25 Year Cardiology Study Links Prehypertension in Young Adults to Heart Problems Later in Life

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Dr. Freeman shares what young adults can do now to prevent heart problems later in life.

What are the results of this 25 year cardiology study linking prehypertension in young adults and heart problems later in life?

Prehypertension can lead to adaptive changes that result in structural alterations in the cardiovascular system, including heart muscle structure, coronary vasculature, and conduction system of the heart over time. Structural changes eventually lead to functional changes resulting in disease: coronary artery disease, angina, myocardial infarction, cardiac arrhythmias, and congestive heart failure.

What does this study mean for young adults?
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Dining Out and High Blood Pressure

dining-out-blood-pressureDid you know dining out increases your risk for high blood pressure?

Why?

Restaurant foods, whether it be a sit down meal or drive-thru, are typically high in both salt and fat.

A study published in the American Journal of Hypertension is the first to show a direct connection between dining out and high blood pressure.

Up to this point, studies have linked dining out to a higher intake of calories, salt, and saturated fat…all of which are linked to high blood pressure.

Researchers focused on young adults. High blood pressure earlier in life has been associated with future high blood pressure and heart disease risks. Researchers wanted to determine the impact of lifestyle factors on prehypertension and hypertension in young adults.

Prehypertension is defined as a systolic blood pressure between 120-139mm Hg and/or a diastolic blood pressure between 80-89mm Hg. Hypertension — another term for high blood pressure – is defined as a systolic blood pressure greater than or equal to 140mm Hg and/or a diastolic blood pressure greater than or equal to 90mm Hg.

Please note the “and/or” used above. Both numbers do not have to be elevated to be diagnosed with prehypertension or hypertension. If systolic alone is high, that can lead to a diagnosis. If diastolic alone is high the same applies.
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5 Healthy Summer Habits to Maintain this Fall

healthy-habitsDon’t let healthy summer habits fade away as you move into the fall. Fall often means shifting gears from summer activities into a more structured fall routine. How can you maintain healthy summer behaviors while stepping into fall?

#1 Complete Your Workout First

Summer is hot. You don’t want to be outside working out in hot mid-day temperatures, so you complete that workout early in the day to avoid the heat. Maintain this habit in the fall. By completing your workout first thing every day you are more likely to complete it versus waiting and having other priorities bump it off the to do list.

#2 Eat Breakfast Daily

More relaxed summer routines allow more time for a leisurely morning breakfast. Don’t push breakfast aside in the fall time crunch of getting kids out the door for school and yourself off to work. Breakfast “breaks the fast”, meaning it is the jump start your metabolism needs daily.
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Increase Nitric Oxide and Decrease Blood Pressure with Beetroot Juice

beetroot-juiceThere are many heart disease risk factors, such as high blood pressure and high cholesterol, associated with low nitric oxide levels.

Nitric oxide has many bodily functions, include vasodilation of blood vessels to govern blood pressure.

It was previously believed nitric oxide was only produced via oxidation of L-arginine, an amino acid, in the presence of oxygen. New research has confirmed a second pathway for increasing nitric oxide levels. This second pathway is the conversion of nitrates to nitrite to nitric oxide.

Vegetables are a source of nitrates.

Approximately 85% of dietary nitrate comes from vegetables. The remaining 15% from drinking water. When you consume dietary nitrates, they are absorbed in the stomach and small intestine. Of the ingested nitrates, about 25% is extracted by the salivary glands and concentrated in saliva. It is an enzyme on the surface of the tongue that converts nitrate to nitrite. When the nitrite in saliva is then swallowed it is converted to nitric oxide by the acidic environment of the stomach.

To restate: Nitrate in food becomes nitrite in saliva which then converts to nitric oxide in the stomach.

Nitric oxide obtained from dietary nitrate sources, such as vegetables, provides an alternate treatment plan for increasing protective nitric oxide levels.

Beetroot juice lowered systolic blood pressure 10.4 mm Hg and diastolic blood pressure 9 mm Hg 2.5 – 3 hours after ingestion.
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Water is the most essential nutrient. How much water do you drink?

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When it comes to heart health, what you drink is just as important as what you eat.

Many adults struggle to consume enough fluids daily. A study using NHANES data found adults on average consume about four, 8-ounce glasses (32 fluid ounces) of water daily. The Institute of Medicine recommends approximately 91 ounces daily for women and 125 ounces daily for men. Exact fluid intake needs vary between individuals. Keep in mind these values, 91 and 125 ounces, account for ALL fluid intake throughout the day, not water alone. Fluid needs increase with exercise and hot climates.

Water is the most essential nutrient.

Water is needed for every cell in the human body to function properly. The body is comprised of 50 to 75% water. Water regulates body temperature, cushions and protects our joints and organs, aids in digestion, forms the basis of blood, and is contained in lean muscle, fat, and bone.
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Lower Cholesterol at Every Meal, Every Day

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High cholesterol levels increase your risk for heart disease. Felicia D. Stoler, DCN, the author of “Living Skinny in Fat Genes”, shares some fresh ideas on how you can lower cholesterol at every meal.

Lisa Nelson RD: We can now find many grocery options with “cholesterol free” labeling. What does “cholesterol free” mean?

Dr. Stoler: In a nutshell, a food that says it is “cholesterol free” means it has NO animal products in it.  It’s a bit misleading… for example, apples can say they are “cholesterol free”.

Lisa Nelson RD: Should consumers disregard “cholesterol fee” labeling? If so, what should they look at instead when selecting heart healthy products?

Dr. Stoler: I always tell people to look at calories, fiber, and fat. If it’s a food that has fiber, does it have the most (across brands) fiber per serving. When it comes to fat, does it have lower fat than other comparable products?

Lisa Nelson RD: What are some great breakfast tips to promote lower cholesterol levels?

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