Nutrition, Lifestyle Factors, and Blood Pressure
Format: PDF / Kindle (mobi) / ePub
Even though enormous advancements have been made in identifying evidence-based lifestyle strategies for hypertension prevention and management, little progress has been made in implementing these proven strategies. Nutrition, Lifestyle Factors, and Blood Pressure compiles practical, science-based information for health care providers to provide effective lifestyle interventions for blood pressure care.
Divided into three sections, the book features:
- Evidence-based blood pressure control and relevant considerations for real-life situations
- Special considerations in blood pressure control and lifestyle modification among children and adolescents, during pregnancy, and among those with diabetes
- Practical tools that health care providers can put into practice in particular settings
An excellent supplement to existing resources, Nutrition, Lifestyle Factors, and Blood Pressure shortens the gap between current understanding of the science about lifestyle factors and blood pressure and the actual implementation of the science
Blood Pressure 15 study included (1) the control diet that mimicked what most Americans were consuming at the time of the trial, which was relatively high in total fats, saturated fats, and cholesterol and low in fruits, vegetables, and dairy products; (2) the “fruitsand-vegetables” diet, which contained a similar macronutrient profile as that of the control diet except for a higher amount of fruits and vegetables; and (3) the “DASH dietary pattern,” which was higher in fruits, vegetables, and
• Review and evaluate the evidence on sodium and BP • Improve skills to effectively communicate with patients about reducing dietary sodium intake • Adequately counsel patients on approaches to reduce dietary sodium intake in a food environment where sodium is ubiquitous • Include recommendations to reduce sodium intake in the context of the DASH dietary pattern for increased BP-lowering effect REFERENCES 1. Denton, D., Weisinger, R., Mundy, N.I., et al. The effect of increased salt intake on
prevention, detection, evaluation, and treatment of high blood pressure. Hypertension, 2003;42(6):1206–1252. 78. Bibbins-Domingo, K., Chertow, G.M., Coxson, P.G., et al. Projected effect of dietary salt reductions on future cardiovascular disease. N Engl J Med, 2010;362:590–599. 79. Smith-Spangler, C.M., Juusola, J.L., Enns, E.A., Owens, D.K., Garber, A.M. Population strategies to decrease sodium intake and the burden of cardiovascular disease: A costeffectiveness analysis. Ann Intern Med,
commit to changes they want to make for themselves. These types of strategies are core elements of MI counseling. 6.5 PRACTICAL APPLICATION Our premise in promoting provider–patient interactions grounded in MI is that any amount of time that is available for the conversation can be used to strengthen the patient’s motivation to change. In current medical practice, prolonged counseling by the primary provider is generally not feasible, and trained counseling staff are often not available. In this
interventions and strategies to improve medication adherence. Am J Hypertens. 2010;23(9):949–955. 33. Fahey T, Schroeder K, Ebrahim S. Interventions used to improve control of blood pressure in patients with hypertension. Cochrane Database Syst Rev. 2006(4):CD005182. 34. Chisholm-Burns MA, Lee JK, Spivey CA, et al. US Pharmacists’ Effect as Team Members on Patient Care: Systematic Review and Meta-Analyses. Med Care. 2010;48(10):923–933. 35. Pearson M, Mattke S, Shaw R, Ridgely MS, Wiseman SH.