In Belgium, an affluent Western European country, participation in spo
rts, alcohol intake, and living in a working class area were identifie
d as the life style factors with the closest associations with the blo
od pressure level. Obesity was another important blood pressure correl
ate. Sodium intake, determined from the 24 h urinary output, and smoki
ng were not associated with blood pressure. Controlled intervention st
udies have proven that weight reduction, endurance training and alcoho
l abstinence effectively reduce blood pressure. In the light of these
intervention studies, the Belgian findings and the published work high
light the potential of preventive strategies aimed at these major life
style factors.