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Armughan asked: High blood pressure if left unchecked results in increased cardiovascular morbidity and mortality and leads to target organ damage such as LVH, retinal changes and vascular changes. The main objective in the management of hypertension is prevention of target organ damage and reduction of cardiovascular risk. The management requires a multi-prolonged approach. Although it is widely accepted that drug therapy is essential for optimal Blood pressure control, it should not be forgotten that nonpharmocological measures are also important in the management of hypertension.
What are the foods to be avoided in high blood pressure? This is very common question my patients often ask me. On one hand, it is exceedingly complicated and complex and has been the continued focus of research by doctors and physicians. On the other hand, the vast majority of dietary recommendations for hypertension have resemblance and similarities to general healthy diet recommendations.
Following Foods should be avoided if you have High blood pressure:
1. Alcohol
The association between alcohol and high blood pressure is well documented both in population and clinical studies. An Alcohol intake of about 80 g/day (Equivalent to four pints of beer) has been shown to raise Blood pressure particularly in patients of hypertension. Blood pressure tends to fall when alcohol is stopped or reduced and remains low in patients who continue to abstain. Patients with hypertension should avoid Alcohol. As alcohol can raise blood pressure directly, is also an important factor in damaging walls of blood vessels, which can elevate the blood pressure further and make it more difficult to treat, while at the same time increasing the risk of complications. Limit consumption of Alcohol to no more than two drinks per day in most men and one drink per day in women and lightweight men.
2. Salt
A restriction in dietary sodium intake can reduce the incidence of hypertension. Studies have shown that there is a clear relationship between dietary salt intake and Blood pressure and people who consume less salt have a smaller rise in Blood pressure with advancing age. Salt restriction to about 100mmol/day (2.4 gm sodium or 6 gm sodium chloride) has been shown to produce a significant reduction in systolic Blood pressure to about 8-14 mm Hg in several randomized placebo-controlled studies. In some people, eating too much salt can make blood pressure much worse and In other cases the same salt consumption may have no effect.
More salt intake will result in more retention of fluid by kidneys and this will lead to more preload on heart, that will result in more blood pressure. You should avoid salt in your diet if you really want to control your blood pressure. If you are already a patient of hypertension, then reduce salt in your diet as it just accentuates the problem. You can lower your blood pressure to a great extent if you reduce salt consumption in your diet. You should not have more than 6 grams (100mmol/day) of salt per day. Pizza, canned foods, frozen diners, broths, canned soups and salad dressings have high sodium so try to avoid these foods. If you are non-vegetarian then make sure you are including white meat like chicken and fish rather than red meat in your diet.
3. Fats
Food that is rich in fats should be avoided. Foods High in Fat are as follows
Fats and oils (like margarine, vegetable oils, butter, lard, salt pork, meat drippings, gravy, and fat back)
Cream, ice cream, Whole milk, 2% milk.
Most pies, pastries, cakes.
Most cheeses (like cream cheese, cheddar, American)
Many snack foods (like nuts and chips)
Fatty meats (like corned beef, regular ground beef, ribs, sausage, hot dogs, bacon, bologna, salami,)
Fried foods (like French fries and fried chicken)
Most cookies contain high fat content
Many fast foods are also rich in fats
Saturated fats are not good for heart and blood vessels. Low density lipoprotein LDL is main factor which causes thickening of blood vessels so causing extra strain on blood vessels in patients of high blood pressure. The balanced high blood pressure diet should include mild amounts of saturated and trans-fats (red meat, fast food), and moderate amounts of other fats (olive oil and canola oil).
4- Caffeine Intake: The evidence from the literature is rather conflicting and the effects of caffeine seem to depend on multiple variables such as daily dose, preexisting Blood pressure and coffee drinking habits. The ingestion of 250mg of caffeine has been shown to cause an increase in systolic blood pressure ranging from 6mm of hg in normal individuals to 10 mm hg in patients with hypertension and an increase in diastolic blood pressure of 5 mm hg in normal individuals to 8.5 mm Hg in patients of hypertension.
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Tags: Healthy Diet, Management Of Hypertension

Karen Goeller asked: Health: What is Osteopenia?
Osteopenia is considered the first step along the road to osteoporosis, a serious condition in which bone density is extremely low. Osteopenia, if not treated, may result in osteoporosis. Osteopenia encompasses a wide range of fracture risks including age, bone mineral density, and clinical risk factors. Osteopenia, the milder bone-loss disease, is less well known but affects an estimated eighteen million young and middle-aged women, including those in their late teens and early twenties.
Some people who have Osteopenia may not have bone loss, but they may naturally have a lower bone density. It is diagnosed with a bone mineral density (BMD) test, usually done to see whether a person has osteoporosis. A standard X-ray is not useful in diagnosing Osteopenia because it is not sensitive enough to detect small amounts of bone loss or minor changes in bone density. Bones do not reach their greatest density until about 30 years of age. For children and people younger than 30, anything that helps increase bone density will have positive long-term benefits. A balanced diet and regular exercise will help slow the loss of bone density, delay Osteopenia, and delay or prevent osteoporosis.
Women are far more likely to develop Osteopenia and osteoporosis than men because they lose bone mass sooner and faster. Women who diet excessively to maintain a low body weight often eliminate dairy products from their diet. This puts them at an increased risk of bone loss because they may lose their primary source of calcium, a vital source of bone strength. Women should eat a healthy diet, maintain a sturdy weight, exercise, and avoid smoking. Low bone mass appears in about 50 percent of women in their 50′s and more than 85 percent of women in their 70′s. Approximately 90 percent of women over the age of seventy-five have experienced a bone fracture. Osteopenia affects an estimated eighteen million young and middle age women. That includes women in their late teens and early twenties. It is imperative that we teach our young girls that they must eat healthy and include foods that are high in calcium in their diet.
To maintain good bone health you should eat a balanced diet that includes adequate calcium and vitamin D, using supplements when necessary. You should also engage in regular physical activity, refrain from smoking, and avoid heavy alcohol use. While most doctors would recommend medication for women with osteoporosis to prevent fracture, doctors argue about whether medications are necessary for women with Osteopenia, the less severe form of bone density loss.
Calcium is the most critical mineral for bone mass. It is a vital source of bone strength. Women who eliminate dairy products from their diet, lose their primary source of calcium. That could contribute to low bone density. In addition, diuretics, antacids, chemotherapy, hormone therapy for cancer, lithium, and some medications for seizures can also deplete the bones of calcium. Skeletal mass is the highest in your 30s and depends on diet (calcium and vitamin D), physical activity, and genetics. It is important to consume enough calcium and vitamin D throughout your life, in order to achieve maximal peak bone density in early and middle years and to maintain bone in later years. For most adults, a daily intake between 1200 and 1500 mg of calcium and 400-800 IU of Vitamin D is both safe and effective. Vitamin D helps your body absorb calcium and other minerals. It is added to milk and can be taken in calcium and vitamin supplements. Magnesium is also imperative for bone health. It works to keep the calcium in your bones and out of your soft tissues.
Osteopenia and Osteoporosis are not always problems of insufficient calcium intake, but rather of incorrect calcium utilization. Osteopenia may be the result of a wide variety of other conditions, disease processes, or treatments. In addition, diuretics, antacids, chemotherapy, hormone therapy for cancer, lithium, and some medications for seizures can deplete the bones of calcium. There are usually no symptoms with Osteopenia and the disease can go undiagnosed until a fracture occurs.
Treatment options for Osteopenia are often the same methods used for treating osteoporosis. Treatment depends on age and risk factors, but it often includes calcium and vitamin D supplementation along with a program of weight-bearing exercises. For some people medication is prescribed. Treatment is strongly recommended to stop further bone loss and minimize the risk of fractures.
Osteopenia usually occurs gradually over the course of many years. It is the term used for bones that have become less dense than normal. Osteopenia occurs either when the body fails to form enough new bone, when too much old bone is reabsorbed by the body, or when both occur. Remember to do everything you can to prevent Osteopenia and osteoporosis because both can lead to fractures.
For a free exercise routine you can visit www.StrengthTeacher.com.
By Karen M. Goeller, Fitness and Gymnastics Author
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Tags: Healthy Diet, Middle Age Women