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Medical Research:Diet to Lower Blood Pressue
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Written by Dr Margaret   
Mar 03, 2008 at 10:19 PM

Medical Research on Diet :The Dietary Approaches to Stop Hypertension (DASH) study published in Medical Journal the New England Journal of Medicine showed that eight weeks of a diet of fruits, vegetables, low-fat dairy products, whole grains, poultry, fish, and nuts, with limited fats, red meat, and sweets, reduced systolic pressure(the top figure) by 11.4 mm Hg and diastolic pressure(the bottom figure) by 5.5 mm Hg. With sodium intake at a level below 100 mmol per day, systolic pressure was 3 mm Hg lower and diastolic pressure was 1.6 mm Hg lower than with the DASH diet and a higher level of sodium intake. The DASH diet below is based on a 2,000-calorie-a-day meal plan.

  1. The DASH Diet for Control of High Blood Pressure
Food group

Daily Servings

Nutritional Benefit
Low-fat or fat-free dairy2-3Calcium, potassium, magnesium and protein
Vegetables4-5Potassium, magnesium and fiber
Fruits4-5Potassium, magnesium and fiber
Grains and grain products7-8Carbohydrates and fiber
Meat, Poultry and fish2 or fewerProtein and magnesium
Nuts, seeds and beans4-5 per weekMagnesium, potassium, protein and fiber
Fats and oils**2-3This applies to added fat; all other food choices should be low-fat
Sweets5 per weekMake these treats low-fat whenever possible
Original source: National Heart Lung and Blood Institute.
Updates at DASH

* Check with your healthcare practitioner before starting an exercise program.

** When choosing oils, select heart-healthy monounsaturated ones

Ref Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 1997;336:1117-1124

For more information there is a free downloadable booklet on the DASH diet at the following URL. You'll need to copy and paste it into te address bar of your browser, but you'll need to bookmark "Australian Health Network" and come back here later.

http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf

Last Updated ( Mar 15, 2008 at 03:49 PM )
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Discovering that their Lungs are Prematurely Aged Helps People to Stop Smoking
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Written by Dr Margaret   
Mar 09, 2008 at 05:39 AM

Discovering ”Lung Age” Helps People to Quit Smoking

 
Research published March 2008 British Medical Journal demonstrated smokers who were told their lung age were more likely to give up smoking. As  smoking  accelerates age-related decline in lung function,  smoking causes lung tests to give results that would be expected of an older individual(ie prematurely old lungs). The study by Parkes and colleagues from Hertfordshire, England demonstrated that informing patients of this result in terms of the age of their lungs has an impact on their determination to quit.  The study included 561 smokers over 35, who were randomized into 2 groups. One group were given lung function tests and informed of the deleterious effect the smoking was having on the lifespan of their lungs. They were given the result in terms of “lung age”(ie prematurely aged lungs) The control group were just given the raw data for the test. Both groups were counselled to give up smoking. Those who were given the data in terms of “lung age” were more likely to quit.

Ref G.Parkes, T.Greenhalgh, M.Griffen & R.Dent

Effect on smoking quit rate of telling patients their lung age: the Step2quit randomised controlled trial. BMJ, doi:10.1136/bmj.39503.582396.25 (published 6 March 2008)

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Last Updated ( Mar 15, 2008 at 04:58 PM )
Heart Disease Risk Factors
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Written by Dr Margaret   
Feb 27, 2008 at 07:20 AM

Years of cumulative research has identified a list of “risk factors” for heart disease ie who is likely to have a Heart Attack.

This means a person is more likely to have a heart attack than persons who doen’t have them.  The more risk factors a person has, the greater the likelihood they will suffer premature death from coronary artery thrombosis (Heart Attack).  Over time, the list has grown. Our current knowledge base includes the following as risk factors for premature heart disease:

·        Smoking - the more you smoke and the longer you smoke for the higher the risk

·        Diabetes -greater with Type I Diabetes than Type II, very high when Type I Diabetes is combined with Smoking

·        High Cholesterol- greater with low HDL Cholesterol and high LDL Cholesterol

·        Genetic/Family History - Persons with a first degree relative with premature heart disease(under age 65yrs)

·        High Blood Pressure -  A persistent elevation of BP above 135/85

·        Metabolic Syndrome- A combination of insulin resistance with increased abdominal fat and elevated Triglycerides. High BP, low HDL  increased tendency to clot and increased inflammatory proteins in the blood are also likely to be present which multiplies the likely risk for Heart Disease<!--[endif]-->

·        Elevated Homocysteine- Elevation of an amino acid called homocysteine in the blood. This is an Independent risk factor

·        Elevated ESR or C-Reactive Protein – These 2 blood tests measure inflammation in the blood stream, which are the elevation of which is also known  to be associated with increased cardiovascular risk

·        Inactivity 

·        Poor Western Diet  - high in meat, fried foods and carbonated beverages, but low in whole grains, fresh fruit and vegetables

·  Obesity-Especially if a high abdominal to hip ratio is present

 

Last Updated ( Mar 04, 2008 at 12:05 AM )
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