Sunday, 8 December 2013

HYPERTENSION

More than twenty percent persons have hypertension. Main reasons of the high blood pressure(hypertension) are high stress levels, obesity, diabetes, sedentary lifestyle, smoking, alcoholism and high salt intake etc. Lifestyle modification can prevent the risk of cardiovascular diseases by lowering the blood pressure.
Blood Pressure is the pressure exerted by circulating blood against the walls of arteries whereas high blood pressure/hypertension are of two types one systolic blood pressure(SBP) of 140mm Hg or higher and second diastolic blood pressure(DBP) of 90mm Hg or higher.
Blood pressure should be measured with well calibrated sphygmomanometer by encircling minimum eighty percent of the arm circumference by the cuff reading is taken at least five minutes after the patient has been resting comfortably and minimum after thirty minutes of the smoking or coffee ingestion.
Did you know?
The persons with high body mass index having high waist circumference and high waist hip ratio are prone to high blood pressure, high cholesterol and blood sugar. In general, blood pressure is lowest at night and so loss of this nocturnal dip is strongly associated with cardiovascular risk, particularly thrombotic stroke whereas its abnormal increase  in the morning has correlation brain hemorrhage. In the winters the blood pressure is high in comparison to summers, so medication and dietary intake adjustments should be done accordingly. Moreover change in lifestyle certainly help keeping your blood pressure controlled.
Causes of hypertension
Hypertension is of two types: primary and secondary. Primary hypertension usually is due to genetic and environmental factors and is most common so is prevalent in 95% cases. Whereas secondary hypertension are due to chronic kidney diseases, sleep apnea, drug induced, thyroid diseases, renal vascular problem and the diseases associated with the pregnancy. 



 Risk factors those responsible for hypertension are Stress; smoking; alcohol consumption; metabolic syndrome; low potassium intake; excessive salt consumption; physical inactivity whereas obesity is the main culprit.
SPECIAL NOTE:
High blood pressure can be a symptomatic i.e. no symptoms till it suddenly pick and target organ damage that further can lead to plethora of serious natured ailments transient weakness in various body parts and swelling in face and/ or feet or in general fatigue. Therefore, everyone should have regular blood pressure checks. It should be more often in older person and who have had a history and people with diabetes.
In case high blood pressure is diagnosed then you are to get examined by your doctor with the routine tests which include urine test to check protein or blood in your urine and blood tests for checking of your cholesterol, sugar level and that your kidneys are working alright.
Major complications due to high blood pressure
Over the time high blood pressure create problems in other parts of the body as it damage to the blood vessels so the complications of Carotid artery blockage, Coronary heart disease, Cardiac arrhythmias, Stroke, Heart failure and many more impairments etc. 
How your hypertensive condition is managed by OLLC?
Regular Control of hypertension is possible with integrated approach that includes weight reduction, nutritional intervention with diet modification, stress and lifestyle management.
Stress and exciting states are managed through relaxation techniques of massages, breathing exercises and development of time management skills at OLLC.
Diet modification is made in the daily eating plan by incorporating therapeutic modifications and nutritional counseling for intake of important nutrients as sodium and potassium to manage the hypertension.
Clients are also advised for reducing the salt in cooking and at table may use herbs and spices to flavor their food and avoid the high salted processed foods.
Physiotherapists at OLLC plan customized physical activities as per individuals fitness level and health condition.

Emphasis is also given on behavioral and lifestyle modification to reduce the obesity. The blood pressure is monitored with regular intervals on the program. 

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