Can I still exercise if I have high blood pressure? Listen to what the experts say

   My blood pressure is high, so I don’t dare to exercise because I am afraid that my blood pressure will be higher. “Aunt Xu, 78, said. “I’m afraid that it will be bad if I don’t exercise. I insist on walking 10,000 steps every day, but my blood pressure is high…” said the 88-year-old Uncle Chen. Many hypertensive patients feel that their daily blood pressure is controlled. No, exercising again will be dangerous and unsafe. Should people with high blood pressure exercise? How?

  Tan Hong, chief physician of the Department of Cardiovascular Medicine, Guangdong Provincial People’s Hospital, pointed out that scientific physical activity can prevent diseases, delight the body and mind, and promote health. For patients with high blood pressure, they are encouraged to exercise according to their ability because of a healthy lifestyle. It is one of the measures for the treatment of high blood pressure; of course, exercises are divided into categories and strengths. Patients of different ages and different conditions should choose different exercise methods.

  A,Choose the right item: aerobic exercise is the mainstay

   The number of patients with chronic diseases represented by hypertension in my country has been increasing. How should hypertensive patients of different ages choose a sport that suits them?

   Tan Hong suggested that all exercises should be carried out under the premise of controlling blood pressure. When the blood pressure is too high and not fully controlled at the normal value, it is not suitable for moderate-intensity exercise, but appropriate daily activities such as walking are still feasible.

   Young hypertensive patients can do moderate to high-intensity aerobic exercises, such as cycling, running, playing basketball, etc., at least 5 days a week, at least 30 minutes each time; at the same time, they can also cooperate with some strength type Training, such as dumbbells, sit-ups, etc., 2-4 times a week. In addition, swimming is also a good choice.

   For elderly hypertensive patients, if you do not have the habit of doing medium and high-intensity exercise, you can do exercises to enhance balance, such as standing on one foot, standing with heels, standing with closed eyes, etc. There are also exercises to prevent falls, and you can also sleep Exercise exercises for both feet on the bed to exercise the strength and flexibility of the lower limbs. Generally, 5 days a week, 30 minutes each time, if you have limited mobility, you should also ensure that you exercise more than three days a week.

   Tan Hong reminded that the purpose of exercise is to move hands and feet to prevent muscle atrophy and joint stiffness. Therefore, it is best not to simply choose one exercise. A combination of multiple forms of exercise will be more effective.

  B,Choose the right time: Do not exercise on an empty stomach in the morning

   all say, “The plan for a day lies in the morning.” Many middle-aged and elderly people like to go out to the park to do exercises on an empty stomach in the early morning. In fact, Tan Hong pointed out that the most suitable time of day for exercise is 4 to 5 in the afternoon. why? First, 6 to 10 in the morning is the peak time of human blood pressure. Exercise will increase blood pressure and increase the risk of high blood pressure, and fasting exercise is relatively easy to cause hypoglycemia. Therefore, you should eat something before exercising; For the environment, the evening is the time when the oxygen content in the air is the highest in the day, and it is suitable for exercise; third, you should take the medicine as prescribed by your doctor before exercise to avoid the increase in blood pressure during exercise.

  C,What about people with multiple diseases?

  Many middle-aged and elderly hypertensive patients also suffer from multiple diseases, such as diabetes, coronary heart disease, atrial fibrillation, and pulmonary hypertension. Tan Hong suggested that for patients with complex diseases, it is best to consult a cardiologist before exercise. The doctor will give personalized advice based on the severity of the patient’s condition.

   Tan Hong once admitted to a 50-year-old male patient who had been suffering from high blood pressure for seven or eight years, and at the same time suffered from complications of aortic dissection. He needed to take a variety of drugs, but regular drug treatment controlled the condition. Yes, coupled with his frequent swimming exercises, his blood pressure has been well controlled.

  Tan Hong believes that if the patient has just experienced a serious illness, he should pay more attention to the gradual and gradual increase in exercise when choosing exercise. If you have symptoms of heart failure (such as chest tightness) during normal sitting, it is not suitable for outdoor exercise. You can take a walk in the living room at home when the state is stable; wait a short walk outdoors after the symptoms are relieved. Even better, you can increase the walking speed and increase the time for activities.

  Experts emphasized that no matter what kind of exercise, the most important thing is not to cause physical discomfort. If you feel unwell, don’t hold on to it and seek medical attention in time.

  Sports Mistakes

  1, “Exercise can definitely lower blood pressure?”

   The process of exercise itself is a process of increasing heart rate and blood pressure, but after exercise, it is conducive to lower blood pressure. Regular and appropriate exercise can help patients lower their blood pressure by 3-5 mmHg, but this number has individual differences. Hypertension is a chronic disease and is irreversible. Treatments such as exercise and drugs all slow down the deterioration of the disease and reduce the risk of disability and death. From an overall point of view, exercise can indeed improve the overall condition of patients with hypertension, and drug treatment is the most important and effective method, and exercise cannot be replaced.

  2, “If you walk ten thousand steps a day, can you stay healthy?”

   Walking ten thousand steps a day is an exercise method that varies from person to person if the body can bear it. Some patients are clearly already unwell, and still insist on walking. This is harmful to the body but no benefit. Exercise should be done according to one’s ability. For the elderly over 70, the pursuit of tens of thousands of steps per day will cause excessive knee wear, excessive muscle fatigue, and the loss outweighs the gain. If the body tolerates it, it is more appropriate to walk 6000-8000 steps a day. (Reporter Chen Yingping, Intern Xie Jiayi, Correspondent Jin Ting)

The calf is most likely to deposit dampness and cold

   Some people often have cold, swollen, painful and numb calves in winter. Even in summer, their legs do not feel warm and their feet are even more afraid of cold. From the perspective of Chinese medicine, this is all insidious in the body. The ancient medical work “Huangdi Neijing” called “yin toxin” a pathogenic factor, which often turned into cold, dampness, and blood stasis in the body. Chen Zhongjie, MD, deputy chief physician of the Department of Pain at the Acupuncture Hospital of the Chinese Academy of Chinese Medical Sciences, said that because the yin toxins tend to go downwards, they are easy to deposit in the yin parts, so the calf is the hardest hit area for yin toxins.

   Chinese medicine believes that everything that is moving, extroverted, rising, warm, and bright belongs to yang; relatively static, inward, falling, cold, and dark belong to yin. The yin and yang of the viscera and meridians of the human body are also different. In general, the head belongs to yang and the lower limbs belong to yin. As a tangible evil, insidious poison can harm the body from shallow to deep.

   wet poison. In “Suwen·Taiyinyangming Theory”, it is said that “who is hurt by dampness, the next one receives it first.” In other words, the lower part will first be affected by damp evil. The wetness tends to decrease, like water flowing down. Moisture toxins are divided into external moisture and internal moisture. The external moisture is caused by being in a humid environment for a long time, or wading through water or being exposed to rain, and external moisture toxins invade the human body. The internal dampness is caused by the loss of the normal function of the spleen. The spleen governs the transportation and transformation of water dampness, and problems with the spleen will cause the water dampness to stop gathering and form internal dampness. Damp toxin invades the body manifested as soreness and swelling of the lower limbs, heavy sleepiness, and increased female vaginal discharge.

   cold poison. Cold toxin invades the lower limbs, mainly cold and pain in the lower limbs, and fear of cold on weekdays. Traditional Chinese medicine believes that cold toxin is divided into external cold and internal cold. External cold is called cold evil, which usually causes illness in winter or when the temperature changes suddenly. Inner cold is the lack of yang in the body, which has lost its normal warmth and warmth. Signs of Deficiency. “Cold” affects the blood circulation of the human body. When the blood is warm, it circulates, and when it is cold, it stagnates. Therefore, “cold” can easily cause blood vessel blockage and other diseases.

   stasis toxin. Stasis refers to the stagnation of blood in the body and the inability to circulate normally. Deficiency of Qi, stagnation of Qi, and cold blood can all cause blood stasis. Stasis can affect the blood circulation of the whole body or part of the body, manifested as pain, bleeding, lumps, and accompanied by changes in the color of the lower limbs, and obvious blood stasis. Many patients with varicose veins of the lower limbs are classified as stasis. If the body is stagnant for a long time, the complexion will become dark, the skin will be dry, the lips will become darker, and the collaterals under the tongue will have blood stasis.

  Because the three types of insidious poisons are all of the yin-biased attribute, the treatment should be based on the “yang-biased attribute” method to detoxify. For people with dampness, it is recommended to soak their feet in warm water for about 20 minutes a day; eat some warm foods, such as lamb, dried ginger, cinnamon, etc.; you can also choose moxibustion at home to warm and nourish Yang Qi, Mingmen, Qihai, Guanyuan It is recommended to moxibustion 1~2 times a week for 15~30 minutes each time. People with blood stasis should usually reduce the time of standing and sitting, use their leisure time to go out and walk more, raise their feet when sleeping, and usually wear elastic stockings. People with low back pain and lower limb joint pain caused by cold toxins can go to a regular hospital to ask a doctor for acupuncture treatment. (Reporter Gao Jiayue)

Four Chinese medicine prescriptions to reduce liver weight

   Due to unhealthy lifestyles and diet, more and more people have joined the army of fatty liver unknowingly. Fatty liver, as the name implies, refers to the pathological changes caused by excessive accumulation of fat in liver cells. The incidence is increasing year by year and tends to be younger. At present, there is no specific medicine for the prevention and treatment of fatty liver, so many people have begun to seek TCM treatment. In fact, there is no such thing as fatty liver in traditional Chinese medicine. According to its clinical manifestations, it is classified into categories such as “accumulation”, “accumulation”, and “turbidity of phlegm”. It is believed to be caused by discordance of the liver and spleen and internal obstruction of phlegm. Liver, spleen and kidney. In daily life, it can be “weight loss” by taking acupoint massage, ear acupoint pressing, scraping therapy, and bathing feet with Chinese medicine.

   acupoint massage. The prevention and treatment of fatty liver is closely related to five acupoints: Zusanli, Fenglong, Zhongwan, Qihai, and Tianshu. Massage or acupuncture can be used to stimulate these acupoints to achieve the purpose of auxiliary treatment or prevention of fatty liver. The specific method is: point the thumb or index finger on the above acupuncture points, massage 100 to 200 times in a clockwise direction, with the degree of soreness or fever in the local area. The above-mentioned acupoints are treated for about 20 minutes each time, ten times as a course of treatment, once every other day. Generally, 1 to 3 courses of treatment are sufficient.

   auricular point pressing. The auricle is called the “window of human health”. Take the acupuncture points corresponding to the spleen, stomach, liver, sympathetic, endocrine, triple burn, large intestine, etc. on the ears, and press them with tape with magnetic beads. Generally, 5~6 points are selected. Press acupuncture points for 3 to 5 minutes before meals, 5 to 6 times a day to make the auricle flush and heat. Remind everyone that this method takes acupoints unilaterally each time, alternately with both ears, changing once every 3 days, 5 times as a course of treatment, and the treatment lasts for 2 months.

   Guasha. Use a scraping board with a smooth edge, dipped in cooking oil or water, to focus on the bladder meridian, governor channel, liver meridian, Ren channel and other meridians. The specific method of operation is to apply an appropriate amount of scraping oil to the area that needs to be scraped. The force should be gentle and not too heavy. It is better to get out of Gu Sha. If Sha does not occur, don’t force it. After the marks of the scraping site disappear, the second scraping can be performed, and 10 to 15 times is a course of treatment.

   Foot bath with Chinese medicine. It has been clinically found that foot bathing with Chinese medicine is the most popular method. Choose the same amount of Codonopsis, Atractylodes, Poria, Tangerine Peel, Bupleurum, Safflower and other medicines, add water to soak for 10 minutes, decoct the juice, and let the foot bath for 20 to 30 minutes when the temperature is appropriate. Once a day, 30 times is a course of treatment.

   What needs to be reminded is that the above four methods need to be used by the doctor after distinguishing the physique. Diet and exercise should also be adjusted in daily life. Fatty liver patients should abstain from alcohol, and eat less irritating, cold, high-calorie, high-cholesterol, and high-fat foods. The diet principle is low sugar, low salt, low fat, eat more fresh fruits and vegetables and high-fiber foods, such as potatoes, fungus, mushrooms, brown rice and so on. For patients with fatty liver, exercise is very effective in controlling the condition and can accelerate the consumption of body fat. You can choose the exercise method that suits you, and recommend aerobic exercises, such as running, walking, cycling, swimming, etc. Especially obese patients with fatty liver, it is necessary to persevere.

Pay attention to the diet structure to prevent cancer from “finding you”

   “Illness comes from the mouth”, eating incorrectly, or even eating too much, may “eat something wrong”. The reporter learned from the Sixth Affiliated Hospital of Sun Yat-sen University that the research of Professor Li Menghong’s research group found that the key gene ILF3 in the process of tumor carcinogenesis can promote malignant proliferation by promoting tumor cells to take up a large amount of surrounding nutrients. Therefore, excessive intake of nutrients, especially foods rich in serine and methionine, will be more likely to induce cancer. The research results are expected to bring new ideas for the treatment of bowel cancer.

   On November 26, the research group of Professor Li Menghong from the Sixth Affiliated Hospital of Sun Yat-sen University published an article in Cell Research. The study found that the serine synthesis pathway can be over-activated by ILF3 to provide cells with energy supply and nucleotide synthesis raw materials As well as reducing power, inhibit oxidative stress and promote the malignant growth of tumor cells.

  ILF3 gene is a key gene in the process of tumor carcinogenesis. This study revealed for the first time the key role and regulatory mechanism of the mRNA binding protein ILF3 in maintaining the metabolism of serine in colorectal cancer cells and promoting the malignant progression of colorectal cancer. At the same time, in vivo and in vitro experiments have shown that ILF3 can be used as a new colorectal cancer. The prognostic prediction markers and potential therapeutic targets, its inhibitors have potential drug development value, and have applied for Chinese patents. Through upstream analysis, Li Menghong’s research team suggested that this gene may be a factor leading to resistance to cetuximab, the first-line drug for colorectal cancer. Targeting this gene and downstream metabolic pathways may provide new ideas for solving cetuximab resistance in the future.

   Colorectal cancer is the third most common malignant tumor in the world. In recent years, the incidence of colorectal cancer has increased year by year in my country. Li Menghong introduced that the pathogenesis of colorectal cancer is complicated and the course of the disease is long. It requires multi-step holistic observation. Cetuximab has a good effect and reactivity against certain subtypes of colon cancer. However, there are still some people who are not effective to cetuximab. This study started from the clinic and identified the key gene ILF3 in the process of tumor carcinogenesis through sequencing and other large omics methods. The key gene, ILF3, can “add bricks and tiles” to tumor cells and promote the malignant proliferation of tumor cells by promoting more greedy intake of surrounding nutrients by tumor cells, especially glucose and serine.

  Excessive intake of nutrients, especially foods rich in serine and methionine, has been reported to promote the occurrence and development of cancer. Nowadays, people’s diet is becoming more and more high-fat and high-protein, and it is more likely to induce cancer. Li Menghong suggested that eating more fruits and vegetables and less meat can effectively prevent the occurrence of tumors. (All-media reporter Liang Chaoyi, correspondent Jian Wenyang and Li Raoyao)

The holiday season is approaching. What kind of health food is good for the elders?

  New Year’s Day is approaching, and health food has become the first choice for many people to give gifts. So what kind of health food is suitable for the elderly? In fact, everyone should know that health food is not the more expensive the better, but the best for you.

   Older people have slow metabolism, relatively low resistance, and reduced physiological functions of various organs, such as decreased digestive function and decreased digestion and absorption of nutrients in food; increased calcium loss may cause osteoporosis. Older people will also experience hearing loss, memory loss, and muscle atrophy. Therefore, in addition to eating health foods with the functions of increasing bone density, anti-oxidation, and improving sleep, the elderly can also choose health foods with the following functions.

  1. Enhance immunity

  The resistance of the elderly has declined relatively when they are young. You can take these health foods appropriately to supplement some of the nutrients needed by the body, regulate the body’s functions, and improve immunity.

  2. Assist in lowering blood lipid, lowering blood sugar, lowering blood pressure

   It is necessary to remember that health foods can help alleviate some symptoms, but cannot cure diseases. Patients with three highs (hyperlipidemia, high blood sugar, high blood pressure) should consult a professional doctor before consuming relevant health foods, and listen to doctor’s advice. Can not be eaten blindly. In this regard, the elderly can choose deep-sea fish oil rich in unsaturated fatty acids, or health foods such as soy lecithin.

  3. Help improve memory

   Such health foods often use linolenic acid, DHA algae oil, phospholipids, fish oil and other substances as the main raw materials, which can help improve memory function.

  Okay, after reading the above introduction, is it clearer? Although it is good to buy health foods to be filial to parents and elders, but you cannot rely on health foods if you want a healthy body, you should start with a reasonable diet and a regular life .

  In the eyes of most people, fish oil is not only “suitable for all seasons”, but also has a great help in lowering blood lipids. Therefore, fish oil is especially popular among elders. So what exactly is fish oil and can it really help lower blood lipids?

   fish oil, as the name suggests, it is extracted from fish. All the oils in fish are collectively called fish oil, including body oil, liver oil and brain oil. Its main component is omega-3 fatty acid, which is an unsaturated fatty acid. Among them, EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) are important members of the omega-3 unsaturated fatty acid family and are very important to the human body.

   Deep-sea fish oil is also a kind of fish oil, but its raw material comes from fish animals in the deep sea. Compared with ordinary fish oil, the efficacy of deep-sea fish oil is inconclusive.

  Can fish oil be substituted for fish?

   Eating fish oil alone is not a substitute for eating fish, because in addition to unsaturated fatty acids, fish meat also contains protein, vitamins, minerals and other elements needed by the human body.

Can    fish oil really drop three highs?

   Actually this is not entirely correct! According to the function of health food, fish oil can help lower blood fat.

   Other functions such as preventing heart disease, assisting in lowering blood pressure and assisting in lowering blood sugar are still unclear. For hypertensive patients who are taking antihypertensive drugs, ingesting high doses of fish oil may cause low blood pressure and cause danger. Therefore, fish oil is not suitable for consumption. Diabetics who consume high doses of fish oil may also make blood sugar control more difficult. From this point of view, fish oil is not entirely suitable for all three high populations. (Compiled from An’an Net)

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