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Home : Your Physical Health : High Blood Pressure: Treat it for Life

High Blood Pressure: Treat it for Life
From the National Institutes of Health

Section 1: Your High Blood Pressure
  • What is blood pressure?
  • Testing for high BP
  • How do you rate?
  • Section 2: Taking Action to Control High Blood Pressure
  • Lose weight if you need to
  • Be physically active
  • Foods low in sodium
  • Limit your alcohol intake
  • Take your high BP pills
  • Types of Medications
  • Possible side effects
  • Section 3: Special Concerns
  • Women & birth control pills
  • Older persons
  • African Americans
  • People with diabetes
  • People with high cholesterol
  • Choose foods low in salt and sodium.

    Americans eat more salt (sodium chloride) and other forms of sodium than they need. And guess what? They also have high rates of high blood pressure.

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    Tips on Reducing Salt and Sodium

    --Add less salt at the table and in cooking. Reduce the amount a little each day until none is used. Try spices and herbs instead.

    --Cook with low-salt ingredients. Remove salt from recipes whenever possible- rice, pasta, and hot cereals can be cooked with little or no salt.

    --Use fewer sauces, mixes, and "instant" products- this includes flavored rices, pasta, and cereal, since they usually have salt added.

    --Use fresh, frozen, or canned fruits.

    --Use vegetables that are fresh, frozen without sauce, or canned with no-salt-added.

    --Check nutrition labels for the amount of sodium in foods. Look for products that say "sodium free," "very low sodium," "low sodium," "reduced" or "less sodium," or "unsalted," especially on cans, boxes, bottles, and bags.

    --Rinse salt from canned foods.

    --Limit smoked, cured, or processed beef, pork, or poultry.

    --Watch out for sodium in medicines- for instance, some antacids contain sodium.


    Studies show that when some people cut back on salt and sodium, their blood pressure drops. It happens particularly among African-Americans and the elderly.

    Sodium occurs naturally in foods. It also is added to food in various ways: during processing, cooking, or at the table.

    People with high blood pressure should eat no more than about 2.4 grams (2,400 milligrams) of sodium a day. That equals 6 grams or 1 teaspoon of table salt. But remember that the 6 grams includes ALL salt eaten—including that in processed foods and added during cooking or at the tale. And for people with high normal blood pressure, cutting back on salt and sodium is also a good way to prevent blood pressure from rising.

    These days, it’s easier than ever to keep track of how much salt and sodium you eat. Information on salt and sodium is available on new food labels (see next page). Tips on how to reduce your salt and sodium intake are listed above. The sodium content of some foods is listed below. This list also highlights foods high in saturated fat and cholesterol that you may need to eat less of is you have high blood cholesterol. Also, see the sample menus and recipes.

    Read The Label

    Reading food labels will help you choose foods low in calories, total and saturated fat, cholesterol, and sodium. Labels have two important parts: the nutrition information and the ingredients list. Also, some labels have different claims like "reduced" or "light". Here’s a closer look at labels.

    Read the nutrition information

    Look for the amount of calories, sodium, total and saturated fat on a food product’s nutrition label, shown at the left. If you have high blood pressure, compare similar products to find the one with the smallest amounts of sodium, as well as fat and calories if you also need to lose weight.

    Look at the ingredients

    All food labels list the product’s ingredients in descending order by weight. The ingredient in the greatest amount is listed first. The ingredient in the least amount is listed last. So, when watching your sodium look on the label for the words "sodium" or "salt." As you can see from the ingredients box to the left, if either word is listed first or more than once on the label, then the food probably has a lot of sodium.


    Learning the Claims on Labels

    Just what does "sodium free" or "low sodium" mean? Here are the answers:

    ·Sodium free = less than 5 mg of sodium in a serving

    ·Low sodium = 140 mg or less of sodium in a serving

    ·Very low sodium = 35 mg or less of sodium in a serving

    ·Reduced or less sodium = sodium at 25 percent less per serving than the regular version of that food

    ·Light or light in sodium = sodium at least 50 percent less per serving than the regular version of that food

    ·No salt added = no salt is added during processing in a food that usually has salt added

    Pork Principles

    Many people think pork should not be eaten when trying to cut back on sodium. But fresh pork usually has no more sodium than do beef and poultry. Here are a few principles to help you keep pork dishes low in sodium:

    • Choose fresh lean pork like pork chops, pork loin, or pork roast. Fresh pork has about the same amount of sodium as any other fresh cut of meat.

    • Take care of how the pork is prepared. Spice it up with some of the low sodium seasonings. Also try the recipe for baked pork chops.

    • Cut back on cured and processed pork like bacon, ham, sausage, and luncheon meats. Such products are very high in sodium.

    Getting the Low-Down on Low Sodium Products

    Many food products come in "low" or "reduced sodium" versions. Among these are:

    convenience foods (such as frozen dinners)

    mixed dishes (such as pizza)

    packaged mixes

    salad dressings

    vegetable juices

    canned vegetables

    soups (including dried soup mixes and bouillon)

    condiments (such as catsup and soy sauce)

    snack foods (such as chips, processed pretzels, and nuts)

    crackers

    baked goods

    cheeses

    butter and margarine

    processed meats


    . . . . . . Spicy Choices . . . . . .

    Get out of the salt shaker rut and open your spice rack to lots of new tastes. Here are some great choices—

    Basil Bay leaves Chili powder
    Cinnamon Cumin Curry powder
    Dill Dry mustard Fruit juices
    Garlic or Garlic powder (NOT garlic SALT) Ginger Marjoram
    Mint Nutmeg Onion or Onion powder (NOT onion SALT)
    Oregano Paprika Parsley
    Pepper (black and red) Poultry seasoning Rosemary
    Sage Tarragon Thyme
    No-salt spice blends


    . . . . . . . Spice it Up . . . . . . .

    It’s easy to make foods tasty without using salt. Try these foods with the suggested flavorings, spices, and herbs:


    Meat

    Beef Bay leaf, garlic, marjoram, nutmeg, onion, pepper, sage, thyme
    Lamb Curry powder, garlic, rosemary, mint
    Pork Garlic, onion, sage, pepper, oregano
    Veal Bay leaf, curry powder, ginger, marjoram, oregano
    Chicken Ginger, lemon juice, lime juice, marjoram, oregano, paprika, poultry seasoning, rosemary, sage, tarragon, thyme
    Fish Curry powder, dill, dry mustard, lemon juice, lime juice, marjoram, paprika, pepper


    Vegetables

    Carrots Cinnamon, cloves, marjoram, nutmeg, rosemary, sage
    Corn Cumin, curry powder, onion, paprika, parsley
    Green Beans Dill, curry powder, lemon juice, marjoram, oregano, tarragon, thyme
    Greens Onion, pepper
    Peas Ginger, marjoram, onion, parsley, sage
    Potatoes Dill, garlic, onion, paprika, parsley, sage
    Squash
    Summer
    Winter

    Cloves, curry powder, marjoram, nutmeg, rosemary, sage
    Cinnamon, ginger, nutmeg, onion
    Tomatoes Basil, bay leaf, dill, garlic, marjoram, onion, oregano, parsley, pepper

    Sodium in Foods (in milligrams)


    Meat, Poultry, Fish, and Shellfish
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Fresh meat (including lean cuts of beef, pork, lamb and veal), poultry, finfish, cooked, 3 oz. Less than 90
    Shellfish, 3 oz. 100-325
    Tuna, canned, 3 oz. 300
    *Sausage, 2 oz. 515
    *Bologna, 2 oz. 535
    *Frankfurter, 1-1/2 oz. 560
    Boiled Ham, 2 oz. 750
    Lean Ham, 3 oz. 1,025

    Eggs
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Egg white, 1 55
    *Whole Egg, 1 65
    Egg substitute, ¼ cup = 1 egg 80-120

    Dairy Products
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Milk
    *Whole milk, 1 cup 120
    Skim or 1% milk, 1 cup 125
    Bulttermilk, salt added, 1 cup 260
    Cheese
    *Natural cheese:
    *Swiss cheese, 1 oz. 75
    *Cheddar cheese, 1 oz. 175
    *Bleu cheese, 1 oz. 395
    Low fat cheese, 1 oz. 150
    *Processed cheese and cheese
    spreads, 1 oz. 75
    Lower sodium and fat versions, 1 oz. Read the label
    *Cottage cheese, (regular), ½ cup 455
    Cottage cheese, (low fat), ½ cup 460
    Yogurt
    *Yogurt, whole milk, plain, 8 oz. 105
    Yogurt, fruit or flavored, low fat or non fat, plain, 8 oz. 120-150
    Yogurt, nonfat or low fat, plain, 8 oz. 160-175

    Vegetables
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Fresh or frozen vegetables, or no salt and canned (cooked without salt), ½ cup Less than 70
    Vegetables, canned, no sauce, ½ cup 55-470
    *Vegetables, canned or frozen with sauce, ½ cup Read the label Tomato juice, canned, ¾ cup 660

    Breads, Cereals, Rice, Pasta, Dry Peas and Beans
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Breads and Crackers
    Breads, 1 slice 110-175
    English muffin, ½ 130
    Bagel, ½ 190
    Cracker, saltine type, 5 squares 195
    *Baking powdered biscuit, 1 305
    Cereals
    Ready-to-eat
    Shredded wheat, ¾ cup Less than 5
    Puffed wheat and rice cereals, 1-1/2 to 1-2/3 cup Less than 5
    Granola-type cereals, ½ cup 5-25
    Ring and nugget cereals, 1 cup 170-310
    Flaked cereals, 2/3 to 1 cup 170-360
    Cooked
    Cooked cereal (unsalted), ½ cup Less than 5
    Instant cooked cereal, 1 packet = ¾ cup 180
    Pasta and Rice
    Cooked rice and pasta, (unsalted), ½ cup Less than 10
    *Flavored rice mix, cooked, ½ cup 250-390
    Peas and Beans
    Peanut butter, unsalted, 2 tbsp. Less than 5
    Peanut butter, 2 tbsp. 150
    Dry beans, home cooked, (unsalted), or no salt added canned, ½ cup Less than 5
    Dry beans, plain, canned, ½ cup 350-590
    *Dry beans, canned with added fat or meat, ½ cup 425-630

    Fruits
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Fruits (fresh, frozen, canned), ½ cup Less than 10

    Fats and Oils
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Oil, 1 tbsp. 0
    *Butter, unsalted, 1 tsp. 1
    *Butter, salted, 1 tsp. 25
    Margarine, unsalted, 1 tsp. Less than 5
    Margarine, salted, 1 tsp. 50
    Imitation mayonnaise, 1 tbsp. 75
    *Mayonnaise, 1 tsp. 80
    *Prepared salad dressings, low calorie, 2 tbsp. 50-310
    *Prepared salad dressings, 2 tbsp. 210-440

    Snacks
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Popcorn, Chips, and Nuts
    Unsalted nuts, ¼ cup Less than 5
    Salted nuts, ¼ cup 185
    *Unsalted potato chips and corn chips, 1 cup Less than 5
    *Salted potato chips and corn chips, 1 cup 170-285
    Unsalted popcorn, 2-1/2 cups Less than 10
    Salted popcorn, 2-1/2 cups 330
    Candy
    Jelly beans, 10 large 5
    *Milk chocolate bar, 1 oz. bar 25
    Frozen Desserts
    *Ice cream, ½ cup 35-50
    Frozen yogurt, low fat or non fat, ½ cup 40-55
    Ice milk, ½ cup 55-60

    Condiments
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Mustard, chili sauce, hot sauce, 1 tsp. 36-65
    Catsup, steak sauce, 1 tbsp. 100-230
    Salsa, tartar sauce, 1 tbsp. 85-205
    Salt, 1/6 tsp. 390
    Pickles, 5 slices 280-460
    Soy sauce, lower sodium, 1 tbsp. 600
    Soy sauce, 1 tbsp. 1,030

    Convenience Foods
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    **Canned and dehydrated soups,
    1 cup 600-1,300
    **Lower sodium versions Read the label
    ***Canned and frozen main dishes,
    8 oz. 500-1,570
    ***Lower sodium versions Read the label

    *Choices are higher in saturated fat, cholesterol, or both.
    **Creamy soups are higher in saturated fat and cholesterol
    ***Limit main dishes that have ingredients higher in saturated fat, cholesterol, or both.
    Source: Adapted from Home and Garden Bulletin 253-7, U.S. Department of Agriculture, July 1993

    . . . . . Take Care Beware . . . . .

    Some fatty foods contain large amounts of salt. Examples include processed pork, bacon, and corned beef.

    Also "fast foods" can contain both salt and fat. At the restaurant, ask that salt not be added to your meal during cooking. To cut down on how much of these foods you have, try eating smaller portions. If possible, choose foods that are baked or grilled—and hold the mayo and special sauces such as barbecue or tartar. These tips are also important for those trying to lose weight.



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