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Senior Journal: Today's News and Information for Senior Citizens & Baby Boomers

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Boomers, Seniors High Risk for High Blood Pressure

Dairy Products Making Comeback During Stroke Month

New studies show lowered risk for stroke, heart disease with milk, low-fat dairy

 

May is Stroke Month

 

Could you be the next face of stroke? Each year there are 700,000 new and recurrent strokes. For each of these 700,000 faces of stroke there are many more who feel the effect as a family member or friend of a stroke survivor. Find out now if you or a loved one is at risk for stroke and take action now. more at American Heart Association.

 

For the latest statistics on Cardiovascular Disease for Senior Citizens and Baby Boomers - Click Here

May 26, 2005 - A diet rich in milk does not increase the risk of heart disease and stroke, and may even be protective, says one study. While another suggests that increased intake of low-fat dairy foods, as part of a DASH-based eating plan, may lower blood pressure more effectively than a conventional low-fat diet -- a significant finding for the millions of Baby Boomers and Senior Citizens who suffer from high blood pressure, a major risk factor for stroke and heart attack.

(See "What is High Blood Pressure" and "What is a Stroke" below news story.)

The Milk Study

The research team in the milk study asked a representative sample of 764 men to weigh and record every item of food and drink they consumed for seven consecutive days. Just under 90% of the sample (665) produced complete and detailed diaries.

The men, who were all aged between 45 and 59, were taking part in the Caerphilly Cohort Study, which was set up between 1979 and 1983.

They were given comprehensive health check-ups, including a heart tracing (ECG) at the start of the study and subsequently every five years for a period of 20 years. Hospital and family doctor records were also checked.

During the study period, 54 men had a stroke and 139 developed symptomatic ischaemic heart disease (heart attack or angina), and 225 died.

At the start of the study, virtually all milk consumption was whole (full fat) milk, but a random sample of the surviving men in 2000, showed that almost all of them had switched to skimmed or semi skimmed milk within the preceding eight years.

Men who consumed the most milk every day (a pint or more) had a higher energy intake, suggesting that they were more active. Cholesterol levels and blood pressure readings were similar in high and low milk consumers (less than half a pint), and men who drank the least milk tended to drink the most alcohol.

Men who drank the most milk had a lower risk of ischaemic heart disease or stroke than those who drank the least, and in the case of stroke this risk was significantly lower. The findings held true even for those men who had started out drinking full fat milk.

The authors suggest that milk has had something of a bad press in respect of its impact on cholesterol, and they conclude: "The present perception of milk as harmful, in increasing cardiovascular risk, should be challenged, and every effort should be made to restore it to its rightful place in a healthy diet."

Their study is published in the Journal of Epidemiology and Community Health.
http://press.psprings.co.uk/jech/june/502_ch27904.pdf

The High Blood Pressure Study

Who Has High Blood Pressure?

 

The following have high blood pressure (defined as systolic pressure of 140 mm Hg or higher or diastolic pressure of 90 mm Hg or higher, or taking antihypertensive medicine):

   > At ages 55-64, 46.6 percent of men and 55.5 percent of women.

   > At ages 65-74, 60.9 percent of men and74.0 percent of women.

   > At age 75 and older, 69.2 percent of men and 83.4 percent of women.

 

Researchers studying low-fat dairy foods compared two diets -- one based on the DASH eating pattern and the other a typical low-fat diet -- combined with increased physical activity. The study found that for comparable weight loss, the DASH-based diet resulted in a greater decrease in blood pressure than did the low-fat diet.

The DASH (Dietary Approaches to Stop Hypertension) eating plan was developed by the National Heart, Lung and Blood Institute (NHLBI) and is comprised of 3 daily servings of lowfat dairy foods and eight to ten daily servings of fruits and vegetables. The government recently highlighted the health benefits of DASH by recommending the eating plan in the new Dietary Guidelines and MyPyramid, and NHLBI has designated May as National Blood Pressure Education Month. Click to information on DASH.

The study participants, consisting of 54 middle-aged men with a body mass index of about 30, were assigned to one of the two diets for 12 weeks and engaged in similar levels of physical activity. Both diet plans included lowfat or fat free dairy foods, fruits and vegetables, but at week 12, the DASH-based group reported a higher intake of dairy foods (approximately 4 daily servings compared to 2 1/2 among the low-fat group). There was no reported difference in fruit and vegetable intake between the two diet groups.

The authors speculate that a combination of factors such as lower sodium and increased potassium, calcium, and magnesium -- key nutrients found in dairy -- may be responsible for the greater effect of the DASH-based diet on the obesity-related elevated blood pressure. Potassium has long been seen as a key nutrient in lowering blood pressure. Each 8-ounce serving of milk provides about 350-400 mg of potassium, or 11 percent of the Daily Value (DV) per serving. Fluid milk is the number one source of potassium in the American diet and dairy foods provide 18 percent of the potassium in the U.S. food supply.

"DASH-recommended foods like fruits, vegetables and lowfat milk, cheese, and yogurt have been shown to be very effective in lowering blood pressure, as well as reducing the risk of other chronic diseases," said Melissa Joy Buoscio, MS, RD, CDE, National Dairy Council. "It's good news for people who can still eat foods they enjoy -- like chocolate milk, yogurt parfaits or even pizza with veggies and lowfat cheese -- and still get the health benefits."

The study was published this month in the American Journal of Clinical Nutrition.

For more information on the nutritional benefits of dairy foods, visit http://www.nationaldairycouncil.org/ . In addition, parents and educators can get recipes and tips on how to get 3-A-Day of Dairy at http://www.3aday.org/ .

The American Dairy Association/National Dairy Council (ADA/NDC) is managed by Dairy Management Inc., the nonprofit domestic and international planning and management organization responsible for increasing demand for U.S.-produced dairy products on behalf of America's dairy farmers.

What is High Blood Pressure

Blood pressure is the force of blood against the walls of arteries. When that force stays too high, it becomes a life-threatening condition—high blood pressure (also called hypertension). It makes the heart work too hard, hardens the walls of arteries, and can cause the brain to hemorrhage or the kidneys to function poorly or not at all.

A blood pressure reading of 140/90 mmHg or higher is considered high. Normal blood pressure is less than 120/80 mmHg.

Who does high blood pressure impact?

More than 65 million American adults — 1 in 3 — have high blood pressure

Nearly 60 million Americans are over age 55 which means they have a 90 percent likelihood of developing high blood pressure in their lifetimes.

African Americans are more likely to develop high blood pressure than any other racial or ethnic group and tend to develop it earlier and more severely than others.

18 million Americans have diabetes which increases their chances of developing high blood pressure.

122 million American adults are overweight or obese which increases their chances of developing high blood pressure.

Risky business

Anyone can develop high blood pressure. But these factors increase the risk: being overweight or obese, being physically inactive, high salt and sodium intake, low potassium intake (due to not eating enough fruits and vegetables), excessive alcohol consumption, and diabetes.

Why should you care about high blood pressure?

High blood pressure can lead to numerous other life-threatening conditions, including heart disease, stroke, and kidney failure, the #1, #3, and #9 causes of death in the United States.

High blood pressure is a factor in 67 percent of heart attacks in the United States.

High blood pressure is a factor in 77 percent of strokes—the #3 cause of death in the United States.

High blood pressure precedes 74 percent of cases of heart failure in the United States.

High blood pressure is the second leading cause of chronic kidney failure in the United States—responsible for 26 percent of all cases.

High blood pressure causes more visits to doctors than any other condition—just a 10 percent decline in the number of visits would save $478 million each year.

High blood pressure affects circulation—creating a higher risk for mental deterioration and Alzheimer's.

High blood pressure and its complications cost the U.S. economy more than $100 billion each year.

More from National Institutes of Health - http://hin.nhlbi.nih.gov/mission/abouthbp/abouthbp.htm

National Heart, Lung and Blood Institute (NHLBI).  Facts about high blood pressure.
http://hin.nhlbi.nih.gov/mission/abouthbp/abouthbp.htm .

What is a stroke?

A stroke or brain attack occurs when a blood clot blocks a blood vessel or artery, or when a blood vessel breaks, interrupting blood flow to an area of the brain. When a brain attack occurs, it kills brain cells in the immediate area. Doctors call this area of dead cells an infarct. These cells usually die within minutes to a few hours after the stroke starts.

When brain cells in the infarct die, they release chemicals that set off a chain reaction called the "ischemic cascade." This chain reaction endangers brain cells in a larger, surrounding area of brain tissue for which the blood supply is compromised but not completely cut off. Without prompt medical treatment this larger area of brain cells, called the penumbra, will also die. Given the rapid pace of the ischemic cascade, the "window of opportunity" for interventional treatment is about six hours. Beyond this window, reestablishment of blood flow and administration of neuroprotective agents may fail to help and can potentially cause further damage.

When brain cells die, control of abilities which that area of the brain once controlled are lost. This includes functions such as speech, movement, and memory. The specific abilities lost or affected depend on where in the brain the stroke occurs and on the size of the stroke (i.e., the extent of brain cell death). For example, someone who has a small stroke may experience only minor effects such as weakness of an arm or leg. On the other hand, someone who has a larger stroke may be left paralyzed on one side or lose his/her ability to express and process language. Some people recover completely from less serious strokes, while other individuals lose their lives to very severe strokes.

More from National Stroke Association - http://www.stroke.org/HomePage.aspx?P=94dab59ecbbd47f2804a5e44d275e29e

More from the American Stroke Association

http://www.strokeassociation.org/presenter.jhtml?identifier=1200037

 

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