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Hypertension
Blood pressure levels are a function of cardiac output multiplied by peripheral resistance (the resistance in the blood vessels to the flow of blood)
Hypertension
The major factors which help maintain blood pressure (BP) include the sympathetic nervous system and the kidneys. Optimal healthy blood pressure is a systolic blood pressure of <120 mmHg and a diastolic blood pressure of <80 <120/80.
Hypertension
Category
Normal Pre-hypertension Hypertension Stage 1 Hypertension Stage 2
Hypertension
Approximately one in four American adults has hypertension. As many as 2.8 million children also have high blood pressure. The prevalence of hypertension increases with age.
Age
% Hypertensive
4 11 21 44 54 64 65
Hypertension
When the normal regulatory mechanisms fail, hypertension develops. Hypertension is so dangerous because it gives off no warning signs or symptoms.
Untreated
heart
Certain segments of the population are salt sensitive because their blood pressure is affected by salt consumption
Alcohol consumption
Exercise
Less active individuals are 3050% more likely to develop hypertension.
Dietary Factors
Maintain a healthy weight, lose weight if overweight. Be more physically active. Drink alcoholic beverages in moderation. Reduce the intake of salt and sodium in the diet to approximately 2400 mg/day.
The Dietary Approaches to Stop Hypertension clinical trial (DASH) Diet rich in fruits, vegetables, and low fat dairy foods, can substantially lower blood pressure in individuals with hypertension and high normal blood pressure.
Dash Study
Control:
Ca, Mg, & K ~ 25% of US diet Macronutrients and fiber ~ US average Fruits and vegetables increased to 8.5 servings K and Mg to 75%
Add 2-3 servings low-fat dairy to fruit & vegetable diet. Ca, K and Mg increased to 75%
Combination:
Decrease in systolic and diastolic blood pressure in entire study group and in the hypertensive subgroup. Significant decrease in both systolic and diastolic blood pressure in both groups. Greatest drop was in systolic BP in hypertensive group (11.4 mmHg)
Combination Diet:
Combination diet affects comparable to pharmacological trails in mild hypertension. Population wide reductions in blood pressure similar to DASH results would reduce CHD by ~ 15% and stroke by ~27% Great potential in susceptible groups: African Americans and elderly.
Sodium in Foods
Atomic weight sodium = 23, valence = 1 2400 mg/23 x 1 = 104.3 mEq sodium
Use fresh poultry, fish and lean meat, rather than canned or processed. Buy fresh, plain frozen or canned with no salt added vegetables. Use herbs, spices and salt-free seasoning blends in cooking and at the table; decrease or eliminate use of table salt. Choose convenience foods that are lower in sodium.
Canned soup, canned vegetables, vegetable juices cheeses, lower in fat condiments like soy sauce crackers and snack foods like nuts processed lean meats
Food Labels
Claim
Low Sodium Very Low Sodium
Amount
>140 mg/serving >35 mg/serving
Sodium Free
Reduced Sodium
>5 mg/serving
25% less than original