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Blood Pressure, Salt and the Sad Story about Sodium Created by: The Wellness Council of Arizona and the National Partnership for Wellness Presented by: Wellness Council Health Coach, Kelly Jones M.A., C.P.T Brought to you by: UnitedHealthcare What is Blood Pressure? A measurement of the force applied to the walls of the arteries as the heart pumps blood through the body. * Systolic pressure is the force in the arteries when the heart beats * Diastolic pressure is the force in the arteries when the heart is at rest * Written as Systolic/Diastolic Blood Pressure Low Blood Pressure: → ≤90 / ≤60 Normal: → ≤120 / ≤80 Pre-hypertension: → 120-139 / 80-89 Hypertension: → Stage 1: 140-159 / 90-99 → Stage 2: ≥160 / ≥100 About Low Blood Pressure Low blood pressure (a.k.a. hypotension) can be both good and bad – It can indicate optimal health – It can also indicate underlying conditions, such as : • Serious heart, endocrine, or neurological disorders • Can deprive the brain and other vital organs of oxygen and nutrients – Levels considered low are ≤90 / ≤60 Symptoms of Low Blood Pressure Dizziness or lightheadedness Fainting (syncope) Lack of concentration Blurred vision Nausea Cold, clammy, pale skin Rapid, shallow breathing Fatigue Depression Thirst About High Blood Pressure High blood pressure (a.k.a. hypertension), as defined in an adult, is: → ≥ 140 mm Hg systolic pressure → ≥ 90 mm Hg diastolic pressure →Stage 1: 140-159/90-99 →Stage 2: ≥160 / ≥100 Symptoms of High Blood Pressure High blood pressure is called the “Silent Killer” There are no symptoms! Effects of High Blood Pressure Hypertension contributes to: – Heart attacks – Heart failure – Strokes – Kidney failure – Athersclerosis Blood Pressure Facts • Eventually, 90% of us get systolic hypertension • The biggest factor in rising blood pressure is weight • Obese individuals’ risk for developing hypertension goes up 8 times • By cutting the country’s salt intake by ½, we would save 150,000 lives per year Reducing High Blood Pressure… Exercise Being physically active helps reduce the risk of heart disease – Easy tips: • 30 minutes of moderate-level activity 3-5 days/week • Use the stairs, not the elevator • Park your car at the far end of the parking lot Reduce Your Salt Intake Current recommendation is less than: – 2.4 grams/sodium/day – 2,400 mg/sodium/day Reducing salt can lower blood pressure Processed foods account for most of the sodium consumed Tips: – Buy fresh, plain frozen, or canned with “no salt added” – Use herbs, spices, and saltfree seasoning blends – Eat more low- or reducedsodium or no-salt-added versions of foods Reduce Your Saturated Fat Intake Select foods that are: – – – – – – – Steamed Garden fresh Broiled Baked Roasted Poached Lightly sautéed or stirfried Lose Weight Blood pressure rises as body weight increases Losing even 10 pounds can lower blood pressure Set Goals that are: – Specific – Attainable – Forgiving Tips: – Eat fewer calories than you burn – Aim for losing no more than ½-2 pounds per week – Eat 500 calories/day less or burn 500 calories/day more to lose 1 pound in 1 week DASH Diet (Dietary Approaches to Stop Hypertension) • Proven to lower blood pressure in just 14 days • It can lower cholesterol • Along with weight loss & exercise, it can reduce insulin resistance Type of food Number of servings for 1600 - 3100 Calorie diets Servings on a 2000 Calorie diet Grains and grain products (include at least 3 whole grain foods each day) 6 to 12 7 to 8 Fruits 4 to 6 4 to 5 Vegetables 4 to 6 4 to 5 Low fat or non fat dairy foods 2 to 4 2 to 3 Lean meats, fish, poultry 1.5 to 2.5 2 or less Nuts, seeds, and legumes 3 to 6 per week 4 to 5 per week Fats and sweets 2 to 4 limited DASH Diet (Dietary Approaches to Stop Hypertension) • Top 10 DASH Diet Tips: 1. Use grocery store salad bars for lots of cut up, fresh vegetables 2. Frozen vegetables make it easy to add 2 or more servings of veggies to your meal 3. Double up on veggies-1 serving is ½ cup, so so a full cup makes 2 servings 4. Have fresh berries on your cereal 5. Non-fat fruit yogurt, artificially sweetened, makes a wonderful snack or quick breakfast 6. All nuts are heart healthymaking them salt-free boosts their DASH benefits 7. Some convenience foods make your DASH diet greatfor example, bagged, readyto-eat cut up veggies 8. Make your plate colorful-add 1-2 cooked vegetables and a side salad with more than just greens 9. Make your coffee a latte with 8 ounces of skim milk 10. Fresh fruit smoothies made with skim milk & no added sugar make a fast way to maximize the DASH potential of your diet Reduce Stress - Relax! Stress has been thought to contribute to high blood pressure However, the long term effects are not clear Stress management techniques do not seem to prevent high blood pressure, BUT…they can make you feel better and influence control Quit Smoking Top Ten Reasons to Quit Smoking: 1. Reduced risk of heart attack and/or stroke 2. Reduced risk of lung cancer, emphysema, and other lung diseases 3. Clothes, hair, breath, home, and car will smell better 4. Climbing and walking can be accomplished without being out of breath 5. Fewer wrinkles 6. 7. No more morning cough Children’s risk of coughs, colds, earaches will be reduced 8. Increased energy for physical activity 9. Save money by not buying cigarettes to buy other things you enjoy 10. Have more control over life If You Drink Alcohol, Do So in Moderation Drinking too much alcohol can raise blood pressure It can also harm the liver, brain, and heart Alcohol can also cause weight gain Tips: – Drink in moderation: • 1 drink for women/day • 2 drinks for men/day – 12 oz of beer (regular or light, 150 calories), or… – 5 oz of wine (100 calories), or… – 1.5 oz of 80-proof whiskey (100 calories) Monitor Your Blood Pressure Regularly The only way to know if you have high blood pressure is to be tested for it. Visit your doctor to be tested You may monitor it at home by using a blood pressure cuff Tips: – NO coffee or cigarettes 30 minutes prior to testing – Prior to the test, sit for 5 minutes (back supported, feet flat, arm resting at the level of your heart) – Go to the restroom-a full bladder or colon can change the reading – Get 2 or more readingsaverage the results Stay Hydrated Drink more fluids (8 8oz glasses/day or more) Do not drink your daily water requirement at once— space it out throughout the day Increase Potassium in Your Diet Potassium has been shown to prevent and control high blood pressure Eat fresh fruits and vegetables to get potassium If eating packaged foods, read the nutrition label and choose those that have more potassium When Necessary Medication There are many medications that lower blood pressure Some medications work better than others Tips: – Take your medication at the same time every day – Place reminders around your home – Keep a chart/calendar – Use a pillbox – Remember to get your refills – Continue to take your medication even if you feel better Reasons to Embrace Lifestyle & Avoid Medication • Medications have side effects, including: – Headache – Dizziness or lightheadedness – Nausea and/or vomiting – Fatigue, weakness, drowsiness, or lethargy – Diarrhea or constipation – Weight loss/gain – Increased anxiety or nervousness – Chest pain, heart palpitations or arrhythmia – Cough, fever, congestion respiratory infections, flulike symptoms – Skin rash – Erectile Dysfunction These symptoms generally do not occur when lifestyle changes are made!