Issue date:
December 1, 1996
[ Eat Smart Archive ]
THE STATS
-- The incidence of high blood pressure rises with age. Half of all
Americans 55 and older have high blood pressure, rising to 63 percent
after age 65. Three-fourths of African Americans over 65 have it.
-- High blood pressure is above 140 systolic pressure (upper number)
and/or 90 diastolic (lower number).
-- People with high blood pressure are 3 to 4 times more likely to
have a stroke. Dropping 11 systolic points or 5 diastolic points cuts
stroke risk 40 percent.
COFFEE, ANYONE?
Caffeine can slightly raise blood pressure, but the effect is usually
temporary; there's no evidence excessive caffeine causes high blood
pressure. When you're under stress, however, caffeine tends to aggravate
high blood pressure.
BLOOD PRESSURE NEWS
-- Salt: In some individuals, cutting back on salt may actually raise
blood pressure.
-- Sugar: Eating lots of sugar may raise your blood pressure by contributing
to water and salt retention.
Aging baby boomers are at risk.
Here are 10 ways food can help.
1. Watch the salt. Unless you already have high blood pressure,
too much salt intake won't elevate it, according to several studies -
including a new study of nearly 42,000 female nurses by Harvard researcher
Alberto Ascherio. But roughly one-third of those with high blood pressure
who are salt-sensitive may benefit from cutting sodium. Brent Egan, M.D.,
of the Medical University of South Carolina warns that restricting salt
actually drives up blood pressure in some individuals. Thus, if you cut
salt, monitor your blood pressure to be sure it's going in the right direction.
About 80 percent of the sodium in American diets comes from processed
foods.
2. Watch the sugar. Sugar may be as big a villain in raising
blood pressure as salt, says Harry G. Preuss, M.D., of Georgetown University
Medical School. And the typical American diet, packed with both salt and
sugar, is worst of all, he says. In animal studies, he finds salt and
sugar together boost blood pressure more than either alone. Sugar appears
to disrupt the metabolism of insulin, a hormone that helps regulate blood
pressure. Also, heavy consumption of sugar induces salt and water retention.
A possible safeguard: Take chromium supplements. They work in animals,
says Preuss, who takes 500 micrograms of chromium daily. U.S. Department
of Agriculture experts recommend 100 to 200mcg daily to help regulate
insulin and blood sugar in normal people. Diabetics can benefit from 1,000mcg.
3. Load up on fruits and vegetables. Numerous studies point to
fruits and vegetables as anti-high blood pressure agents. The new Harvard
study showed that the women who ate the most fruits and vegetables were
the least likely to have high blood pressure. Most protective: apples,
oranges, prunes, carrots, grapes, alfalfa, mushrooms, celery and raw spinach.
Vegetarians generally have lower blood pressure than meat eaters, and
switching to a vegetarian diet can lower blood pressure, other studies
show.
4. Try garlic. Preuss of Georgetown University says garlic contains
chemicals that act like ACE (angiotensin-converting enzyme) inhibitors,
those prescription drugs commonly given to lower blood pressure and protect
the heart. In his tests of hypertensive rats, various types of garlic,
including Kwai and Kyolic (two brand-name supplements), significantly
depressed blood pressure. Preuss says garlic also works by dilating blood
vessels. A recent analysis of eight controlled human studies found that
taking 600-900 milligrams of Kwai daily (equal to one or two cloves of
fresh garlic) lowered mild blood pressure an average 8 percent in one
to three months, according to professors Christopher Silagy of the University
of South Australia and Andrew Neil of Oxford University.
5. Eat more fiber. Much research shows high-fiber foods keep
blood pressure down. The new Harvard study found that women who ate 25
grams of fiber a day were 25 percent less apt to develop high blood pressure
than those eating only 10 grams daily. Best bets: foods high in soluble-type
fiber, mainly fruits, vegetables, rice and oats. Insoluble fibers, as
in wheat bran, don't work as well. James Anderson, M.D., University of
Kentucky, put diabetic men on a diet high in soluble fiber; their blood
pressure dropped 10 percent.
6. Boost vitamin C. Much research suggests vitamin C can both
prevent and reduce high blood pressure. Tufts University researchers found
that people failing to get the daily vitamin C in an orange (70mg) had
11 points higher systolic pressure (the upper number in blood pressure
readings) and 6 points higher diastolic (the bottom number) pressure than
those who ate more vitamin C. Consistently, people with high blood levels
of vitamin C have lower blood pressure, according to research by Elaine
B. Feldman of the Medical College of Georgia. She also found that taking
1,000mg of vitamin C daily lowered normal blood pressure about 4 percent.
"Vitamin C seems to have unique pharmacological activity," she says.
7. Eat the right fat. Saturated animal fat in meat and dairy
products boosts blood pressure. Vegetable fats tend to lower it. Studies
show that substituting olive oil for other fats lowers blood pressure.
Fish oil also tends to suppress blood pressure. A recent Danish study
suggests that three servings a week of fish, preferably fatty (salmon
and sardines), help keep a lid on blood pressure. The new Harvard study
linked red meat, particularly hamburger, to high blood pressure.
8. Eat your minerals. The big three anti-hypertensive minerals
are calcium, magnesium and potassium. In the Harvard research, a magnesium
deficiency was the worst dietary culprit in boosting blood pressure. Fruit,
surprisingly, popped up as the best anti-hypertensive source of magnesium.
Nuts, whole grains and leafy green vegetables also are rich in magnesium.
Milk (make it low-fat) is packed with the three minerals and has been
found to help lower blood pressure. Eating high-potassium fruits and vegetables
also lowers the risk of both high blood pressure and strokes. An extra
daily serving of a high-potassium food lowered the risk of stroke 40 percent
in one study of older people at the University of California at San Diego.
9. Limit alcohol. Three or more alcoholic drinks a day is the
most common cause of ordinary hypertension, doubling the number of adults
with the condition, experts say. On the other hand, a little alcohol --
fewer than one or two drinks daily -- may help keep blood pressure lower
in moderate drinkers than in non-drinkers, finds Harvard's Matthew Gillman.
Other research suggests red wine may be best, in moderation, because chemicals
in red wine and red grape juice tend to dilate blood vessels, possibly
lowering blood pressure.
10. Lose weight. A major cause of high blood pressure is excessive
weight. As many as one-third of high blood pressure sufferers are overweight.
And there's no better way to get your blood pressure down than to drop
excess pounds. One classic study published in the New England Journal
of Medicine found that losing an average 23 pounds in two months depressed
systolic pressure 26 points and diastolic 20 points. Blood pressure returned
to normal in two-thirds of the patients.
Jean Carper's current best-selling
book is Stop Aging Now!
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HEALTHFUL HOLIDAY BREAKFAST RECIPE
Vegetable
Frittata
1 tsp. olive oil
1 medium yellow onion, chopped
1 garlic clove, minced
1 green bell pepper, chopped
1 large baked potato, cooked and cubed
1 medium tomato, chopped
2 cups egg substitute
2 Tbs. grated Parmesan cheese
1/2 tsp. fresh rosemary or oregano, or 1/4 tsp. dried
Salt and fresh ground pepper, to taste
Spicy tomato salsa, for garnish
Add olive oil to a large non-stick skillet; saute onion, garlic and
bell pepper until soft, about 3 minutes. Combine egg substitute, cheese
and seasonings. Add potato and tomato to the skillet and immediately top
with the egg mixture. Cook over low heat until nearly cooked through;
top should be slightly uncooked. Transfer skillet under broiler for a
minute or until top is done and slightly browned. Remove frittata from
skillet to a plate and serve with spicy tomato salsa. Serves 4.
Per serving: 267 calories, 29g protein, 28g carbohydrates, 4.3g
fat (1.3g saturated), 3.5g fiber, 505mg sodium.