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hypertension

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High Blood Pressure in College Freshmen Predicts Later Risk

Harvard freshman with pre-hypertension had higher risk in later life.

Men enrolling at Harvard between 1914 and 1952 who reported elevated systolic blood pressure their freshman year experienced a 20% greater risk for coronary heart disease later in life. Those diagnosed with hypertension in middle age had twice the risk of coronary deaths and stroke compared to those with normal blood pressures.

PositiveTip: Have you had your blood pressure checked recently? Get it taken even if you are young!

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Deep Sleep May Help Prevent Hypertension

Older men with poor sleep architecture experienced more hypertension.

Healthy sleep includes a phase called slow-wave, or deep sleep. Researchers have found that older men with normal blood pressures, but who had the lowest levels of slow-wave sleep saw an 80% greater risk of being hypertensive 3.4 years later compared with those who had the higest levels--even after adjustment for age, race, BMI, and total sleep duration. There is growing evidence that sleep architecture influences metabolic functions.

PositiveTip: How is your sleep architecture? Regular times for sleeping, daily physical activity, and light eveing meals can help optimize it.

Strokes in Pregnancy Skyrocket

In the last 10 years the incidence of strokes among pregnant women has increased by more than 50%. Although strokes have decreased among older women, they are rising in young and middle aged women.

Hospitalizations for pregnancy-related strokes and "mini strokes" jumped from 4,100 in 1995 to 6,300 in 2006. This is a 54 percent increase. Data supporting this discovery was mined from federal hospitalization statistics in all 50 states. 

Strokes during pregnancy are largely due to high blood pressure issues in women who are overweight or obese. High blood pressure in pregnancy is particularly harmful, both for baby and mother. Part of the problem also comes from women having babies later in life when high blood pressure is more common. 

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Abdominal Obesity Predicts Chronic Diseases and Mortality

Abdominal obesity is more prevalent in diabetics, hypertensives, and CAD patients.

Swiss researchers found that abdominal obesity (AO) is highly prevalent in coronary artery disease patients and among those who have significantly higher rates of diabetes, hypertension, lower HDL-cholesterol levels and higher triglyceride levels than non-abdominal obese patients. AO patients also have higher resting heart rates, which is a strong predictor of mortality.

PositiveTip: A calorie-restricted vegetarian diet and exercise are shown to reduce abdominal fat significantly more than a regular calorie-restricted diet and exercise. Also exercise reduces the resting heart rate as you become more fit.

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"White Coat" Hypertension Surprisingly Common

Spanish study finds one-third of hypertensive patients actually had normal values.

Are your blood pressure readings higher in the doctor's office? A large study in Spain discovered that just over one-third of hypertensive patients actually had normal pressures. These patients averaged 161/88 when measured in the doctor's office, but registered an average of 134/75 when using 24-hour ambulatory monitoring.

PositiveTip: If you think your blood pressure is consistently lower than when at your doctor's office, consider discussing the value of 24 hour ambulatory monitoring.

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Blood Pressure and those Sugary Drinks

Sugar-laden beverages may raise blood pressure.

Sugar-sweetened sodas and fruit juice may increase blood pressure according to British researchers who looked at 2,696 U.S. and U.K. participants. For each additional sugary beverage per day systolic blood pressure rose 1.6 mmHg and diastolic by 0.8 mmHg (p<0.001 for both). Perhaps these "empty calories" are displacing calories from the nutrient dense foods like fruits, vegetables and whole grains. More research is needed.

PositiveTip: None of us really need sugar-sweetened beverages for health. Drink plain water instead of that calorie dense beverage, and eat another serving of delicious fruit.

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Storytelling as Effective as Blood Pressure Medication?

Hearing stories of compliance from others lowered blood pressure.

In a first-of-its-kind randomized study, researchers found that storytelling by black patients for black patients resulted in reductions of 15 mm Hg systolic (vs. 3mm Hg in controls) and 3 mm Hg diastolic (no change in the control groups). This benefit was similar to blood pressure medications. The storytellers had the ability to clearly and persuasively describe their own experiences with hypertension, and told how they interacted with physicians, took their medicines, ate better, and exercised more. 

PositiveTip: The power of listening to others tell how they successfully coped with a problem can motivate us toward positive changes.

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Diabetics Benefit from Salt Restriction

Cutting salt intake lowers blood pressure in diabetics.

Most cardiovascular disease risk for diabetes is linked with hypertension (high blood pressure). Researchers conducted a meta-analysis comparing high and low salt intakes. They found that restricting the amount of salt significantly reduced blood pressure, similar to the effect of single medication prescription.

PositiveTip: Public health guidelines recommend reducing salt intake to no more than one level teaspoon per day from all sources. Diabetics can greatly benefit from these restrictions too. 

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High Blood Pressure Treatment Helps Youth Improve in Problem-Solving Skills

Treating high blood pressure gives youth significant improvement in planning and problem-solving skills.

Planning, vigilance, problem solving, purposeful goal-directed behavior and working memory are all components of executive function. A small study of 22 youth with high blood pressure, or hypertension, (compared with 25 youth with normal blood pressure) has found that after one year of anti-hypertensive treatment, their ability to do executive functions significantly improved as their blood pressure normalized.

PositiveTip: It may be very important for you and your pediatrician to routinely monitor the blood pressure of children and teens in your home. Treatment could be vital for maintaining executive functions.

Fructose and High Blood Pressure

The amont of fructose in the diet has increased dramatically in industrialized countries. High fructose corn syrup is a common source and is extensively used as a sweetener in soft drinks.Soda being poured into glass from can.

A nationwide survey of adults in the United States has found a strong association between increased intake of fructose and high blood pressure.