MBF Method Corp.
"The quiet killer" - what is hipertension?

   Everybody has blood pressure. It reflects the stress on the wall of arterial blood vessels created by the work of the heart. Normally, blood reaches all parts of the body without problems. However, when the arterial blood vessels begin to narrow, the necessary life sustaining level of blood flow is maintained by increasing blood pressure. Such condition is referred to as "high blood pressure" or hypertension. Many people who have high blood pressure do not feel it and are not aware of it. Often such unawareness ends in tragedy. It is not by chance that hypertension is called the 'quiet killer'. Last year alone 300,000 people died because they weren't aware of and did not treat hypertension.

   When blood pressure is measured, two numbers are recorded: the first stands for systolic (maximal) and the second for diastolic (minimal) pressure. According to their value, the blood pressure is rated as normal, mildly elevated, moderately elevated and significantly elevated. The condition in which blood pressure can suddenly increase to alarming levels commands the most concern. There are cases in which the diastolic pressure is normal, while the systolic pressure is above the norm (160 mm Hg and higher). Such condition is called 'isolated systolic hypertension'. It is found in two thirds of older adults suffering from hypertension. Until recently such form of hypertension was not considered dangerous. Today, the opinion of the experts is to the contrary. Treatment for systolic hypertension is not just an option, but is highly indicated, since it helps prevent strokes and serious cardiovascular problems. There also exists the so-called 'hidden hypertension' (angioneurotic). It manifests itself in different situations when an individual is subjected to distressing emotions, discomfort and other pressures of the external environment. Up to a certain point this condition does not require treatment. However, if such episodes are prolonged and frequently recurrent without any attempt by the individual to eliminate or diminish the stressful situations, such hidden hypertension can metamorphose into persistent form, leading to a variety of associated consequences. Blood pressure can be lowered as well, but this is usually not threatening.

   There is a common stereotype of a person with hypertension - someone who is always nervous or overweight. Nevertheless, people who are calm and slim also suffer from high blood pressure. There is a variety of underlying reasons for the disease. They can be a result of genetic predisposition, narrowing of small blood vessels, administration of oral contraceptives, as well as fatigue, smoking, alcoholism, overconsumption of salt and fats and long history of hormonal medications. Certain professions carry a high risk of hypertension. Hypertension is higher among 'white collar professionals' than 'blue collar' workers. Many computer professionals, professional drivers, and teachers have and increased risk of developing hypertension.

   The first stage of hypertension leads to arteriosclerosis (the thinning and hardening of blood vessels), atherosclerosis (accumulation of lipids in the vessel walls) and aneurysms (weakening and distention of blood vessels). If hypertension reaches the second stage, it can lead to infarcts, strokes, hormonal imbalances, diseases of the kidneys and eyes. Untreated high blood pressure is dangerous to those suffering from diabetes, high cholesterol levels, obesity and other diseases.

   The multitude of mechanisms of hypertension requires a variety of prevention and treatment methods of this disease. Prophylaxis and treatment of the early stages of hypertension is based on proper nutrition, physical exercise and avoidance of stressful situations. It has been proven, that by merely changing their lifestyle 25% of individuals suffering from hypertension can lower their blood pressure to within normal limits. The remaining three quarters must take medication, while diet, exercise and relaxation techniques are emphasized even more. Such approach has led to decreasing incidents of stroke to 50% and incidents of coronary heart disease to 35% of those in previous years.

Regarding the methodology of drug therapy.
   A variety of drugs are used to treat hypertension. They are divided into 4 categories: diuretics, beta-blockers, calcium channel blockers, and ACE inhibitors (angiotensin synthesis blockers). Each class holds a large, ever increasing list of medications. It is important not to lose one's way in this myriad of drugs and find the ones that will provide the needed effect while keeping side effects to a minimum. The more focused the process of choosing the drug, the less suffering will 'trial and error' method bring, which is so common during the drug selection process.

Regarding nutrition for hypertension patients and how to lose weight?
   Proper nutrition lowers blood pressure, especially in the early stages of the disease. It can also boost the effectiveness of drugs, allows to lower the dosage and lowers the undesirable effects of hypertension on its target organs - the heart, brain and kidneys. The diet should be structured in such a way that it helps both to lower the blood pressure and to lose weight. A 15% decrease in weight can allow for significant lowering in the blood pressure. Losing even a few pounds can improve the course of the disease. It is important to emphasize that weight loss aiming to lower blood pressure should be achieved through loss of adipose tissue and not muscle mass. Otherwise the effect of weight loss on blood pressure will be diminished. The methods of lowering body weight used in our office is based on computerized determination of anthropometric indicators (height, weight, body proportions), determination of body fat content, calorie requirement calculations and food product selection based on the individual dietary habits. It is obvious that effective reduction in weight requires specialized exercises, performed under the supervision of experienced specialists in the conditions of our technologically cutting-edge gym. Specialized massages, deep tissue electrical stimulation and other physiotherapy methods are also used.

Can exercise lower blood pressure?
   Judge for yourself! We precisely determine the level of physical stress experienced during the exercises. This is not just a determination of the possibility or impossibility of exercising, but a precise calculation of the level of stress at which the mechanisms of blood pressure regulation are being trained, together with the cardiovascular and respiratory systems. Many people begin physical training not knowing and not realizing the consequences of selecting inappropriate exercises and exercise conditions. If an individual with hypertension begins to exercise using inadequate loads, the opposite of the desired effect can ensue.

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