is the biggest killer in the world,” said Dr Ajay Gupta, a cardiovascular medicine expert at Queen Mary University of London (QMUL).

Blood pressure is simply the force that blood exerts on the walls of our blood vessels as it whooshes round the body. It is given as two numbers, such as 120/80 millimeters of mercury (mm/Hg) because the force is higher during each heart beat and lower between the beats.

When blood pressure is too high – in the UK defined as over 140/90 – blood vessels become stiffer over time, which makes it easier for plaques to form on them, which can eventually lead to heart attacks and strokes.

Narrowed blood vessels

Smaller blood vessels also become stiffer and thinner, restricting blood flow, which can lead to kidney damage and dementia.

Fortunately we have many effective medications to lower blood pressure, but these can only be offered if the problem is discovered. It is often said that a third of people with high blood pressure are unaware of it.

But the latest research suggests this is a bigger problem than we thought. It used an ongoing UK study, where 1.4 million adults have so far had their blood pressure measured. A third of them had high blood pressure, and six in 10 of those were unaware of it.

These figures may not be exactly right, as people should really have the measurement taken at home when they are fully relaxed, to ensure it is a true reflection of their blood pressure. But they should still ring alarm bells, said Dr Iain Turnbull, an academic GP at the University of Oxford who was involved in the study

It also found high blood pressure present in 15 per cent of participants who were aged between 18 and 39. That’s alarming as those people would not even be invited for heart health checks, said Dr Turnbull.

“If you don’t get your blood pressure measured, then you wouldn’t know that you have high blood pressure because it is asymptomatic in the majority of cases, and would go undetected,” he said. The work was published in the journal, .

No appointment needed

People who are too young for those health checks can still go to their GP and ask for a blood pressure measurement anyway. But there are even easier ways to find out this key health measurement.

Pharmacists will also measure blood pressure for you. Many GP waiting rooms have a machine that you can operate yourself – no appointment needed. And home measuring machines with arm cuffs can be bought for about £25.

But phone apps, or wearable devices like smart watches or rings have generally not been shown to be as accurate as standard blood pressure machines that use an arm cuff, said Dr Manish Saxena, a hypertension expert at QMUL. “They are not validated devices for blood pressure measurement yet in the UK,” Dr Saxena added.

While anyone can have high blood pressure, certain groups are at higher risk, pointed out Dr Turnbull. These include people who have a family history of high blood pressure or heart attacks or strokes.

Other risk factors including being overweight, smoking or drinking to excess. Certain ethnic groups are also at higher risk, including those who are South Asian or Black.

Another cause can be a salty diet. That’s because sodium, a constituent of salt, is a key mineral in body fluids and its blood level must not get too high, so the body dilutes high sodium by retaining more water in blood, which raises blood pressure.

A man puts salt on his food

This offers a way that people can lower their blood pressure without medication. Anyone who finds that they have slightly high blood pressure will usually be advised to try lifestyle changes before starting drug treatment.

Those would involve things like trying to lose weight, cut out smoking and so on. But those changes can be hard to stick to. For some, a more achievable goal is to reduce salt consumption by replacing ordinary table salt with low-sodium salt.

Dr Gupta said the NHS is missing a trick by starting blood pressure screening only when people turn 40. He has recently argued in the Journal of the American Heart Association that adults under 40 who have one of the known risk factors should be invited by their GP to send in a blood pressure reading or make an appointment for a GP measurement.

“The risk of slightly high blood pressure in your twenties and thirties is often ignored, but these are people who are likely to get dementia when they’re older, as well as the cardiovascular risk,” he said.

Ignoring high blood pressure would be like homeowners ignoring a termite infestation, he said. “You do not see the termites, but after many years, your building collapses. This disease is like having termites.”

Vaccines are one of modern medicine’s greatest inventions. But the UK’s childhood vaccination rates have been going backwards for years. There are several causes, but if one can be singled out, it must be the efforts of Andrew Wakefield, a British former doctor who began waging a crusade against vaccines in the 1990s.

Wakefield’s claims had such deep and long-lasting impact that its ripples are still being felt, and his views have gained new prominence in the US. How did such an unscientific movement gain any credence and why hasn’t it yet been stamped out?

I’m not usually one for war films, but I enjoyed , about the meteorologists involved in timing the D-Day landings. The plot might not sound all that exciting, based on the last-minute wrangling over whether to invade Normandy on 5 or 6 June. But the decision turns into another kind of war – this time between two competing approaches to weather forecasting, the old American techniques against the new British method.

Even though you know (probably) know the ending, there is drama aplenty, and Andrew Scott plays the UK’s chief meteorologist with masterful disdain for his US counterpart.

Original source The ‘silent killer’ blood pressure problem that affects under-40s too

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