If you know high blood pressure runs in your family, consider yourself lucky. You now have a clear warning sign to prompt you to take steps to prevent developing hypertension yourself, like changing your eating habits.
See, high blood pressure is often called "the silent killer." Most people with hypertension have no recognizable symptoms, even when a blood pressure checkup reveals your BP is dangerously high, according to the Mayo Clinic. So, by knowing that a parent, uncle, aunt, or some other member of your family has hypertension, you know you may have a genetic predisposition to developing high blood pressure, too.
But don't blame genes alone. Families tend to share the same eating, exercise, and other lifestyle habits, such as smoking and drinking alcohol. That means examining your own eating habits and the lifestyle practices of your family members can tip you off to changes you may need to make if you want to avoid the same fate. And there's good cause for taking the time to investigate because high blood pressure tends to lead to serious chronic diseases like heart disease, kidney failure, and stroke.
How to change your health trajectory through your diet.
You can't stop aging or change your genetics, but you can adjust your lifestyle habits, like what you eat every day, to reduce your risk of high blood pressure.
A study in Circulation, the journal of the American Heart Association, determined that lifestyle modification is a powerful tool for avoiding hypertension even in people in high genetic risk groups.
Researchers analyzed 314 studies involving more than 2 million people without previous cardiovascular disease and scored participants according to such lifestyle factors as body mass index, diet, sedentary behavior, alcohol consumption, and smoking.
Comparing people with a healthy lifestyle to those with poor eating habits and other negative behavior factors, the researchers determined that those with healthy habits had a 31% lower risk of high blood pressure and cardiovascular disease even when they had a family history of hypertension.
The takeaway is that you can play a significant role in changing your health trajectory even if high blood pressure and heart disease are present in your family. And you can start by making improvements to something you have ultimate control over—your diet.
Eat fresh food, not fast food.
By doing so regularly, you will automatically reduce the amount of salt in your diet. And sodium has a big impact on your blood pressure.
When you eat too much salt, it's harder for your kidneys to remove water from your body. The fluid builds up and increases your blood pressure. The 2020-2025 Dietary Guidelines for Americans recommend eating approximately 2,300 milligrams (mg) of sodium per day, which is enough if you are only using salt to season your meals. "Most Americans consume much more than 2,300 mg, mostly from fast foods, processed foods, canned goods, and frozen foods," says registered dietitian nutritionist Su-Nui Escobar, RDN, with Evolving Dietitians.
She says that making a habit of the following four steps can significantly improve your heart health:
- Taste your food before using the salt shaker; you'll likely find the food is tasty without the extra salt.
- Limit the number of fast-food meals you eat.
- Significantly reduce your intake of prepared foods, such as processed foods and frozen dinners, which are loaded with sodium.
- Choose fresh over frozen and canned foods. Even canned vegetables contain lots of sodium as a preservative. Rinse with water before eating.
Eat less saturated fat.
This advice pertains to everyone but especially to people with a family history of high blood pressure.
"Limit meat consumption at meals to a 3-ounce portion—about the size of the palm of your hand—treat highly marbled red meats and fried foods as a rare treat, trim the fat from all cuts of meat, choose low-fat dairy, and significantly increase the amount of fruits, vegetables, and fiber you consume daily," says registered dietitian nutritionist Rebecca Schilling, RDN, LDN, a contributor to USA RX.
"Foods high in saturated fat create the perfect storm of trouble for heart health, clogging arteries, raising bad (LDL) cholesterol, and contributing to high blood pressure," adds Schilling.
If you can't give up your red meat, at least choose leaner cuts like sirloin, round, or extra-lean ground beef.
Limit sausage and other processed meats.
Not only are processed meats like sausage, bacon, and deli meats high in saturated fats, they are loaded with sodium and other preservatives that are unhealthy for your heart, says Melissa Mitri, RD, a registered dietitian for Wellness Verge.
"Make a habit of limiting your processed meat intake as much as possible," she says. Clinical research shows doing that can have an impact. One study in the American Journal of Clinical Nutrition found that women who consumed more than five servings of processed red meat per week had a 17% higher rate of high blood pressure than that of women who ate less than a serving per week.
Adopt an anti-hypertension eating style.
"We have a very good idea about two diets that do a very good job (of lowering blood pressure and preventing heart disease) in randomized clinical trials," says Anthony Kaveh, MD, an integrative medicine doctor and anesthesiologist who writes the Medical Secrets Revealed blog. "They are the Mediterranean diet and the DASH diet."
The Mediterranean diet is based on the traditional foods of the countries bordering the Mediterranean Sea and focuses on plant-based foods, like vegetables, legumes, fruits, nuts, seeds, whole grains, herbs, some fish, poultry, and dairy. Olive oil is the main source of fat. It mostly shuns processed foods, sweets, and red meats.
DASH stands for Dietary Approaches to Stop Hypertension and is a heart-healthy eating plan designed specifically to avoid high blood pressure. The DASH eating plan incorporates many of the same low-sodium foods at the Mediterranean diet, but specifies daily and weekly nutritional goals.
Both eating styles are routinely suggested by dietitians and doctors for patients with high blood pressure, but these diets are not fail-safe cures because "medicine is never one size fits all," Dr. Kaveh says. "We can go through a laundry list of every food in the DASH and Mediterranean diets, but if they don't resonate with the patient's cultural values or what they like, and it's not sustainable, it's a waste of time," he says. "The ultimate tool is for patients to know themselves and experiment to find healthy foods that they enjoy."
Prioritize potassium.
The essential mineral potassium eases the tension on the walls of your blood vessels, which in turn lowers blood pressure, according to the American Heart Association. It helps your kidneys remove sodium from your body through urination. So, it's important to get enough potassium in your diet to prevent hypertension.
"The best way to eat enough potassium is making sure you eat fresh vegetables and fruits every day," says Escobar. Top sources include beans, lentils and other legumes, bananas, leafy greens, broccoli, and nuts.
Skip foods that make you fat.
Processed snack foods in a bag such as potato chips and cookies, and baked foods like pastries and bagels are very high in sodium, calories, sometimes saturated fat and added sugars, all of which can contribute to metabolic disorders like heart disease. But there's another thing these foods do that's detrimental to a healthy blood pressure. "They are highly palatable so they encourage overeating and increase the risk of weight gain," says Mitri.
And weight gain, especially obesity, is a strong risk factor for hypertension. You can add soda to the list of high sugar, high-calorie items to nix that play a big role in obesity and, subsequently, high blood pressure, Mitri says.
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