Beyond salt, hidden sources affect your blood pressure — Cardiologist

In a nation grappling with a silent health crisis, millions of Nigerians have been declared hypertensive, with the number steadily climbing. Dr. Danladi Nmadu, a leading Consultant Physician Nephrologist at the Federal Medical Centre, Ebute Metta, Lagos, has emphasized the critical need to reduce salt intake, not only from table salt but also from the heavily salt-laden seasonings in everyday meals.

The Hidden Killer: Hypertension affects 26 percent of Nigerians, mirroring global statistics, yet awareness and management remain dismally low. “People come to us daily with elevated blood pressure, unaware of their condition,” Dr. Nmadu revealed in an exclusive chat with Good Health Weekly.

Beyond Salt: While salt reduction is paramount, Nmadu highlighted other vital measures, including regular exercise and increased vegetable intake. However, he stressed that the “take-home message is to restrict salt in your diet.”

Identifying Hypertension: Blood pressure exceeding 140/90 mmHg signals hypertension, raising risks of heart, brain, and kidney damage. Despite being frequently discussed, hypertension accounts for a significant number of hospital admissions, with many unaware of their blood pressure status. Genetic factors and conditions like kidney and thyroid diseases also contribute to hypertension prevalence, particularly among younger people.

Proper Blood Pressure Measurement: Nmadu pointed out common mistakes in measuring blood pressure. “For accurate readings, sit with your back supported, feet flat at 90 degrees, and avoid any activity or stress that could spike your blood pressure,” he advised. One elevated reading doesn’t confirm hypertension; sustained high readings over multiple visits do.

Medication and Management: Effective management often necessitates medication, which has undergone extensive testing. However, Nmadu cautioned against unverified herbal remedies and advocated for health insurance to ensure consistent access to necessary medications.

Awareness and Screening: The silent nature of hypertension means many patients seek help too late, only when severe complications like kidney failure or strokes arise. “Regular screening is crucial, especially as you age,” Nmadu urged, highlighting the importance of knowing your blood pressure numbers even in the absence of symptoms.

By raising awareness and advocating for lifestyle changes, Dr. Nmadu and other health professionals hope to curb the hypertension epidemic sweeping through Nigeria.