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Lifestyle trumps drugs for a healthy heart: study
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Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Thu Jul 06, 2006 12:02 am    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

Joe Doe wrote:
Quote:
In article <1152100260.161673.147590@75g2000cwc.googlegroups.com>,
"Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote:

The key is losing down to a healthy weight (i.e. becoming lean and
trim). The effect of this is so large and profound that it swamps
everything else out. The number one barrier keeping folks from this is
their fear of hunger.

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheLife


In terms of body fat % what is your idea of "lean and trim" for males or
females?

10% ?
14%?
19%?

Roland

Body fat percentages are meaningless for at least two reasons:

(1) There is no practical means of adjusting/controlling such
percentages.

(2) Visceral adiposity can still be pathologically high even with
relatively low body fat percentages.

Far wiser is to reduce food intake down to an optimal amount so that in
time a person will be at his/her optimal lean&trim weight with a lower
body fat percentage and no visceral adiposity.

"Noone is successful at thinking down his/her body weight but one can
be successful at thinking down the weight of his/her meals."

What keeps people from already doing this?

"Fear of hunger, which is simply ones healthy appetite."


Prayerfully in Christ's amazing love,

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheLife
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vernon
medicine forum Guru


Joined: 15 Jan 2006
Posts: 405

PostPosted: Wed Jul 05, 2006 8:17 pm    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

"Joe Doe" <None@mail.utexas.edu> wrote in message
news:None-ED11DB.13072805072006@geraldo.cc.utexas.edu...
Quote:
In article <1152100260.161673.147590@75g2000cwc.googlegroups.com>,
"Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote:


The key is losing down to a healthy weight (i.e. becoming lean and
trim). The effect of this is so large and profound that it swamps
everything else out. The number one barrier keeping folks from this is
their fear of hunger.

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheLife


In terms of body fat % what is your idea of "lean and trim" for males or
females?

10% ?
14%?
19%?

Roland

Lean and trim doesn't mean skinny and atrophied, but 19% is under the
average American.
Males and females are very different in body fat.

There is an estimate that says if the average American had a body fat, not
exceeding 18%, health cost would be halved.
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Joe Doe
medicine forum beginner


Joined: 24 Jan 2006
Posts: 35

PostPosted: Wed Jul 05, 2006 6:07 pm    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

In article <1152100260.161673.147590@75g2000cwc.googlegroups.com>,
"Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote:

Quote:

The key is losing down to a healthy weight (i.e. becoming lean and
trim). The effect of this is so large and profound that it swamps
everything else out. The number one barrier keeping folks from this is
their fear of hunger.

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheLife


In terms of body fat % what is your idea of "lean and trim" for males or
females?

10% ?
14%?
19%?

Roland
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Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Wed Jul 05, 2006 11:51 am    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

Roman Bystrianyk wrote:
Quote:
Amanda Beck, "Lifestyle trumps drugs for a healthy heart: study",
Reuters UK, July 3, 2006,
Link:
http://today.reuters.co.uk/news/newsArticle.aspx?type=healthNews&storyID=2006-07-03T212034Z_01_N03323792_RTRIDST_0_HEALTH-LIFESTYLE-DC.XML

Even men who take medication for high blood pressure or cholesterol can
dramatically cut their risk of heart disease by adopting a healthy
lifestyle, U.S. researchers reported on Monday.

Middle-aged men on these medications can reduce their chances of heart
problems by 57 percent by eating right, not smoking, drinking in
moderation and maintaining a healthy weight while exercising regularly,
the researchers said.

The key is losing down to a healthy weight (i.e. becoming lean and
trim). The effect of this is so large and profound that it swamps
everything else out. The number one barrier keeping folks from this is
their fear of hunger.

The inflammatory cytokines from visceral adipocytes are simply
deleterious. They must be eliminated to reach the goal of optimal
health.

Prayerfully in Christ's amazing love,

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheLife
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Roman Bystrianyk
medicine forum Guru


Joined: 02 May 2005
Posts: 454

PostPosted: Wed Jul 05, 2006 1:29 am    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

There is little doubt that lifestyle is the major factor in health.
Proper diet, exercise, attitude, and stress management all play a key
role - and yes people in our current society are always seeking a
magic bullet (be it a medication or alternative single supplement) that
will alleviate them of their own responsibility. This is where our
society has failed for the most part - to impart the importance of
personal responsibility of personal health. This combined with
nutrients (example below) can allow an individual achieve stunning
results. One man I know who had diabetes, need triple bypass, was
morbidly obese, etc. has now reversed those conditions and now runs
marathons. But such dramatic changes require a commitment ... and in
our instant oatmeal, microwave everything, drive to get the closest
spot at the mall so you don't have to walk an extra 10 feet, if it
isn't on TV it doesn't exist society - this is almost
insurmountable challenge for most everyone.

Omega-3 fatty acids play a vital role in heart health

....

The human body can through a series of enzymatic steps convert these
shorter polyunsaturated fatty acids into longer ones. Arachidonic acid
(AA) is a longer omega-6 fatty acid, whereas eicosapentaenoic acid
(EPA) and docosahexaenoic acid (DHA) are longer omega-3 fatty acids.
These longer fatty acids can be obtained directly from the diet. AA is
found in meat, and EPA and DHA are found in fish and fish oil
supplements. DHA can also be found in algae. Increased dietary
consumption of omega-3 fatty acids replaces AA in cell membranes of
blood cells, artery cells, and in the various organs such as the heart,
brain, and liver.

Omega-6s, which are high in the average Western diet are
proinflammatory, whereas omega-3s are anti-inflammatory. "The typical
Western diet is rich in omega-6 fatty acids with a ration of 10-20:1
(omega-6 fatty acids to omega-3 fatty acids). It has been proposed that
a ratio of 1-2:1 in the diet would shift the balance from a
prothrombotic, proinflammatory, vasoconstrictory state to a favorable
antithrombotic, anti-inflammatory, and vasodialtory state."

The largest clinical trial to test omega-3 fatty acid supplements was
the GISSI-Prevention Trial, which examined over 11,000 patients. The
trial examined patients with recent heart attacks. The patients were
randomized to omega-3 fatty acid supplements, vitamin E, both omega-3
fatty acids and vitamin E, or none for 3.5 years in conjunction with a
Mediterranean diet. "Omega-3 fatty acid supplementation significantly
reduced all-cause death by 20% and nonfatal myocardial infarction and
stroke by 15%."

The Diet and Reinfarction Trial, also know as DART, study included
2,033 men who had recently suffered a heart attack. They were
randomized to 2 servings of fish per week or an equivalent amount of
omega-3 supplements. "A significant 29% reduction in cardiovascular
and total mortality over 2 years was reported in patients who consumed
fish regularly compared to those without fish in their diet."

Another study included 360 patients after suspected heart attack. They
were randomized to either fish oil supplements, mustard seed oil -
rich in alpha-linolenic acid - or placebo. "After 1 year, total
cardiac events were significantly decreased by 25% in the fish oil
group and 28% in the mustard seed oil group."

The current guidelines of the American Heart Association (AHA)
underscore the importance of dietary omega-3 fatty acids for a healthy
heart. People without any signs of heart disease are recommended to
have fish twice a week. For secondary prevention of CHD, patients
should consume EPA and DHA (1 gram per day) from fish or supplements.

....

http://www.healthsentinel.com/org_news.php?id=091&title=Omega-3+fatty+acids+play+a+vital+role+in+heart+health&event=org_news_print_list_item
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vernon
medicine forum Guru


Joined: 15 Jan 2006
Posts: 405

PostPosted: Wed Jul 05, 2006 12:48 am    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

"Peter Moran" <pmoran@bordernet.com.au> wrote in message
news:44aafed5$0$22360$afc38c87@news.optusnet.com.au...
Quote:

"Roman Bystrianyk" <rbystrianyk@gmail.com> wrote in message
news:1152055676.983192.118100@v61g2000cwv.googlegroups.com...
Amanda Beck, "Lifestyle trumps drugs for a healthy heart: study",
Reuters UK, July 3, 2006,
Link:
http://today.reuters.co.uk/news/newsArticle.aspx?type=healthNews&storyID=2006-07-03T212034Z_01_N03323792_RTRIDST_0_HEALTH-LIFESTYLE-DC.XML

Even men who take medication for high blood pressure or cholesterol can
dramatically cut their risk of heart disease by adopting a healthy
lifestyle, U.S. researchers reported on Monday.

Middle-aged men on these medications can reduce their chances of heart
problems by 57 percent by eating right, not smoking, drinking in
moderation and maintaining a healthy weight while exercising regularly,
the researchers said.

Those who do not take the drugs can cut their risk of heart ailments by
87 percent if they adopt these lifestyle choices.

Very impressive results. It reinforces what has been said repeatedly
about the dubious significance of the benefits supposedly shown from
supplement usage in observational studies - the material that so impressed
Linus Pauling and other less savvy commentators. (i.e. the benefits are
equally or more likely due to other likely lifestyle choices of supplement
users)

Now that the results of prospective (planned) interventional studies are
coming in, it is becoming increasingly clear that supplements cannot
substitute for a better diet or other lifestyle changes. Neither can
drugs, fully. But people like the "quick fix", with little effort on
their part, don't they?.

Peter Moran


Not suppliments "fully" or drugs "fully"
Diet BTW includes ample distibution of Vitamins, minerals and amino acids.
This is typically possible ONLY with some supplements, depending on the
individual. Different people require different foods or suppliments.

Drugs and surgery are last resorts. They are very often required but
none-the-less final attempts.

Quote:



"This shows there's no substitute for a healthy lifestyle," said
Stephanie Chiuve, lead author of the study to be published in
Circulation: Journal of The American Heart Association.

The study tracked 43,000 men between 40 and 75 who were free of
diabetes, heart disease and other chronic conditions when the study
began in 1986. They completed biannual questionnaires and researchers
used the data to tease out correlations between heart disease and
lifestyle habits.

The benefits of the healthy habits were apparent even if they were
adopted over time.

"In other words, it's never to late to change," said Chiuve. "You can
still achieve benefits if you make changes in middle age or later in
life."

Men with the lowest risk of heart disease were those who practiced all
five healthy habits, but not smoking alone reduced the risk of heart
problems by 50 percent, she said.


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vernon
medicine forum Guru


Joined: 15 Jan 2006
Posts: 405

PostPosted: Wed Jul 05, 2006 12:42 am    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

"Jim Chinnis" <jchinnis@SPAMalum.mit.edu> wrote in message
news:hb1ma25bldtepto3h8nualdv9d8p535r64@4ax.com...
Quote:
"Roman Bystrianyk" <rbystrianyk@gmail.com> wrote in part:

Even men who take medication for high blood pressure or cholesterol can
dramatically cut their risk of heart disease by adopting a healthy
lifestyle, U.S. researchers reported on Monday.

Middle-aged men on these medications can reduce their chances of heart
problems by 57 percent by eating right, not smoking, drinking in
moderation and maintaining a healthy weight while exercising regularly,
the researchers said.

Those who do not take the drugs can cut their risk of heart ailments by
87 percent if they adopt these lifestyle choices.

"This shows there's no substitute for a healthy lifestyle," said
Stephanie Chiuve, lead author of the study to be published in
Circulation: Journal of The American Heart Association.

Nonsense. What it shows is that there's no substitute for good genes.

It doesn't even mention it.
It does show that no matter what your existing dispositio, genes or results
from illnes or previous heart failure, diet, exersize, weight control have a
major possitive impact.

Now, of course there is the cop out, "It's in my genes". The LARGEST thing
any of us "inherit" with detriment, is life style.


Quote:
--
Jim Chinnis Warrenton, Virginia, USA
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Jim Chinnis
medicine forum Guru


Joined: 30 Apr 2005
Posts: 1030

PostPosted: Wed Jul 05, 2006 12:19 am    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

"Roman Bystrianyk" <rbystrianyk@gmail.com> wrote in part:

Quote:
Even men who take medication for high blood pressure or cholesterol can
dramatically cut their risk of heart disease by adopting a healthy
lifestyle, U.S. researchers reported on Monday.

Middle-aged men on these medications can reduce their chances of heart
problems by 57 percent by eating right, not smoking, drinking in
moderation and maintaining a healthy weight while exercising regularly,
the researchers said.

Those who do not take the drugs can cut their risk of heart ailments by
87 percent if they adopt these lifestyle choices.

"This shows there's no substitute for a healthy lifestyle," said
Stephanie Chiuve, lead author of the study to be published in
Circulation: Journal of The American Heart Association.

Nonsense. What it shows is that there's no substitute for good genes.
--
Jim Chinnis Warrenton, Virginia, USA
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pmoran@bordernet.com.au
medicine forum beginner


Joined: 28 May 2006
Posts: 35

PostPosted: Tue Jul 04, 2006 11:50 pm    Post subject: Re: Lifestyle trumps drugs for a healthy heart: study Reply with quote

"Roman Bystrianyk" <rbystrianyk@gmail.com> wrote in message
news:1152055676.983192.118100@v61g2000cwv.googlegroups.com...
Quote:
Amanda Beck, "Lifestyle trumps drugs for a healthy heart: study",
Reuters UK, July 3, 2006,
Link:
http://today.reuters.co.uk/news/newsArticle.aspx?type=healthNews&storyID=2006-07-03T212034Z_01_N03323792_RTRIDST_0_HEALTH-LIFESTYLE-DC.XML

Even men who take medication for high blood pressure or cholesterol can
dramatically cut their risk of heart disease by adopting a healthy
lifestyle, U.S. researchers reported on Monday.

Middle-aged men on these medications can reduce their chances of heart
problems by 57 percent by eating right, not smoking, drinking in
moderation and maintaining a healthy weight while exercising regularly,
the researchers said.

Those who do not take the drugs can cut their risk of heart ailments by
87 percent if they adopt these lifestyle choices.

Very impressive results. It reinforces what has been said repeatedly about
the dubious significance of the benefits supposedly shown from supplement
usage in observational studies - the material that so impressed Linus
Pauling and other less savvy commentators. (i.e. the benefits are equally
or more likely due to other likely lifestyle choices of supplement users)

Now that the results of prospective (planned) interventional studies are
coming in, it is becoming increasingly clear that supplements cannot
substitute for a better diet or other lifestyle changes. Neither can
drugs, fully. But people like the "quick fix", with little effort on
their part, don't they?.

Peter Moran



Quote:

"This shows there's no substitute for a healthy lifestyle," said
Stephanie Chiuve, lead author of the study to be published in
Circulation: Journal of The American Heart Association.

The study tracked 43,000 men between 40 and 75 who were free of
diabetes, heart disease and other chronic conditions when the study
began in 1986. They completed biannual questionnaires and researchers
used the data to tease out correlations between heart disease and
lifestyle habits.

The benefits of the healthy habits were apparent even if they were
adopted over time.

"In other words, it's never to late to change," said Chiuve. "You can
still achieve benefits if you make changes in middle age or later in
life."

Men with the lowest risk of heart disease were those who practiced all
five healthy habits, but not smoking alone reduced the risk of heart
problems by 50 percent, she said.
Back to top
Roman Bystrianyk
medicine forum Guru


Joined: 02 May 2005
Posts: 454

PostPosted: Tue Jul 04, 2006 11:27 pm    Post subject: Lifestyle trumps drugs for a healthy heart: study Reply with quote

Amanda Beck, "Lifestyle trumps drugs for a healthy heart: study",
Reuters UK, July 3, 2006,
Link:
http://today.reuters.co.uk/news/newsArticle.aspx?type=healthNews&storyID=2006-07-03T212034Z_01_N03323792_RTRIDST_0_HEALTH-LIFESTYLE-DC.XML

Even men who take medication for high blood pressure or cholesterol can
dramatically cut their risk of heart disease by adopting a healthy
lifestyle, U.S. researchers reported on Monday.

Middle-aged men on these medications can reduce their chances of heart
problems by 57 percent by eating right, not smoking, drinking in
moderation and maintaining a healthy weight while exercising regularly,
the researchers said.

Those who do not take the drugs can cut their risk of heart ailments by
87 percent if they adopt these lifestyle choices.

"This shows there's no substitute for a healthy lifestyle," said
Stephanie Chiuve, lead author of the study to be published in
Circulation: Journal of The American Heart Association.

The study tracked 43,000 men between 40 and 75 who were free of
diabetes, heart disease and other chronic conditions when the study
began in 1986. They completed biannual questionnaires and researchers
used the data to tease out correlations between heart disease and
lifestyle habits.

The benefits of the healthy habits were apparent even if they were
adopted over time.

"In other words, it's never to late to change," said Chiuve. "You can
still achieve benefits if you make changes in middle age or later in
life."

Men with the lowest risk of heart disease were those who practiced all
five healthy habits, but not smoking alone reduced the risk of heart
problems by 50 percent, she said.
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