Essential Dietary Guidelines for Managing High Blood Pressure - Cardiology

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Dietary Restrictions for Hypertension


I am 46 years old and had stable normal blood pressure a year ago.
I have quit smoking for 18 months.
Due to a weight loss of 6 kilograms and changes in body fat, my health has been relatively stable.
However, starting last month, I began experiencing dizziness, especially after meals, to the point where I feel the need to take a nap.
I also have accompanying severe migraines, which do not respond well to medication and take time to alleviate.
My daily routine is very regular; I do not snack and only drink water, although my water intake may be insufficient.
For breakfast, I have grilled sea bream fillet with eggs and cheese in a sandwich, along with a cup of hot latte.
My lunch is 90% vegetarian, and my dinner is 60% vegetarian, followed by fruit after dinner.
I have gradually started to feel overweight, but I have completely neglected to monitor my blood pressure.
A few days ago, there was a significant change; my dizziness and headaches turned into rapid heartbeat, but my heart rate measurements were all within normal limits (below 80).
I have been unable to sleep at night.
Interestingly, after going to the hospital for X-rays and consultations regarding my heart rhythm, I had a cup of hot latte, and my systolic blood pressure dropped by about 20.
Recently, my blood pressure readings have been as follows: [150/95], initially [150/100], [129/97] after drinking latte, [122/95], [129/93], [134/91].
Due to consistently high diastolic pressure, I have decided to take 8 mg of Amlodipine.

(A) I have been taking health supplements for a long time and am unsure which ones are temporarily suitable for me, including nattokinase, B vitamins, lutein, ginkgo biloba, fish oil, and garlic extract.
Are there any foods I should absolutely avoid while taking antihypertensive medication?
(B) If my blood pressure decreases due to medication, and I manage to stabilize my weight loss, is there a chance I could return to last year's state and be free from hypertension?
(C) Is engaging in more intense exercises, such as jogging, inappropriate for someone with high blood pressure?

RO97, 40~49 year old female. Ask Date: 2021/11/24

Dr. Li Han reply Cardiology


Hello, regarding your question about "dietary restrictions for hypertension," there are generally no specific limitations.
The basic principles include reducing salt intake, increasing the consumption of fruits and vegetables, substituting white meat for red meat, or fish for other meats, choosing healthy oils, and avoiding fast food chains like McDonald's and KFC.
In terms of cooking, it resembles a Mediterranean diet.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2021/11/24

More Info


Managing high blood pressure (hypertension) is crucial for maintaining cardiovascular health, especially as you navigate various lifestyle changes and dietary choices. Based on your description, it seems you have made significant strides in improving your health, such as quitting smoking and losing weight. However, the recent episodes of dizziness, headaches, and fluctuations in blood pressure readings indicate that further adjustments may be necessary.


Essential Dietary Guidelines for Managing High Blood Pressure
1. Focus on a Heart-Healthy Diet: The DASH (Dietary Approaches to Stop Hypertension) diet is highly recommended for individuals with high blood pressure. This diet emphasizes the consumption of fruits, vegetables, whole grains, lean proteins, and low-fat dairy while reducing saturated fats, cholesterol, and sodium. Aim for at least 4-5 servings of fruits and 4-5 servings of vegetables daily.

2. Limit Sodium Intake: Reducing sodium is one of the most effective dietary changes for lowering blood pressure. Aim for less than 2,300 mg of sodium per day, and ideally, limit it to 1,500 mg if possible. This means avoiding processed foods, canned goods, and restaurant meals, which often contain high levels of salt.

3. Increase Potassium-Rich Foods: Foods high in potassium can help balance sodium levels and lower blood pressure. Incorporate foods such as bananas, oranges, potatoes, spinach, and beans into your diet.

4. Healthy Fats: Choose healthy fats, such as those found in avocados, nuts, seeds, and olive oil. Limit saturated fats found in red meat and full-fat dairy products, as well as trans fats found in many processed foods.

5. Limit Alcohol Consumption: If you drink alcohol, do so in moderation. This means up to one drink per day for women and two drinks per day for men. Excessive alcohol can raise blood pressure.

6. Stay Hydrated: You mentioned that your water intake might be insufficient. Proper hydration is essential for overall health and can help regulate blood pressure. Aim for at least 8 cups (64 ounces) of water daily, adjusting for activity level and climate.

7. Regular Meals: Skipping meals can lead to fluctuations in blood sugar and blood pressure. Ensure you have regular meals and snacks that include a balance of carbohydrates, proteins, and fats.


Specific Considerations for Your Situation
(A) Supplements and Medications: While supplements like nattokinase, B vitamins, lutein, ginkgo biloba, fish oil, and garlic extract can have health benefits, it's essential to consult with your healthcare provider before continuing or starting any supplements, especially since you are on antihypertensive medication. Some supplements can interact with medications or affect blood pressure.

(B) Weight Management: Losing weight can significantly impact blood pressure. If you continue to lose weight healthily and maintain a balanced diet, there is a possibility of returning to normal blood pressure levels. However, this should be done under medical supervision, especially considering your recent symptoms.

(C) Exercise: Regular physical activity is beneficial for managing blood pressure. However, if you experience dizziness or rapid heart rate during intense exercise, it may be wise to opt for moderate activities like walking, cycling, or swimming. Always consult with your doctor before starting a new exercise regimen, especially if you have experienced concerning symptoms.


Conclusion
In summary, managing high blood pressure involves a combination of dietary changes, regular physical activity, and monitoring your health closely. Given your recent symptoms and medication adjustments, it is crucial to maintain open communication with your healthcare provider to tailor a plan that suits your specific needs. By adhering to these dietary guidelines and making informed lifestyle choices, you can work towards better blood pressure control and overall cardiovascular health.

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