Take aim at high blood pressure

Sixty-four year old “Lee” has been battling high blood pressure for half of his life. He takes a prescription for it, but working with his health care providers, he’s also made some lifestyle changes that can help.

He’s reduced sodium in his diet. He’s working on getting more physical activity into his day. He’s battled his weight for years, but is losing it steadily now.

“At La Clinica’s Wellness Center, we relish the opportunity to work with patients like Lee, who are motivated to make changes in their health,” says Dr. Justin Adams, chief medical officer at La Clinica.

Hypertension, commonly known as high blood pressure, is one of the primary risk factors for heart disease and stroke. It’s at epidemic proportions worldwide. But because the symptoms are not easily seen without measurement, it often goes unnoticed and untreated.

The most important thing a person should do is have blood pressure checked. If high or borderline high blood pressure is diagnosed, the person can work closely with a health care provider to address it. That’s the first line of preventive defense.

Health care providers and their patients may create a plan to avoid or lower high blood pressure that includes one or more of these lifestyle approaches.

“Our care team works with patients so that they can better understand diseases like hypertension and the medications that we use to treat them, while supporting them in their health goals through offerings like group visits for healthy eating or weight loss,” Adams says.

Reduce sodium

There is often hidden sodium in processed foods, sometimes even in the ones that claim to be low sodium.

Learn to read the nutritional labels on processed foods or, better yet, choose varieties that are processed less, including some frozen and especially fresh.

Lose weight and watch the waistline

Weight around your middle is an indicator of high blood pressure risk, and losing even a small amount of weight may bring blood pressure down.

Exercise regularly

It doesn’t take much exercise to lower blood pressure. Getting some activity for 20 minutes a day, two or three times a week, can help. Even walking back and forth in your home works, if the weather is too cold.

There are exercises designed for those who remain seated, either at work or because of physical limitations; even those who are confined to bed.

Eat a healthy diet

A diet that’s based on whole grains, fruits, vegetables and low-fat dairy has been shown to lower blood pressure by up to 11 points. This plan is called the Dietary Approaches to Stop Hypertension (DASH) diet. Lee was in one of the studies at the Center for Health Research in Portland that proved the DASH diet works, and it helped him a lot.

Limit alcohol

In moderation — generally one drink a day for women, or two a day for men — alcohol is OK for most people. But drinking more than that can raise blood pressure and make medications less effective.

If drinking is an issue, a talk with your health care provider can help you identify resources that can help.

Quit smoking

Stopping smoking can help your blood pressure return to normal, reduce heart disease risk and improve overall health.

The Oregon Health Plan covers some smoking cessation assistance.

Reduce stress

Chronic stress may increase blood pressure. And if you deal with stress by eating, drinking or smoking, that is a problem, too.

“Less healthy stress-coping mechanisms like drinking, eating or staying up late can have big health impacts,” Adams says. “We work to support patients to cope with stress in healthy ways, like mindfulness, healthy eating or exercise.”

And that can be very good for helping with blood pressure.



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