A Functional Nutrition Approach to Hypertension

A Functional Nutrition Approach to Hypertension

A COMMON CONSEQUENCE

Hypertension (high blood pressure) is the main consequence of most metabolic diseases, including obesity, atherosclerosis, insulin resistance, systemic inflammation, and impaired mitochondria, liver, and kidney function.

All of these conditions—for one reason or another—impact the body’s ability to maintain sodium balance, fluid balance, and/or vascular health.

A FUNCTIONAL APPROACH TO BLOOD PRESSURE BALANCE

Consequently, hypertension is the greatest risk factor for heart attack, stroke, and premature death.

A functional approach seeks to address the root causes of blood pressure imbalance by focusing on diet, lifestyle, and metabolic health.

MEASURING BLOOD PRESSURE

Blood pressure is measured as systolic/diastolic (heart contraction/relaxation).

NORMAL: <120/<80 mmHg

AT RISK: 120-139/80-89 mmHg

HYPERTENSION: 140&/90& mmHg

*references ranges may vary by provider

A Functional Nutrition Approach to Hypertension

WHAT ABOUT SODIUM?

Reducing sodium seems to make a difference in individuals with salt-sensitive hypertension.

Sodium molecules pull water molecules, so reduced sodium levels reduce fluid levels, which then reduces blood pressure.

So the simple physics of osmosis means that lower sodium intake can result in lower blood pressure in the short term.

While that may motivate some to use less table salt, the main source of sodium is highly-processed foods (even those that do not taste overly salty).

Nutritionally, the most powerful ways to support healthy blood pressure are to eat a colorful, diverse, whole food diet and to increase levels of other nutrients that balance sodium, like potassium and magnesium.


SUPPORT HEALTHY BLOOD PRESSURE

MINIMIZE SUGAR & SWEETENERS

support healthy blood pressure (and blood sugar) levels by choosing foods that are higher in protein, fat, & fiber

EAT WHOLE FOODS

a Mediterranean-style diet is very supportive for cardiovascular health, especially fish, seafood, garlic, and vegetables high in potassium & magnesium

MOVE YOUR BODY

daily exercise is one of the most powerful ways to support metabolic & cardiovascular health

SUPPLEMENTAL NUTRIENTS

potassium, magnesium glycinate, vitamin C, CoQ10, EPA & DHA

A Functional Nutrition Approach to Hypertension

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References

Centers for Disease Control and Prevention. (2021) Blood Pressure. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/bloodpressure/

Centers for Disease Control and Prevention. (2021, September 14). Salt. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/salt/.O'Donnell, M., Mente, A., & Yusuf, S. (2015). Sodium intake and cardiovascular health. Circulation research, 116(6), 1046–1057. https://doi.org/10.1161/CIRCRESAHA.116.303771

Alderman, M. H., & Cohen, H. W. (2012). Dietary sodium intake and cardiovascular mortality: controversy resolved?. Current hypertension reports, 14(3), 193–201. https://doi.org/10.1007/s11906-012-0275-6DiNicolantonio, J. J., Niazi, A. K., Sadaf, R., O' Keefe, J. H., Lucan, S. C., & Lavie, C. J. (2013). Dietary sodium restriction: take it with a grain of salt. The American Journal of Medicine, 126(11), 951–955. https://doi.org/10.1016/j.amjmed.2013.05.020

Jones, D. S., Bland, J. S., & Quinn, S. (2010). Textbook of Functional Medicine. Institute for Functional Medicine.Gaby, A. R. (2017). Nutritional Medicine (2nd ed.). Fritz Perlberg Publishing.Castro, I., Waclawovsky, G., & Marcadenti, A. (2015). Nutrition and physical activity on hypertension: implication of current evidence and guidelines. Current hypertension reviews, 11(2), 91–99. https://doi.org/10.2174/1573402111666150429170302

Haddy F. J. (1987). Dietary sodium and potassium in the genesis, therapy, and prevention of hypertension. Journal of the American College of Nutrition, 6(3), 261–270. https://doi.org/10.1080/07315724.1987.10720188Kirabo A. (2017). A new paradigm of sodium regulation in inflammation and hypertension. American journal of physiology. Regulatory, integrative and comparative physiology, 313(6), R706–R710. https://doi.org/10.1152/ajpregu.00250.2017

Seedat Y. K. (1989). Nutritional aspects of hypertension. South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 75(4), 175–177.

Semplicini, A., Ceolotto, G., Massimino, M., Valle, R., Serena, L., De Toni, R., Pessina, A. C., & Dal Palù, C. (1994). Interactions between insulin and sodium homeostasis in essential hypertension. The American journal of the medical sciences, 307 Suppl 1, S43–S46.

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