John is a 35-year-old advertising executive. He is fairly active, has a BMI of 23, and is in generally good health. However, at his yearly physical his doctor discovers that John has high blood pressure. John assures his doctor that he eats well, and can’t understand why the numbers are so high. John’s doctor tells him that he probably is salt sensitive, and needs to cut back on the sodium in his diet. When John returns home he immediately puts the saltshaker in the back of the cupboard, so he is not tempted to add salt to his foods. He also replaces his usual snack of salted peanuts with dry cereal, his favorite being cornflakes. He has heard about packaged foods being high in sodium, so he swears off his usual frozen dinners and takes the time to prepare some of his favorite meals. John eats Mexican rice and beans, or a piece of smoked halibut with mashed potatoes to go with it. Since lunch is usually at the office, John decides he needs to start bringing lunch instead of ordering Chinese food with his coworkers. John goes out to the store and buys a package of bologna and some American cheese to make sandwiches. He enjoys a pudding cup for dessert. He is always very thirsty so he brings both a bottle of water and orange juice to sip on, but rarely milk. After a month on this new diet John returns to his doctor, assured that his blood pressure has gone down. To his surprise, the numbers have not budged. “I don’t understand! I don’t put salt on anything,” John tells his doctor.
Some contributing factor to John’s hypertension include:
|a.||High amounts of salt in a John’s diet can raise their blood pressure and cause his body to hold onto more water.|
|b.||This excess water then puts strain on his blood vessels and puts an increased stress on his kidneys.|
|c.||High blood pressure can contribute to hypertension, thus John should reduce his sodium intake to reduce hypertension|
|d.||All of the above|
|e.||a and c only|
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