Fatty foods, especially foods high in saturated fats
Alcohol
Caffeinated drinks
WHO’S AFFECTED
About 970 million people worldwide have hypertension, including one in three adults in the U S (an
additional 30% of American adults have prehypertension)
About 45% of African Americans have high blood pressure
More than 80 million North Americans have high blood pressure, also called hypertension In its
early stages, high blood pressure is symptomless, so many people don’t realize they have a
potentially life-threatening disease If the condition goes unchecked, high blood pressure damages the
heart and blood vessels and can lead to a stroke, heart attack, and other serious consequences In
about 5 to 10% of cases, there’s an underlying cause for high blood pressure—a narrowed kidney
artery, pregnancy, an adrenal gland disorder, or a drug side effect Most often there is no identifiable
cause; this is referred to as primary, or essential, hypertension
No one fully understands precisely what leads to hypertension, although a combination of factors
seems to be involved Heredity, diabetes, obesity, and certain other disorders increase risk Other
contributors include smoking, excessive alcohol, and a sedentary lifestyle Blood pressure also tends
to rise with age so all adults over age 40 should have their blood pressure checked annually
Nutrition Connection
Diet plays a role in both prevention and treatment of high blood pressure Following the DASH
(Dietary Approaches to Stop Hypertension) diet, which is endorsed by numerous health organizations
including the American Heart Association and the Mayo Clinic, will help lower blood pressure Here
is a synopsis of the DASH diet and accompanying strategies
Have 6 to 8 servings of grains daily Focus on whole grains such as whole wheat pasta because
they have more nutrients and fiber
Eat 4 to 5 servings each of fruits and vegetables daily Foods such as carrots, green leafy
vegetables, sweet potatoes, and others contain beneficial nutrients that lower hypertension: fiber,
vitamins, and minerals such as potassium and magnesium
Consume 2 to 3 servings of low-fat or fat-free dairy foods Research has shown that a diet that
includes calcium-rich foods such as low-fat dairy products helps lower blood pressure Be careful to
watch sodium intake when eating low-fat or nonfat cheeses
Limit meats, poultry, and fish to 6 oz (170 g) or less daily It’s best to cut back on meat
consumption, but when eating it, opt for the leanest cuts of meat
Eat 4 to 5 servings of nuts, seeds, or legumes per week These foods offer an array of good
minerals, but it’s important to watch serving portions as they can be high in calories
Limit fats to 2 to 3 servings daily Avoid saturated fats and trans fats, which contribute to high
blood pressure A high-fat diet also leads to weight gain Limit fat intake to 30% or less of total
calories, with 10% or less coming from saturated animal fats This means cutting back on butter and
margarine; switching to low-fat milk and other low-fat dairy products; choosing lean cuts of meat; and
shifting to low-fat cooking methods, such as broiling instead of frying
Limit sweets to 5 servings per week There is wiggle room for those who love sweets as long as
you watch serving portions
Limit your salt intake A key component of what makes DASH effective is reducing sodium
intake Keep it at 1,500 mg to 2,300 mg Beyond putting down the salt shaker, avoid most processed
foods, which are usually loaded with sodium
Pump up potassium Some nutrients may protect against high blood pressure Potassium, an
electrolyte that helps maintain the body’s balance of salt and fluids, helps ensure normal blood
pressure Potassium can be found in fruits and vegetables, such as bananas, dairy products, and
legumes
Get your calcium Recent studies indicate that people with low levels of calcium are at greater
risk of high blood pressure A diet that low-fat dairy products, fortified soy beverages, canned
salmon (with bones), and green leafy vegetables will raise levels of calcium and help decrease
hypertension However, the jury is still out on whether calcium supplements help or hinder the
condition
Reduce alcohol and caffeine consumption Although a glass of wine or other alcoholic drink
daily seems to reduce the chance of a heart attack, consuming more than this will negate any benefit
and may increase the risk of hypertension Too much caffeine can also raise blood pressure Older
adults with hypertension may be more sensitive to the effects of caffeine and should limit their intake
Beyond the Diet
While a proper diet is instrumental in maintaining normal blood pressure, it should be combined with
other lifestyle changes, such as:
Exercise Aerobic exercise lowers blood pressure by conditioning the heart to work more
efficiently In addition, even a modest weight loss will cause a drop in blood pressure
Quit smoking Nicotine raises blood pressure Quitting can drop blood pressure by 10 points or
more
Reduce stress Stress prompts a surge in adrenal hormones and a temporary rise in blood
pressure; some researchers believe that constant stress may play a role in developing hypertension
Meditation, yoga, biofeedback training, self-hypnosis, and other relaxation techniques may help lower
blood pressure
Use medications with caution Over-the-counter cold, allergy, and diet pills can raise blood
pressure In some women, birth control pills or estrogen replacement therapy can cause high blood
pressure
Try drug therapy If these lifestyle changes do not decrease hypertension to normal levels in 6
months, drug therapy is often instituted
Treat underlying conditions Diabetes and elevated blood cholesterol, both of which compound
the risk of developing heart problems, may associated with high blood pressure