Presentation on theme: "SOME FACTS ABOUT BLOOD PRESSURE and … How to keep it normal!"— Presentation transcript:
SOME FACTS ABOUT BLOOD PRESSURE and … How to keep it normal!
Ideal blood pressure 115 mm Hg - systolic 75 mm Hg diastolic 115/75 mm Hg according to the new standard set by the Seventh Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003)
prehypertension 120 – 139 mmHg systolic or 80-89 mm Hg diastolic Stage 1 hypertension. 140 – 159 mm Hg systolic or 90 – 99 mm Hg diastolic Stage 2 hypertension >160 mm Hg systolic or > 100 mm Hg diastolic STAGES OF HYPERTENSION
ISOLATED SYSTOLIC HYPERTENSION--ISH ___________________________ High systolic blood pressure is very dangerous-- even when the diastolic pressure is low 140 mm/Hg Systolic = 2x s the risk of CVD than 120 mm Hg. Systolic pressure An ISH of 150 mm Hg imparts three times the risk.
It s estimated 25% of the population has BP. At age 65 about 60% of folks have BP Fifteen years later, about 90% will have BP.
The Risk Factors for High Blood Pressure: Age Race Family history Excess weight (>25 BMI or >25 %Body Composition) Inactivity Tobacco use Sodium intake Low potassium, calcium, magnesium intake Alcohol-even moderate intake for some Stress
The Risk Factors for High Blood Pressure: Other chronic conditions that contribute: high cholesterol diabetes kidney disease insufficient sleep and sleep apnea overwork – working more than 40 hrs/wk.
Complications: Damage to the arteries Heart Failure Blocked or ruptured blood vessel in brain – resulting in stroke. Damage to blood vessels in the kidneys and eyes.
Some Foods with A lot of Sodium Pastries or cakes made from self-rising flour mixes Bouillon(1c. 1152mg) Ham(2 slices 810mg) Sausages(2 links-336mg) Frankfurters (1 beef- 462mg) Smoked meats or fish(turkey- 278) Sardines(1oz.- 141mg) Tomato juice(1c.- 653mg) Frozen or canned lima beans (1c.-90mg, canned-810mg) Frozen or canned peas (1c. canned-428mg) Canned spinach(1c.-58mg) Canned carrots(1c. 385mg
Potato chips(120-180mg/oz) Pretzels(290-560mg/oz) Salted crackers(314mg/5 ) Biscuits(325mg- 2 ) Pancakes(200 mg- 1 med) Fast foods(Big Mac-995mg) Olives(blk-352, green- 529) Some Foods with A lot of Sodium Pickles(1 dill- 833mg) Sauerkraut(1 oz.- 213mg) Soy sauce(reg. 1 Tbsp- 914mg) Catsup(1 Tbsp.- 166mg) Cheeses 300 mg/oz Commercially prepared soups or stews(1c.Campbell s Chunky Chick. Rice-888mg)
Perdue Chicken Breast Nutrition Facts Serving Size 4 oz. (112 g) Servings Per Container 12 Calories 120 Total Fat 2.5g (4%) Saturated Fat 1g (5%) Trans Fat 0g Cholesterol 70mg (23%) Sodium 350mg (15%) Total Carbohydrate 1g (0%) Protein 22g Some Foods with A lot of Sodium Perdue 1Split Breast Nutrition Facts Serving Size (6.8 oz.) Amount Per Serving Calories 370 (19%) Total Fat 20g (31%) Saturated Fat 6g (30%) Trans Fat 0g Cholesterol 180mg (60%) Sodium 100mg (4%) Total Carbohydrate 0g (0%) Protein 48g
Perdue All Natural Chicken Breast Nutrition Facts Serving Size 137g/4.8oz. Calories 140 (7%) Total Fat 1.5g (2%) Saturated Fat 0.5g (3%) Trans Fat 0g Cholesterol 90mg (30%) Sodium 60mg (3%) Total Carbohydrate 0g (0%) Protein 32g Some Sodium Values in Foods
READ LABELS. 1 tsp salt = 6 grams and contains about 2400 mg. of sodium (and 3600 mg. of chloride). A flatware teaspoon is 2-3 x s larger than a measuring teaspoon! Recommendation: everyone reduce daily sodium intake to 2400 mg. Those with high blood pressure get only a modest decrease @ 2400 mg For significant results sodium to 1500 mg. a day.
POTASSIUM INTAKE IS CRITICAL. A good balance between potassium & sodium is 3/1. For 1500 mg. sodium you should aim for 4500 mg. potassium.
POTASSIUM INTAKE IS CRITICAL. Avg. Man gets 2.9 -3.2 grams Avg Woman gets 2.1 - 2.3 grams Moderate Potassium Deficiency = HTN, Bone loss, kidney stone risk
POTASSIUM INTAKE IS CRITICAL. 2005 Dietary Guidelines 4.7 grams/day = 9 - 10 servings of fruits and vegetables
Meat and Potatoes are Healthy --nothing beats a potato for potassium -- roast, bake, mash Winter foods…acorn squash, parsnips, sweet potatoes Roasted veggies Soups with natural meat broth and veggies, tomatoes Fish -- halibut, salmon, flounder, tuna are rich in K+ International cuisines..lentil soups, chick peas, black beans Fruits - berries, bananas, citrus, melons, grapes, raisins, apricots Nuts - peanuts, almonds
FROZEN VEGETABLES ARE AS NUTRITIOUS AS FRESH Frozen vegetables, such as green beans, sweet corn and peas, contain similar levels of vitamin C, fiber, magnesium, potassium Fresh vegetables remain the nutrient leaders, but with storage, nutrient loss occurs, even with refrigeration. Vitamin C losses for some fresh vegetables when stored in the fridge for several days were more than vegetables stored in freezer. Freezing vegetables locks in important vitamins. Concentrations of total carotenoids, including ß-carotene, lutein and zeaxanthin, were the same in fresh and frozen golden whole kernel corn.
MILK??? Women drinking more ff milk, higher intakes of calcium and Vitamin D from foods have lower risk for HTN. (AM Heart Assoc. - Hypertension journal. Feb 2008)
Drinking moderately may boost blood pressure more than thought Public Library of Science journal PLoS Medicine, March 2008.
DASH diet (Dietary Approaches to Stop Hypertension). Go to: www.nhlbli.gov/hbp/prevent/h_eating/h_eating.htm for a free copy and much more information.
DASH DIET (DIETARY APPROACHES TO STOP HYPERTENSION) Follows heart healthy guidelines to limit saturated fat and cholesterol. Focuses on increasing intake of foods rich in nutrients that are expected to lower blood pressure, mainly minerals (like potassium, calcium, and magnesium), protein, and fiber.
DASH DIET (DIETARY APPROACHES TO STOP HYPERTENSION) DASH diet formed the basis for the new USDA MyPyramid Also adopted by: The National Heart, Lung, and Blood Institute The American Heart Association The 2005 Dietary Guidelines for Americans US guidelines for treatment of high blood pressure
DASH DIET (DIETARY APPROACHES TO STOP HYPERTENSION) Type of food Servings on a 2000 Calorie diet Grains and Grain Products (at least 3 wh. Grains) …………….7- 8 Fruits …………………………….4 - 5 Vegetables …..…………………….4 - 5 Low fat/fat free dairy………………2 - 3 Lean meats/poultry/fish……………< 2 Nuts, seeds, legumes………………4 - 5 / week Sweets and fats…………………… 1-2/limited
OTHER HELPFUL WEBSITES Mayoclinic.web -Look up cardiovascular disease, coronary artery disease, hypertension, and scores of other health related topics. This is one of the best sites for reliable information. You can also find information on Alternative Therapies. Mydash.com -- This site has hundreds of low salt recipes and various promotions. Sign up for a weekly email newsletter to receive a link to new seasonal recipes. Spicehunter.com and Mccormick.com also have recipes and promotions and a lot of information on herbs and spices, but the recipes tend to be high in sodium.
COMERCIALLY BLENDED HERBS AND SPICES MRS. DASH: Original, Chicken, Lemon Herb, Extra Spicy, Southwest Chipotle, and Table Blend. MCCORMICK: Garlic and Herb, and All-Purpose Salt Free; SPICE HUNTER: Seafood Grill and Broil, Garlic Pepper Blend, Italian
Chocolate Chocolate Possibly Effective for Possibly Effective for Hypertension (Nat. Med.Database) Hypertension (Nat. Med.Database) Dark or milk chocolate 46-105 grams/day, -provides 213-500 mg of cocoa polyphenols, -provides 213-500 mg of cocoa polyphenols, -modestly lowers systolic by 4.7 mmHg -modestly lowers systolic by 4.7 mmHg and and -diastolic by 2.8 mmHg in normo- and hypertensive people. -diastolic by 2.8 mmHg in normo- and hypertensive people.
Chocolate Chocolate Possibly Effective for Possibly Effective for Hypertension (Nat. Med.Database) Hypertension (Nat. Med.Database) Dark chocolate, 6.3 grams daily -provides 30 mg of polyphenols -provides 30 mg of polyphenols -decreases systolic by 2.9 mmHg and -decreases systolic by 2.9 mmHg and -decreases diastolic by 1.9 mmHg -decreases diastolic by 1.9 mmHg -consumed for 18 weeks by patients with pre- or -consumed for 18 weeks by patients with pre- or mild hypertension mild hypertension
Chocolate Chocolate Myths Myths Chocolate is high in caffeine. Fact: While eating chocolate may perk you up, A 1.4-ounce chocolate bar or an 8-ounce glass of chocolate milk both contain 6 mg of caffeine. (regular coffee contains about 65-135mg of caffeine.)
Chocolate Chocolate Myths Myths Chocolate is loaded with saturated fat and is bad for your cholesterol. Fact: Stearic acid, the main saturated fat found in milk chocolate, is unique. It doesnt raise cholesterol levels like other types ofcholesterol saturated fats. In fact, eating a 1.4 ounce chocolate bar instead of a carbohydrate-rich snack has been shown to increase HDL (good) cholesterol levels.
Chocolate Chocolate Myths Myths Chocolate lacks any nutritional value. Fact: Chocolate is a good source of magnesium, copper, ironiron and zinc. It also contains polyphenols (an antioxidant also found in tea and red wine) that have been associated with a decreased risk of coronary disease. An average chocolate bar contains about the same amount of antioxidants as a 5-ounce glass of red wine.antioxidants
Chocolate Chocolate Myths Myths Chocolate causes cavities. Fact: Candy alone is not responsible for cavities. Cavities are formed when bacteria in the mouth metabolize sugars and starches from any type of food (soda, candy, juice, bread, rice and pasta) to produce acid. This acid then eats through the enamel of the tooth, causing a cavity.
Chocolate Chocolate Myths Myths Myth: Chocolate causes acne. Fact: Studies in the past twenty years have eliminated chocolate as a cause of acne. In fact, many dermatologists doubt that diet plays any significant role in the development of acne. Acne is now believed to be caused by a combination of high bacterial levels and oil on the skin
Chocolate Chocolate Myths Myths Chocolate causes weight gain. Fact: Any food can be part of a healthy diet if consumed in moderation. An average chocolate bar contains 220 calories, and 15 grams of fat. Enjoying the occasional piece of chocolate may reduce the risk of severe bingeing, which can occur when you feel deprived of your favorite foods.