New Haven Register (New Haven, CT)

Control BP through lifestyle

- Dr. Michael Roizen Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic.

The bass-baritone voice of Barry White can raise your blood pressure, but his heart and kidneys paid a price. He tipped the scale at 375 pounds and died in 2002 from kidney failure related to high blood pressure.

Now a new lab study on mice, published in JCI Insight, reveals that there’s a connection between the long-term use of ACE inhibitors and angiotensi­n receptor blockers to control high blood pressure and hardened kidney vessels — which can cause permanent kidney damage. And even though it’s an animal study, it makes you think about the benefits of using nonpharmac­ological interventi­ons to lower elevated blood pressure.

A major paper in the journal Hypertensi­on in 2017 laid out the most science-based lifestyle approaches to managing high blood pressure — “especially for prevention of hypertensi­on, including in adults with elevated BP, and for management of high BP in adults with milder forms of hypertensi­on.” They are: — Losing weight

— Following the DASH diet and reduced sodium intake

— Taking potassium supplement­s (ask your doc)

— Exercising weekly: 90-150 minutes of aerobics at 65%-75% of your maximum heart rate and 90-150 minutes of low-impact, high-intensity muscle training along with isometric resistance exercises — using a hand grip.

— Limiting alcohol intake to two servings a day for men and one for women.

If lifestyle interventi­on doesn’t do the trick and your doctor recommends medication to lower your blood pressure and protect your heart and brain, take it! Simply make sure you monitor your kidney function and heart carefully so you can protect both organ systems safely and effectivel­y.

Health pioneer Michael Roizen, M.D., is chief wellness officer emeritus at the Cleveland Clinic and author of four No. 1 New York Times bestseller­s. His next book is “The Great Age Reboot: Cracking the Longevity Code for a Younger Tomorrow.” Do you have a topic Dr. Mike should cover in a future column? If so, please email questions@ GreatAgeRe­boot.com.

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