2.09 CME

Nutritional Interventions for Managing Hypertension

Pembicara: Ms. Seema Singh

Chief Clinical Nutritionist, Director of Seema Singh\'s Nutrition Clinic, Delhi

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Keterangan

Nutritional interventions for managing hypertension focus on reducing sodium intake and increasing the consumption of potassium-rich foods like fruits and vegetables. The DASH (Dietary Approaches to Stop Hypertension) diet emphasizes whole grains, lean proteins, and low-fat dairy to support heart health. Limiting processed foods and added sugars is crucial to maintaining a healthy blood pressure. Including sources of magnesium and calcium, such as nuts, seeds, and leafy greens, also contributes to blood pressure control. Overall, adopting a balanced, nutrient-rich diet can significantly lower hypertension risk and improve cardiovascular health.

Ringkasan

  • Nutritional intervention plays a key role in managing hypertension, sometimes alongside medication. The categories of blood pressure range from normal (80/120) to hypertensive crisis (diastolic 120 or systolic >180). Patients can monitor blood pressure at home, avoiding caffeine, alcohol, and exercise 30 minutes prior, and sitting quietly for 5 minutes before measurement.
  • Treatment targets vary based on existing conditions. For example, hypertension with diabetes and coronary heart disease (18-65 age) has a target of <130, while those over 65 aim for 130-140. Lifestyle interventions include dietary changes, increased physical activity, and weight management.
  • Dietary recommendations focus on reducing sodium intake to 1,500-2,300 mg per day. Increasing potassium to 4,700 mg per day, along with adequate calcium and magnesium, can help. Fiber intake should be increased through consumption of fruits and vegetables.
  • Lifestyle changes involve limiting alcohol, quitting smoking, and managing stress. Physical activity recommendations include 30-60 minutes of aerobic exercise or 90-150 minutes per week of resistance or isometric exercise. Weight loss of 5 kg can aid in hypertension prevention and blood pressure reduction.
  • The DASH (Dietary Approaches to Stop Hypertension) diet emphasizes low saturated fat, cholesterol, and total fat, with focus on fruits, vegetables, low-fat dairy, whole grains, fish, poultry, and nuts. It is low in red meat, sweets, and sugary beverages, while being rich in potassium, magnesium, calcium, protein, and fiber.
  • Reducing sodium intake requires choosing low-sodium foods, avoiding added salt and condiments, and using fresh or low-sodium canned options. Spices and herbs can be used for flavor instead of salt. Reading food labels is crucial to identify sodium content. Sodium free or salt-free options are ideal.
  • Fermented foods can improve digestion and gut microbiota. However, those with added salt or baking soda should be avoided. Natural fermentation is beneficial and the addition of pulses makes Vitamin C available to the body.

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