Dr Bob's Newsletter - December, 2004

High Blood Pressure And YouDid you know thatstudy took place in Italy with 1000 children aged
nearly two thirds, yes 66% of Americans under3-5 years old. It found that 1/3 of all children who
sixty have or are on the verge of high bloodused pacifiers or sucked their thumb had
pressure and at least 1/3 do not know it. Havingmalocclussion, where the teeth did not line up
this "silent killer" not only increases there risk ofproperly. 89% of had an open bite, where the
heart disease or stroke but puts them in a higherfront teeth do not meet. Whereas only 11% of
risk category for hospitalization and deaththose with an open bite were breast fed.This
according to a recent study.There are newstudy took place when the children were 3-5
guidelines for high blood pressure that have beenyears old and based on information about how
agreed upon over the last several years and youthey were fed and the use of pacifiers or
need to know about them. First the newthumbs. It also is based on the 1st set of teeth -
guidelines are that normal blood pressure is whenthe baby teeth. It is felt by the researchers that
the systolic ( top number) is 119 or lower and thethe pattern for the teeth is set by how the 1st
bottom number is 79 or less. In the recent pastset is treated.
we felt that abnormal blood pressure wasDr Bob's Take: although this may have quite a bit
anything that was 140 or above over 90 orof significance for our children's future and their
above. Now, people who have this are definitelybiting and chewing abilities I don't see many of us
hypertensive or have high blood pressure.Whenchanging what we are doing or what we have
the reading is 120 - 139 for the systolic and / ordone. But, you know the orthodontists will
80 - 89 for the diastolic we are to be consideredcontinue to flourish.Prescription Tablet
"pre- hypertension. Each of needs to know whatSplittingSome of you may have remembered the
our blood pressure reading is, so don't be shy, askarticles in the papers about 3 years ago when it
your doctor.was suggested by some health plans that
Also, it makes good sense that if your bloodmembers cut their tablets in half with some
pressure is not normal get a blood pressure cuffmedications. Well in Florida a pharmacist has noted
in the drug store and have your spouse, partnerthat with cholesterol lowering medication a savings
or children take it periodically and jot down theof about $850 could be saved per year by
numbers for your doctor. There is such asplitting the tablet. He goes on to say that this is
diagnosis of "white coat" syndrome" where bloodone way to fight some of the escalation in prices
pressure rises when you go to the doctorsfor medications. It was found that with patients
office.Dr Bob's Take: It is so important to knowof the Veterans Affairs Dept there was a savings
what your blood pressure is and if it isof $46 million when eligible patients split their
pre-hypertensive or in the category of high bloodZocor.Dr Bob's Take: before you go and do this
pressure (hypertensive) get it treated and youyou first need to check with your doctor. Bring in
can make a dramatic difference in youra sample of the medication so he/she can judge
life.Anti-Oxidant UpdateLast month we talkedwhether or not it would be wise to split the
about Vitamin E and the potential for increasingtablet.Grape Juice and CholesterolYes, the studies
the risk for heart disease. Initially when the firstare in, grape juice does have a positive effect on
studies came out about 10-15 years ago it wasraising the HDL part of cholesterol. Dr Jane
felt that Vitamin E was going to be a panacea forFreedman, associate professor of Pharmacology
"preventing" heart disease.Well, there are moreat Boston University studied a group of 17 men
studies that are being released which is showingand 3 women with a grant from Welch's. The
that the herbal remedies that are being touted asparticipants were 63 years old on average and
anti-oxidants are not proving very effective inwere 2 weeks on the juice, off for 2 weeks than
preventing diseases like cancer. These aregiven a placebo (non-juice) for another 2
substances like beta carotene, vitamin C, andweeks.The outcome showed that the grape juice
selenium. The researchers in France have beendrinkers elevated their HDL on average from 45
looking at this and have concluded that there mayto 50mg, about a 10% rise. This group also
be a small benefit for men (none for women) butlowered a chemical in their system that shows
that the benefits can easily be derived by eating athe presence of inflammation in the blood vessels.
balanced diet. This study was recently reported inIt is felt that yes grape juice can work like red
the November issue of Archives of Internalwine in humans. And for those who don't drink
Medicine.Dr Bob's Take: as an American I like youred wine there is an alternative.
are looking for the "holy grail" which in the US isWith that good news I will close for this year and
"take a pill and cure it" is not the answer here. Wetalk with you again next year.Dr Bob is a Family
need to really eat right and exercise and this willPhysician who has developed a website for
lead to a healthy "us".Pacifiers and Baby's TeethAcommon problems that we all have or encounter
study in the Archives of Disease in Children thisat He has developed a unique newsletter which
month, shows that there is a difference in thedeals with current and timely topics with a down
formation of "baby teeth" when a baby breastto earth interpretation of the latest findings for his
feeds or uses their thumb to suck or is given areaders.
pacifier during the first 3 months of their life. The