Word: fatted
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...year later, the Ashburn, Va., man exercises regularly, takes hypertension medication, and has dropped his fast-food burger habit in favor of low-fat grilled chicken. He has a lower-stress job with the county department of family services and is the father of a new baby boy. "I'd like to be around for him," he says. His new blood pressure should help. It's 120/80...
...muscle mass is fine in the biceps, but it's bad in the heart, which must be lean and flexible to work as it should. Worse, if a person with hypertension has high cholesterol, the deteriorating condition of vessel walls creates rough spots that serve as toeholds for circulating fats. As fat collects into plaques, they can break free, particularly if vessels are repeatedly being slammed by blood rushing out from the overworked heart. Breakaway plaque can lead quickly to a heart attack...
...make lifestyle changes and purchase medicines," says the CDC's Labarthe. Indeed, a 10-country, 85,000-person study revealed that, worldwide, it is whites who are as much as twice as likely to suffer from hypertension, with countries like Poland and Finland--where diets are high in fat and low in fruits and vegetables--leading the way. In a socioeconomic environment in which African Americans are often forced to eat cheap, unhealthy food (the National Institutes of Health is worried particularly about cured meats, pickled foods, canned fish, salty snacks and sauces), it's no wonder their blood pressure...
Another variable is not just how much weight you're carrying but where you're carrying it. Most of our swaddling of fat is located under the skin and over the muscle, but around the abdomen there is another layer beneath the muscles. This so-called visceral fat produces inflammatory molecules that lead to insulin resistance and diabetes. The same molecules also destroy nitric oxide, which is critical to the ability of the blood vessels to relax. "Central fat is a linchpin in the abnormalities that lead to hypertension," says Dr. James Sowers of the Downstate Medical Center...
...prescription that can work. The NHLBI promotes an eating plan called the DASH diet (for dietary approaches to stopping hypertension), with menus low in fats, salt, cholesterol, red meat and sweets and high in fruits, vegetables, grains, fish, poultry, nuts and low-fat dairy foods. Alcohol consumption should be limited, with men having two drinks or fewer a day and women--or men with small body mass--just one. In the very short term, alcohol may lower blood pressure; over time, however, it elevates it. Exercise is important, with aerobic activity--as little as 30 minutes of brisk walking--recommended...