Kamis, 01 Maret 2012

STAY HEALTHY WITH DASH DIET

Assalamualaikum..

How's life today guys?  In a good condition I hope.. :)
Talking about health, do you check your blood pressure regularly or not? If your blood pressure is measured high, then it is called hypertension. Mostly hypertension gives no sign or symptom. Thus, It is called the "silent killer". Blood Pressure is the force of blood against artery wall and recorded as two numbers : systolic and diastolic.  Essential hypertension is characterised by a sustained systolic pressure of greater than 140 mm Hg and a diastolic BP at greater than 90 mm Hg. There is a widely held misconception that hypertension is a single disease that can be treated with a single recipe. Here I show you the complex pathophysiology scheme of essential hyertension:

(Vikrant, et.al 2001)

DASH diet or Dietary Approaches to Stop Hypertension is kinda of diet which is formulated specially to treat hypertension.  Scientists supported by the National Heart, Lung, and Blood Institute (NHLBI) conducted two key studies found that blood pressures were reduced with an eating plan that is low in saturated fat, cholesterol, and total fat and that emphasizes fruits, vegetables, and fat-free or low-fat milk and milk products. This eating plan known as DASH diet. The DASH diet helps to lower blood pressure by providing more key nutrients which are associated with lower blood pressure. Let me share toyou what are the key nutrient and  how do they work and block the process of hypertension.

INCREASE !
a. Fiber
Helps you feel full and promotes good digestion. Fiber bind bile acid resulting in lower absorption of fat and bile acid it self. Atherosclerosis which causing vasoconstriction decreased and blood pressure back to normal (Almatsier, 2001).
b. Potassium :
Counters salt’s ability to raise blood pressure. Additonally, Potasssium as intracellular kation control liquid osmolality, thus block the movement of liquid from intracellular to extracellular (Hasibuan, 2011).
c. Calcium
make blood vessels and muscles function properly. (US News and World Report)
d. Magnesium
Magnessium as inhibitor of smooth muscle vessel contraction and has an important role as vasodilator (Krause, 2005). In Additon, Magnessium as cation in intracelular liquid with potassium control the liquid balance (Hasibuan, 2011). When you taking diuretic medication, you will loose magnessium, thus you need additional intake of magnessium in your eating plan.

DECREASE !
a. Natrium
Excess sodium intake induces hypertension by increasing fluid volume and preload, thereby increasing cardiac output. Sodium excess may increase blood pressure in multiple other ways as
well; affects vascular reactivity and renal function.
b. Fat
Especially saturated fat, cholesterol, and fat total because they damage endotellium of vessel. 

A sorce said that The DASH eating plan has been proven to lower blood pressure in just 14 days, even without lowering sodium intake. Best response came in people whose blood pressure was only moderately high, including those with prehypertension. For people with more severe hypertension, who may not be able to eliminate medication, the DASH diet can help improve response to medication, and help lower blood pressure. The DASH diet can help lower cholesterol, and with weight loss and exercise, can reduce insulin resistance and reduce the risk of developing diabetes


Reference :
Almatsier, sunita. 2001. Prinsip Dasar Ilmu Gizi. Jakarta : Gramedia Pustaka Utama
Hasibuan, VT. 2011. Nutrisi yang dibutuhkan untuk memelihara status kesehatan pasien hipertensi. http://repository.usu.ac.id/bitstream/123456789/26922/4/Chapter%20II.pdf
Mahan, Kathleen. 2005.Krause’s food and nutrition therapy. Saunders : California
Sanjay Vikrant, SC Tiwari. 2001. Essential Hypertension – Pathogenesis and Pathophysiology. Dalam Journal, Indian Academy of Clinical Medicine _ Vol. 2, No. http://medind.nic.in/jac/t01/i3/jact01i3p140.pdf
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute. 2006. Your Guide to Lowering Your Blood Pressure with DASH Eating Pattern. http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf 

By Emirani Falahia

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