Exploring the Effectiveness of Fruits and Vegetables in Lowering Blood Pressure - Nutrition

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The feasibility of using fruits to lower blood pressure?


Hello, Nutritionist: My boyfriend is 23 years old and has essential hypertension, with an average blood pressure around 155.
He hasn't taken medication for over two years, but recently his blood pressure rose above 170, leading to an emergency visit, after which he started taking medication, specifically an ARB.
I would like to ask about the effects of celery on lowering blood pressure.
I have a habit of making juice for him, and since he may need to take medication for life due to essential hypertension, I wonder if dietary therapy could help.
I found information online suggesting that a sufficient amount of celery could have the same effect as a blood pressure medication.
Is this feasible? Are there any recipes that can effectively lower blood pressure? For example, is the black fungus with rock sugar mentioned online effective? Thank you!

beiki, 20~29 year old female. Ask Date: 2009/08/18

Dr. Cai Xiuwen reply Nutrition


Hello Becky: Thank you for your question.
I would like to respond to your inquiry and provide the following suggestions: First, it is essential to follow medical advice to keep blood pressure within the normal range, and then to manage dietary habits to gradually improve it.
If your friend's hypertension is caused by being overweight, weight loss should be prioritized.
However, if they consume excessive calories from fruits or rock sugar, leading to continued overweight, it will negatively impact blood pressure control.
Additionally, salt intake must be strictly monitored; otherwise, even consuming celery or black fungus may not effectively control blood pressure.
Lastly, I wish you peace and happiness.

Reply Date: 2009/08/18

More Info


When it comes to managing hypertension, particularly essential hypertension, dietary choices can play a significant role alongside medication. Your boyfriend's situation, with an average blood pressure of 155 mmHg and a recent spike to 170 mmHg, indicates that he is at a higher risk for cardiovascular complications. While he has started taking ARB (Angiotensin Receptor Blockers), it is essential to complement this treatment with a healthy diet to help manage his blood pressure effectively.

Fruits and vegetables are indeed beneficial for lowering blood pressure. They are rich in potassium, magnesium, and fiber, which can help regulate blood pressure levels. Celery, in particular, has been noted for its potential antihypertensive properties. It contains phthalides, which may help relax the tissues of the artery walls, enhancing blood flow and reducing blood pressure. However, while incorporating celery into his diet is a good idea, it should not be viewed as a replacement for prescribed medication. The claim that a sufficient amount of celery can equate to the effect of a blood pressure pill is an oversimplification and should be approached with caution.

In terms of practical dietary changes, here are some recommendations:
1. Increase Fruits and Vegetables: Aim for at least 5 servings of fruits and vegetables daily. This can include leafy greens, berries, bananas, oranges, and beets, all of which are known to support heart health.

2. Limit Sodium Intake: High sodium intake is linked to increased blood pressure. Encourage your boyfriend to limit processed foods, which often contain high levels of salt, and to cook with herbs and spices instead of salt.

3. Healthy Fats: Incorporate sources of healthy fats, such as avocados, nuts, seeds, and olive oil, while reducing saturated fats found in red meat and full-fat dairy products.

4. Whole Grains: Choose whole grains over refined grains. Foods like brown rice, quinoa, and whole grain bread can help maintain healthy blood pressure levels.

5. Limit Sugar: While fruits are healthy, excessive consumption can lead to increased sugar intake, especially if he is consuming fruit juices. Whole fruits are preferable to juices, as they contain fiber and are less concentrated in sugars.

6. Hydration: Encourage adequate hydration, as dehydration can sometimes lead to increased blood pressure.

Regarding the specific foods you mentioned, such as black fungus (黑木耳) with rock sugar, while black fungus is nutritious and may have some health benefits, adding sugar can counteract its positive effects. It is essential to focus on whole, unprocessed foods and avoid adding sugars or unhealthy fats.

As for juice consumption, orange juice is generally a better option than grapefruit juice for individuals on certain blood pressure medications, as grapefruit can interact with many medications, including some antihypertensives. However, moderation is key, as fruit juices can be high in sugar and calories.

In conclusion, while dietary changes can significantly support blood pressure management, they should complement, not replace, prescribed medications. It is crucial for your boyfriend to continue following his healthcare provider's advice and to regularly monitor his blood pressure. A registered dietitian can also provide personalized dietary guidance tailored to his specific health needs.

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