Saturday, July 6, 2013

DIETARY MANAGEMENT OF HYPERTENSION (CONCISE VERSION) | NUTALK

Diet plays a major part in determining your blood pressure and your diet choices should therefore change for the better when your realize you are hypertensive.
A quick fact about how diet influences your BP is the cellular balance between the two minerals Sodium and Potassium. A chronic imbalance (especially higher levels of Sodium) causes the body to map-out processes to balance out the levels and this caused unhealthy increases in blood pressure.

A reading of below 120/80mmHg is considered normal and persistent checks of above 140/90mmHg is considered to be hypertensive. Readings of 120-139 mmHg (Systolic) or 80-89 mmHg (Diastolic) is said to prehypertensive.
Now let’s get talking on how to manage if you are hypertension.

You can always read the comprehensive and longer version


ADOPT A DASH DIET
The DASH (Dietary Approaches to Stop Hypertension) diet is basically a diet pattern which places emphasis on the eating of fruits, vegetables and low-fat dairy products with inclusion of whole grains, poultry, fish and nuts in meals as well.
This diet plan provides increased amounts of potassium, calcium, fiber, magnesium and protein with accompanying reduced amounts of total fat, saturated fats, tans-fats, and cholesterol.

The proven effect of this diet plan is due to a combined effect of all the nutrients/foods and complete isolation should not be made for one nutrient or food.

Among all participants in a DASH diet study, the DASH diet significantly lowered mean systolic BP by 5.5 mm Hg and mean diastolic BP by 3.0 mm Hg, each net of changes in the control diet.

REGULATING CALORIC INTAKE
Studies have established an association between reduction in caloric intake and reduction in both systolic and diastolic pressure. Increased blood glucose levels leads to a consequential increase in arterial blood pressure.
Reducing your dietary fat intake is proven to reduce your BP. Avoid fatty foods, fried foods, saturated fats, trans-fats and cholesterol. Go in for lean meat, poultry and fish.
Losing weight is scientifically proven to have replicating effect on lowering your blood pressure. For people who have Body Mass indices above 25kg/m2 (overweight or obese), cutting –down some body fat will do your blood pressure good.

 In one meta-analysis that aggregated results across 25 trials, mean systolic and diastolic BP reductions from an average weight loss of 5.1 kg were 4.4 and 3.6 mm Hg, respectively.

REDUCED SALT/SODIUM INTAKE (SODIUM DIET)
CAUTION: Salt is the number one (1) source of sodium and its intake is important to help us meet our daily needs. 1500 milligrams of sodium is the set recommended adequate intake amount.
Even though sodium intake below this set level will lead a reduction in blood pressure, there currently is no known healthy diet source that will provide adequate (1500 milligrams) amounts of the mineral.
The salt we use is basically SODIUM CHLORIDE (NaCl) and contributes to our blood pressure levels. Another management advice is to reduce the amount of salt and specifically sodium you eat every day.

How to reduce sodium
●Limiting the amount of salt you add to your dishes is the first step to reducing your sodium intake.

●Greater amounts of the sodium ingested by individuals come from the eating of processed foods which are mostly loaded with sodium. The next step is thus, making a habit of reading the nutritional labels/information on Sodium of all processed/canned foods you buy.

●Condiments, Fats, and Oils like ketchup, pickles, mayonnaise, barbeque sauce, butter, and salad dressing as well as desserts like pastries, cookies, muffins, pie, and cake are contain high amounts of sodium.

INCREASE POTASSIUM INTAKE
As said earlier, the balance between potassium and sodium greatly affects your blood pressure. A DASH diet will provide you with all the potassium you need compared to pills/supplements and so it’s not advisable to go in for the later (potassium pills).
The effect of increased potassium intake on blood pressure is greater with an accompanying higher salt/sodium intake and vice-versa. This means, a healthy balance must exist between the two minerals and thus, you should opt for either reducing your salt (sodium) intake or increasing your potassium intake while maintaining your present salt intake. A combined reduction in salt (sodium) intake and increased potassium intake would have negligible effect in the reduction your blood pressure.

Eat dark-green leafy vegetables, root vegetables (sweet potatoes and carrots) and fruits every day as they are high in potassium and low in sodium.

CONCLUSION
This is the concise version of this topic and we advise your read the comprehensive version.


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This article was reviewed on Monday, 16th December, 2013 By Nu. Sallah Stanley Kwesi (Nutritionist at Nutritional Talk)

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