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Medical Forum / General / Cardiology / May 2006

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Question about Metabolic Syndrome

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George - 30 May 2006 00:41 GMT
What is the best measure of being overweight?  Is it BMI or something else?
My BMI is around 24, and I have a muscular build.  Should I consider losing
weight?  The reason I ask is that I'm on meds for hypertension and would
like to cut back or eliminate the medications.

George
Jim Chinnis - 30 May 2006 01:47 GMT
"George" <nospam@nospamplease.com> wrote in part:

>What is the best measure of being overweight?  Is it BMI or something else?
>My BMI is around 24, and I have a muscular build.  Should I consider losing
>weight?  The reason I ask is that I'm on meds for hypertension and would
>like to cut back or eliminate the medications.
>
>George

The best single measure is probably waist circumference. In practice, it
should probably be waist circumference divided by height, but data aren't
classified that way. The reason BMI continues to be used despite its
weaknesses is that it's always been done that way.

You can also have measurement of % body fat done.
--
Jim Chinnis   Warrenton, Virginia, USA
Jim Chinnis - 30 May 2006 16:31 GMT
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote in part:

>"George" <nospam@nospamplease.com> wrote in part:
>
[quoted text clipped - 11 lines]
>
>You can also have measurement of % body fat done.

I should have added that waist-to-hip ratio is becoming something of a
standard, maybe to replace BMI.
--
Jim Chinnis   Warrenton, Virginia, USA
William Wagner - 30 May 2006 16:35 GMT
> Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote in part:
>
[quoted text clipped - 18 lines]
> --
> Jim Chinnis   Warrenton, Virginia, USA

http://www.bmi-calculator.net/waist-to-hip-ratio-calculator/

Enjoy!

Bill

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J.ay - 30 May 2006 02:15 GMT
George,

Other than weight, how is your sodium intake? Most hypertensive persons do
not monitor sodium intake adequately.  Recommendations are under 2400 mg a
day, or 1 mg per calorie intake. But some reconditions are for much lower,
less than 1500 mgs.

See:
http://www.nhlbi.nih.gov/new/press/17-1998.htm

Dash Diet:
http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/

Also:
http://www.pritikin.com/eperspective/0605/hypertensionSaltPotassium.shtml

J

PS. Why the header subject about Metabolic Syndrome?

> What is the best measure of being overweight?  Is it BMI or something
> else? My BMI is around 24, and I have a muscular build.  Should I consider
> losing weight?  The reason I ask is that I'm on meds for hypertension and
> would like to cut back or eliminate the medications.
>
> George
Juhana Harju - 30 May 2006 05:30 GMT
: George,
:
: Other than weight, how is your sodium intake? Most hypertensive
: persons do not monitor sodium intake adequately.  Recommendations are
: under 2400 mg a day, or 1 mg per calorie intake. But some
: reconditions are for much lower, less than 1500 mgs.

Besides limiting sodium intake, pay attention that you get enough potassium,
calsium and magnesium as their is some evidence that adequate intake of
these blood pressure lowering minerals can lower blood pressure even more
than limiting sodium intake.

Some dietary approaches lower blood pressure at least as effectively as one
single blood pressure medication. The low sodium DASH diet, developed by the
Harvard researchers, is so far the best hypotensive diet. In the latest
version of DASH an increase in healthy proteins made the DASH diet even
slightly more effective. In practise this means replacing some carbs with
vegetable proteins, like tofu, other pulses and nuts.

Abnormal endothelial function has been shown to have an adverse effect on
blood pressure also. Endothelial function can be enhanced by limiting the
intake of transfats and saturated fats. The diet should include omega-3
fatty acids form both vegetable and marine sources and a variety of
phytochemicals which are also very important for the endothelial function.

One of the most potent sources of phytochemicals is pomegranate juice which
has been shown to reduce blood pressure very effectively. Some other
important phytochemical sources are green tea, red wine, and hibiscus tea,
to name just few.

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Juhana

 
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