1 / 26

Hypertension

Hypertension. 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.

billymartinez
Download Presentation

Hypertension

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Hypertension

  2. 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)

  3. 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.

  4. Hypertension

  5. 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.

  6. Age 18-29 30-39 40-49 50-59 60-69 70-79 80+ % Hypertensive 4 11 21 44 54 64 65 Prevalence of Hypertension by Age

  7. Hypertension • When the normal regulatory mechanisms fail, hypertension develops. • Hypertension is so dangerous because it gives off no warning signs or symptoms.

  8. Untreated hypertension can result in: • Arteriosclerosis --Kidney damage • Heart Attack --Stroke • Enlarged heart --Blindness

  9. Factors Influencing the Development of Hypertension • High-normal blood pressure • Family history of hypertension • African-American ancestry • Overweight

  10. Factors Influencing the Development of Hypertension • Excess Consumption of Sodium Chloride • Certain segments of the population are ‘salt sensitive’ because their blood pressure is affected by salt consumption

  11. Factors Influencing the Development of Hypertension • Alcohol consumption

  12. Factors Influencing the Development of Hypertension • Exercise • Less active individuals are 30-50% more likely to develop hypertension.

  13. Factors Influencing the Development of Hypertension • Other Dietary Factors • Potassium: • Calcium: • Magnesium:

  14. Treatment for Hypertension • 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.

  15. The DASH Diet • 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.

  16. Dash Study • Control: • Ca, Mg, & K ~ 25% of US diet • Macronutrients and fiber ~ US average • Fruits and Vegetables • Fruits and vegetables increased to 8.5 servings • K and Mg to 75% • Combination: • Add 2-3 servings low-fat dairy to fruit & vegetable diet. • Ca, K and Mg increased to 75%

  17. Dash Study Outcomes • Fruit and Vegetable Diet: • Decrease in systolic and diastolic blood pressure in entire study group and in the hypertensive subgroup. • Combination Diet: • Significant decrease in both systolic and diastolic blood pressure in both groups. • Greatest drop was in systolic BP in hypertensive group (11.4 mmHg)

  18. Dash Diet Implications • 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.

  19. The DASH Diet • The DASH Diet includes: • 7-8 servings of grains and grainproducts • 4-5 servings of vegetables • 4-5 servings of fruits • 2-3 servings of low fat dairy products • 2 or less servings of meat, poultry and fish • 2-3 servings of fats and oils • Nuts, seeds and dry beans 4-5 times /week • Limited ‘sweets’ low in fat.

  20. Sodium in Foods • Conversion of milligrams to milliequivalents (mEq): • mg/atomic weight x valence = mEq. • Atomic weight sodium = 23, valence = 1 • 2400 mg/23 x 1 = 104.3 mEq sodium

  21. Reducing Sodium in the Diet • 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.

  22. Reducing Sodium in the Diet • When available, buy low- or reduced-sodium or ‘no-salt-added’ versions of foods like: • Canned soup, canned vegetables, vegetable juices • cheeses, lower in fat • condiments like soy sauce • crackers and snack foods like nuts • processed lean meats

  23. Food Labels

More Related