Explaining the Hypertension Link in Women

2015_aug27_life1Did you know that “hypertension” and high blood pressure, often used interchangeably, is really the same thing? Patients often misunderstand the truth about hypertension, thinking it is brought on by stress, anxiety or other emotional occurrences in one’s life. In reality, hypertension is a physiological dysfunction that researchers have found can turn into a chronic disease if left alone and untreated.

A simple blood pressure test, which usually happens as soon as you sit on the doctor’s table prior to a check-up, tells your physician what your systolic pressure is as the heart pumps blood out as well as the diastolic pressure while your heart relaxes and refills with blood. This is measured in mercury millimeters (mmHg). Making your weekly trip to the grocery store? Most pharmacies and groceries also offer reliable and free testing stations to make sure your blood pressure is what it should be based on normal blood pressure ranges. Normal blood pressure ranges are below 120 systolic and 80 diastolic. 120 to 139 systolic or 80 to 89 diastolic are deemed “pre-hypertension”, increasing your risk of hypertension without intervention. Above 140 and 90? Hypertension has occurred.

A recent study that appeared in the Therapeutic Advances in Cardiovascular Disease Journal found that 1 in 3 adults in the US have high blood pressure. Previous studies thought that high blood pressure and hypertension was the same whether the test subject was a man or a woman. This most recent study discovered that women, compared with men who had the same level of blood pressure, had increased vascular disease…in the whereabouts of 30-40%! One reason researchers believe hypertension in women can be more severe is the fact that there are physiologic differences in the cardiovascular system to include types of hormone levels that help regulate a woman’s blood pressure.

So, what can you do to stay healthy and prevent stroke and heart disease?

Because hypertension can build up for years without showing symptoms, it’s important to get regular check-ups. It’s a growing epidemic and researchers believe that diet and lifestyle changes need to be made to combat this deadly trend. Excessive alcohol, salt intake in the foods American’s eat as well as lack of exercise all leads to higher blood pressure and hypertension. Smoking is also detrimental to a healthy lifestyle and keeping your blood pressure under control. Women during the menopausal years will also see a rise in their blood pressure as a result of hormonal imbalances. In some circumstances, balancing the hormonal levels can normalize blood pressure. It also seems that younger adults are battling with high blood pressure, getting diagnosed as early as their 20s and 30s. Starting a wellness plan early, exercising and eating right, will decrease your chances of developing high blood pressure and vascular disease.

With the new findings, women need to make sure they are combining regular check-ups with regular physical activity. Many times, women are focused on taking care of the other family members, often neglecting their own health. Because hypertension can creep up silently and without warning symptoms, it’s important to take the new research “to heart”. Treatment of hypertension in women may require earlier diagnosis as well as more aggressive management than what was previously thought to be acceptable. Heart disease, unfortunately, is now the leading cause of death in women.

If you want to learn more about hypertension in women or have questions, Dr. Raman can help.

Dr. Raman is focused on holistic care and good health maintenance. Patients at her Concierge Medical Practice may benefit from bioidentical hormone therapy and a medically supervised weight management program to help ease the symptoms associated with progesterone and estrogen changes.

For more information or to schedule an appointment, please CONTACT our office today! You can also learn more by connecting with Dr. Raman on FacebookTwitterLinkedIn, and Pinterest.

Sleep and Your Health: The Importance of Getting the Right Amount

”Frenzied corporate cultures still confuse sleeplessness with vitality and high performance. An ambitious manager logs 80-hour work weeks, surviving on five or six hours of sleep a night and eight cups of coffee (the world’s second-most widely sold commodity, after oil) a day. A Wall Street trader goes to bed at 11 or midnight and wakes to his BlackBerry buzz at 2:30 am to track opening activity on the DAX. A road warrior lives out of a suitcase while traveling to Tokyo, St. Louis, Miami, and Zurich, conducting business in a cloud of caffeinated jet lag. A negotiator takes a red-eye flight, hops into a rental car, and zooms through an unfamiliar city to make a delicate M&A meeting at 8 in the morning.” — Harvard Business Review

Last year, the Centers for Disease Control called insufficient sleep a public epidemic. It is estimated that nearly half of all American adults get less than the minimum recommendation of seven hours of sleep per night. With that many people operating on inadequate sleep, fatigue is so common that it’s easy to overlook the serious nature of the issue. However, with insufficient sleep being cited for auto and industrial accidents and increasing a person’s risk of chronic disease, the case for getting enough sleep should be heard.

Sleep and Reaction Timesleeping-couple-1-700x400

Sleep studies have consistently shown that “function” (identified by reaction time measured in a variety of tests) is almost 100 percent impacted by sleep. In fact, a NASA-funded study at the University of Pennsylvania showed that people who self-identify as being able to fully function on less sleep actually experienced more substantial delays in reaction time than people who self-identified as needing (and finding a way to get) eight to 10 hours of sleep per night.

While these reduced reaction time results on controlled tests are alarming, the reality is even worse. Lack of sleep by key personnel has been cited in nuclear power plant disasters, the Exxon Valdez oil spill, and the Challenger space shuttle explosion. Maybe your job doesn’t require intense focus, but a lack of sleep can impact the results of everyday activities just as drastically. Law enforcement agencies across the U.S. consider driving a car under the effect of extreme fatigue identical to driving while drunk.

Sleep Habits and Risks for Disease

Lack of sleep’s effect on overall health is also of great concern. Inadequate sleep is known to increase the risk for the following:

  • Obesity
  • Heart disease
  • Heart attacks
  • High blood pressure
  • Colon cancer

There also seems to be a link between lack of sleep and a higher risk of developing dementia and Alzheimer’s disease. Reduced testosterone levels have been measured in men who reported getting six hours of sleep per night or less.

Not getting enough sleep also negatively affects the immune system. That’s why a person might find oneself coming down with a cold or flu after an extended period of reduced sleep. Studies have shown that T-cell count (which is often used to measure immune system function) is relative to a person’s average amount of sleep. Likewise, there’s a reason your doctor recommends rest when you’re ill: fever response is better while we sleep.

Sleep deprivation can also lead to muscle loss and fat gain. With too little sleep, the body is also more likely to produce the stress-response hormone, cortisol. After sleep deprivation, subjects in several studies had higher levels of cortisol later in the day, a time when it should be tapering off to prepare the body for rest. Heightened cortisol prompts the body to store more fat and be more inclined to use other soft tissue, such as muscle, as energy which means that sleep-deprived dieters lose more muscle and gain more fat than do those who are well rested. One study found that after two weeks of minor calorie restriction (10 percent less than their daily energy expenditure), subjects who were getting 5.5 hours in bed a night lost just 0.6 kilogram of fat but 2.4 kilograms of other tissue, such as muscle. Subjects who got 8.5 hours slumber each night lost 1.4 kilograms of fat and 1.5 kilograms of other tissue. “Some of these metabolic effects occur pretty quickly,” Dr. Mehra – Journal of the Academy of Nutrition and Dietetics.

Oversleeping: Too Much of a Good Thing?

Just as not getting enough sleep is unhealthy, getting too much sleep isn’t a good thing either. There may be times (such as with illness or during periods of excess stress) when your body may feel an increased need for sleep, and this is normal. However, oversleeping on a regular basis should be watched carefully. Researchers acknowledge a strong association between frequent oversleeping and depression and/or other underlying health concerns like heart disease.

Sleep Recommendations

Children up to age 12 should aim for about 10 hours of sleep per night, teens should get 9-10 hours per night and adults should get 7-8 hours per night. Naps can occasionally supplement shortened overnight sleep, but sleep cycles depend on a specific chunk of time, so it’s still important to focus on getting a good night’s sleep.

Discuss Your Concerns with a Trusted Physician

Dr. Raman’s Concierge Medical Practice is focused on caring for each patient with comprehensive, individualized treatment options and health programs.   Our office is committed to helping find the best solutions for you and your particular needs.

Like many other conditions, sleep disorders affect each person differently and require a very personalized approach to care. For more information on healthy sleep habits, please contact us today or schedule an appointment with Dr. Raman.