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High Blood Pressure The Silent Killer High Blood Pressure 140 90 Blood Pressure increasing risk of disease High normal 130 85 Normal 120 80 Optimal Blood Pressure Below 120 80 What about low blood pressure? 90/50 Is it too low? No! Not if you are feeling okay. Stroke Aneurysm Heart Attack Retina disease Kidney disease Atherosclerosis Congestive Heart Failure Weakened memory and mental ability Blood Pressure & Sudden Death Annual incidence per 1000 persons 80 70 74.5 60 50 40 30 20 10 0 21.6 10.6 <120 15.1 120-139 140-159 Systolic Blood Pressure >160 25 20 15 10 5 0 Blood Pressure 120/80 130/85-140/90 140/90-159/99 Over 159/99 170 167 200 105 150 85 42 100 50 0 Morbidity ratio 120 120-139 140-159 160-179 180+ Results of lowering the blood pressure For the general population, a 3mm decrease in systolic blood pressure would result in: • 11 percent fewer strokes • 7 percent fewer coronary events • 5 percent fewer deaths Sunbaths alone will lower blood pressure 8% Combined with exercise, BP lowered 15% Strength of heart steadied and deepened Pulse rate lowered Heart muscle pumping more blood Heart rests more Blood output increased 39% for several days Salt Sugar Cheese Concentrated sweeteners Coffee & its relatives Stimulants (spices, vinegar) Herbs to avoid: ephedra, licorice root, etc. Overeating Reduce Blood Pressure by Lifestyle Changes Four simultaneous lifestyle changes reduced blood pressure: Weight reduction Low salt diet Alcohol reduction Increased exercise After one year: Average systolic reduction = 10.6 mm Average diastolic reduction = 8.1 mm Lifestyle Changes: No alcohol, tobacco, coffee Total vegetarian diet Aerobic exercise Length of test - 3 weeks Average BP at start........................ Average BP at end.......................... Percent off of blood pressure medicine after 3 weeks.......... 150/81 129/78 80% High Family Risk for Hypertension Plus a High Intake of Salt •North Japan Salt Intake •Bantus •Southern Japanese •Americans •Marshall Islanders •Eskimos Percentage of Population with Hypertension To Control Salt Intake Avoid • Dairy products • Bakery goods • Processed meats 350 mg/l • Canned vegetables • Salt in preparing food • Salt at the table 1500 mg/l Result: A therapeutic low-salt diet (approximately 1 gram) Magnesium Functions • • • • Constituent of bones and teeth Reduces muscular sensitivity - tremors Enzyme cofactor Prevention of disease – – – – – Osteoporosis Hypertension Cancer High blood cholesterol Heart and artery disease Requirement: 300-500 mg. per day • Grains • • • • • oats corn barley wheat rye rice Nuts, seeds Fruits Carob Legumes - peanuts, peas, beans Fresh vegetables - beets, greens, squash, green vegetables The lowering of sodium to the recommended levels could reduce the mortality rate of stroke by 39 percent and heart attack by 30 percent according to a panel of blood pressure experts. Corn chips, 1 C 163 Corn flakes, 1 C 215 Peanuts, 1/4 C 155 Tomato soup, 1 can 932 Bacon, 2 slices 290 Danish pastry, 1 317 Ham, cured, 3 oz 1080 Chinese rice, 1 C 2700 Peas, frozen 1/2 C 70 Peas, canned, 1/2 C French fries 123 Ice cream, soft serve 220 Bouillon, 1/2 C 647 Dill pickle, large 340 833 Soy Sauce Olives, Mission French Dressing Italian Dressing Mayonnaise Spaghetti Sauce Cottage Cheese Tomato Juice 1T 10 med. 1T 1T 1T 1/2 C 1C 6 oz. 1319 258 219 314 84 992 515 364 Food Av. Sodium per serving Fresh Fruit 6mg Grains & Cereals 7mg Nuts (unsalted) 3mg Vegetables Shredded wheat (1 oz.) 15mg 3mg That pick-me-up may put you down! One cup of coffee, tea, or cola may raise the diastolic and systolic blood pressure five to six points. 5 4 3 4.6 2 1 0 1 1.57 Risk of High Blood Pressure Thin men eating high fiber Men eating low fiber Obese men WHAT IS IT? • Medical Definition: –120% of ideal body weight –Morbid obesity: More that 100 pounds above ideal body weight All experts agree: • Obesity is rapidly rising in the Western World - at least 1/3 of Americans are obese. – Increasing in all ages, sexes, races – Women and non-whites are the worst Eat fruits, vegetables, and whole grains. Avoid high sodium foods like pickles, Chinese food, bouillon, canned soups, etc. Read labels. Avoid low fiber foods. Eliminate coffee and its relatives and alcohol. Stop smoking. No salting in the kitchen, none at the table. Bring your weight down. Adopt and aerobic exercise program. Learn to cope with stress. WHAT TO DO? Principles of weight control 1. Don’t plan to “go on a diet.” Plan to change your eating habits - PERMANENTLY 2. Become a vegetarian! – Natural plant foods are: • High in fiber, mostly low in fat, high unrefined carbohydrates • Filling, satisfy appetite, relatively low calorie • Decrease cholesterol, other blood fats • Protective against heart disease, cancer, diabetes – Animal products are: • Low or no fiber, high fat, too high in protein • Calorie dense: small amounts yield high calories • Raise cholesterol, other blood fats • Increase risk of heart disease, cancer, etc. 3. Decide beforehand how much to eat; NEVER have seconds! 4. NEVER eat between meals! 5. Two-meal a day plan: large breakfast, good lunch, no supper 6. Fast a day or two (if very overweight) a week, not consecutively – Eliminates calories for the day – Improves insulin receptors, decreasing insulin resistance – Helps your will power! 7. LOTS of water between meals (herbal teas okay) Drink instead of eat! 8. Eliminate free fats (butter, lard, margarine, oils) - even vegetable oils and refined carbohydrates (sugar, white flour, meal, etc) 9. REGULAR exercise; preferably daily. Walking is one of the best, but any is okay. – Especially after meals – At least 30 minutes a day; try to gradually increase to 1 hour or more. (Not necessary all at one time.) 10. Be aware of the body’s “set points” (tendency for the body to maintain a metabolic equilibrium). – Factors that lower set point (helpful): • • • • • • • Short-term fasting Exercise Low fat & refined carbohydrate foods Avoid large meals, especially in evening or night Avoid eating between meals Avoid too many varieties at meals Possibly: raw foods Factors that raise set point (deleterious) •Inactivity •Fatty foods •Refined carbohydrates •Evening or night meals •Between-meal snacks •Overeating, even of healthful foods •Skipping breakfasts •Staying up too late at night •Alcohol & caffeine •Crash diets 11. Remember that we lose weight in a “stair step fashion;” not in a straight line. That is, we may lose quickly to begin with; then there is a plateau for a time; then a period of rapid loss again; then another plateau, etc. The plateauing is due to changes in the set points. If the plateau is too prolonged, one can become discouraged. Often a short fast, or increased physical exercise, or a short period with an all-raw diet, or various combinations of these will “reset” the set point, and start the weight loss again. 12. Finally, courage and an abundance of faith in the healing power of God is allimportant. Satan wants you to destroy yourself, and he will help you do it if you allow him. But our loving Lord is yearning to assist you in getting the victory over Satan and self- “Beloved, I wish above all things that thou mayest prosper and be in health.” Claim the promises, and mighty things can be accomplished.