February is American Heart Month. Who among us has heart disease?
A cardiologist directed this question to a room full of people. A few hands went into the air. She explained that we all have heart disease. Heart disease begins the moment we’re born and our lifestyle choices can hurry or slow the progress.
High blood pressure, or hypertension, plays a big role in this advancement and is a leading risk factor for both heart disease and stroke.
Blood pressure readings in mm Hg (Mercury)
- Normal: Systolic less than 120 AND Diastolic less than 80
- Pre-hypertension: Systolic 120 – 139 OR Diastolic 80-89
- Hypertension: Systolic greater than or equal to 140 OR Diastolic greater than or equal to 90
Note: Systolic is the top number on a blood pressure reader, and Diastolic is the bottom number.
Tips to help lower high blood pressure
Here are some important lifestyle tips to adopt if your blood pressure is above normal:
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Move and stretch that heart muscle
Aim for 30 to 60 minutes of aerobic exercise, three to five days a week. The American Heart Association recommends at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity aerobic activity per week to maintain good health.
Regular exercise strengthens the heart and blood vessels.
Get a doctor’s approval before starting any new exercise routines such as weightlifting, which can raise blood pressure.
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When going outside is difficult
When severe weather deters you from getting outside, make your time inside count.
There are many ways to get physical activity indoors — no gym required. Hand weights or resistance bands are a great addition, but not necessary.
Try these indoor activities:
- Home workout
- Dancing
- Active housework such as vacuuming and sweeping
- Mall walking
- Bowling
- Roller skating
- Yoga or other fun group classes at your local gym, studio or community center
- Stair climbing
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Watch the sodium
Research on very low sodium diets shows mixed results. The best advice is to limit processed food with excess salt, sugar and additives.
Eat less of the “Salty Six”:
- Bread and rolls
- Cold cuts and cured meats
- Pizza
- Fried or canned poultry
- Canned soup
- Fast food sandwiches
When cooking with less salt, try experimenting with herbs, spices, and citrus juices to flavor your food.
When eating out, ask for your food to be cooked without added salt. Your daily sodium intake should not exceed 2,000 mg daily.
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Eat high nitric oxide (NO) producing foods
Nitric Oxide is a natural compound that signals the arteries to expand and relax. Eating high NO foods can help reduce blood pressure.
Great choices include:
Root Vegetables | Leafy Greens | Cruciferous Vegetables |
Beets | Kale | Kohlrabi |
Beet Juice | Swiss Chard | Cabbage |
Carrots | Lettuce | Cauliflower |
Chicory | Mustard Greens | Broccoli |
Wild Radish | Bok Choy | Arugula |
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Eat more fresh fruit and vegetables in general
Fruits and vegetables contain important minerals that help keep blood pressure low such as potassium, calcium, and magnesium. They also contain vitamin C, which some studies have shown to reduce high blood pressure.
You should aim to eat:
4 servings daily of 1 cup raw leafy vegetables or ½ cup raw or cooked vegetables.
2 servings daily of 1 medium piece of fruit, ¼ cup of dried fruit, or ½ cup fresh, frozen or canned fruit.
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Focus on Fiber
Eat at least 28 grams of fiber a day to help lower blood pressure. When you eat grains, choose whole grains such as brown rice, whole grain cereals, or quinoa.
High-fiber foods also include fruits, vegetables, and legumes.
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Eat plant-based proteins
Increase legumes, nuts and seeds and move away from having meat or dairy as the focus of the meal.
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Limit saturated (animal) fats and trans/hydrogenated fats
Butter, cheese and cream contain saturated fats. Margarine, commercial baked goods and many processed foods contain trans and hydrogenated fats. Both contribute to hardening arteries which raises blood pressure.
Limit lean meats to 6 ounces daily, portions should not exceed 3 ounces (around the size of a deck of cards).
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Rethink your drink
Drink milk instead of soda or other sweetened beverage with meals for calcium. If using milk alternatives, check nutrition facts to ensure the product is calcium fortified.
Watch the caffeine and alcohol
Keep caffeine to less than 200 mg/day (one eight-ounce cup coffee = 150 – 200 mg caffeine). Alcohol can increase blood pressure. Limit daily intake to less than one (women) or two (men) drinks per day.
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Relax
Try to spend 30 minutes a day relaxing with yoga or meditation; listen to calming music; read a good book or take a warm bath (but don’t linger in a hot bath or sauna).
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Check your medications and supplements
Ask your doctor about medications such as nasal sprays, non-steroidal anti-inflammatory drugs (NSAIDS), some birth control, cold and pain medications, and supplements such as guarana, kola nut, yerba mate, ginseng, and licorice root — these all can increase blood pressure.
Remember, there are things you can control and things that you can’t that affect our health. Do what you can from a lifestyle standpoint to protect your heart health.
Learn more about heart health
- Heart health: How to Stay Active in the Cold by American Heart Association.
- How to Help Prevent Heart Disease At Any Age by American Heart Association
- Heart healthy living by CHPW.