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Major_Disease_States_and_Preventive_Care_fall_2012 (3)

Brain stroke transient ischemic attack dementia 2

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Brain (stroke, transient ischemic attack, dementia) 2. Eyes (retinopathy) 3. Heart (left ventricular hypertrophy, angina or myocardial infarction, heart failure) 4. Kidney (chronic kidney disease) 5. Peripheral vasculature (peripheral arterial disease) Hypertension: Target Organ Damage
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Nutrition and Hypertension DASH diet ↑ fiber intake Fruits and vegetables ↓ saturated fat and cholesterol intake Low-fat dairy Low-sodium diet Limit alcohol consumption Your Guide to Lowering Your Blood Pressure with DASH. NHLBI. 1998 (revised 2006)
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DASH Diet Your Guide to Lowering Your Blood Pressure with DASH. NHLBI. 1998 (revised 2006)
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Reading Food Labels Your Guide to Lowering Your Blood Pressure with DASH. NHLBI. 1998 (revised 2006)
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Physical Activity and Hypertension Reduces BP in all individuals Aerobic exercise Moderate intensity “at least 30 minutes per day, most days of the week” Seventh Report of the Joint National Committee of Prevention, Detection, Evaluation, and  Treatment of High Blood Pressure: The JNC 7 Report. JAMA 2003.
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Effect of Lifestyle Modification on Blood Pressure Modification Reduction in SBP Weight loss 5-20 mmHg/10 kg DASH diet 8-14 mmHg Low-sodium diet 2-8 mmHg Physical activity 4-9 mmHg Alcohol consumption 2-4 mmHg Seventh Report of the Joint National Committee of Prevention, Detection, Evaluation, and  Treatment of High Blood Pressure: The JNC 7 Report. JAMA 2003.
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Risk Assessment Risk Calculator
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DYSLIPIDEMIA
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Dyslipidemia Total cholesterol (TC) is comprised of: Low-density lipoprotein cholesterol: LDL-C High-density lipoprotein cholesterol: HDL-C Triglycerides: TG
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Dyslipidemia: Risk Factors Genetics Physical inactivity Dietary Smoking Excess alcohol intake Diabetes mellitus Hypothyroidism Kidney disease
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Therapeutic Lifestyle Changes (TLC) National Cholesterol Education Program’s Expert Panel on Detection, Evaluation, and Treatment of High  Blood Cholesterol in Adults, Adult Treatment Panel III. NCEP ATP III. Circulation. 2001.
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Nutrition and Dyslipidemia Component Recommended Intake Average American Total fat calories 25-35% of total daily calories 32-37% Saturated fat < 7% of total daily calories 11-15% Cholesterol < 200 mg/day Men: 337 mg/day Women: 217 mg/day Therapeutic Lifestyle Changes (TLC) diet:  Fat intake   Dietary options that lower LDL-C Plant sterols/stanols (2 g/day) Viscous (soluble) fiber (10-25 g/day):  through dietary or  supplemental sources
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Nutrition and Dyslipidemia Heart Mark Criteria: Nutritional Guidelines Updated Sept 2011, Accessed September 24, 2012
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Physical Activity and Dyslipidemia Emphasis on amount over intensity 30 minutes most days of the week Incorporate aerobic & resistance-training Effect on cholesterol panel: LDL and TGs HDL
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Determining LDL Goal:
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