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VA RESEARCH SHOWS BLOOD PRESSURE TOUGHER TO
TAME IN WINTER -- Frigid temperatures may help
keep vessels constricted, experts say.

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Story here...
http://health.usnews.com/usnews/health/healthda
y/071105/blood-pressure-tougher-to-tame-in-winter.htm
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Blood Pressure Tougher to Tame in Winter
Frigid temperatures may help keep vessels
constricted, experts say
By Amanda Gardner
(HealthDay News) -- It turns out blood pressure has a chill factor:
Hypertension is harder to control in colder weather, heart experts say.
But the finding, expected to be presented Monday at the American Heart
Association annual meeting, in Orlando, Fla., is not exactly new.
"It has been noted for decades that people's blood pressure tends to be a
little bit harder to control or a little bit higher in cold climates,"
said Dr. Kenneth Baker, M.D., a professor of internal medicine at the
Texas A&M Health Science Center College of Medicine.
He was not involved in the study, which was led by Dr. Ross Fletcher, of
the Department of Veterans' Affairs and Georgetown University in
Washington, D.C.
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The study drew on a vast database: the VA's
storehouse of 1.8 billion vital statistics records. The five-year study
looked at electronic health records for almost 1.2 million patients cared
for at 15 VA hospitals located at different latitudes: Anchorage, Alaska;
Baltimore; Boston; Chicago; Fargo, N.D.; Honolulu. Hawaii; Houston; West
Los Angeles, Calif.; Miami; Minneapolis; New York City; Philadelphia; San
Juan, Puerto Rico; Portland, Ore; and Washington, D.C.
The average age of participants was 66. Fifty-one percent were Caucasian,
21 percent were Hispanic, and 27 percent were black. Less than 4 percent
were female.
Within the sample, almost 444,000 veterans had high blood pressure (based
on readings of more than 140/90 on three separate days).
And, regardless of their locale, patients experienced an average
difference of almost 8 percent in getting their high blood pressure back
to normal between winter and summer, with that feat being much tougher in
winter.
Why?
Baker posited any number of reasons.
"My guess is that one of the top reasons is, when you're in a cold
atmosphere, you vasoconstrict [blood vessels narrow]," he said. "If you
stick your hand in ice water, it has the same effect. Blood pressure goes
up a little, and in hotter climates, sitting by the pool in your swimming
suit, the vessels in the skin are dilating, you lose water and sweat off
salt, and blood pressure drops."
There are other possible factors as well. Cold medicines people take in
the winter can raise blood pressure, as can non-steroidal
anti-inflammatory painkillers.
People also tend to be more depressed in the darker months, leading to
more alcohol and coffee consumption, both of which can raise blood
pressure, the expert said.
A more obvious reason: People are also often more sedentary in the winter,
staying inside and eating more. This can have a secondary effect -- weight
gain -- which also contributes to hypertension.
Baker believes that these biological or lifestyle differences are more
likely to explain the findings than southern or northern climate or the
amount of light.
Overall, however, VA hospitals in all the cities studied showed
improvements of about 4 percent per year in their ability to keep
patients' average blood pressure under control, the study found.
-------------------------
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