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George Latimer, Westchester County ExecutiveMae Carpenter, Commissioner of Senior Programs & ServicesHypertension6010275202882500What Are High Blood Pressure and Prehypertension?Blood pressure is the force of blood against the walls of arteries. Blood pressure rises and falls throughout the day. When blood pressure stays elevated over time, it’s called high blood pressure. The medical term for high blood pressure is hypertension. High blood pressure is dangerous because it makes the heart work too hard and contributes to atherosclerosis (hardening of the arteries). It increases the risk of heart disease and stroke, which are the first- and third-leading causes of death among Americans. High blood pressure also can result in other conditions, such as congestive heart failure, kidney disease, and blindness.A blood pressure level of 140/90 mmHg or higher is considered high. About two-thirds of people over age 65 have high blood pressure. If your blood pressure is between 120/80 mmHg and 139/89 mmHg, then you have prehypertension. This means that you don’t have high blood pressure now but are likely to develop it in the future unless you adopt the healthy lifestyle changes described in this brochure.**Based on AHA 2018 GuidelinesSource: *Urmc.rochester.edu. (2018). Blood Pressure Quiz - Health Encyclopedia - University of Rochester Medical Center and *Nhlbi.. (2018). nhlbi.files/docs/public/heart/hbp_low.pdf [Accessed 17 Apr. 2018].Take the Blood Pressure QuizLearn about the risk factors for high blood pressure by taking this quiz. What is the most common symptom of high blood pressure?You didn't answer this question.You answered The correct answer is Because it usually has no obvious symptoms, high blood pressure (hypertension) is called the silent killer. A. Racing heartbeat B.High body temperature C.Fatigue D.It has no symptoms that you noticeAt what point is blood pressure considered "high"?You didn't answer this question.You answered The correct answer is You have high blood pressure when your blood pressure is 130/80 mmHg on several separate occasions. Blood pressure can be normal, elevated, or stage 1 or stage 2 high blood pressure: Normal blood pressure is 120/80. This means a systolic reading of less than 120 and a diastolic reading of less than 80. Elevated blood pressure is a systolic reading of 120 to 129 and a diastolic reading of less than 80. Stage 1 high blood pressure is a systolic reading of 130 to 139 or a diastolic reading between 80 and 89. Stage 2 high blood pressure is a systolic reading of 140 or higher or a diastolic reading of 90 or higher. A. 120 over 80 B.130 over 80 C.140 over 90 D.210 over 120Why does reducing how much salt you eat help prevent high blood pressure?You didn't answer this question.You answered The correct answer is People who are very sensitive to salt have blood pressure that reacts a lot to salt. The American Heart Association recommends that everyone--no matter what age, ethnic background, or health conditions--consume no more than 2,400 mg of sodium a day. In some cases, your healthcare provider may tell you to cut your sodium intake even more. A. It reduces fluid buildup in the body B. It allows vessels to relax C. It raises levels of HDL ("good") cholesterol D. It helps keep your heartbeat steady What can you do to control high blood pressure?You didn't answer this question.You answered The correct answer is Although you can't change certain risk factors such as age and family health history, you can choose a lifestyle that promotes heart health. A. Get to and stay at a healthy weight. B. Exercise regularly C. Take the blood pressure medicine prescribed by your doctor D. All of the aboveHigh blood pressure is the main cause of which of these?You didn't answer this question.You answered The correct answer is Over time, high blood pressure damages blood vessels. This damage is called arteriosclerosis and atherosclerosis. These conditions increase your risk not only for stroke, but also heart attacks and kidney disease. A. Cancer B. Strokes C. Diabetes D. Congestive heart failureWhich of these can increase your risk of high blood pressure?You didn't answer this question.You answered The correct answer is A direct cause isn't known in most cases, however.A. Obesity B. A family history of high blood pressure C. Smoking D. All of the above *Answer Key 1- The correct answer is D. It has no symptoms that you notice. Because it usually has no obvious symptoms, high blood pressure (hypertension) is called the silent killer. 2- The correct answer is B. 130 over 80. You have high blood pressure when your blood pressure is 130/80 mmHg on several separate occasions. Blood pressure can be normal, elevated, or stage 1 or stage 2 high blood pressure3-The correct answer is A. It reduces fluid buildup in the body. People who are very sensitive to salt have blood pressure that reacts a lot to salt. The American Heart Association recommends that everyone--no matter what age, ethnic background, or health conditions--consume no more than 2,400 mg of sodium a day. In some cases, your healthcare provider may tell you to cut your sodium intake even more.4- The correct answer is D. All of the above. Although you can't change certain risk factors such as age and family health history, you can choose a lifestyle that promotes heart health.5- The correct answer is B. Strokes. Over time, high blood pressure damages blood vessels. This damage is called arteriosclerosis and atherosclerosis. These conditions increase your risk not only for stroke, but also heart attacks and kidney disease. 6- The correct answer is D. All of the above. A direct cause isn't known in most cases, howeverDepartment of Senior Programs and ServicesMae Carpenter, CommissionerFunded through the Department of Health and Human Services, the New York State Office for the Aging and the Westchester County Department of Senior Programs and Services (WCDSPS). In accordance with Federal law, the WCDSPS prohibits discrimination because of race, color, sex, national origin, religion, age or handicap, in all spects of the provision of services for the benefit and welfare of Senior Citizens, and in all employment practices including hiring, firing, promotion, compensation and other terms, conditions and privileges of employment. Further, subcontractors of the WCDSPS shall be required to meet the above stated standards3181350-26860500Sample meal plan for DASH dietBreakfast (258 calories)Fig & Honey Yogurt? 2/3 cup nonfat plain Greek yogurt? 5 dried figs, chopped? 2 tsp. chia seeds? 1 1/2 tsp. honeyTop yogurt with figs, chia seeds and honey.A.M. Snack (52 calories)? 1/2 cup grapesLunch (350 calories)White Bean & Avocado Salad? 2 cups mixed greens? 3/4 cup chopped veggies, such as cucumber and cherry tomatoes? 1/3 cup canned white beans, rinsed? 1/2 avocado, diced? 2 Tbsp vinegar Top salad greens with veggies, beans, avocado and vinaigrette. Toss to combine.P.M. Snack (35 calories)? 1 clementineDinner (489 calories)? 1 serving grilled chicken breast with baked potatoes and a side of vegetables.Snack (195 calories)? 1 serving nut butter and a banana to enjoy after dinnerDaily Totals: 1,184 calories, 41 g protein, 155 g carbohydrates, 30 g fiber, 53 g fat, 818 mg sodium*EatingWell. (2018). DASH Diet Meal Plan. [online] Available at: [Accessed 17 Apr. 2018].George Latimer, Westchester County ExecutiveMae Carpenter, Commissioner of Senior Programs & ServicesLower Your Blood Pressure with DASHWhile the good news about the DASH Diet has been around for some time now, not all people are aware of this eating plan and how it has proven to decrease blood pressure. DASH = Dietary Approaches to Stop Hypertensionrightcenter00In a large study funded by the National Heart, Lung, and Blood Institute (NHLBI), the DASH eating plan was shown to be most effective among plans for lowering blood pressure that were tested. Participants eating three servings of low-fat dairy foods combined with a low-fat diet, high in fruits and vegetables experienced a greater reduction in blood pressure than did those who ate a diet high in fruits and vegetables alone. A greater reduction in blood pressure was shown in blood pressure in the groups who restricted sodium to 2,300mg and furthermore with those who restricted sodium to 1,500mg.The DASH Eating Plan Eat at least 2 to 3 servings of low-fat dairy products every day. Eat at least 3 to 5 servings of vegetables every day.Eat at least 4 to 5 servings of fruit every day. The remainder of the diet should focus on whole grains, lean protein, including nuts and beans, and healthy fats.Working towards a DASH eating planStart small. Make a few changes at a time. For example, if you eat vegetables only at dinner, try cutting up carrot sticks and having some with your lunch. Sneak more milk into meals to boost daily calcium and other minerals. Add milk instead of water to your soups and hot cereals. Choose milk-based desserts such as low-fat puddings. Snack on fruits and vegetables. Mix nuts with raisins and other dried fruit for a tasty treat. Start your day with whole grain cereal, fat-free milk, and sliced bananas. Remember! Contact a Registered Dietitian to assist you creating an individualized meal plan to help control your blood pressure.Department of Senior Programs and ServicesMae Carpenter, CommissionerFunded through the Department of Health and Human Services, the New York State Office for the Aging and the Westchester County Department of Senior Programs and Services (WCDSPS). In accordance with Federal law, the WCDSPS prohibits discrimination because of race, color, sex, national origin, religion, age or handicap, in all spects of the provision of services for the benefit and welfare of Senior Citizens, and in all employment practices including hiring, firing, promotion, compensation and other terms, conditions and privileges of employment. Further, subcontractors of the WCDSPS shall be required to meet the above stated standards ................
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