Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome:

Size: px
Start display at page:

Download "Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome:"

Transcription

1 Metabolic Syndrome By Seth Bilazarian, MD, FACC, FSCAI, RPVI Clinical and Intervential Cardiologist What is the Metabolic Syndrome? The Metabolic Syndrome is a collection of five problems that greatly increase a person s risk for stroke, heart attack and diabetes. These five characteristics are: Hypertension (On treatment for high blood pressure or blood pressure greater than 130 without medication) Abnormal Blood Sugar (over 100 when fasting) Abnormal Triglycerides (over 150 when fasting) Low levels of HDL good cholesterol (less than 40 for men and 50 for women) Obesity with fat especially in the abdominal area (waistline of 40 inches or more for men and 35 inches or more for women measured across the belly) A physician generally makes this diagnosis if three of these five problems are present. How big a problem is it? The Metabolic Syndrome has become increasingly common in the United States, and it s estimated that over 50 million Americans have it. According to a national health survey, more than one in five Americans has metabolic syndrome and the number is increasing. The Metabolic Syndrome increases with age, affecting more than 40% of people in their 60s and 70s. Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome: People with diabetes who cannot maintain a proper level of glucose (glucose intolerance) People without diabetes who have high blood pressure and who also secrete large amounts of insulin (hyperinsulinemia) to maintain blood glucose levels Heart attack survivors who have hyperinsulinemia without glucose intolerance What causes the Metabolic Syndrome? Conditions associated with the Metabolic Syndrome include the body s inability to metabolize insulin efficiently. This problem of insulin resistance is at the heart of the problem. Contributing factors also may include physical inactivity, aging, hormonal imbalance and family history, but being overweight is the most important aspect of the problem.

2 Why is it important? The Metabolic Syndrome is a strong predictor of diabetes and vascular problems like stroke and heart attack. Consistently high levels of insulin and sugar increase health risks by: Damage to the lining of arteries, a key step in the development of heart disease or stroke Changes in the kidneys' ability to remove salt, leading to high blood pressure, heart disease and stroke Increase in triglyceride levels, resulting in an increased risk of developing cardiovascular disease Increased risk of blood clot formation, which can block arteries and cause heart attacks and strokes Slowing of insulin production, which can signal the start of type 2 diabetes How can the risk be reduced? Physical inactivity and excess weight are the main contributors to metabolic syndrome development, getting more exercise and losing weight reduces the complications. Your doctor may prescribe medications to manage some of the underlying problems to reduce your risk: Lose weight -- Moderate weight loss, in the range of 5-10 % of body weight, can reduce your body's resistance to insulin and reduce complications. Exercise -- Increased activity alone can improve insulin levels. A 30-minute walk daily can reduce weight, improved blood pressure and cholesterol and reduce the risk of developing diabetes. Dietary changes -- Keep carbohydrates to less than 50 percent of total calories. Eat complex carbohydrates, such as whole grain bread (instead of white), brown rice (instead of white), and avoid refined sugars ( for example candy and pastry). Increase fruits and vegetables and reduce intake of red meats and poultry. Consume healthy fats such as those in canola oil, olive oil, flaxseed oil and nuts. Limit alcohol -- Consume no more than one drink a day for women or two drinks for men. See your doctor Knowing your numbers blood pressure; cholesterol, blood sugar and ideal weight can be the first step The primary goals of treatment plans include steps to reduce cardiovascular risk. Patients are encouraged to stop smoking, reduce LDL cholesterol and blood pressure and to monitor blood sugar. Diet and exercise are the best initial strategy, but medications may also be prescribed. Most patients can reduce their risk for serious medical complications later in life through lifestyle changes alone.

3 Homocysteine Folate or Folic Acid and B Vitamins Are No Longer Recommended for Cardiovascular Risk Reduction By Seth Bilazarian, MD, FACC, FSCAI, RPVI Homocysteine has long been recognized as an abnormality that is elevated in some patients with vascular diseases such as stroke or heart attack or venous clots. Treatment with B vitamins, especially folate, can be used to lower the level of the chemical homocysteine found in blood. Many physicians have recommended that the homocysteine level be checked as part of a multi marker strategy to assess the risk for vascular disease. Evaluation of homocysteine in addition to cholesterol levels and glucose levels and hs-crp can help define a patient s overall risk. By defining the risk in patients, more intense treatments can be used for higher risk patients and lower risk patients can receive less treatments. The rationale for treatment of elevated homocysteine with folate has been recommended for several years by many cardiologists because: Folate definitely lowers the level of homocysteine and higher levels correlate with a greater risk of vascular disease Folate is inexpensive and available without a prescription Folate is a water-soluble vitamin and vitamin supplementation is felt to be safe, although megadoses can cause irreversible peripheral neuropathy Many patients prefer a natural or non-pharmaceutical approach to prevention Cardiovascular diseases such as stroke and heart attack causes significant disability and death for patients so physicians and patients are often highly motivated to reduce risk Because of these reasons many physicians, including me, have recommended a vitamin supplementation approach. This strategy has changed thanks to important new clinical trial date. In the New England Journal of Medicine, in April 2006, 2 large clinical trials were published which investigated this topic. The trials title and summaries are: Homocysteine lowering and cardiovascular events after acute myocardial infarction N Engl J Med. 2006; 354(15): by Bønaa KH et al BACKGROUND: Homocysteine is a risk factor for cardiovascular disease. We evaluated the efficacy of homocysteine-lowering treatment with B vitamins for secondary prevention in patients who had had an acute myocardial infarction. METHODS: The trial included 3749 men and women who had had an acute myocardial infarction within seven days before randomization. Patients were randomly assigned, in a two-by-two factorial design, to receive one of the following four daily treatments: 0.8 mg of folic acid, 0.4 mg of vitamin B12, and 40 mg of vitamin B6; 0.8 mg of folic acid and 0.4 mg of vitamin B12; 40 mg of vitamin B6; or placebo. The primary end point during a median follow-up of 40 months was a composite of recurrent

4 myocardial infarction, stroke, and sudden death attributed to coronary artery disease. RESULTS: The mean total homocysteine level was lowered by 27 % among patients given folic acid plus vitamin B12, but such treatment had no significant effect on the primary end point (risk ratio, 1.08; 95 % confidence interval, 0.93 to 1.25; P=0.31). Also, treatment with vitamin B6 was not associated with any significant benefit with regard to the primary end point (relative risk of the primary end point, 1.14; 95 % confidence interval, 0.98 to 1.32; P=0.09). In the group given folic acid, vitamin B12, and vitamin B6, there was a trend toward an increased risk (relative risk, 1.22; 95 % confidence interval, 1.00 to 1.50; P=0.05). CONCLUSIONS: Treatment with B vitamins did not lower the risk of recurrent cardiovascular disease after acute myocardial infarction. A harmful effect from combined B vitamin treatment was suggested. Such treatment should therefore not be recommended. Homocysteine lowering with folic acid and B vitamins in vascular disease. N Engl J Med. 2006; 354(15): by Lonn E et al BACKGROUND: In observational studies, lower homocysteine levels are associated with lower rates of coronary heart disease and stroke. Folic acid and vitamins B6 and B12 lower homocysteine levels. We assessed whether supplementation reduced the risk of major cardiovascular events in patients with vascular disease. METHODS: We randomly assigned 5522 patients 55 years of age or older who had vascular disease or diabetes to daily treatment either with the combination of 2.5 mg of folic acid, 50 mg of vitamin B6, and 1 mg of vitamin B12 or with placebo for an average of five years. The primary outcome was a composite of death from cardiovascular causes, myocardial infarction, and stroke. RESULTS: Mean plasma homocysteine levels decreased by 2.4 micromol per liter (0.3 mg per liter) in the active-treatment group and increased by 0.8 micromol per liter (0.1 mg per liter) in the placebo group. Primary outcome events occurred in 519 patients (18.8 %) assigned to active therapy and 547 (19.8 %) assigned to placebo (relative risk, 0.95; 95 % confidence interval, 0.84 to 1.07; P=0.41). As compared with placebo, active treatment did not significantly decrease the risk of death from cardiovascular causes (relative risk, 0.96; 95 % confidence interval, 0.81 to 1.13), myocardial infarction (relative risk, 0.98; 95 % confidence interval, 0.85 to 1.14), or any of the secondary outcomes. Fewer patients assigned to active treatment than to placebo had a stroke (relative risk, 0.75; 95 % confidence interval, 0.59 to 0.97). More patients in the active-treatment group were hospitalized for unstable angina (relative risk, 1.24; 95 % confidence interval, 1.04 to 1.49). CONCLUSIONS: Supplements combining folic acid and vitamins B6 and B12 did not reduce the risk of major cardiovascular events in patients with vascular disease. In the USA, the FDA is often criticized for taking a conservative and cautious approach to allowing claims of benefit from drug manufacturers. In 1999, the FDA evaluated data for and against the claim that B vitamins were of benefit. Evidence showed that folic acid and, to a lesser extent, cyanocobalamin and pyridoxine, did lower homocysteine. Yet, at that time, there were insufficient data to prove any link between elevated homocysteine levels and increased risk of vascular disease. The agency was therefore unwilling to allow any claims about B vitamins and cardiovascular risk in Shortly thereafter, the FDA initiated a new review of over 35 more recent studies. Suggestive (not conclusive) evidence indicated that elevated homocysteine levels are associated with the risk of vascular disease, based on prospective, case-control, and crosssectional research. This research did not answer whether some other unidentified variable affects

5 both and thus could not conclusively confirm whether lowering homocysteine would reduce the risk of vascular disease. Due to the limitations of existing data, the FDA allowed a qualified health claim for folic acid, pyridoxine, and cyanocobalamin: "It is known that diets low in saturated fat and cholesterol may reduce the risk of heart disease. The scientific evidence about whether folic acid, vitamin B6 and vitamin B12 may also reduce the risk of heart disease and other vascular diseases is suggestive, but not conclusive. Clearly the FDA s cautious position has been vindicated and this lesson is useful for patients and physicians alike as we consider other therapies in the future. The point of these two studies for patients and clinicians goes beyond the specific findings of the lack of benefit from these logical strategies. These two trials of over 9000 patients not only failed to demonstrate a benefit but suggest harm from the use of these vitamins. This data adds to our knowledge that another vitamin strategy Vitamin E is not effective and is probably harmful for cardiovascular event reduction. The take home message is that patients and clinicians should be cautious about all health strategies regardless of how sensible or logical or safe it may appear until it has been assessed in a well conducted clinical trial that can be reviewed by health care professionals and shared with patients.

Understanding and Managing Your. Triglycerides

Understanding and Managing Your. Triglycerides Understanding and Managing Your Triglycerides What are Triglycerides? There are several types are one of several types of fat in your body, and triglycerides are the most common. Along with LDL ( bad )

More information

What You Need to Know about High Blood Cholesterol

What You Need to Know about High Blood Cholesterol What You Need to Know about High Blood Why is high cholesterol bad? is a natural substance found in our diet and made by our liver. It is important for many functions throughout our body. High blood cholesterol

More information

Cholesterol - New Guidelines and Treatment Protocols

Cholesterol - New Guidelines and Treatment Protocols Cholesterol - New Guidelines and Treatment Protocols By: James L. Holly, MD The New Year brings new opportunities to improve our health. Many of us receive gifts which we can't use because there's too

More information

Very High Triglycerides

Very High Triglycerides Understanding Very High Triglycerides For more information, visit CardioSmart.org/VHTG Understanding Very High Triglycerides Keeping track of your cholesterol is a very good idea. That s also true for

More information

Vitamins, Supplements and Heart Disease

Vitamins, Supplements and Heart Disease Vitamins, Supplements and Heart Disease Daniel J. O Rourke, MD, MS Chief of Cardiology, WRJ Veterans Affairs Staff Cardiologist, Dartmouth-Hitchcock Medical Center JACC 2005;46:184-221 Scope of Use In

More information

YOUR GUIDE TO. Managing and Understanding Your Cholesterol Levels

YOUR GUIDE TO. Managing and Understanding Your Cholesterol Levels YOUR GUIDE TO Managing and Understanding Your Cholesterol Levels Our goal at the Mercy Health Heart Institute is to help you be well. Our experienced team includes cardiologists, cardiovascular surgeons,

More information

Nutrition: Knowing Your Total Cholesterol

Nutrition: Knowing Your Total Cholesterol Nutrition: Knowing Your Total Cholesterol A number of factors can increase your risk for coronary heart disease. To make an accurate assessment your doctor will determine your lipid profile, overall health,

More information

How to Prevent Heart Disease

How to Prevent Heart Disease How to Prevent Heart Disease Introduction Heart disease is the leading cause of death worldwide. You can reduce your risk of heart disease with healthy habits. This reference summary explains heart disease

More information

Cardiovascular Disease Risk Factors

Cardiovascular Disease Risk Factors Cardiovascular Disease Risk Factors Risk factors are traits and life-style habits that increase a person's chances of having coronary artery and vascular disease. Some risk factors cannot be changed or

More information

Triglycerides: Frequently Asked Questions

Triglycerides: Frequently Asked Questions Triglycerides: Frequently Asked Questions Why are triglycerides important? The amount of triglycerides (or blood fats) in blood are one important barometer of metabolic health; high levels are associated

More information

CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE

CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE What is Cholesterol? What s wrong with having high cholesterol? Major risk factor for cardiovascular disease Higher the cholesterol higher the

More information

High Cholesterol (Hyperlipidemia)

High Cholesterol (Hyperlipidemia) High Cholesterol (Hyperlipidemia) My cholesterol medication is: The directions are: In recent years, powerful new drugs have been developed to reduce cholesterol in your blood, thereby reducing your risk

More information

Diabetes mellitus is a metabolic disorder of glucose metabolism with many causes and forms.

Diabetes mellitus is a metabolic disorder of glucose metabolism with many causes and forms. Chapter 20 Diabetes Mellitus Chapter 20 Lesson 20.1 Key Concept Diabetes mellitus is a metabolic disorder of glucose metabolism with many causes and forms. About Diabetes 20.8 million Americans have diabetes

More information

Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012

Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012 Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012 In 2002, SETMA began a relationship with Joslin Diabetes

More information

Know Your Numbers. Your guide to maintaining good health. Important Information from Providence Medical Center and Saint John Hospital

Know Your Numbers. Your guide to maintaining good health. Important Information from Providence Medical Center and Saint John Hospital Know Your Numbers Your guide to maintaining good health Important Information from Providence Medical Center and Saint John Hospital If it has been awhile since your last check up and you are searching

More information

Blood clot in atheroma. help make vitamin D and hormones, like oestrogen and testosterone, in your body.

Blood clot in atheroma. help make vitamin D and hormones, like oestrogen and testosterone, in your body. CHOLESTEROL This factsheet explains what cholesterol is and why too much cholesterol in your blood is harmful. It also provides information regarding cholesterol testing and tips to help reduce your blood

More information

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio is designed for the workplace looking for a single, comprehensive set of tests that establish baseline laboratory values for wellness and disease management programs. The Test Package describes the normal

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and type 1 diabetes mellitus History: A 15-year-old girl is seen in the endocrinology clinic for a routine follow-up visit for type 1 diabetes. She was diagnosed with diabetes at 12 years

More information

Sinclair Community College, Division of Allied Health Technologies

Sinclair Community College, Division of Allied Health Technologies Sinclair Community College, Division of Allied Health Technologies Health Promotion for Community Health Workers Cardiovascular disease, stroke, and cancer Class #5 High Blood Cholesterol (date) Course

More information

High Blood Pressure (Hypertension)

High Blood Pressure (Hypertension) Page 1 of 5 High Blood Pressure (Hypertension) If you have high blood pressure, you have an increased risk of developing heart disease, a stroke, and other serious conditions. In some cases blood pressure

More information

Diabetes and Heart Disease

Diabetes and Heart Disease Diabetes and Heart Disease Diabetes and Heart Disease According to the American Heart Association, diabetes is one of the six major risk factors of cardiovascular disease. Affecting more than 7% of the

More information

Health Passport. Your Journey to Wellness. Health Fair ID#

Health Passport. Your Journey to Wellness. Health Fair ID# Health Passport Your Journey to Wellness Health Fair ID# Body Mass Index What is BMI? Your body mass index, or BMI, shows the amount of fat in your body. BMI is calculated using height, weight, and waist

More information

4/4/2013. Mike Rizo, Pharm D, MBA, ABAAHP THE PHARMACIST OF THE FUTURE? METABOLIC SYNDROME AN INTEGRATIVE APPROACH

4/4/2013. Mike Rizo, Pharm D, MBA, ABAAHP THE PHARMACIST OF THE FUTURE? METABOLIC SYNDROME AN INTEGRATIVE APPROACH METABOLIC SYNDROME AN INTEGRATIVE APPROACH AN OPPORTUNITY FOR PHARMACISTS TO MAKE A DIFFERENCE Mike Rizo, Pharm D, MBA, ABAAHP THE EVOLUTION OF THE PHARMACIST 1920s 1960s 2000s THE PHARMACIST OF THE FUTURE?

More information

Diabetes Passport. Your Journey to Wellness

Diabetes Passport. Your Journey to Wellness Diabetes Passport Your Journey to Wellness This Diabetes Passport will help you track your health in 4 key areas for people living with diabetes: Body Mass Index Blood Sugar (Blood Glucose) Blood Cholesterol

More information

Preventing Heart Disease

Preventing Heart Disease Preventing Heart Disease Debra Krummel, PhD, RDN, FAND 3/4/16 1 Risk Factors Modifiable Dyslipidemia High LDL-C Low HDL-C Elevated triglycerides Hypertension Diabetes Obesity Dietary factors Sedentary

More information

Freiburg Study. The other 24 subjects had healthy markers closer to what would be considered ideal.

Freiburg Study. The other 24 subjects had healthy markers closer to what would be considered ideal. Freiburg Study The Freiburg Study was conducted with 48 healthy human subjects of various ages. None of the test subjects had been diagnosed with any disease prior to the study. None were taking any type

More information

Jennifer Spring RD, LDN Outpatient Oncology Dietitian, North Carolina Cancer Hospital

Jennifer Spring RD, LDN Outpatient Oncology Dietitian, North Carolina Cancer Hospital Jennifer Spring RD, LDN Outpatient Oncology Dietitian, North Carolina Cancer Hospital The top 10 causes of death in the United States include: #1 = Heart disease #2 = Cancer #3 = Stroke #6 = Diabetes Decades

More information

The Skinny on Visceral Fat

The Skinny on Visceral Fat The Skinny on Visceral Fat Fat stored deep in the belly is the most harmful kind. Find out how to cut it down to size. People can carry their extra weight in different places on the body: All over On the

More information

Η δίαιτα στην πρόληψη του αγγειακού εγκεφαλικού επεισοδίου

Η δίαιτα στην πρόληψη του αγγειακού εγκεφαλικού επεισοδίου ΠΡΟΓΡΑΜΜΑ ΜΕΤΑΠΤΥΧΙΑΚΩΝ ΣΠΟΥΔΩΝ «Η ΔΙΑΤΡΟΦΗ ΣΤΗΝ ΥΓΕΙΑ ΚΑΙ ΣΤΗ ΝΟΣΟ» Η δίαιτα στην πρόληψη του αγγειακού εγκεφαλικού επεισοδίου Γεώργιος Ντάιος Παθολογική Κλινική Πανεπιστημίου Θεσσαλίας Stroke Statistics

More information

Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes NATIONAL DIABETES INFORMATION CLEARINGHOUSE

Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes NATIONAL DIABETES INFORMATION CLEARINGHOUSE NATIONAL DIABETES INFORMATION CLEARINGHOUSE Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes U.S. Department of Health and Human Services National Institutes of Health

More information

Taking a statin to reduce the risk of coronary heart disease and stroke

Taking a statin to reduce the risk of coronary heart disease and stroke Patient decision aid Taking a statin to reduce the risk of coronary heart disease and stroke http://www.nice.org.uk/guidance/cg181/resources/cg181-lipid-modification-update-patient-decisionaid2 Published:

More information

Diabetes and Stroke. Understanding the connection between diabetes and the increased risk of stroke

Diabetes and Stroke. Understanding the connection between diabetes and the increased risk of stroke Diabetes and Stroke Understanding the connection between diabetes and the increased risk of stroke Make the Connection Almost 26 million people in the U.S. roughly 8 percent of the population have diabetes.

More information

GENERAL HEART DISEASE KNOW THE FACTS

GENERAL HEART DISEASE KNOW THE FACTS GENERAL HEART DISEASE KNOW THE FACTS WHAT IS Heart disease is a broad term meaning any disease affecting the heart. It is commonly used to refer to coronary heart disease (CHD), a more specific term to

More information

Health Maintenance: Controlling Cholesterol

Health Maintenance: Controlling Cholesterol Sacramento Heart & Vascular Medical Associates February 18, 2012 500 University Ave. Sacramento, CA 95825 Page 1 What is cholesterol? Cholesterol is a fatty substance. It has both good and bad effects

More information

Diabetes. Patient Education. What you need to know. Diabetes Facts. Improving Health Through Education. What is Diabetes?

Diabetes. Patient Education. What you need to know. Diabetes Facts. Improving Health Through Education. What is Diabetes? Diabetes What you need to know Diabetes Facts More than 3 million Canadians have diabetes (Canadian Diabetes Association, 2009). It is the 4th leading cause of death in the world (CDA, 2009). Patient Education

More information

YOUR LAST DIET IDEAL PROTEIN

YOUR LAST DIET IDEAL PROTEIN YOUR LAST DIET IDEAL PROTEIN OBJECTIVES Explain the science and history that supports the Ideal Protein Diet method. Describe the risks and benefits of diet participation. Give you the details of what

More information

What is a Heart Attack? 1,2,3

What is a Heart Attack? 1,2,3 S What is a Heart Attack? 1,2,3 Heart attacks, otherwise known as myocardial infarctions, are caused when the blood supply to a section of the heart is suddenly disrupted. Without the oxygen supplied by

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and obesity History: A 13-year-old girl is seen for a routine clinic follow-up visit. She has been previously healthy, but her growth curve shows increasing body mass index (BMI) percentiles

More information

Pediatric Metabolic Syndrome

Pediatric Metabolic Syndrome University of Michigan Hospitals and Health Centers Pediatric Metabolic Syndrome A growing epidemic Shannon Russell Dietetic Intern June 2012 Overview Causes Risk Factors Signs and Symptoms Identification/Diagnosis

More information

Managing Your Type 2 Diabetes With a Healthy Diet

Managing Your Type 2 Diabetes With a Healthy Diet Managing Your With a Healthy Diet Objectives Understand the importance of nutrition to diabetes management Outline current nutrition guidelines for diabetes management Why is Good Nutrition Important?

More information

Achieve Your Best Health

Achieve Your Best Health Achieve Your Best Health for High Cholesterol BlueChoiceSC.com What is health coaching? Health coaching is a voluntary program for members diagnosed with certain health conditions. We take a personalized

More information

Managing Cholesterol Naturally. Morella Devost, EdM, MA Holistic Nutritionist & Hypnotherapist

Managing Cholesterol Naturally. Morella Devost, EdM, MA Holistic Nutritionist & Hypnotherapist Managing Cholesterol Naturally Morella Devost, EdM, MA Holistic Nutritionist & Hypnotherapist Everything you thought was true about cholesterol Is wrong Cholesterol is NOT the cause of heart disease Saturated

More information

Heart-Healthy Peanuts

Heart-Healthy Peanuts Oil Roasted Salted Peanuts Now Certified by American Heart Association as Heart-Healthy Even Salted Peanuts Can Be Low in Sodium Meeting Criteria for 140 mg of Sodium Per Serving Oil roasted salted peanuts

More information

Cholesterol made simple!

Cholesterol made simple! Cholesterol made simple! Cholesterol is the biggest risk factor for heart disease and also increases your risk of stroke and circulatory disease - Heart UK The Cholesterol Charity What is Cholesterol and

More information

WHAT DOES DYSMETABOLIC SYNDROME MEAN?

WHAT DOES DYSMETABOLIC SYNDROME MEAN? ! WHAT DOES DYSMETABOLIC SYNDROME MEAN? Dysmetabolic syndrome (also referred to as syndrome X, insulin resistance syndrome, and metabolic syndrome ) is a condition in which a group of risk factors for

More information

PISA Style Scientific Literacy Question

PISA Style Scientific Literacy Question PISA Style Scientific Literacy Question Read the text about Statins Statins are drugs which stop the liver producing too much cholesterol. Doctors say that many heart attacks and strokes are prevented

More information

YOUR GUIDE TO. Lowering The Risk of Heart Attack and Stroke

YOUR GUIDE TO. Lowering The Risk of Heart Attack and Stroke YOUR GUIDE TO Lowering The Risk of Heart Attack and Stroke The Mercy Health Heart Institute team is focused on helping you keep your heart healthy. As part of this effort, it s important for you to know

More information

Insulin Resistance and Pre-diabetes

Insulin Resistance and Pre-diabetes 1 of 6 11/17/2009 9:38 PM Insulin Resistance and Pre-diabetes What is insulin resistance? What causes insulin resistance? Metabolic Syndrome What is pre-diabetes? What are the symptoms of insulin resistance

More information

BEST & WORST FOODS FOR BELLY FAT

BEST & WORST FOODS FOR BELLY FAT Belly fat is worse for you than fat elsewhere on your body. Excess accumulation of belly fat is more dangerous than excess fat around your hips and thighs. Belly fat is associated with serious health problems,

More information

Body Composition & Longevity. Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ

Body Composition & Longevity. Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ Body Composition & Longevity Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ LONGEVITY Genetic 25% Environmental Lifestyle Stress 75% BMI >30 OBESE 25-30 OVERWEIGHT 18-25 NORMAL WEIGHT 18

More information

Strokes and High Blood Pressure

Strokes and High Blood Pressure Strokes and High Blood Pressure Quick Review from last Week: What is a Stroke Stroke: blood supply to the brain is severely limited or cut off With no blood to carry oxygen to them, brain cells will die

More information

Know Your Resistance A Guide to Better Health

Know Your Resistance A Guide to Better Health Know Your Resistance A Guide to Better Health This material is copyrighted by Bayer HealthCare LLC and is intended solely for use in the Know Your Series educational programs supported by Bayer HealthCare

More information

Facts About Peripheral Arterial Disease (P.A.D.)

Facts About Peripheral Arterial Disease (P.A.D.) Facts About Peripheral Arterial Disease (P.A.D.) One in every 20 Americans over the age of 50 has P.A.D., a condition that raises the risk for heart attack and stroke. Peripheral arterial disease, or P.A.D.,

More information

High Blood Pressure (Hypertension)

High Blood Pressure (Hypertension) Page 1 of 7 High Blood Pressure (Hypertension) Having high blood pressure is one of several 'risk factors' that can increase your chance of developing heart disease, a stroke, and other serious conditions.

More information

Dietary Composition for Weight Loss and Weight Loss Maintenance

Dietary Composition for Weight Loss and Weight Loss Maintenance Dietary Composition for Weight Loss and Weight Loss Maintenance Bridget M. Hron, MD Instructor in Pediatrics, Harvard Medical School Staff Physician in Gastroenterology & Nutrition and New Balance Foundation

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and type 2 diabetes mellitus History: A 17-year-old Hispanic female patient is seen for a routine clinic follow-up visit. She was diagnosed with type 2 diabetes 6 months ago. Her hemoglobin

More information

Acquired Heart Disease: Prevention and Treatment

Acquired Heart Disease: Prevention and Treatment Acquired Heart Disease: Prevention and Treatment Prevention and Treatment Sharon L. Roble, MD Assistant Professor Adult Congenital Heart Program The Ohio State University/Nationwide Children s Hospital

More information

Cholesterol. Your Plan for a. Healthy Heart. Know Your Cholesterol Numbers. Eat Healthy Foods. Get Moving!

Cholesterol. Your Plan for a. Healthy Heart. Know Your Cholesterol Numbers. Eat Healthy Foods. Get Moving! Cholesterol Your Plan for a Healthy Heart Know Your Cholesterol Numbers Eat Healthy Foods Get Moving! Know your numbers Is my cholesterol too high? What do these numbers mean? It s important to know your

More information

Cardiovascular Disease Risk Factors Part XII Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner September 15, 2005

Cardiovascular Disease Risk Factors Part XII Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner September 15, 2005 Cardiovascular Disease Risk Factors Part XII By James L. Holly, MD Your Life Your Health The Examiner September 15, 2005 As we approach the end of our extended series on cardiovascular disease risk factors,

More information

REDUCE YOUR RISK OF STROKE

REDUCE YOUR RISK OF STROKE REDUCE YOUR RISK OF STROKE WHAT IS STROKE? A stroke is a brain attack. It can be fatal. A stroke happens when a blockage such as a clot blocks the blood flow to the brain, or when a burst blood vessel

More information

INFORMATION PAPER ON DIABETES IN SINGAPORE KEY FACTS

INFORMATION PAPER ON DIABETES IN SINGAPORE KEY FACTS KEY FACTS Diabetes is on the rise, and is among the top 10 causes of death in Singapore. Indians are most likely to have diabetes, followed by the Malays and Chinese. The risk of diabetes can be reduced

More information

What is meant by "randomization"? (Select the one best answer.)

What is meant by randomization? (Select the one best answer.) Preview: Post-class quiz 5 - Clinical Trials Question 1 What is meant by "randomization"? (Select the one best answer.) Question 2 A. Selection of subjects at random. B. Randomization is a method of allocating

More information

Do You Know the Health Risks of Being Overweight?

Do You Know the Health Risks of Being Overweight? Do You Know the Health Risks of Being Overweight? U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH WIN Weight-control Information Network What are the risks to my health from

More information

High Blood Cholesterol What you need to know

High Blood Cholesterol What you need to know National Cholesterol Education Program High Blood Cholesterol What you need to know Why Is Cholesterol Important? Your blood cholesterol level has a lot to do with your chances of getting heart disease.

More information

UNIVERSITY OF MEDICINE AND PHARMACY CRAIOVA DOCTORAL SCHOOL DOCTORATE THESIS. - Summary

UNIVERSITY OF MEDICINE AND PHARMACY CRAIOVA DOCTORAL SCHOOL DOCTORATE THESIS. - Summary UNIVERSITY OF MEDICINE AND PHARMACY CRAIOVA DOCTORAL SCHOOL DOCTORATE THESIS - Summary CHRONIC COMPLICATIONS IN PATIENTS WITH TYPE 1 DIABETES MELLITUS - Epidemiological study - PhD Manager: Professor PhD.

More information

Healthy Blood Pressure Healthy Heart Beat. Initiated by the World Hypertension League

Healthy Blood Pressure Healthy Heart Beat. Initiated by the World Hypertension League Healthy Blood Pressure Healthy Heart Beat Initiated by the World Hypertension League MAY 17, 2013 What is Hypertension? Hypertension is most commonly known as High Blood Pressure. It is a chronic medical

More information

Nutrition. Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT

Nutrition. Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT 1 Nutrition Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT 2 Type 2 Diabetes: A Growing Challenge in the Healthcare Setting Introduction and background of type 2 diabetes:

More information

CHOLESTEROL 101: WHAT YOU NEED TO KNOW TO KEEP YOUR HEART HEALTHY. By: Camille Quiles, PharmD., RPh.

CHOLESTEROL 101: WHAT YOU NEED TO KNOW TO KEEP YOUR HEART HEALTHY. By: Camille Quiles, PharmD., RPh. CHOLESTEROL 101: WHAT YOU NEED TO KNOW TO KEEP YOUR HEART HEALTHY By: Camille Quiles, PharmD., RPh. WHAT IS CHOLESTEROL? CHOLESTEROL Waxy, fat-like substance found in all cells of the body Your body uses

More information

Expert Commentary. A response to the recent JAMA meta analysis on omega 3 supplementation and cardiovascular events

Expert Commentary. A response to the recent JAMA meta analysis on omega 3 supplementation and cardiovascular events Expert Commentary A response to the recent JAMA meta analysis on omega 3 supplementation and cardiovascular events Dr. Bruce J. Holub, Ph.D., Professor Emeritus, University of Guelph Expert Commentary:

More information

Nutrition. Focus on a whole foods approach.

Nutrition. Focus on a whole foods approach. Nutrition Many of the participants find that the Nutrition Spectrum Reversal Program is just as effective in managing their diabetes as it is managing heart disease. However, there may be an adjustment

More information

Beating insulin resistance through lifestyle changes

Beating insulin resistance through lifestyle changes Beating insulin resistance through lifestyle changes This information is relevant to people at risk for type 2 diabetes, those who already have type 2 diabetes, pre- diabetes, polycystic ovary syndrome

More information

AHA/ASA Guidelines on Prevention of Recurrent Stroke

AHA/ASA Guidelines on Prevention of Recurrent Stroke AHA/ASA Guidelines on Prevention of Recurrent Stroke MARA LAMBERT Guideline source: American Heart Association/American Stroke Association Evidence rating system used? Yes Literature search described?

More information

Primary Prevention of Cardiovascular Disease with a Mediterranean diet

Primary Prevention of Cardiovascular Disease with a Mediterranean diet Primary Prevention of Cardiovascular Disease with a Mediterranean diet Alejandro Vicente Carrillo, Brynja Ingadottir, Anne Fältström, Evelyn Lundin, Micaela Tjäderborn GROUP 2 Background The traditional

More information

TERMS FOR UNDERSTANDING YOUR TYPE 2 DIABETES. Definitions for Common Terms Related to Type 2 Diabetes

TERMS FOR UNDERSTANDING YOUR TYPE 2 DIABETES. Definitions for Common Terms Related to Type 2 Diabetes TERMS FOR UNDERSTANDING YOUR TYPE 2 DIABETES Definitions for Common Terms Related to Type 2 Diabetes TYPE 2 DIABETES AND BLOOD SUGAR 1-3 This list of terms may help you beter understand type 2 diabetes,

More information

3.5% 3.0% 3.0% 2.4% Prevalence 2.0% 1.5% 1.0% 0.5% 0.0%

3.5% 3.0% 3.0% 2.4% Prevalence 2.0% 1.5% 1.0% 0.5% 0.0% S What is Heart Failure? 1,2,3 Heart failure, sometimes called congestive heart failure, develops over many years and results when the heart muscle struggles to supply the required oxygen-rich blood to

More information

My life with Type 2-diabetes. English

My life with Type 2-diabetes. English My life with Type 2-diabetes English 1 What is type 2 diabetes Diabetes is a disease where you have increased sugar content in the blood. If you have type 2-diabetes, you lack the ability of exploiting

More information

Is Insulin Effecting Your Weight Loss and Your Health?

Is Insulin Effecting Your Weight Loss and Your Health? Is Insulin Effecting Your Weight Loss and Your Health? Teressa Alexander, M.D., FACOG Women s Healthcare Associates www.rushcopley.com/whca 630-978-6886 Obesity is Epidemic in the US 2/3rds of U.S. adults

More information

Heart disease heart conditions

Heart disease heart conditions Heart disease Heart disease may include a number of heart conditions or problems, such as angina, heart failure or abnormal heart rhythms. If you think that you may have a heart problem, you should speak

More information

Trans Fat 1g. Cholesterol 30g 10% Sodium 470mg 20% Total Carbohydrate 10%

Trans Fat 1g. Cholesterol 30g 10% Sodium 470mg 20% Total Carbohydrate 10% As we continue to focus on the many facets of our work during National Public Health Week, today we take a closer look at our healthy eating and active living initiatives. Our work focuses on obesity prevention,

More information

Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high.

Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high. Diseases and Conditions High cholesterol Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high. By Mayo Clinic Staff

More information

SCRIPT NUMBER 93 HIGH CHOLESTEROL (ONE SPEAKER)

SCRIPT NUMBER 93 HIGH CHOLESTEROL (ONE SPEAKER) SCRIPT NUMBER 93 HIGH CHOLESTEROL (ONE SPEAKER) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: HIGH CHOLESTEROL PROGRAM NUMBER: 93 SUBJECT: SOURCES, COMPLICATIONS, TREATMENT AND PREVENTION OF HIGH CHOLESTEROL

More information

Nonalcoholic Fatty Liver Disease. Dietary and Lifestyle Guidelines

Nonalcoholic Fatty Liver Disease. Dietary and Lifestyle Guidelines Nonalcoholic Fatty Liver Disease Dietary and Lifestyle Guidelines Risk factors for NAFLD Typically, but not always seen in patients who are overweight. May have Diabetes and or insulin resistance high

More information

Statins, healthy diet and cholesterol. January 2014

Statins, healthy diet and cholesterol. January 2014 Position Statement Statins, healthy diet and cholesterol January 2014 Recent media coverage claiming that high cholesterol does not cause heart disease, and also questioning the benefits of using statins

More information

NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. Control Your Cholesterol: Keep Your Heart Healthy

NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. Control Your Cholesterol: Keep Your Heart Healthy V O L U M E 5, N U M B E R 8 V O L U M E 5, N U M B E R 8 Health Bulletin NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE #42 in a series of Health Bulletins on issues of pressing interest to all

More information

MANAGEMENT OF LIPID DISORDERS: IMPLICATIONS OF THE NEW GUIDELINES

MANAGEMENT OF LIPID DISORDERS: IMPLICATIONS OF THE NEW GUIDELINES MANAGEMENT OF LIPID DISORDERS: IMPLICATIONS OF THE NEW GUIDELINES Robert B. Baron MD MS Professor and Associate Dean UCSF School of Medicine Declaration of full disclosure: No conflict of interest EXPLAINING

More information

COMPARISON OF COMP WEIGHT-LOSS DIETS Wednesday Ambulatory Conference Liz Thomas, MD March 11, 2009

COMPARISON OF COMP WEIGHT-LOSS DIETS Wednesday Ambulatory Conference Liz Thomas, MD March 11, 2009 COMPARISON OF WEIGHT-LOSS DIETS Wednesday Ambulatory Conference Liz Thomas, MD March 11, 2009 Case Scenario You are seeing gyour patient as a routine follow up visit in your clinic. She is a 45 yo female

More information

Nutrition and Heart Health. Nazrana Quareshy Dietitian Worthing Hospital

Nutrition and Heart Health. Nazrana Quareshy Dietitian Worthing Hospital Nutrition and Heart Health Nazrana Quareshy Dietitian Worthing Hospital Why talk about diet? Factors affecting heart health Changeable Smoking Inactivity Diet High blood pressure High cholesterol Weight

More information

Heart disease - risk factors

Heart disease - risk factors Heart disease - risk factors Summary There is no single thing that causes CHD, but there are several risk factors that contribute to it. You can reduce your risk of developing CHD by reducing or removing

More information

Preventive Care Recommendations THE BASIC FACTS

Preventive Care Recommendations THE BASIC FACTS Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS Carlos Healey, diagnosed in 2001 The Three Most Common Eye Disorders in Multiple Sclerosis Blood Pressure & Pulse Height & Weight Complete

More information

Nutrition Fact vs. Fiction. Karen Bryla McNees, Ed.D., RD, CHES Dietitian, UK Health & Wellness Program

Nutrition Fact vs. Fiction. Karen Bryla McNees, Ed.D., RD, CHES Dietitian, UK Health & Wellness Program Nutrition Fact vs. Fiction Karen Bryla McNees, Ed.D., RD, CHES Dietitian, UK Health & Wellness Program Today s Discussion! Why we re confused! Nutrition fact and fiction from today s headlines! Savvy

More information

Cardiovascular disease physiology. Linda Lowe-Krentz Bioscience in the 21 st Century October 14, 2011

Cardiovascular disease physiology. Linda Lowe-Krentz Bioscience in the 21 st Century October 14, 2011 Cardiovascular disease physiology Linda Lowe-Krentz Bioscience in the 21 st Century October 14, 2011 Content Introduction The number 1 killer in America Some statistics Recommendations The disease process

More information

What is Type 2 Diabetes?

What is Type 2 Diabetes? Type 2 Diabetes What is Type 2 Diabetes? Diabetes is a condition where there is too much glucose in the blood. Our pancreas produces a hormone called insulin. Insulin works to regulate our blood glucose

More information

South African Cholesterol Guidelines Compared

South African Cholesterol Guidelines Compared South African Cholesterol Guidelines Compared Jacqueline van Schoor, Amayeza Info Centre While infectious diseases are currently the leading cause of death in South Africa, cardiovascular disease (CVD)

More information

DIABETES & HEALTHY EATING

DIABETES & HEALTHY EATING DIABETES & HEALTHY EATING Food gives you the energy you need for healthy living. Your body changes most of the food you eat into a sugar called glucose. (glucose) Insulin helps your cells get the sugar

More information

Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence

Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence Guidelines Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence Stroke/TIA Nearly 700,000 ischemic strokes and 240,000 TIAs every year in the United States Currently, the risk for

More information

High Blood Pressure (Essential Hypertension)

High Blood Pressure (Essential Hypertension) Sacramento Heart & Vascular Medical Associates February 18, 2012 500 University Ave. Sacramento, CA 95825 Page 1 916-830-2000 Fax: 916-830-2001 What is essential hypertension? Blood pressure is the force

More information

Carbohydrates are the major part of most human diets.

Carbohydrates are the major part of most human diets. Carbohydrates Carbohydrates are the major part of most human diets. There are 2 types of carbohydrates. Complex carbohydrates Include starches and some forms of fiber. About 50% of your diet should come

More information

DCCT and EDIC: The Diabetes Control and Complications Trial and Follow-up Study

DCCT and EDIC: The Diabetes Control and Complications Trial and Follow-up Study DCCT and EDIC: The Diabetes Control and Complications Trial and Follow-up Study National Diabetes Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What

More information

Omega-3 supplements, including EPA and DHA for Cardioprotection: A Review

Omega-3 supplements, including EPA and DHA for Cardioprotection: A Review Omega-3 supplements, including EPA and DHA for Cardioprotection: A Review Amanda Gerson Abstract People can make fats using building blocks known as fatty acids, and these fatty acids are known as non-essential,

More information

Blood Pressure Weight BMI. Numbers KNOW YOUR LDL/HDL. Triglycerides. holesterol

Blood Pressure Weight BMI. Numbers KNOW YOUR LDL/HDL. Triglycerides. holesterol Blood Pressure Weight BMI Blood Sugar KNOW YOUR holesterol LDLHDL Numbers Triglycerides Your health truly is the most important thing in your life. Knowing your medical history and getting annual checkups

More information