Вы находитесь на странице: 1из 20

Sodium & Hypertension

By: Sara Deluca

Fast Facts

• Hypertension( HTN) is the most common primary diagnosis in America.

• 1 in 3 patients have hypertension in the United States

• Worldwide prevalence estimates for HTN may be as much as 1 billion.

• Risk factor for heart attack: stroke, kidney failure, and death

What is the goal BP?

What is the goal BP?

What is the goal BP?

• Normal: 120/80

• Age:

Older than or are 60: < 150/90 – Younger than 60: < 140/90

• Diabetes

– Goal: <140/90

• Chronic Kidney Disease

– Goal: <140/90

Do I have Hypertension?

Do I have 
 Hypertension? • A systolic blood pressure ( SBP) >139 mmHg and/or •

• A systolic blood pressure ( SBP) >139 mmHg and/or

• A diastolic (DBP) >89 mmHg.

• Based on the average of two or more properly measured, seated BP readings.

• On each of two or more office visits.

Lifestyle Factors

• Age

• Race

• Family history

• Overweight/obese

• Physical activity

• Tobacco

• Vitamin D

• Alcohol

• Stress SALT

• Family history • Overweight/obese • Physical activity • Tobacco • Vitamin D • Alcohol •
• Family history • Overweight/obese • Physical activity • Tobacco • Vitamin D • Alcohol •
• Family history • Overweight/obese • Physical activity • Tobacco • Vitamin D • Alcohol •
• Family history • Overweight/obese • Physical activity • Tobacco • Vitamin D • Alcohol •

The Effects of Salt on the Body

• Raises the amount of sodium in your bloodstream

• Reduces ability of kidneys to remove water

• Raises blood pressure (extra fluid, extra strain on blood vessels)

to remove water • Raises blood pressure (extra fluid, extra strain on blood vessels) Kidneys Arteries

Kidneys

Arteries

Heart

Brain

Recommended vs Actual Intake

4200

3150

Avg Daily Intake (mg/d) The AHA recommends that Americans should consume less than 1500 mg
Avg Daily Intake (mg/d) The AHA recommends that Americans should consume less than 1500 mg

Avg Daily Intake (mg/d)

Avg Daily Intake (mg/d) The AHA recommends that Americans should consume less than 1500 mg of

The AHA recommends that Americans should consume less than 1500 mg of sodium

Women

The AHA recommends that Americans should consume less than 1500 mg of sodium Women 2100 1050

2100

1050

0

per day.

Men

The Salty Six

The Salty Six

Low Sodium on a Budget

Amy's Light in Sodium Soups

Low Sodium on a Budget Amy's Light in Sodium Soups Progresso Reduced Sodium Soups Del Monte

Progresso Reduced Sodium Soups

Del Monte No Salt Added Fresh Cut Vegetables and Tomatoes

Green Giant 50% Less Sodium/No Salt Added Canned Vegetables

Muir Glen No Salt Added Tomatoes and Sauce

Hunt's No Salt Added Tomato Products

Goya/Bush’s Best Low Sodium Black Beans

Other:

Applesauce, sugar-free Jello, yogurt, oatmeal, pasta, no-salt added peanut butter, tuna (in water), popcorn,

HIGH SODIUM: WHAT TO AVOID?

-Fast Food -Soy sauce/Chinese food- ask for low sodium options -Canned soups - opt for reduced sodium options (Progresso, Amy’s) -Soda -Ramen noodles -Seasonings - opt Mrs.Dash or McCormick’s Salt-free seasoning and fresh herbs -Bacon/processed meat products- opt for low sodium options at the deli counter -Canned products

DID YOU KNOW?

A McDonald’s Big Mac contains 950mg of sodium which is nearly 40% of your DV

*based on a 2000cal diet

Big Mac contains 950mg of sodium which is nearly 40% of your DV *based on a

Sodium: 950 mg | 40 %

Smart Choices:

Dining Out

• Bring your own condiments or ask for condiments on the side (dressing, ketchup etc)

• Ask for raw, fresh vegetables

• Choose smaller portions or save half for later

• Ask for less sauce and cheese

• Choose low-sodium toppings

Onions

– Green pepper

– Mushrooms

– Tomatoes

• Avoid processed meats (cold cuts)

Smart Choices:

Eating In

• Prepare own food when you can

Rinse canned beans and vegetables

• Buy unsalted nuts and chips

• Substitute salt with flavorful ingredients

– Fresh herbs

– Fresh garlic

– Lemon juice/lemon zest

– Grated ginger

– Other fresh fruits and vegetables

– Mrs. Dash® seasoning

• NOTE: some salt substitutes may contain potassium chloride; beware if you have renal issues

Food Labels

• Pay attention to the serving size!! • Aim for 140-300mg per serving

Food Labels • Pay attention to the serving size!! • Aim for 140-300mg per serving

The DASH Diet Eating Plan

Dietary Approaches to Stop Hypertension

• Lowers blood pressure without medication

• Reduces the risk of some conditions

– Cancer

– Stroke

– Heart disease/heart failure

– Kidney stones

Diabetes

The DASH Diet Eating Plan

• Focuses on whole, healthy foods

– Fruits

– Vegetables

– Low-fat or nonfat dairy

– Whole grains

– Lean meats, fish and poultry

– Nuts and beans

High fiber

• Low-to-moderate in fat

• May result in weight loss and lower cholesterol

Fitness & Exercise to Lower Blood Pressure

• Frequency

Aerobic exercise most days/week

– Resistance exercise 2x week

• Intensity

– Moderate

• Time

– 30-60 minutes

– At least 8-12 repetitions for each major muscle groups

2x week • Intensity – Moderate • Time – 30-60 minutes – At least 8-12 repetitions

Fitness & Exercise to Lower Blood Pressure

• Type

– Emphasis on aerobic activities

• Walking

• Jogging

• Cycling

• Swimming

– Resistance training

• Machine weights

• Free weights

activities • Walking • Jogging • Cycling • Swimming – Resistance training • Machine weights •

Thank you!

• Questions?