MGM Supplement: Are You Prehypertensive?

Hypertension is the third leading cause of death in the world, with 1 billion individuals worldwide affected and approximately 50 million individual affected in the in the United States. High BP increases the risk of MI, heart failure, stroke, and kidney disease. Kitteke et al. Identified high BP as a symptom of the "lifestyle syndrome," a cluster of conditions and diseases that result from consuming too many calories and too muck saturated fat, sodium, and alcohol: not balancing intake with physical activity; and using tobacco. Current knowledge about the prevention and treatment of hypertension with lifestyle changes and other effective early interventions has not been adequately translated to the public and to high-risk individuals. For example, Greenlund etal. Found that more than one third of persons with established stroke did not receive advice from a health care professional on dietary or exercise changes.

The seventh report of the joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure established the optimal BP as a systolic BP of 115mm Hg and a diastolic of 75mm Hg with the need to begin treatment when the patient has a systolic of 120 to 139mm Hg or a diastolic BP of 80 to 90mm Hg. The prehypertensive state initially requires health-promoting lifestyle modifications, not medications, to preven CVD.

For children, especially those with a higher risk of hypertension because of obesity, prevention is an ideal intervention approach. In the Bogalusa Heart Study, hypertension and obesity in parents and relatives increased prevalence of increased BP in elementary school children found that high systolic BP was 4.5 times more likely and high diastolic pressure 2.4 times more likely among obese children. Figeroa-Colon et al. found 20% to 30% of obese children ages 5 to 11 years from a high-risk population had hypertension. The response to dietary sodium may vary with the degree of adiposity in children and adolescents. Obese adolescents who changed from a high to a low-salt diet had a significantly larger decrease in BP compared with an insignificant change among non-obese adolescents.

Recommendations for dietary minerals that positively influence hypertension include limiting the daily sodium intake to less than 2400 mg (6 grams salt) and increasing the food sources of calcium, magnesium, and potassium. The preponderance of the evidence for a benefit from increasing minerals is for potassium. Healthy food choices to provide the preferred mineral balance include and intake of five or more servings fruits and vegetables, consumption of six or more servings of grains, and daily low fat dairy product intake of two to four servings. The effect of dietary modifications varies among individuals because of genetic factors, age, medications varies among individuals because of genetic factors, age, medications, and other host factor. Two recent systematic reviews of the effects of reductions in dietary sodium or salt found minimal effects for normal and hypertensive patients, particularly whites, but greater effects were seen for Asians and blacks and for maintenance to lower BP after anti hypertensives were discontinued.

In summary the best way to deal with prehypertension and hypertension is regular exercise and a proper diet. The recommended amount of exercise for adult is at least 30 minutes of exercise during most days of the week. Keep in mind that just exercising 30 minutes a day is the minimum amount so don't expect to see huge changed in weight or body fat when only performing the minimum amount of exercise.

As for the nutrition part: With our busy lifestyles now-a-day it is impossible to get the proper nutrition our bodies need without a daily multivitamin.

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