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Honor Your Gift of Heart Health Fort Thompson Service Unit. Honor Your Gift of Heart Health. NEED TO KNOWS about Blood Pressure and High Blood Cholesterol. Blood Pressure. What is blood pressure?. The Facts Don’t Lie. Nearly 50 million people in the US have high blood pressure - PowerPoint PPT Presentation
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Honor Your Gift of Heart Honor Your Gift of Heart HealthHealth
NEED TO KNOWSNEED TO KNOWS about Blood about Blood Pressure and High Blood Pressure and High Blood
CholesterolCholesterol
Honor Your Gift of Heart HealthFort Thompson Service Unit
*The clinical measures listed on these documents were used by the programs over the past 10 years and were current at their time of use. However, these example documents are not intended to serve as current clinical guidelines. Programs using these documents will need to ensure the clinical measures are current for their intended use.
Blood PressureBlood Pressure
• What is blood pressure?
The Facts Don’t LieThe Facts Don’t Lie
• Nearly 50 million people in the US have high blood pressure
• High blood pressure can lead to stroke, heart attack, kidney failure and blindness
• Blood Pressure is needed to move the blood through your body
Know your NumbersKnow your Numbers
• Blood pressure readings have 2 numbers– Ex. 120/80
• 1st number – pressure of the blood when the heart beats (systolic)
• 2nd number – pressure when the heart rests (diastolic)
• Blood pressure goal – less than 120/80 mmHg
High Blood PressureHigh Blood Pressure
First Number Second Number
Results
Less than 120 Less than 80 GOOD JOB!
120 - 139 80-89 It is time to make changes in what you eat and drink, your activity, weight and smoking habits
140 or more 90 or more You have high blood pressure, talk to you provider!
‘‘Silent Killer’Silent Killer’
• High Blood Pressure is know as the ‘silent killer’ because it may have no symptoms
• Many people don’t even know they have high blood pressure until they suffer from a stroke or heart attack
• Keep track of you blood pressure –
use wallet card provided
in your binder
Lowering High Blood PressureLowering High Blood Pressure• Practice these steps:
– Maintain a healthy weight– Be active every day– Eat fewer foods high in salt– Eat more fruits and vegetables, whole grain
breads and cereals, and low fat dairy products– If you drink alcohol beverages do so in
moderation (men <2/day, women <1/day)– Take your medicine as prescribed– Have you blood pressure checked often
HTN medsHTN meds
• Diuretics (water pills)– Help your kidneys clear excess fluid and
sodium from your body• Beta Blockers (end in –olol)
– Makes heart beat slower and with less force• ACE Inhibitors (end in –pril) and ARB’s (-sartan)
– Blocks a substance in the blood that causes your blood vessel to tighten
• Calcium Channel Blockers– Prevent calcium from entering the muscle cells of the
heart and blood vessels. This allows the vessel to relax and open wider
Salt/Sodium – How much do we Salt/Sodium – How much do we Need?Need?
• Sodium is part of salt (sodium chloride)• Sodium binds water, so more salt you
consume the more fluid you hold on to• The body only needs 500 mg sodium per
day (1/4 of a tsp of salt)• Average person in US eats 4,000 – 6,000
mg per day – for those that eat out daily can be up to 10,000 mg. (8 – 20 x more than what your body needs)
Recommended Amount from FoodRecommended Amount from Food
• American Heart Association recommends < 2400 mg for general population
• If have high blood pressure <1500 mg per day
• Refer to Read the Food Label handout in binder
• Aim for foods that have 300 mg per serving or LESS
Salt Comparison’sSalt Comparison’s
• Table salt: 2,360 mg sodium per tsp• Kosher salt: 1,920 mg sodium per tsp• Sea salt: 1,840 mg sodium per tsp• Lite salt: 1,120 mg sodium per tsp
1,400 mg potassium per tsp• Salt substitute: 2,400 mg potassium per
tsp• Best Choice?? NO SALT!
Sodium in FoodsSodium in Foods
• Refer to handout in binder– Need to cut back on foods on the right column– Condiments such as ketchup, seasoning salt,
buffalo sauce can be a large amount of your sodium intake!!
• Let’s review Tips to Eat less salt and Herbs and Spices to use Instead of Salt
Food Label ClaimsFood Label Claims
• Salt-free or Sodium-free: Less than 5 mg sodium per serving, and does not contain sodium chloride (table salt)
• Very Low Sodium: 35 mg or less sodium per serving
• Low Sodium: 140 mg or less sodium per serving
• Reduced Sodium: a product that has been reduced by at least 25% sodium
• No Salt Added, Unsalted: no salt added during processing, although can still contain sodium
Facts about Blood CholesterolFacts about Blood Cholesterol
• If a person’s blood cholesterol level is to high, they are more likely to get heart disease
• About 65 million adults in the US have high blood cholesterol
• 1/3 of American Indians who have their blood cholesterol checked have levels that are too high
What is Cholesterol?What is Cholesterol?
• Cholesterol is a soft waxy substance that is made by your liver and consumed in any animal products we eat
• Liver makes about 1,000mg per day – that is all your body needs
• Goal is then to limit the
cholesterol you get from food
to <200 mg
per day
Types of cholesterolTypes of cholesterol
• Cholesterol travels through the bloodstream in different types of packages called “lipoprotein”
• Two types– LDL (low density lipoprotein) = BAD– HDL (high density lipoprotein) = GOOD
• Refer to handout in binder – Be Good to Your Heart– Talk through goal values and simple changes
LDLLDL
• LDL places plaque out in your arteries
• Plaque increases your chance for heart attack/stroke
• What raises LDL?– Saturated fats and Trans fats in foods you eat– Inactivity– Overweight
• Goal is LDL < 100 mg/dL
HDLHDL
• HDL help to remove cholesterol and plaque from the blood stream and takes it back to the liver to get rid of it
• Best way to keep HDL high is to stay active and exercise regularly
• Stay at a healthy weight, quit smoking, and choose healthy fats (which we will cover)
• Goal for Women is > 55, Men > 40
TriglyceridesTriglycerides
• Another type of fat in the blood
• Triglycerides are made from the fat you eat, extra calories you eat that you do not use up and if you eat a diet to high in carbohydrates
• Goal is <150 mg/dL
How to lower Triglycerides!How to lower Triglycerides!
• Maintain a healthy weight or lose weight if you are overweight
• Be physically active on most days of the week (5 days or more)
• Eat a heart healthy diet that is low in saturated fat, trans fat and cholesterol
• Avoid smoking and alcohol • Eat more whole grains, fruits and
vegetables instead of sugary snacks
Different Types of Fat in FoodsDifferent Types of Fat in Foods
• There are 3 difference types of fat– Saturated– Unsaturated (monounsaturated or
polyunsaturated)– Trans
Saturated FatSaturated Fat
• Increases your Bad Cholesterol LDL
• Lowers your Good Cholesterol HDL
• Found in bacon, sausage, beef, cheese, butter, ice cream, cookies, donuts, lard, along with many other foods
Unsaturated FatsUnsaturated Fats
• Lower your bad cholesterol LDL
• Can help increase your good cholesterol HDL
• Found in: canola oil, olive oil, tub margarine, nuts, avocados
Trans FatTrans Fat
• Works the same way as saturated fat
• Raises bad cholesterol LDL and lowers good cholesterol HDL
• Found in cookies, pies, crackers, chips, fried foods, stick margarine, and more.
Cooking with Less Saturated FatCooking with Less Saturated Fat
• Look through handouts in binder about cooking with less sat. fat
• Many small and easy changes can be made to your favorite recipes to make them “Heart” Healthy
Easy dietary changesInstead of: Choose:
Fried fish
Fried chicken
Fatty cuts of red meat
(beef, pork, lamb)
Fish
Poultry (skinless)
Lean, well-trimmed red meat
Buffalo
Grilled, broiled, roasted, baked (not fried)
Smaller amounts: (6 oz./day or less)
Processed, sliced meats Roast turkey slices
Whole eggs Egg whites or egg substitutes
Butter, stick margarine or shortening Tub Margarine
Canola or olive oil
Creamy salad dressings Vinegar and oil dressings
Whole or 2% milk/yogurt Skim or 1% milk/yogurt
Whole milk cheese 2% milk-fat or fat-free
Questions??Questions??
Time to taste test Time to taste test