Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, April 21, 2016

DASH diet effective for BP reduction

As far as I am concerned the DASH diet  doesn't give enough specificity. But that is just my uninformed opinion. I would prefer a diet based upon eating nitric oxide creating foods. How many beets do I need to eat for x reduction in blood pressure? Or Kale? Or spinach?
http://www.healio.com/cardiology/vascular-medicine/news/online/%7Bcf1e66df-20e4-4636-8607-6b7e733750b4%7D/dash-diet-effective-for-bp-reduction?ecp-=8F2F33F5-5D85-478C-9488-6CBD7C66D00C
Hawkins C, et al. Hypertension. 2016;doi:10.1161/HYPERTENSIONAHA.115.06853.

While many dietary interventions are associated with reductions in BP, the Dietary Approaches to Stop Hypertension diet may product the greatest decline, according to new research published in Hypertension.

Researchers performed a systematic review and meta-analysis of 24 randomized controlled trials covering 23,858 participants that were conducted between January 1990 and March 2015. Their goal was to measure the combined effects of dietary interventions on BP and to determine whether effectiveness varied among the different approaches.
The median age of participants was 45 years. Only 10 studies reported information on race/ethnicity; in those studies, the majority of patients were white.
The combined net effect of dietary intervention on systolic BP and diastolic BP was –3.07 mm Hg (95% CI, –3.85 to–2.30) and –1.81 mm Hg (95% CI, –2.24 to –1.38), respectively. The largest net reduction of –7.62 mm Hg (95% CI, –9.95 to –5.29) for systolic BP and –4.22 mm Hg (95% CI, –5.87 to –2.57) for diastolic BP was observed with the DASH diet.
Other dietary approaches, including low-sodium, low-sodium/high-potassium, low-sodium/low-calorie and low-calorie diets, also produced significant reductions in systolic and diastolic BP. Adherence to the Mediterranean diet, however, was associated with reduced diastolic BP (–1.44 mm Hg [95% CI, –2.11 to –0.76]), but not systolic BP.
In subgroup analyses, those participants with pre-existing hypertension experienced larger net reductions in systolic BP (P = .03) and diastolic BP (P = .02) compared with participants with normal BP. Greater reductions in both net systolic BP (P = .01) and diastolic BP (P = .008) were also observed among participants who were not taking antihypertensive medications compared with those prescribed antihypertensive medications. Another difference of note was smaller net effects observed in groups with follow-up longer than 24 months and in larger-sized trials, according to the researchers. The largest BP reductions were observed in trials that included fewer than 100 participants.
Although the reductions in BP may seem small, “the pooled results were incremental BP reductions experienced by those groups adopting dietary interventions [and] even relatively small reductions in BP can dramatically reduce the incidence of CVD and mortality,” the researchers wrote.
They concluded that while all dietary interventions reduced BP, some, like the DASH diet, were more effective than the others, and suggested that certain approaches should be targeted for specific populations.

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