news

Tips for watching the Summer Olympics for people with "three highs"

2024-07-22

한어Русский языкEnglishFrançaisIndonesianSanskrit日本語DeutschPortuguêsΕλληνικάespañolItalianoSuomalainenLatina


It is the hottest time of the year, and the much-anticipated Paris Olympics is about to begin.


The passionate and hard-working figures of the athletes on the field ignited the fire in the hearts of the audience. However, in the "high temperature, high humidity and high heat" of the dog days,“High blood pressure, high blood lipids, high blood sugar”It is also very important for people with "three highs" to prevent the risk of cardiovascular disease and safely enjoy the fun of watching the game.


How should people with three highs watch the game in a healthy and scientific manner to achieve the grand slam in the prevention and control of three highs?


The decisive moment has come, blood pressure cannot be high


"The Chinese team scored! They turned defeat into victory at the last moment!!"

The competition touched people's hearts.Blood pressure, heart rateIt makes people even more anxious.



Keep your heart steady at match point:At the decisive moment, the heart beats faster, but a long-term increase in heart rate can lead to further increase in blood pressure, damage heart function, and seriously increase the risk of cardiovascular events and death.[1]In daily life, patients shouldDual management of blood pressure and heart rate, control blood pressure at<140/90mmHg[2], the heart rate is stable for a long time60-80 times/min[1]


Cooling down with moderation:If the air conditioner temperature is too low, it will cause excessive contraction and hardening of blood vessels, which may become the trigger for "blood clots". It is recommended to adjust the air conditioner temperature to 27°C or higher.[3]


The temperature difference should not be a "roller coaster":When using air conditioning, try to keep the indoor and outdoor temperature difference within 7°C[3], because strong temperature differences can easily lead to vasoconstriction and blood pressure fluctuations, which can induce stroke[4]


Eliminate sugar, calm your kidneys, and have a peaceful summer


Olympic athletes won three gold medals, and they gained three pounds from eating and drinking while watching the games. The temperature in the dog days of summer is high, and while watching the games, people keep eating: fruits, cold drinks, ice cream... If you are not careful, your blood sugar may soar.



Detoxification helps you feel at ease with your kidneys:Many fruits do not contain high sugar content, but have a high glycemic index, so diabetics should eat them in moderation.[5]In addition, long-term high blood sugar levels can damage blood vessels and nerves, and induce cardiovascular, kidney and other organ diseases.[6]Diabetic patients must follow the doctor's advice on medication, eliminate sugar through exercise, medication, etc., and manage multiple risk factors while controlling blood sugar.Reduce target organ damage such as the heart and kidneys and the occurrence of comorbidities.


Weight management cannot stop:Athletes' agile postures are enviable, which is inseparable from their scientific and standardized diet and lifestyle habits. Diabetic patients should also eat regularly and regularly to stabilize their blood sugar. At the same time, it is easy to sweat in summer, and it is easier to become dehydrated when blood sugar is out of control.[7], but also pay attention to heatstroke prevention and hydration.


Only by controlling both sugar and lipids can you feel at ease:Study shows that dyslipidemia is highly correlated with insulin resistance[8]Nearly 70% of patients with type 2 diabetes have dyslipidemia[9], leading to a doubling of the risk of cardiovascular and cerebrovascular events[10]Therefore, it is also important to control both sugar and lipids.Diabetic patients need tolipoproteincholesterolLevels are controlled below 2.6mmol/L[11]


The excitement continues, don’t lie down to reduce fat


With one game after another, it is not advisable to lie down like Ge You while watching the game; eating skewers and barbecue with beer, greasy food will damage blood vessels.



Learn the spirit of sports:The schedule is rich, but people with high cholesterol, high blood sugar and high blood pressure should not sit for long periods of time while watching the games. They can get up appropriately, stretch their muscles and bones, or exercise in the morning or evening to improve blood lipid levels and prevent and delay the occurrence of atherosclerosis.[12]It is recommended to choose gentler exercises, such as Tai Chi, Ba Duan Jin, Wu Qin Xi, jogging, etc.


Diet therapy to remove dampness and benefit blood vessels:The long summer is humid, so the food should be light, less greasy, and mainly warm. You can eat some medicine and food that have the effects of strengthening the spleen, removing dampness, and removing turbidity.Such as tangerine peel, red yeast rice, coix seed, white lentil, etc.[13]Currently, there are many guidelines and consensus recommendations for the use of traditional Chinese medicine and Chinese patent medicines with evidence-based medicine for the treatment of dyslipidemia.[14],[15],[16]


Lower blood lipids and blood pressure together:It is easy to fail to meet blood lipid management standardsLeading to the development of atherosclerotic plaques, and lead to decreased blood vessel elasticity, causing increased blood pressure[17]Patients with both highsLow-density lipoprotein cholesterol should be controlled below 2.6mmol/L[14]. Do a good job in dual prevention and control of blood lipids and blood pressure. The earlier you act, the greater the benefits.[18]


Comprehensive management of three highs, a healthy grand slam


The national team's athletes will perform well in all tracks, and patients with "three highs" should also watch the games in summerComprehensive management and control of blood pressure, blood lipids and blood sugar.



The three highs are not uncommon:The human body is a complete system that is interconnected and affects each other, so the "three highs" often appear together.The risk of serious cardiovascular events is doubled[19]


Comprehensive management brings great benefits:Studies have shown that compared with managing only one or two risk factors,Three highs co-management, comprehensive complianceCan better prevent and delay the occurrence and development of plaques, and significantly reduce the incidence and mortality of cardiovascular events[20], protecting target organs such as the heart and kidneys, thereby improving the patient's prognosis.


Regular screening and early prevention:People with three highs are at high risk of cardiovascular disease and chronic kidney disease[19],[21]Blood pressure, blood sugar, and heart rate should be monitored daily, and blood lipids, carotid artery ultrasound, and urine protein should be checked regularly., detect abnormalities as early as possible, intervene in time, and prevent and delay the occurrence and development of comorbidities and complications.


*For disease education only, not for any promotional purpose


references (Slide up and down)

[1] Fu Zhaoyi. Hypertensive patients should be alert to rapid heart rate[J]. Everyone's Health, 2021(10):1.

[2] Multidisciplinary consensus group on heart rate management in patients with hypertension. Multidisciplinary expert consensus on heart rate management in patients with hypertension in China (2021 edition)[J]. Chinese General Practice, 2021, 24(20): 2501-2507.

[3] Hao Jing. How to avoid air conditioning disease in summer. China Meteorological News Agency, 2018.

[4] Cuiqing, Liu., Zubin, Yavar., Qinghua, Sun. (2015). Cardiovascular response to thermoregulatory challenges. American Journal of Physiology-heart and Circulatory Physiology, doi: 10.1152/AJPHEART.00199.2015.

[5] National Health Commission of the People's Republic of China. Dietary Guidelines for Adults with Diabetes (2023 Edition)[J]. General Practice Clinical and Education, 2023,21(5):388-391. doi: 10.13558/j.cnki.issn1672-3686.2023.005.002 .

[6] Wang Weiqing. National Standardized Metabolic Disease Management Center (MMC) Metabolic Disease Management Guidelines (Second Edition)[J]. Chinese Journal of Endocrinology and Metabolism, 2023, 39(06): 538-554.

[7] Chinese Diabetes Society. Chinese Guidelines for the Diagnosis and Treatment of Hyperglycemic Crisis[J]. Chinese Journal of Diabetes, 2013, 5(8): 449-461.

[8] Zhou Jie, Xiang Hongding, Chen Wei, Yu Miao, Li Wei. Relationship between insulin resistance and dyslipidemia[J]. Chinese Journal of Diabetes, 2010, 18(10):740-741.

[9] Yan L, et al. Prevalence of dyslipidemia and its control in type 2 diabetes: A multicenter study in endocrinology clinics of China. Journal of Clin Lipidol. 2016;10(1):150-60.

[10] Fan D,et al. Effect of hyperlipidemia on the incidence of cardio-cerebrovascular events in patients with type 2 diabetes. Lipids in Health Disease. 2018 May 8;17(1)102.

[11] Lipid Metabolism Group, Endocrinology Branch, Chinese Medical Association. Expert consensus on the prevention and treatment of type 2 diabetes combined with dyslipidemia in China (2017 revised version) [J]. Chinese Journal of Endocrinology and Metabolism. 2017, 33(11): 925-936.

[12] Han Guanzhou, Wang Chengji, Han Jiang. Effects of long-term aerobic exercise on blood glucose and blood lipid metabolism in patients with type 2 diabetes [J]. Chinese Journal of Physical Medicine and Rehabilitation, 2009, 31(08): 555-556.

[13] National Health Commission of the People's Republic of China. Dietary Guidelines for Adults with Hyperlipidemia (2023 Edition)[J]. General Practice Clinical and Education, 2023,21(7):581-583. DOI: 10.13558/j.cnki.issn1672-3686.2023.007.002 .

[14] Joint Expert Committee on the Revision of the Chinese Lipid Management Guidelines. Chinese Lipid Management Guidelines (2023). Chinese Journal of Cardiology, 2023, 51(3): 221-255.

[15] European Association for Cardiovascular Prevention & Rehabilitation, et al. ESC/EAS Guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). European Heart Journal. 2011 Jul;32(14):1769-818.

[16] Catapano AL,et al. 2016 ESC/EAS Guidelines for the Management of Dyslipidaemias. European Heart Journal. 2016 Oct 14;37(39):2999-3058.

[17] Chinese Hypertension Prevention and Treatment Guidelines Revision Committee: Chinese Hypertension Prevention and Treatment Guidelines (2018 Revised Edition)[J]. Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, 2019, 19(1): 1-44.

[18] Hypertension Group of the Chinese Society of Cardiology, Editorial Board of the Chinese Journal of Cardiology. Expert consensus on comprehensive management of blood pressure and blood lipids in hypertensive patients in China[J]. Chinese Journal of Cardiology, 2021, 49(6): 554-563. DOI: 10.3760/cma.j.cn112148-20210202-00128.

[19] Expert Group on the consensus of Chinese experts on the standardized diagnosis and treatment of "three highs" (2023 version). Chinese experts' consensus on the standardized diagnosis and treatment of "three highs" (2023 version)[J]. Chinese Journal of Cardiovascular Diseases (Online Edition), 2023, 06(1): 1-11. DOI: 10.3760/cma.j.cn116031.2023.1000144.

[20] Wong ND, et al. Cardiovascular Risk Factor Targets and Cardiovascular Disease Event Risk in Diabetes: A Pooling Project of the Atherosclerosis Risk in Communities Study, Multi-Ethnic Study of Atherosclerosis, and Jackson Heart Study. Diabetes Care. 2016;39(5):668-676.

[21] Expert Group of Shanghai Nephrology Clinical Quality Control Center. Guidelines for early screening, diagnosis and prevention of chronic kidney disease (2022 edition)[J]. Chinese Journal of Nephrology, 2022, 38(5): 453-464.