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Hi Ho Silver
medicine forum beginner
Joined: 16 Jun 2005
Posts: 3
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 Posted: Thu Jun 15, 2006 3:52 pm Post subject:
Recommended Fat Intake Limits?
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I have continuing problems with heart artery clogging and have just had
another heart cath with additional stent implanted. After my bypass surgery
in 1998, the dietician gave me these guidelines for fat intake to limit
deposits but still provide enough calories:
- total fat: 60 grams/day
- saturated fat: 20 grams/day
I would enjoy hearing from others in this newsgroup as to your understanding
of what these recommended limits should be.
I do try to stay within these limits, and am renewing my committment to do
so.
Thanks,
--
John Hanley
<><><><><><><><>
To send return email:
jphanley
"at"
ix.
netcom.
com
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Jim Chinnis
medicine forum Guru
Joined: 30 Apr 2005
Posts: 1030
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| Posted: Thu Jun 15, 2006 4:54 pm Post subject:
Re: Recommended Fat Intake Limits?
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"Hi Ho Silver" <24601@hidden.org> wrote in part:
| Quote: | I have continuing problems with heart artery clogging and have just had
another heart cath with additional stent implanted. After my bypass surgery
in 1998, the dietician gave me these guidelines for fat intake to limit
deposits but still provide enough calories:
- total fat: 60 grams/day
- saturated fat: 20 grams/day
I would enjoy hearing from others in this newsgroup as to your understanding
of what these recommended limits should be.
I do try to stay within these limits, and am renewing my committment to do
so.
Thanks,
|
I think the diet should be tailored to the individual We don't know your
lipids, hsCRP, body fat, etc. I think a very low-fat diet can be beneficial
for a very thin person with coronary artery disease. I think that
carbohydrates are more often the problem for those who are overweight. In
fact, increasing fat and decreasing carbs can improve blood lipids in
overweight people, and maybe others.
There is pretty much agreement on avoiding all trans-fat (partially
hydrogenated oils). And there is coming to be agreement that at least
monounsaturated fats and omega-3 polyunsaturated fats are protective. I
can't see placing a limit on them except in the context of reducing calories
across the board.
--
Jim Chinnis Warrenton, Virginia, USA |
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William Wagner
medicine forum Guru
Joined: 29 Apr 2005
Posts: 809
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| Posted: Thu Jun 15, 2006 5:48 pm Post subject:
Re: Recommended Fat Intake Limits?
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In article <2nfkg.6228$o4.2017@newsread2.news.pas.earthlink.net>,
"Hi Ho Silver" <24601@hidden.org> wrote:
| Quote: | I have continuing problems with heart artery clogging and have just had
another heart cath with additional stent implanted. After my bypass surgery
in 1998, the dietician gave me these guidelines for fat intake to limit
deposits but still provide enough calories:
- total fat: 60 grams/day
- saturated fat: 20 grams/day
I would enjoy hearing from others in this newsgroup as to your understanding
of what these recommended limits should be.
I do try to stay within these limits, and am renewing my committment to do
so.
Thanks,
|
Thought this may touch on useful ideas. Notice getting high serum
triglyceride down is desirable. Perhaps someone can elucidate on how
to do this.
I donšt know about you but I hope I do not see CABG again.
Bill
...........................
Positive family history of coronary atherosclerosis and serum
triglycerides may predict repeated coronary artery bypass surgery.
Mennander A, Angervuori T, Huhtala H, Karhunen P, Tarkka M, Kuukasjarvi
P.
Heart Center, Tampere University Hospital and Medical School, Department
of Surgery, University of Tampere, Finland. ari.mennander@pshp.fi
OBJECTIVE: Cardiovascular risk factor profile of patients in need of
repeated coronary artery bypass surgery (redo CABG) seldom differ from
patients having only single coronary artery bypass surgery (CABG). The
aim of this study was to analyse the influence of positive family
history for coronary artery disease in respect to redo CABG vs CABG in a
case-control setting. DESIGN: One hundred and eighty four patients
undergoing redo CABG between 1990-1998 were identified from the computed
registry of the Department of Cardiothoracic Surgery in Tampere
University Hospital. One hundred and eighty four age, gender and
operation date matched patients with CABG were selected for control.
RESULTS: According to chi-square analysis, positive family history for
coronary artery disease was more common in Study group, 60.4% versus
49.5% (p<0.05). Preoperative systolic blood pressure was 135.5+/-1.4
mmHg versus 133.5+/-1.5 mmHg (ns), preoperative diastolic blood pressure
was 81.2+/-0.8 mmHg versus 82.8+/-0.9 mmHg (ns), serum total cholesterol
was 5.8+/-0.1 mmol/L versus 6.6+/-1.2 mmol/L and preoperative blood
glucose was 5.6+/-0.2 mmol/L versus 5.3+/-0.2 mmol/L (ns) in Controls
and Study group, respectively. However, serum triglyceride level was
significantly higher in Study group 2.8+/-0.2 mmol/L versus 2.0+/-0.1
mmol/L (p<0.000). In regression analysis, only positive family history
(OR=2.4; 95% CI=1.1-5.1; p<0,02) and high serum c (>or=2 mmol/L, OR=1.6;
95% CI=1.2-2.2; p<0,02) were independent predictors for redo CABG.
CONCLUSION: According to this study, positive family history for
coronary atherosclerosis at the presence of high serum triglyceride
level is significantly predicting the need for future redo CABG as
compared with age, gender and operation time matched controls of CABG.
PMID: 16118070 [PubMed - indexed for MEDLINE]
--
S Jersey USA Zone 5 Shade
This article is posted under fair use rules in accordance with
Title 17 U.S.C. Section 107, and is strictly for the educational
and informative purposes. This material is distributed without profit. |
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Juhana Harju
medicine forum Guru
Joined: 06 May 2005
Posts: 1056
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| Posted: Thu Jun 15, 2006 7:30 pm Post subject:
Re: Recommended Fat Intake Limits?
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Jim Chinnis wrote:
: "Hi Ho Silver" <24601@hidden.org> wrote in part:
:
:: I have continuing problems with heart artery clogging and have just
:: had another heart cath with additional stent implanted. After my
:: bypass surgery in 1998, the dietician gave me these guidelines for
:: fat intake to limit deposits but still provide enough calories:
::
:: - total fat: 60 grams/day
:: - saturated fat: 20 grams/day
::
:: I would enjoy hearing from others in this newsgroup as to your
:: understanding of what these recommended limits should be.
:: I do try to stay within these limits, and am renewing my committment
:: to do so.
::
:: Thanks,
:
: There is pretty much agreement on avoiding all trans-fat (partially
: hydrogenated oils). And there is coming to be agreement that at least
: monounsaturated fats and omega-3 polyunsaturated fats are protective.
: I can't see placing a limit on them except in the context of reducing
: calories across the board.
I would also like to stress the importance of omega-3 fatty acids from both
plant sources and fatty fish or fish oil capsules. There is pretty good
evidence that adequate intake of omega-3 reduces heart disease mortality.
Include some rape seed oil (canola oil), flax seeds and fatty fish (salmon,
mackerel, trout, sardines) in your diet.
I would also like to recommend drinking a glass of pomegranate juice daily
as there are studies showing that it will reduce plaque formation in
arteries when consumed regularly. If juice is not available whole
pomegranates will do also, but eating them can be little messy.
--
Juhana |
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Gerald Hall
medicine forum beginner
Joined: 23 Jun 2005
Posts: 6
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| Posted: Thu Jun 15, 2006 8:14 pm Post subject:
Re: Recommended Fat Intake Limits?
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"William Wagner" <not-to-here-williamwag@gmail.com> wrote in message
news:not-to-here-williamwag-90A859.13481415062006@sn-indi.vsrv-sjc.supernews.net...
| Quote: | In article <2nfkg.6228$o4.2017@newsread2.news.pas.earthlink.net>,
"Hi Ho Silver" <24601@hidden.org> wrote:
I have continuing problems with heart artery clogging and have just had
another heart cath with additional stent implanted. After my bypass
surgery
in 1998, the dietician gave me these guidelines for fat intake to limit
deposits but still provide enough calories:
- total fat: 60 grams/day
- saturated fat: 20 grams/day
I would enjoy hearing from others in this newsgroup as to your
understanding
of what these recommended limits should be.
I do try to stay within these limits, and am renewing my committment to
do
so.
Thanks,
Thought this may touch on useful ideas. Notice getting high serum
triglyceride down is desirable. Perhaps someone can elucidate on how
to do this.
|
A year after my stent implant my triglycerides were up over 500. My card.
said that if I didn't get them down to the normal range <150 that my stent
would probably clog up. He put me on a very low fat diet completely
eliminating all fats except the good kind (olive oil, almonds, etc.). This
meant eliminating all cheese, ice cream, cookies, all but very lean meats,
etc. As a result, not only did I get my triglycerides down to a normal
range, but I lost 30 pounds. A good way to lose weight and stay healthy.
Jerry
| Quote: |
I donšt know about you but I hope I do not see CABG again.
Bill
..........................
Positive family history of coronary atherosclerosis and serum
triglycerides may predict repeated coronary artery bypass surgery.
Mennander A, Angervuori T, Huhtala H, Karhunen P, Tarkka M, Kuukasjarvi
P.
Heart Center, Tampere University Hospital and Medical School, Department
of Surgery, University of Tampere, Finland. ari.mennander@pshp.fi
OBJECTIVE: Cardiovascular risk factor profile of patients in need of
repeated coronary artery bypass surgery (redo CABG) seldom differ from
patients having only single coronary artery bypass surgery (CABG). The
aim of this study was to analyse the influence of positive family
history for coronary artery disease in respect to redo CABG vs CABG in a
case-control setting. DESIGN: One hundred and eighty four patients
undergoing redo CABG between 1990-1998 were identified from the computed
registry of the Department of Cardiothoracic Surgery in Tampere
University Hospital. One hundred and eighty four age, gender and
operation date matched patients with CABG were selected for control.
RESULTS: According to chi-square analysis, positive family history for
coronary artery disease was more common in Study group, 60.4% versus
49.5% (p<0.05). Preoperative systolic blood pressure was 135.5+/-1.4
mmHg versus 133.5+/-1.5 mmHg (ns), preoperative diastolic blood pressure
was 81.2+/-0.8 mmHg versus 82.8+/-0.9 mmHg (ns), serum total cholesterol
was 5.8+/-0.1 mmol/L versus 6.6+/-1.2 mmol/L and preoperative blood
glucose was 5.6+/-0.2 mmol/L versus 5.3+/-0.2 mmol/L (ns) in Controls
and Study group, respectively. However, serum triglyceride level was
significantly higher in Study group 2.8+/-0.2 mmol/L versus 2.0+/-0.1
mmol/L (p<0.000). In regression analysis, only positive family history
(OR=2.4; 95% CI=1.1-5.1; p<0,02) and high serum c (>or=2 mmol/L, OR=1.6;
95% CI=1.2-2.2; p<0,02) were independent predictors for redo CABG.
CONCLUSION: According to this study, positive family history for
coronary atherosclerosis at the presence of high serum triglyceride
level is significantly predicting the need for future redo CABG as
compared with age, gender and operation time matched controls of CABG.
PMID: 16118070 [PubMed - indexed for MEDLINE]
--
S Jersey USA Zone 5 Shade
This article is posted under fair use rules in accordance with
Title 17 U.S.C. Section 107, and is strictly for the educational
and informative purposes. This material is distributed without profit. |
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Joe Doe
medicine forum beginner
Joined: 24 Jan 2006
Posts: 35
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| Posted: Fri Jun 16, 2006 4:45 pm Post subject:
Re: Recommended Fat Intake Limits?
|
|
|
In article <2nfkg.6228$o4.2017@newsread2.news.pas.earthlink.net>,
"Hi Ho Silver" <24601@hidden.org> wrote:
| Quote: | I have continuing problems with heart artery clogging and have just had
another heart cath with additional stent implanted. After my bypass surgery
in 1998, the dietician gave me these guidelines for fat intake to limit
deposits but still provide enough calories:
- total fat: 60 grams/day
- saturated fat: 20 grams/day
I would enjoy hearing from others in this newsgroup as to your understanding
of what these recommended limits should be.
I do try to stay within these limits, and am renewing my committment to do
so.
Thanks,
|
Providing you are not overeating (shoot for a small calorie deficit like
100 calories) I think most current thinking would suggest the type of
fat consumed is more important than absolute amounts - substitute
monounsaturated fats for saturated and trans fats as much as possible
and add omega-3 fats (practically this means use canola and olive oil,
avocados, nuts as fat sources, together with fish and plant sources of
omega-3s like ground flaxseeds or walnuts and try to avoid all major
sources of saturated and trans fats).
Secondly, add a lot of fruit and vegetables to your diet and exercise to
the equivalent of about 2000-3000 calories/week(this would translate to
walking 20-30 miles/week).
Do a search for the Lyon Heart Study that summarizes the benefits of
these lifestyle changes on clinical endpoints - despite having much
higher amounts of fat the outcomes were much better. This diet is much
easier to maintain than a traditional low fat diet and all the evidence
points to much better outcomes.
e.g.
http://circ.ahajournals.org/cgi/content/full/103/13/1823
Roland |
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