Reducing Stress and
Maintaining Good Blood Pressure

Maintaining a healthy lifestyle, which means
cutting back on salt, losing
excess weight, and maintaining a diet high in fruits, vegetables, and
whole grains, is the cornerstone for preventing and treating
hypertension. If you don’t have diabetes or damage to the heart, brain,
kidneys, or eyes, lifestyle changes alone may be enough to bring a high
blood pressure reading into the normal range.
A March 1998 study published in the
Journal of the American Medical
Association concluded that reduced sodium intake and weight loss constitute a feasible,
effective, and safe nonpharmacologic therapy of hypertension in older persons.
Even if your doctor prescribes high blood pressure medication to control
your blood pressure, you should still adopt healthy habits.
Results of the first
Dietary Approaches
to Stop Hypertension (DASH)
study, published in the New England Journal of Medicine in
1997, offered some of the most encouraging news that diet can help
control blood pressure. In fact, the results were so promising that the
JNC guidelines recommend all Americans — not just those with
hypertension — follow the DASH diet. Low in fat and rich in fruits,
vegetables, whole grains, and low-fat dairy products, this eating plan
significantly and quickly lowered blood pressure in people with
hypertension enrolled in the multicenter study.
Researchers do not attribute the blood pressure reductions of the DASH
trial to any single food or nutrient. Compared with the typical American diet,
the DASH eating plan had a relatively higher calcium content and less
salt, total fat, saturated fat, and cholesterol. It also had 173% more
magnesium, 150% more potassium, 240% more fiber, and 30% more protein.
Foods high in potassium
Bananas, citrus fruit, dried apricots, fish (especially salmon,
flounder, and tuna), green leafy vegetables, legumes, melons, potatoes,
poultry, tomatoes, whole-grain cereals, yogurt
Foods high in calcium
Blackstrap molasses, broccoli, canned sardines and salmon (with bones),
dairy products (milk, cheese, and yogurt), kale, tofu
Foods high in fiber
Apples, barley, brown rice, corn, legumes, nuts, potatoes with skin,
prunes, whole-grain cereal and bread, yams
Foods high in magnesium
Fish, green leafy vegetables, legumes, meat, nuts, poultry, whole grains
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The May 2003
Joint National Committee on Prevention, Detection, Evaluation, and Treatment
of High Blood Pressure (JNC 7) guidelines recommend lifestyle modifications as the
best approach for bringing pre-hypertensive blood pressures
(120/80–139/89 mm Hg) into a healthy range. In addition, people with
stage 1 hypertension (140/90–159/99 mm Hg) should make lifestyle changes
as part of their regimen.
Other Lifestyle Changes that will help are
stress relief, exercise, and quitting smoking. |