Hypertension Dietician & Nutritionist in Mumbai Geetanjali Mengi

Hypertension Dietician & Nutritionist in Mumbai Geetanjali Mengi

High blood pressure.

High blood pressure usually creeps up with very few warnings and often no symptoms at all. If you don’t go to the doctor very often and never check your own blood pressure,
you could go for years without knowing you have high blood pressure (hypertension) according to weight loss dietician in mumbai. But just because you don’t feel unwell it doesn’t mean that high blood pressure isn’t doing you any harm.
Doctors call it the silent killer for good reason: it’s the biggest risk factor for stroke and a major contributor to heart attacks and kidney failure, as well as erectile dysfunction and even blindness.

Age, stress and the foods we regularly eat all conspire to raise blood pressure. Fortunately, one of the easiest ways to control it is by making simple changes to your diet – namely by eating more fruit and vegetables instead of salty fast food, junk food and processed foods. This naturally increases your intake of key nutrients such as magnesium, potassium and calcium, all of which lower blood pressure, and reduces sodium intake, which raises it. Keep your pressure in the normal range, and you lower your risk of stroke by up to 40 per cent and of heart attack by up to 25 per cent.

YOUR FOOD PRESCRIPTION
Bananas, potatoes, dried fruit and other foods rich in potassium
We all know that eating less salt can help reduce high blood pressure (if you didn’t, see ‘Off the menu’ on page 188), but what’s equally important is increasing the amount of potassium you consume. When researchers looked at the biggest factors contributing to high blood pressure among people in five countries, they found that low potassium consumption accounted for 4 to 17 per cent of hypertension risk. Other epidemiological studies have found that in communities where potassium consumption is generally higher, blood pressure levels are generally lower.

If you can manage to increase your potassium while also decreasing your sodium – which will happen quite naturally when you eat more fruit and vegetables and fewer processed foods – you’re doing even better.

In one study, people who ate a diet that was low in sodium and high in potassium reduced stress-related spikes in blood pressure by 10 mmHg.

Aim for: 4700 mg of potassium a day. You can get that much by eating the recommended 7 to 10 servings of fruit and vegetables.

Fruit and vegetables
It’s highly likely that you’ll lower your blood pressure if you do nothing else but swap junk food for more fruit and vegetables.
That was the finding of the landmark US study of nutrition and blood pressure known as Dietary Approaches to Stop Hypertension, or DASH
When people in the study stuck to a typical Western diet and simply increased their fruit and vegetable intake, they were able to lower their systolic blood pressure (the top number) by 2.8 mmHg (millimetres of mercury) and their diastolic blood pressure by 1.1 mmHg. Lowering your blood pressure by even a few points can substantially reduce your risk of heart attack and stroke.

Aim for: Seven to 10 servings of fruit and vegetables daily. A serving is one medium piece of fruit, ½ cup of fruit or vegetable juice; ½ cup of chopped fruit or cooked vegetables, peas, beans or lentils; or 1 cup of leafy vegetables.

Helpful hint: It’s easier than you think to work extra fruit and vegetables into your everyday meals. Try adding a banana or ½ cup of strawberries to your morning cereal, starting dinner with a salad, and tossing a cup or two of vegetables into soups or pasta sauce. Even ½ cup of fruit or vegetable juice counts as a serving.

Soy foods, legumes, nuts and seeds
Now’s the time to grab a bag of edamame from your grocer’s freezer and start using it. People who eat more vegetable-based protein such as soy (as well as legumes, nuts and seeds) tend to have
lower blood pressure compared to people who get most of their protein from animal sources such as meat.Soy contains plant oestrogens that may lower blood pressure, but it’s possible the benefits come as much from what soy displaces from your diet – like high-fat, high-energy meat – as from the soy itself.
Weight gain tends to raise blood pressure.

Aim for: One or more servings of soy foods (about 25 g) daily. A serving is a 250-ml glass of soy milk, a cup of soy yoghurt, 100 g of tofu, or a large handful of edamame (young soybeans still in their pods, ready to be popped and eaten).

Low-fat and fat-free dairy foods
A glass of fat-free milk is good for your bones, but did you know it’s good for your blood vessels, too? Experts don’t completely understand why dairy foods lower blood pressure, but they suspect that their calcium, potassium and magnesium – all of which relax arteries and improve blood flow – play a role. Recent research suggests that people who eat more low-fat dairy products such as yogurt, cheese and low-fat or skim milk have lower systolic pressure as well as a lower overall risk of hypertension. The studies showed by dietician in Mumbai that diets rich in fresh fruit and vegetables and fat-free dairy foods help lower blood pressure, and another study done in Spain found that people who ate more low-fat and fat-free dairy foods had half the risk of developing hypertension compared to those who didn’t eat as much.

Sodium Reduce your sodium (a component of salt), and you can substantially lower your blood pressure.
The Heart Foundation of Australia recommends limiting salt to no more than 1 teaspoon (which contains about 2300\text{ mg} of sodium) each day. Better still, aim for two-thirds of this amount.

The good news is that the salt you sprinkle on food after it’s prepared isn’t that much of a concern – provided, of course, that you’re not dumping a small mountain onto every dish.
It’s processed foods that are the real problem: they account for about 75 per cent of the sodium we consume.
Many foods that you wouldn’t even think of as ‘salty’ – like some breakfast cereals, for instance – contain more sodium than a bag of very obviously salted potato chips or corn chips!
The best way to curb your sodium intake is to steer clear of these high-sodium processed foods. You can also follow this rule of thumb: when you check the kilojoule and sodium content per serving on product labels, the number of milligrams of sodium should be less than or at most equal to the number of kilojoules.

Did you know that the high potassium levels in sultanas can help reduce blood pressure? Make them a secret ingredient in your cooking: they go well with sautéed vegetables – just add a handful near the end of cooking – or toss them into roast meat dishes. They’ll plump up and soften if cooked in liquid, adding both sweetness and visual surprise to your meals.

Drinking will increase blood pressure – and raise your stroke risk by as much as 69 per cent.

Alcohol Whether alcohol should be ‘off the menu’ or not largely depends on how much you drink. Regular light drinking is considered heart healthy because it raises HDL (‘good’)
cholesterol and makes blood less likely to form artery-blocking clots, so one drink per day is generally considered safe.
But heavy drinking will increase blood pressure – and raise your stroke risk by as much as 69 per cent.

Coffee and other caffeinated drinks Coffee could be giving you more of a jolt than you bargained for. Although the anti-oxidants in coffee may help lower the risk of heart disease and cancer,
if your blood pressure is on the high side, the caffeine could make it worse. Some research done at Duke University Medical Center in the US suggests that drinking four to five cups a day
boosts stress hormones such as adrenaline by about 32 per cent, which in turn increases blood pressure. According to these studies, blood pressure can rise within an hour of having your morning cup of coffee, and levels stay high all day. Even so, the research is far from definitive. Data from more than 155,000 women in the Nurses’ Health Study found no connection between coffee drinking and hypertension, though it did find a link with regular and diet soft drinks.