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GUILDELINES for BLOOD PRESSURE, RISK FACTORS, LIFE SYLE MODIFICATION ISSUED in 2003 BY JOINT NATIONAL COMMITTEE  and EUROPEAN SOCIETY  of  HYPERTENSION  In the interest of public
BLOOD PRESSURE http://power-point- slides.blogspot.com / CATEGORY SYSTOLIC DIASTOLIC NORMAL < 120 and < 80 PRE-HYPERTENSION 120 – 139 or 80 – 89 HYPERTENSION STAGE-I 140 - 159 or 90 – 99 STAGE-II > 160 - 179 or 100 - 109 STAGE-III > 180 or > 110
RISK FACTORS http://power-point- slides.blogspot.com / MAJOR RISK FACTORS TARGET ORGAN DAMAGE BP ,[object Object],[object Object],[object Object],[object Object],[object Object],SMOKING OBESITY INACTIVITY HIGH BLOOD LIPID DIABETES PROTEIN IN URINE AGE : Men > 55, Women > 65 FAMILY HISTORY of CARDIOVASCULAR DISEASE
LIFE STYLE MODIFICATION http://power-point- slides.blogspot.com / MODIFICATION RECOMMENDATION WEIGHT REDUCTION Maintain normal body weight  (BMI  < 24.9) DIETARY CHANGES Increase fruits, vegetables, Reduce dairy fat products, decrease total fat and saturated fat LESS SALT INTAKE 2.4 gms Sodium or 6 gms of NaCl PHYSICAL ACTIVITY Engage in most of the days 30 minutes  per day  aerobic activity (brisk walk) MODERATE ALCOHOL Limit alcohol drink to 720 ml beer / 30 ml wine /  60ml of whiskey per day
WHAT IS YOUR BMI ? http://power-point- slides.blogspot.com / U must know your height and weight CATEGORY BMI UNDER WEIGHT < 20 NORMAL 20 – 24.9 OVER WEIGHT 25 – 29.9 OBESE 30 – 39.9 SEVERLY OBESE > 40
BMI HEIGHT in cms WEIGHT IN Kgs 50 55 60 65 70 75 80 85 90 95 100 152 21 23 26 28 30 32 35 36 39 41 43 155 21 23 25 27 29 31 33 35 37 39 42 157 20 22 24 26 28 30 33 35 37 39 41 160 20 21 23 25 27 29 31 33 35 37 39 162 19 21 23 25 27 29 31 33 34 36 38 165 18 20 22 24 26 28 29 31 33 35 37 167 18 20 22 24 25 27 29 31 32 34 36 170 17 19 21 23 24 26 28 29 31 33 35 172 17 19 20 22 24 25 27 29 31 33 34 175 16 18 20 22 23 25 26 28 29 31 33 177 16 18 19 21 22 24 26 28 29 31 32 180 15 17 18 20 21 23 25 27 28 30 31
SMOKING : choice is yours With each cigarette : 4000 chemical compounds, 400 toxic substances, Temp 700 0  C at tip, 60 o C in core Very damaging : Tar, Nicotin, Carbon-monoxide, Particulate matter High risk in side stream smoke ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ALCOHOL CALORIE COUNT Beer  500 ml  180 Rum  100 ml  220 Gin  100 ml  220 Whiskey 100 ml  220 Champagne 100 ml  126 Sherry  100 ml  110 Martini  100 ml  75 Bacardi  250 ml  118 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LIPID PROFILE : Where U should be?   http://power-point-slides.blogspot.com/ GOOD FAIR POOR CHOLESTEROL < 200 200 – 240 > 240 TRIGLYCERIDE < 150 150 - 200 > 200 HDLC > 45 36 - 45 < 35 LDLC < 100 100 – 145 > 145 CHOL : HDLC   < 3.3  3.3 - 4.4 > 4.5 HDLC : LDLC < 0.5 0.5 - 3.0 > 3
OIL : What to use?   PUFA :   Protects the Heart   MUFA :  Lowers the blood Cholesterol SFA :  Increases blood Cholesterol, Triglycerides and hardens blood  vessels leading to BP/Heart  attack/ Brain stroke.   PUFA  or  MUFA  have little to protect  than  SFA  which is more  DAMAGING http://power-point-slides.blogspot.com/ OIL PUFA MUFA SFA CANOLA OIL 61 33 4 KUSUMA OIL 75 14 10 SUNFLOWER OIL 72 16 12 SOYABEAN OIL 55 29 16 COTTON SEED OIL 50 19 29 MAIZE OIL 45 16 12 SEASAME OIL 42 38 20 GROUND NUT OIL 28 48 24 MUSTARD OIL 25 - 30 PALM OIL 10 39 51 VANASPATI OIL 6 18 76 DESIGHEE 4 - 28 COCONUT OIL 2 - 98
TIPS on EXERCISES http://power-point-slides.blogspot.com/ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Health

  • 1. GUILDELINES for BLOOD PRESSURE, RISK FACTORS, LIFE SYLE MODIFICATION ISSUED in 2003 BY JOINT NATIONAL COMMITTEE and EUROPEAN SOCIETY of HYPERTENSION In the interest of public
  • 2. BLOOD PRESSURE http://power-point- slides.blogspot.com / CATEGORY SYSTOLIC DIASTOLIC NORMAL < 120 and < 80 PRE-HYPERTENSION 120 – 139 or 80 – 89 HYPERTENSION STAGE-I 140 - 159 or 90 – 99 STAGE-II > 160 - 179 or 100 - 109 STAGE-III > 180 or > 110
  • 3.
  • 4. LIFE STYLE MODIFICATION http://power-point- slides.blogspot.com / MODIFICATION RECOMMENDATION WEIGHT REDUCTION Maintain normal body weight (BMI < 24.9) DIETARY CHANGES Increase fruits, vegetables, Reduce dairy fat products, decrease total fat and saturated fat LESS SALT INTAKE 2.4 gms Sodium or 6 gms of NaCl PHYSICAL ACTIVITY Engage in most of the days 30 minutes per day aerobic activity (brisk walk) MODERATE ALCOHOL Limit alcohol drink to 720 ml beer / 30 ml wine / 60ml of whiskey per day
  • 5. WHAT IS YOUR BMI ? http://power-point- slides.blogspot.com / U must know your height and weight CATEGORY BMI UNDER WEIGHT < 20 NORMAL 20 – 24.9 OVER WEIGHT 25 – 29.9 OBESE 30 – 39.9 SEVERLY OBESE > 40
  • 6. BMI HEIGHT in cms WEIGHT IN Kgs 50 55 60 65 70 75 80 85 90 95 100 152 21 23 26 28 30 32 35 36 39 41 43 155 21 23 25 27 29 31 33 35 37 39 42 157 20 22 24 26 28 30 33 35 37 39 41 160 20 21 23 25 27 29 31 33 35 37 39 162 19 21 23 25 27 29 31 33 34 36 38 165 18 20 22 24 26 28 29 31 33 35 37 167 18 20 22 24 25 27 29 31 32 34 36 170 17 19 21 23 24 26 28 29 31 33 35 172 17 19 20 22 24 25 27 29 31 33 34 175 16 18 20 22 23 25 26 28 29 31 33 177 16 18 19 21 22 24 26 28 29 31 32 180 15 17 18 20 21 23 25 27 28 30 31
  • 7.
  • 8.
  • 9. LIPID PROFILE : Where U should be? http://power-point-slides.blogspot.com/ GOOD FAIR POOR CHOLESTEROL < 200 200 – 240 > 240 TRIGLYCERIDE < 150 150 - 200 > 200 HDLC > 45 36 - 45 < 35 LDLC < 100 100 – 145 > 145 CHOL : HDLC   < 3.3 3.3 - 4.4 > 4.5 HDLC : LDLC < 0.5 0.5 - 3.0 > 3
  • 10. OIL : What to use?   PUFA : Protects the Heart MUFA : Lowers the blood Cholesterol SFA : Increases blood Cholesterol, Triglycerides and hardens blood vessels leading to BP/Heart attack/ Brain stroke. PUFA or MUFA have little to protect than SFA which is more DAMAGING http://power-point-slides.blogspot.com/ OIL PUFA MUFA SFA CANOLA OIL 61 33 4 KUSUMA OIL 75 14 10 SUNFLOWER OIL 72 16 12 SOYABEAN OIL 55 29 16 COTTON SEED OIL 50 19 29 MAIZE OIL 45 16 12 SEASAME OIL 42 38 20 GROUND NUT OIL 28 48 24 MUSTARD OIL 25 - 30 PALM OIL 10 39 51 VANASPATI OIL 6 18 76 DESIGHEE 4 - 28 COCONUT OIL 2 - 98
  • 11.