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High Blood Pressure And High Cholesterol February Conference
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High Blood Pressure And High Cholesterol February Conference


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In February of this year, I created a presentation for all LISD faculty and staff. I presented at our February Conference for continuing education. This was both a personal and professional victory …

In February of this year, I created a presentation for all LISD faculty and staff. I presented at our February Conference for continuing education. This was both a personal and professional victory for me. I was celebrating the loss of 69 pounds, as well as my joy in being able to share information I found helpful with others. I hope you enjoy the presentation, too.

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  • 1. Keeping Your Options Open through a Proactive Approach
  • 2. 2
  • 3. How does the heart work? 3
  • 4. What is blood pressure? Blood pressure is the force of blood against your artery walls as it circulates through your body. Blood pressure normally rises and falls throughout the day, but it can cause health problems if it stays high for a long time. High blood pressure is called “hypertension”. 4
  • 5. Measuring your bloodpressure Blood pressure is measured using two numbers:  The first/top (systolic) number represents the pressure in your blood vessels when your heart beats.  The second/bottom (diastolic) number represents the pressure in your vessels when your heart rests between beats.  If the measurement reads 120 systolic and 80 diastolic, you would say "120 over 80" or write "120/80”. 5
  • 6. Measuring your bloodpressure 6
  • 7. Measuring your bloodpressure Blood Pressure Levels ○ Normal  Systolic: less than 120 mmHg Diastolic: less than 80 mmHg ○ At Risk (Prehypertension)  Systolic: 120–139 mmHg Diastolic: 80–89 mmHg ○ High  Systolic: 140 mmHg or higher Diastolic: 90 mmHg or higher 7
  • 8. High blood pressure – what’s the big deal? About 1 in 3 adults in the United States has high blood pressure High blood pressure is called the "silent killer" because it often has no warning signs or symptoms, and many people dont realize they have it. Thats why its important to get your blood pressure checked regularly. 8
  • 9. 9
  • 10. Damaging effects of high blood pressureCan cause damage tobrain, eyes, heart andkidneys. Having highblood pressure raisesyour risk for heartdisease and stroke. 10
  • 11. Risk factors for high blood pressure Behavior: diet, personality Weight: being overweight can cause high blood pressure Physical inactivity Alcohol and tobacco use 11
  • 12. Risk factors for high blood pressure Conditions: diabetes and prehypertension  Approximately 60% of people who have diabetes have high blood pressure Heredity – the trump card  Age  Race or ethnicity  Diabetes  Family history 12
  • 13. Preventing high bloodpressure Eat a healthy diet Maintain a healthy weight Be physically active Don’t smoke Limit alcohol use Check your blood pressure often Prevent and manage diabetes 13
  • 14. 14
  • 15. Treating high bloodpressure Pharmaceutical intervention as prescribed by your healthcare provider Purchase a home blood pressure cuff and maintain a blood pressure diary – take readings at least twice a day:  First thing in the morning  At bedtime  You may also take an afternoon reading, especially if you have recently been diagnosed with high blood pressure or have started a new medication to treat it 15
  • 16. Treating high bloodpressure Lifestyle modifications  Diet: The DASH eating plan (Dietary Approaches to Stop Hypertension) is a simple heart healthy diet that can help prevent or lower high blood pressure. ○ LOW in sodium, cholesterol, saturated and total fat, and HIGH in fruits and vegetables, fiber, potassium, and low- fat dairy products. A download is available free from the CDC website. ○ This diet was recently rated the #1 Diet of 2012 by U.S. News & World Report. 16
  • 17. 17
  • 18. What is cholesterol? Cholesterol is a waxy, fat-like substance found in your body and many foods. Your body needs it to work properly and makes all that you need. High cholesterol is called “hypercholesterolemia” 18
  • 19. Cholesterol a little high? 19
  • 20. Measuring your cholesterol A blood cholesterol test must be ordered by your health care provider You must be fasting for this lab test 20
  • 21. Interpreting your FASTING cholesterol test results A fasting lipid profile usually includes:  Total cholesterol: the total amount of cholesterol in your blood  HDL-C: good cholesterol; removes excess cholesterol from tissues and carries it to the liver for disposal  LDL-C: bad cholesterol; deposits excess cholesterol in walls of blood vessel and contributes to hardening of the arteries and heart disease  Triglycerides: the major form of fat found in the body; function is to provide energy for the cells 21
  • 22. Cholesterol results before and after 60 lb weight-loss* Before: After: Lab Values 11/13/2010 12/1/2011Total Cholesterol 208 (high) 144 <200 mg/dLTriglycerides 102 50 <150 mg/dLHDL Cholesterol 54 48 >39 mg/dLLDL Cholesterol 134 (high) 86 <100 mg/dLRisk Ratio: 2.47 1.79 <3.22LDL/HDL*Results achieved through diet and exercise alone; no pharmaceuticalintervention. 22
  • 23. High blood pressure and highcholesterol – partners in crime 23
  • 24. Damaging effects of high cholesterol Extra cholesterol can build up in your arteries. Over time, cholesterol deposits, called plaque, can narrow your arteries and allow less blood to pass through. The plaque can also break off and cause a clot. This diminished blood flow can cause heart attacks and strokes. Clots can also contribute to strokes. 24
  • 25. Plaque buildup 25
  • 26. Risk factors for high cholesterol Conditions: age, diabetes Behavior: diet, weight, physical inactivity Heredity: familial hypercholesterolemia – the trump card 26
  • 27. Preventing high cholesterol Get a blood test Eat a healthy diet Maintain a healthy weight Exercise regularly Dont smoke 27
  • 28. Treating high cholesterol Pharmaceutical intervention as prescribed by your healthcare provider Lifestyle modifications 28
  • 29. 29
  • 30. 6 Major preventable factors for heart disease High cholesterol levels High blood pressure Lack of physical activity Obesity Diabetes Smoking 30
  • 31. Diabetes High blood sugar levels damage arterial lining Fatty deposits adhere more easily to damaged walls Obesity and a sedentary lifestyle are causes of Type II Diabetes Obesity and a sedentary lifestyle are associated with high blood pressure and high cholesterol 31
  • 32. Smoking Decreases lung function – can’t tolerate exercise Decreases amount of oxygen available to the heart Increases LDL, decreases HDL Increases chance for blood clots Damages the arterial lining Constricts arteries 32
  • 33. Obesity Recent research shows that by the year by 2015, 75 percent of adults and nearly 24 percent of U.S. children and adolescents will be overweight or obese** 33
  • 34. Are youtired ofyour storyyet? 34
  • 35. Chooseyourhard: 35
  • 36. You are profoundlymalleable 36
  • 37. Obesity – a proactive approach See your healthcare provider before you start a new exercise or diet plan Eat less, move more Get more sleep: when people are sleep- deprived, they consume almost 300 calories a day more than when they are well-rested* Stay hydrated 37
  • 38. Obesity – a proactiveapproach Celebrate your successes…even small ones Don’t set yourself up for failure by setting too many goals at a time Plan new healthy behaviors to replace old ones Carry a snack emergency kit: sweet, salty, crunchy, smooth 38
  • 39. Obesity – a proactiveapproach Forgive yourself – indulge and then get back on track. NO negative self-talk! Motivate yourself DAILY Have “True Grit”: grit is a willingness to commit to long-term goals, and to persist in the face of difficulty Stay the course: this is lifelong. If your ship hits the rocks, swim ashore, look for another treasure map and start digging again 39
  • 40. Healthy lifestyle rewards Fewer sick days Eat out less and save money  Spend it on pedicures, a cleaning service, shoes… Less self-preoccupation Ripple effect – my favorite 40
  • 41. What are some free resources? 41
  • 42. Resources American Heart Association  Better U Program ○ 12 week free online nutrition and fitness program  ○ Exercising for 30 minutes each day can reduce your risk for heart disease 42
  • 43. Phone Apps Calorie Count - free Lose It! - free MyPlate (from - $2.99 Weight Watchers Mobile – free Couch to 5K - $.99 Whole Foods Market Recipes – free Zombies, Run! – in development 43
  • 44. Sources: *USA Today Wednesday, 12/28/11 **Johns Hopkins Bloomberg School of Human Health Center for Human Nutrition - meta-analysis was published online May 17 in advance of the 2007 issue of the journal Epidemiologic Reviews 44