Hypertension

1
Hypertension???
Dr. Hildemar Dos Santos ????? Assistant
Professor Loma Linda University School of Public
Health Former Director of the Lifestyle
Management Centre ???????? Hong Kong
Adventist Hospital ?????? Tsuen Wan
Adventist Hospital ??????
Stroke
2
Stroke Types ???????

• Western 80 ischemic, 20 hemorrhagic
• ?? 80 ?????, 20 ???
• China - 62.4 ischemic, 29.3 hemorragic, 8.3
  unknown - Lin-Feng Zhang et all, 2003
• ?? - 62.4?????, 29.3???
• Hong Kong - 68.3 ischemic, 27.1 hemorrhagic,
  4.5 unknown - R. Kay et al, 1992 - Chinese
  University of Hong Kong
• ?? - 68.3?????, 27.1???, 4.5 ?? - 1992 ??????

3
???? ??
???
???
??? ???
4
?????
?????
Get to the hospital in less than 60
min! 60???????
?????
??????
5
Fruits and Vegetables and Strokes????????

• Danish Diet, Cancer and Health study
• Johnsen et all, 2003
• ?????????????
• Those who eat 673 g of fruits and vegetables have
  30 less risk of ischemic stroke
  ???673?????????????????????30

6
Whole Grain Consumption and Stroke Risk
??????????

• The Nurses Health Study - 12 years FU
• ?????? - 12???
• 75,521 women in the US ??75,521 ???
• 38-63 years ?? 38-63?
• Whole grains brown rice, oatmeal, whole wheat
  bread and products
• ?? ???????????
• 40 reduction of strokes among those regular
  whole grain users????????????40
• JAMA, September 27, 2000 - Vol 284, No. 12

7
Hypertension in Hong Kong????????

• 17 of the population - 1,000,000
• ???????17
• Obese people have higher risk of hypertension
• ?????????????

8
(No Transcript)
9
??10??????????5-20?
10
DASH Dietary Approaches to
Stop Hypertension
11
(No Transcript)
12
Limit alcohol intake, if used at all ?????,
?????? BP drops 2-4 points by limiting
alcohol -????????2-4?
13
Hypertension and Anger??????

• Dr. Dick Tibbits Tibbits??
• Results Learn how to forgive can lower blood
  pressure on patients with high levels of anger.
• ?? ??????????????????

14
Blood pressure and anger ?????
Initial Blood Pressure ????
Final Blood Pressure ????
Anger Score ???? (Red ??)
Patient ??
1 34 144/97 130/81 2 28 154/98 124/76 3 26 151/99
132/86 4 26 157/107 123/84 5 19 153/87 124/80
Tibbits, 2004
15
Soy and Hypertension??????

• Shanghai Womens Health Study ??????
• 45,694 participants - 2 - 3 years follow up
• 45,694??? - ??????
• Compared women who ate 25 g soy protein/day with
  those who took less than 2.5 g soy protein/day
  ????25????????????????25???????

American Journal of Clinical Nutrition 2005
811012-1017
16
Soy protein contents????????

• 1 cup cooked soybeans 28.6 g
• 1????? 28.6 ?
• 1/2 cup tofu raw 10g ????? 10 ?
• 1/2 cup tofu firm 19g ????? 10 ?
• 1 cup soybean milk 6.6 g 1??? 6.6?
• 1/2 cup green soybeans 11g
• ????? 11?

17
Garlic and Hypertension??????

• Garlic can drop 8-11 mm Hg for the systolic and
  5 - 8 mm Hg for the diastolic
• ???????? 8-11 mm Hg ????
• 5 - 8 mm Hg
• Garlic Daily Dose ????????
• 4,000 mcg of Allicin 4,000 mcg ??
• 4 g of fresh garlic 4?????
• 1 - 4 garlic cloves 1-4 ???

Encyclopedia of Natural Medicine page 527
18
Framinghan Heart Study Framinghan ???? (Franco
et all, 2004)

• Chocolate - 100 g day reduces systolic blood
  pressure by 5.1 mm Hg, and diastolic by 1.8 mm Hg
• ??? - ??100???????5.1 mm Hg????1.8 mm Hg
• 400 g of fruit and vegetables/day - similar
  results as chocolate ???400?????????????

19
CoQ10 and Hypertension(Lowers Peripheral
Resistance?)???Q10???? (????????)

• 39 of hypertension patients are deficient
• ???????35?????
• Some small studies have found a lower effect of
  CoQ10 on hypertension ?????C0Q10???????
• Ten patients with high blood pressure ?????????
• 100 mg CoQ10/ day - 10 weeks ??100 mg - 10??
• Systolic from 161 to 142 mmHg ???? 161 ?? 142
• Diastolic from 98.5 to 83 mmHg ????98.5??83

Encyclopedia of Natural Medicine page 527
20
Vitamin C and Hypertension???C ????

• Study 2g loading dose ?? - ????
• 500 mg/daily - 30 days ??500?? - 30?
• Decrease systolic pressure by 13 mm Hg
• ?????13 mm Hg
• No effect on diastolic ??????
• Increased Nitric Oxide ?????
• Lancet, 19993542048-2049 ????Lancet