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Article [4] Perspective on Heart Disease Heart disease is the #1 cause of death in the U.S.A and a cause of much disability and grief to families stricken by the sudden loss of a father or mother. It comes stealthily many times with no warning or with warnings that are unrecognized or ignored.
What are the contributing forces that are
silently gathering strength like a sunami far under the surface of the ocean,
building momentum without creating a ripple on the surface, only to crash suddenly
on the land with cataclysmic force of destruction.
We know about major risk factors such as
high blood pressure, diabetes, smoking, sedentary lifestyle, high cholesterol,
etc.,, but nearly 1/2 of people who get heart attacks have none of the known
major risk factors.
Regarding the risk factors of which w
are aware, we have reduced their effect somewhat, but we have a long way to go
to modify them enough to make a major impact on the disease. Many people
with hypertension don't know they have it; of those who
are aware of it, a large part do not seek treatment; and of those
who are treated, many do not consistently follow treatment. The same goes
for diabetes and high cholesterol.
The focus of our treatment of these
aforementioned conditions has been primarily medical. The drugs used of
ten cause many adverse reactions, disease, and death. They many times
cause people to feel worse, and they may have as yet undiscovered long term ill
effects.
Then there are the less well publicized
or less well known risk factors. Stress factors without adequate stress
management, social isolation, anger and hostility, and poverty, with its
concomitant sense of loss of control of one's life, all contribute to heart
disease. Some hereditary factors contributing to heart disease have to do
with cholesterol, diabetes, hypertension, and also homocysteine
Most of these contributing factors could
be addressed with educational programs aimed at changing behaviors and
destructive habits such as smoking, lack of exercise, and poor food choices.
Most of the efforts so far have been focused on drugs to modify risk factor, as
well as to try to treat the disease after it shows up. This is a very
costly and inefficient approach.
A large part of a cost-effective risk
reduction program would utilize a nutritional approach, educating, training , an
encouraging people in choosing preparing foods conducive to good cardiac health,
as well as making judicious use of dietary supplements. Financial incentives
could be built into insurance plans, giving reduced premiums to those who
participate in these programs. Additional benefits of such programs would
likely be the reduced rates of cancer, Alzheimer's disease, arthritis,
osteoporosis, asthma, gallbladder disease, dilveticulitis, and many other
diseases of Western Civilization, all linked to similar dietary
patterns.
One risk factor
primarily related to nutrition and exercise is insulin resistance. Much of
the association of diabetes with heart disease comes from this condition that
occurs long before diabetes develops. Insulin resistance prevails in a
large part of the adult population and in many children, many of whom never
develop diabetes but who nevertheless develop heart disease. High insulin levels
have been known for a long time to contribute to heart disease, but serum
insulin is seldom currently checked because it is not recognized as disease per
se, to be targeted with a drug and to be detected in tests covered by insurance.
Insulin resistance occurs more in people
who have large abdomens, hypertension, high uric acid, high triglycerides, low
HDL cholesterol, and symptoms of inflammatory conditions such as joint pains,
fatigue, ets.
Insulin resistance can be reduced by
many of the nutritional improvements that help to prevent and reverse heart
disease. Most of these nutritional recommendations are: decreasing sugar
and refined starches, increasing fiber, getting more protein from plant sources
and less from animal sources, getting fats more from plant sources such as
olive oil, flax seeds, and vegetables. Also it is important to get less
fat from domestic animals such as pork, beef, chicken and turkey, and more from
wild game when available and cold water fish such as salmon, mackerel, and
sardines.
An overall good dietary plan to prevent heart
disease would mean that for carbohydrates, one would choose whole vegetables,
100% whole grains, would avoid processed flours and starches; for fat one would
choose the ones mentioned above and would avoid altogether the hydrogenated oils
(contain trans fatty acids); and for protein sources one would get more from soy
products such soy milk and tofu, and less from meats.
Some of the most important supplements
include high potency antioxidant combinations, including especially vitamin E,
folic acid and vitamin B-12, fish or flax oil capsules, coenzyme Q-10, L-carnitine,
and Hawthorne berries. Also there are medical foods that are good for
regulation of sugar and insulin because they have resistant starch (high amylos
and low amylopectin). There are intravenous supplements also that can
beneficial as well, such as chelation therapy and oxidation therapy, all of
which could be discussed in another paper.
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