General Health Wednesday June 15, 2016

Pollution and High Blood Pressure

Many contributors cause dangerous high blood pressure but a recent study has added air pollution as another significant risk to our heart health.

The study

Published in the journal Hypertension, the study was conducted by epidemiologist Dr Tao Liu, of the Guangdong Provincial Institute of Public Health in China. It looked at data collected from 17 previous studies which collectively examined 330,000 people. 108,000 were hypertension patients and 220,000 were healthy control subjects.

Three pollutants in particular were examined. These were:

Sulphur Dioxide (SO2)

Sulphur dioxide is produced when fossil fuels are burned. Short term exposure was found to significantly increase blood pressure.

Nitrogen Oxide (NOx)

Nitrogen oxide is created from burning fossil fuels particularly vehicle and power plant combustion. It increased blood pressure in long term exposures.

Particulate matter (PM)

These particles are found in polluted air including smoke, dust and liquid droplets. High blood pressure occurred when people were exposed to PM2.5 and PM10 sized particles.

Dr Liu said the results are controversial and that others in the past have also indicated air pollution as a high blood pressure risk. The research team suggested that people should limit their exposure on high pollution levels days, particularly those with an existing condition.

What Else Does Air Pollution Do?

It's thought air pollution causes inflammation and oxidative stress which leads to changes in the arteries.

DEFRA, who carry out air quality monitoring across the UK, says that at high levels air pollution causes respiratory illness, such as asthma, and other serious conditions like dementia, cancer and heart disease. This is because gases and particles irritate airways, travel into the lungs to cause inflammation and in the case of carbon dioxide, prevent oxygen uptake in the blood.

What Is High Blood Pressure?

Some pressure is needed to pump blood around the body, but when there's too much pressure it strains and damages the arteries and heart. This can lead to heart attacks, strokes, kidney damage, heart failure and dementia.

It's measured in two figures.

  • Systolic - the measurement of the heart pumping blood out.
  • Diastolic - the measurement of the heart resting between beats.

A healthy blood pressure reading is 120/80mmHg.

What Else Causes High Blood Pressure?

High blood pressure is a killer. Over 1 in 4 UK adults have the illness but many are not aware of it because there are no obvious symptoms. The illness is usually picked up at a routine doctor appointment. Everyone should have their blood pressure checked at least every five years.

As well as pollution levels there are other risk factors for high blood pressure:

  • Those aged over 65s
  • Those overweight
  • Those with family members suffering high blood pressure
  • African or Caribbean descent
  • Eating a lot of salt
  • Eating a bad diet
  • Not exercising
  • Alcohol
  • Drinking too much caffeine
  • Smoking
High blood pressure

How To Prevent High Blood Pressure

High blood pressure must be taken seriously. It should measure no more the 120/80. Those with a consistent reading of 140/90 should make the lifestyle changes listed below. Anyone with a higher reading will likely need medication.

Lifestyle changes include:

  • Cutting out salt. The recommended adult intake of salt each day is no more than 6 grams. Don't add salt to food and cut down on processed meals which contain a lot of salt and sugars. Even hefty amounts of bread can substantially increase your daily salt intake as there are small amounts in each slice.
  • Eat more fruit and vegetables for a low-fat balanced diet
  • Exercise more to increase cardiovascular capability. This is one of the best activities for your blood pressure.
  • Monitor alcohol intake and cut down. The low-risk maximum amount is 14 units a week - that's six glasses of wine.
  • Stop Smoking. Smoke restricts the arteries making it harder for blood to pass through.
  • Cut out caffeine in tea, cola, coffee and some energy drinks as it contributes to high blood pressure.

Is Air Pollution A Problem?

It's thought 40,000 deaths are caused by air pollution in the UK every year. Currently EU regulations mean that new vehicles can still emit double the allowed limit until 2021, reducing to 'only' 50% more after that date. In 2012 The World Health Organisation estimated that outdoor air pollution caused 3.7 million premature deaths a year.

Although the NHS doesn't yet suggest it, perhaps we should be avoiding polluted areas for the sake of our health. New research that's uncovered strong links between fossil fuels and high blood pressure is a stark warning that we are causing problems in our environment. These problems inevitably come back to us in the form of ill health. Whenever possible ride your bike, walk, and turn out unused lights to cut down on the amount of fossil fuels we burn.

Those with high blood pressure who are worried about the pollution levels in their area should speak to their doctor about any concerns.

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