I am so ready! Hi folks
I'm Bob Schrupp, physical therapist
Brad Heineck, physical therapist. Together we are the most famous physical therapists on the internet,
In our opinion of course Bob
Number one food that causes high blood pressure plus we're gonna give you the new guidelines for blood pressure that were
I think just established this last year, Brad.
Yeah, I'm really happy you brought this up because this is something I'm interested in
and I think everyone-- it's a little controversial
Right, over the age of 40 you're probably thinking about this
Yeah, so we're gonna present both sides by the way if you are new to our channel
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We upload every day and Brad is missing his cue, he's supposed to have the Facebook sign over here
[Brad] I've been doing that all day long Bob
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And like us because Brad and I, as children, were not liked and
We're trying to turn things around so it's Bob and Brad
Alright, he got the cue
Alright, we're gonna keep you hanging a little bit here Brad you know we're not gonna tell you the food quite yet
We're gonna first talk about why blood pressure is a problem, third in the United States people in the United States have high blood pressure
high blood pressure can damage your eyes
It can damage obviously arteries even causing strokes and heart attacks
It can thicken the heart wall because your heart is working harder and that can cause problems and it can damage your kidneys
So you know it's not something you want to dismiss by any means right and so
We'll talk about the guidelines
And what you know could be a problem, sure, now if you want to measure
Your blood pressure we found an instrument here that actually works pretty good
this is the
blood pressure monitor by Nursal
very simple to use
You want to make sure you got the right cuff size you want to make sure it's hooked up too by the way
Because if the cuff is too big for you or too small it's not gonna take an accurate measurement
You want me to hold onto it?
You know really all you need to know is that you can turn it on and you can turn it off
There's the orange button, there's other things you can
Keep track of different measurements for like you and me, you know go p1 p2, but right now
I'm just keeping it simple
Read the instructions you can go ahead, but all you got to do is you take the cuff here, and there's a little round
Indicator here. That's where you're supposed to put it over the brachial artery, the brachial artery's on the inside of the arm here
So if you get close to that area you're generally pretty good
Yeah you don't have to be exactly over it
I'm gonna get over to this area here, and then when this comes around this index thing is supposed to be
You're not supposed to go back past this line here, and it tells you all this in the instructions
These are things no matter what
manufacturer you get you want to look and make sure that
It's set up properly so you get an accurate read, you want to yeah follow all the guidelines
For one thing you want to make sure you've been resting for like five minutes. You don't cross your ankles
You should be seated in a 90/90 position
To be consistent
Yeah, make sure you just didn't recently done with exercise or eating even if you ate recently so all those things
so I'm just gonna go ahead and hit the on button and it's gonna take a few seconds here to
Inflate the cuff. Sit up nice and tall there Bob
I'm gonna get picky on you and what I did with this by the way is I took my blood pressure
Manually so I used a stethoscope
And then I took it with this, and I found this was consistently a little bit lower. Okay, but in its defense
Anytime I have my blood pressure taken somewhere else it's always lower than when I take it
Okay, so it may be actually fairly accurate the other thing is I took it many times with this and it was very
Consistent, right that's a big thing.Yeah. That's the big thing so
You know you can compare it to maybe what the doctor says
But this gave me the same numbers each time so my lower number's a little bit higher right now 121 over 82
Normally, I am lower than that. I'm sure I'm a little bit nervous. Yeah well
We got millions of people watching that's right, millions and billions so anyway so the easy way to do it
We'll put a link below, I like this. It's a fairly inexpensive unit for 20-some bucks
It's a good way to monitor your blood pressure. And again I used one of those once and I was consistently high for a few weeks
And I went in and I found out that I was just fine
That my monitor my electric one was
Just reading high, but at least I knew I was fine
Yeah, it was just high
So it was consistently high? Right
They'll even sometimes put a monitor on you for 24 hours because there's a lot of people that get that white coat syndrome where
They go on to see the doctor and their blood pressure gets, they're always high because they're nervous
And then one doctor mentioned even that
they put a monitor on this one person and like one minute after they leave the office the blood pressure goes down all when your
Oh when they monitor and right one minute before they went in there it went up, so it's just kind of interesting
Let's get to the number one food Brad. I think most people think it's salt and salt can be a problem
I know that some people try to downplay that but I mean I saw with my wife
She was taken to eating this broth that had high salt and
Her blood pressure just, right up with the usage of the broth intake up with the blood pressure
What some of the studies are showing now is that actually that refined
carbohydrates sugars
especially high fructose corn syrup
What you find in everything. I mean a lot of processed food, sure look into your ingredients
This is really causing a lot higher incidence of diabetes, but it's also resulting in higher blood pressure
So that's the one thing, it's really not good for you. I mean
You really want to try to avoid it as much as you can you and again you're gonna find it's in some cereals
It's in just look at any ingredients. You know the ingredients
I think most everyone knows is the the first few ingredients that are the highest in
Concentration and you'll be that high fructose syrup is up in their top few ingredients in many products
Yeah it was a less expensive way to manufacture food, and so it came very prevalent, and it tastes good
You know it's sweet
It tastes good, so people like it, I'm telling you if you want to make one change to your diet
That would be it, we're gonna name a couple other things that might be surprising to you
Another one is you have to watch your alcohol intake, you know for men they recommend not any more than two drinks a day
And for women not more than one so
And you know if you're gonna have you know the big 44-ounce beers that wouldn't work
That's a good point
They have size recommendation
What counts as one drink so if you get the wine glass that
You know it looks like a, and you fill it up to the top yeah, you can put a whole bottle in there
you can put a whole bottle in there
The other one probably is not any surprise to anybody would be smoking, it's gonna definitely raise blood pressure
So let's get to the new guidelines here Brad. Where did my marker go?
That's right here Bob
I'm gonna stand up Lonnie if that's all right
If it cuts his head off don't worry about it. They can look at me instead
So these are new guidelines that came out what they consider normal now is
120 over 80 and if you're below that you know keep up the good work you're doing a good job, okay
I'm just gonna go by what they're recommending on this and then we'll talk about some of the
opposing views of it
It's considered elevated if
You're in the range from 120 to 129 or 80 over 80 so this is again systolic over diastolic
The one that I tend to find you know
changes the most
From depending on what kind of stress you're on is the upper number
The lower number seems to be a little more stable, have you found that to be true or not Brad?
Yeah, I don't have any input on that, okay
High now they have it broken down in stages
High stage one is if you're in the 130 to 139 for a systolic and 80 to 89 for diastolic
Can you read these okay Lonnie?
High stage two is 140 or higher
90 over or higher then you can be in that stage two so if you're in you know
If you're in the elevated you want to keep an eye on it
You know you're gonna start monitoring to make sure it's not getting higher, if you're high stage one
This is when you want to maybe making some lifestyle change, getting rid of that high-fructose corn syrup
Maybe exercising more you know
Sleeping more getting stress out of your life
or you may want to start taking medications
At 140 over 90 they do recommend taking medications at that point
And you know this is called a hypertensive crisis is when you're at 180 over 120 or more
And I've had patients that have been there, right
It's time to get that down
Consult the doctor immediately, right, so but now
having said all this there was a
Kind of a rebuke of this by it was in JAMA
JAMA and if you're in the medical field you know that's a highly respected journal, yeah
By the University of Sydney and Bond University
And they're saying these guidelines could be a little bit dangerous because what they're finding is that
One thing systolic blood pressure, which is the the top one has poor
Reproducibility in other words a lot of the monitors do not
Monitor it correctly and so you may be getting some numbers that are not really accurate and so you're gonna make
recommendations based upon inaccurate numbers
the other thing they're saying is that 80% of
the people
If they were diagnosed as hypertensive under these guidelines. They would get no
Benefits from going on to the medicine. They'd be better off
Just not going on the medicine themselves, so the medicine was not bringing the blood pressure down
It would bring it down, but they're saying is they didn't have any other risk factors
And so that they really didn't need to be on the medicine, okay, so
With high blood pressure you look at more than just that number, the doctor should be looking at some other
Symptoms that the body may present with yeah, they just said right
Exactly if you've got the high blood pressure, the doctor should be looking at the other risk factors that you have to say
Hey, you know you got a high blood pressure, but everything else looks fine
So maybe we really don't need to and that's why you need to have your doctor involved on this. We're not trying to
I'm just saying don't panic if you're in these numbers
Go see your doctor then to discuss it with them
And say you know do I really need to be on medication or there's other choices? Do I really have risk factors?
So yeah, I don't know if I should bring this up now Bob, but you know 30 to 40 years ago
I don't remember the date, but at one time
This 140 over 90 was considered normal, okay. Yep, I remember this
I actually remember those numbers being fine
So well I don't know at that time were people dying left and right of heart attacks or having strokes
I don't know what the correlation is but
I actually had these numbers when I was in my 20s late 20s and early 30s
And I changed my lifestyle to bring them down
And I didn't use any medication just basically aerobic exercise, took care of it very nicely
Yeah, so I mean we're telling you not to panic here
And that's one thing that you know that this study was worried
Is that people are gonna get in these
You know stages where they should be treated
And they're gonna get depressed or it can raise their anxiety level, which brings your blood pressure up even more
That's exactly what they said Brad, it compounds, so you know
They're saying for the majority of people who are at low risk and not recommended for drug treatment about 25 million
The doctors should not label them as hypertensive because again the doctors should support healthy choices
But you know if you label them once with that. They're gonna say you know I'm hypertensive and like you said, they get anxious
They get depressed they get you know that causes all sorts of other issues
It's just a snowball effect to make the person less healthy than they really need to be because they're not relaxed
Yeah, so I think from the doctor standpoint what they're saying is you know
You recommend the healthy choices you watch their blood pressure
And you see what happens and if it gets better on their own obviously you didn't have to worry them in the first case so
Speaking about hypertensive I just thought of something Bob, normally
You're a lot taller than me, but now when I'm sitting you're standing how does that look Lonnie?
Quite a contrast I imagine.
Remember Brad and I, you know we gotta say it on this one,
Yeah, we can fix just about anything except for a broken heart
And we can't fix the high blood pressure either apparently so thanks for watching