Disease Proof : Disease Proof : Health & Nutrition News & Commentary : Dr. Joel Fuhrman

According to a new study most people don’t know the symptoms of a heart attack. Reuters reports:

Symptoms can include nausea and pain in the jaw, chest or left arm. But the research team said shorter hospital stays and a move to outpatient treatment have decreased the amount of patient education on the subject.

Kathleen Dracup and colleagues at the University of California, San Francisco, School of Nursing said they looked at 3,522 patients in the United States, Australia and New Zealand who had previously suffered a heart attack or had undergone a procedure, such as angioplasty, for heart disease.

They found that 44 percent of them scored poorly on a true-false test measuring how savvy they were about symptoms.

Here’s an idea. Try not to have one in the first place. Remember, only you can prevent heart attacks.

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New research has determined that erectile dysfunction is a huge warning sign for heart trouble in men with type-2 diabetes. More from the UPI:

Peter Chun-Yip Tong of The Chinese University of Hong Kong, Prince of Wales Hospital, in Hong Kong says diabetes, erectile dysfunction and heart disease share an ominous link: damage to the blood vessels by high blood sugar levels.

The same process that hinders the extra blood flow needed to maintain an erection can have even more serious consequences in the heart, the researchers say.

"The development of erectile dysfunction should alert both patients and healthcare providers to the future risk of coronary heart disease," Tong says in a statement. "Other risk factors such as poor blood glucose control, high blood pressure, high cholesterol levels, smoking and obesity should be reviewed and addressed aggressively."

Also, sleep apnea has been found to increase the risk of heart problems when flying. Anna Boyd of eFluxMedia reports:

Lead author Leigh Seccombe, MSc, of Concord Repatriation General Hospital in Sydney and colleagues investigated the physiological response of 22 patients with severe OSA and without lung disease, to a simulation of an aircraft cabin and compared the results to that of 10 healthy subjects.


More exactly, the researchers looked at the participants’ ventilatory response and at the amount of oxygen circulating in their bloodstream during the simulation.

The study found that people with OSA had lower levels of oxygen in their blood before and during the simulated flight. Also, these people experienced higher heart rates, physiological stress and demand for oxygen than healthy people.

"Patients with OSA, without lung disease, are more likely to develop significant hypoxemia [low blood oxygen] and have increased oxygen demands during flight,” the study concluded.

You don’t need me to tell you, but you’ve got to keep your heart in tiptop shape. Here, I’ll let Dr. Fuhrman remind you:

What good is living longer if we can’t enjoy emotional and physical wellness and a full life? Applied to its fullest potential, high-nutrient eating can be the most effective therapy to reverse diabetes, high blood pressure and heart disease. It is the powerful medicine to get you well and keep you well in later life. Achieving good health through healthful living is your most important investment and it will pay you back with tremendous interest in your later years.

I wonder if my heart gets happy when I pound a bag of baby spinach.

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A new study has determined that heavy drinkers have higher blood pressure, stiffer arteries, and more rigid heart muscles. Julie Steenhuysen of Reuters reports:

They defined heavy drinking as more than 21 drinks a week for men and more than 14 per week for women.

"We definitely see quite a deleterious effect," said Dr. Azra Mahmud of St. James Hospital in Dublin, who presented her findings at a meeting of the American Society of Hypertension in New Orleans.

"The most worrisome aspect is in women. It has a direct toxic effect," Mahmud said in a telephone interview. "Basically, women are not able to cope with high alcohol consumption. It is going directly to the heart and damaging it."

Once a heart becomes enlarged -- a sign it has been overtaxed -- it is difficult to reverse. Mahmud said prior studies have suggested that people with enlarged hearts are five to six times more likely to have heart attacks.

Moderate drinking has been shown in many studies to have heart benefits. But heavy drinking counteracts these benefits and can cause serious harm, she said.

Now, Dr. Fuhrman wouldn’t certainly encourage you not to drink heavily or moderately for that matter. He explains:

Recent studies show that even moderate alcohol consumption is linked to significantly increased incidence of atrial fibrillation,1 a condition that can lead to stroke, and to higher rates of breast cancer.2,3


Alcohol is not actually heart-healthy. It simply has anti-clotting effects, much like aspirin.

Researchers have found that even moderate consumption of alcohol—including wine—interferes with blood clotting and, thereby, reduces heart attacks in high-risk populations—people who eat the typical, disease-promoting American diet.

Moderate drinking is defined as a maximum of two drinks for men. Consuming more than this is associated with increased fat around the waist4 and other potential problems. For example, alcohol consumption leads to mild withdrawal sensations the next day that are commonly mistaken for hunger, which leads people to eat more than is genuinely necessary, resulting in weight gain.

If you’re eating for health, drinking is defenitly a drink at your own risk situation. I know that’s how I look at it. My personal rules for drinking can be found in this post: Beer Muscles Explained. Continue Reading...

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New research has determined that listening to certain types of music— classical, Celtic, or Indian—actually helps improve blood pressure. More from WebMD:

The patients were assigned to listen to the CD for 30 minutes per day for a month and to breathe slowly while listening to the music, taking twice as long to exhale as to inhale. At the end of the month, the patients wore the blood pressure monitor again.

The patients' blood pressure improved during the study. When the experiment ended, their average systolic blood pressure (the first number in a blood pressure reading) had dropped three points, and their average diastolic blood pressure (the second number in a blood pressure reading) had dropped four points.

For comparison, 20 other patients didn't listen to music or practice slow breathing. Their blood pressure didn't change during the study.

It's not clear what mattered more, the music or the slow breathing. "The antihypertensive effects [have] to be considered as the result of the combination of music and breathing exercises," Professor Pietro A. Modesti, MD, PhD, of Italy's University of Florence notes.

I’ve been a music buff all my life. My apartment is stacked with CDs and speaking of Indian music. I love this little ditty—hope you enjoy it too:


Lately when the Yankees are losing I’ll put that on to keep me from throwing the television out the window.

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“With very few exceptions, nobody is predestined to have a heart attack. Heart disease is easily preventable, but not by taking aspirin,” explains Dr. Fuhrman, but a new study links taking aspirin with lower blood pressure. Ed Edelson of HealthDay News reports:

The new report is the first study to show the drug's benefit -- although only when taken at night -- with prehypertension, defined as blood pressure just below the 140/90 level. Prehypertension is a known warning sign of future risk of heart disease, stroke and other cardiovascular problems.

Why aspirin should do its good work for blood pressure at night but not in the daytime is not clear, Hermida said. Research indicates that it can slow the production of hormones and other substances in the body that cause clotting, many of which are produced while the body is at rest.

The three-month study included 244 adults diagnosed with prehypertension. A third of them were advised to follow general rules of hygiene and diet designed to reduce blood pressure, another third were told to take a 100-milligram aspirin tablet every night at bedtime, and the final third were told to take the same aspirin dose on awakening.

Researchers monitored blood pressure levels at 20-minute intervals from 7 a.m. to 11 p.m. and at 30-minute intervals at night before the trial began and three months later.

Systolic blood pressure (the higher number in the 140/90 reading) dropped 5.4 points and diastolic pressure by 3.4 points for those taking aspirin before bedtime. No drop in blood pressure was found in those taking morning aspirin or following the general guidelines.

Dr. Fuhrman doesn’t agree with all the mumbo-jumbo surrounding aspirin and heart health. He talks about it here:

Five studies to date have examined the effects of daily or every-other-day aspirin use for primary prevention for periods of four to seven years.1 Most participants were men older than 50 years. Meta-analysis of the pooled data from all of the studies show that aspirin therapy reduced risk for coronary events by 28 percent, but with no decrease in mortality. In other words, aspirin use did not result in longer life. There was no reduction of death due to heart attack or stroke.


Based on this unimpressive data, and in spite of pooled data that shows for most adults, aspirin therapy causes more harm than good,2 most Americans take it for granted that taking an aspirin every day will prevent heart disease.

Advice on aspirin for prevention against heart attacks and stroke must be based on each individual’s cardiac risk. For those at very high risk, with known risk factors such as the conventional, high-saturated fat, low-nutrient diet, high blood pressure, high cholesterol and overweight, the benefits of aspirin may outweigh the risk. But for those of us who eat healthfully, exercise and don’t smoke, taking aspirin will increase our risk of cerebral hemorrhage and other bleeding complications.

For healthy people, the risks outweigh the benefits. That is why, in contrast to typical physician recommendations aimed at reducing risk, I recommend that people eliminate their risk factors. Daily aspirin consumption is for those satisfied with mediocrity and willing to gamble with their lives.

I know a few people that take aspirin daily and all of them are overweight, out of shape, and take aspirin as a result of previous heart trouble. Seems like an ineffective easy way out to me.
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How do you keep your heart healthy? Well, for a long time Americans have turned to drugs. Has it worked? Tara Parker-Pope of The New York Times investigates:

While doctors still advise patients to diet, exercise and stop smoking, the medical community has adopted an almost singular focus on cholesterol-lowering drugs as the fastest and best way to battle heart disease. Americans spend $18 billion a year on cholesterol-reducing drugs, making them the nation’s biggest-selling class of drugs.

Clearly, drug treatments have played a role in the health of American hearts. Since 1950, age-adjusted death rates from cardiovascular disease have dropped 60 percent, a statistic praised by government health officials.

Average blood pressure and cholesterol levels are dropping, partly because of drug treatments. But drugs don’t get all the credit. A sharp drop in smoking has had a huge impact on heart health. And major changes in diet have also played a role. Surveys of the food supply suggest that consumption of saturated fat and cholesterol has decreased since the early 1900s. Medical care has also improved.

But an important lesson from the last 50 years is that when it comes to improving heart health, it is important to look beyond the medicine cabinet.

Just a few small changes — eating more fish, vegetables, nuts and fiber — can have a major impact on your risk for heart problems. For some people, drinking moderate amounts of wine may offer additional benefits. Even a 55-year-old man who is about 20 pounds overweight and does not exercise regularly will have a heart-disease risk far below average if he regularly consumes fish, nuts, fiber and vegetables and drinks moderate amounts of wine.

Okay, it makes sense that drugs would make an impact, but, are they really the best option? Dr. Fuhrman has his doubts. He points out some the drawbacks of drugs:

When resorting to medical intervention, rather than dietary modifications, other problems arise, reducing the potential reduction in mortality possible, as these individuals are at risk of serious side effects from the medication. The known side effects for various statins (the most popular and effective medications to lower cholesterol) include hepatitis, jaundice, other liver problems, gastrointestinal upsets, muscle problems and a variety of blood complications such as reduced platelet levels and anemia.

So, what’s the answer? America’s got it half right. You do need to change your diet, but for OPTIMAL health you’ve got to make a profound change—not just a few small changes. More from Dr. Fuhrman:

When you drop body fat, your cholesterol lowers somewhat. But when you reduce animal protein intake and increase vegetable protein intake, your cholesterol lowers dramatically. In fact, when a high-fiber, high-nutrient, vegetable-heavy diet was tested in a scientific investigation, it was found to lower cholesterol even more than most cholesterol-lowering drugs.1


The cholesterol-lowering effects of vegetables and beans (high-protein foods) are without question. However, they contain an assortment of additional heart disease-fighting nutrients independent of their ability to lower cholesterol.2

In areas of the world where people eat a diet of unrefined plant foods, people have total cholesterol levels below 150, and there is zero incidence of heart disease in the population.3

The average cholesterol level in rural China, as documented in the massive China Cornell Project, was 127 mg/dl. Heart attacks were rare, and both cancer and heart disease rates plummeted as cholesterol levels fell, which reflected very low animal product consumption. The lowest occurrence of heart disease and cancer occurred in the group that consumed plant-based diets with less than two servings of animal products per week.

I think most people approach health and nutrition too cavalierly. You need to be vigilant. It’s a fulltime job. You can’t go half-assed—know what I mean?
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• A new study claims air pollution raises the risk of deep vein thrombosis—blood clots. More from WebMD:

Harvard researcher Andrea Baccarelli, MD, PhD, and colleagues in Italy studied 870 people diagnosed with DVT from 1995 to 2005. They compared their particulate air pollution exposure in the year before their diagnosis to that of 1,210 matched people without DVT.

They found that DVT risk goes up 70% for every 10 microgram-per-cubic-meterrise in particulate air pollution above 12 micrograms per cubic meter of air (the lowest pollution level measured in the study).

The U.S. EPA standard for particulate air pollution is 150 micrograms per cubic meter of air. However, it's likely that fine and very fine particles cause most of the health risks linked to particulate air pollution.

• Surprise-surprise, drugs alone don’t lower heart disease risk for overweight Americans. Via HealthDay News:

The simple truth, experts say, is that pounds must also be shed to keep cardiovascular trouble away.


"There is a debate out there about whether this generation is going to live as long as their parents, and the truth is they probably won't," said study author Dr. Gregory L. Burke, director of the division of public health sciences at Wake Forest University School of medicine in Winston-Salem, NC.

"My ultimate worry is that we've seen a 50-year decline in cardiovascular disease mortality, but if you begin to look at recent trends, it's beginning to plateau," he added. "And my fear is that because of the increase in obesity we're going to begin to see a reversal of that trend where heart disease rates begin to go up."

• The tornados that blew through the Midwest are leaving toxic lead in their wake. The Associated Press reports:

On Saturday, a tornado with the second-strongest rating killed six people, destroyed a 20-block area, and blew dust off mountains of mining waste, or chat piles.


"You can look at the chat piles and see that a lot of the material has blown off," said John Sparkman, head of the Picher housing authority. "We went up on a chat pile an hour and a half after the tornado hit, and you could see dust blowing fine material all over the place from that vantage point."

Long-term exposure to lead dust poses a health risk, particularly to young children.

• Kevin McKeever of HealthDay News reports that hypertension and cholesterol are being associated with eye disease. Take a look:

The two conditions appear to increase one's risk for retinal vein occlusion, a condition that leads to vision loss. It results from one or more veins carrying blood from the eye to the heart becoming blocked and causing bleeding or fluid build-up, according to background information in the report published in the May issue of the Archives of Ophthalmology.


The Irish study found that people with high blood pressure had more than 3.5 times the risk of developing retinal vein occlusion than those without it. People with high cholesterol levels had an approximately 2.5-fold higher risk of retinal vein occlusion.

The findings come from an analysis of 21 previously published studies involving 2,916 people with retinal vein occlusion and 28,646 people without the condition. It found that 63.6 percent of patients with retinal vein occlusion also had hypertension, compared with 36.2 percent of people without the eye condition. High cholesterol levels were more than twice as likely to be found in those with retinal vein occlusion as those without (35.1 percent vs. 16.7 percent).

• Fairbank Farms has recalled some of its ground beef products. EMaxHealth is on it:

Fairbank Farms is issuing a voluntary recall of selected ground beef products produced at its Ashville, N.Y., facility and sold through Price Chopper, Shaw's, BJ's, and Wilson Farms retail outlets and C&S Wholesale distributor.


The affected product may contain small pieces of hard plastic. All recalled products have either a "sell-by" date of 05/13/08, 05/15/08, or a "Julian date 124" on the package's label.

• United States obesity rates continue to bloat at an alarming pace. Megan Rauscher of Reuters reports:
  

New research shows "alarming levels" of obesity in most ethnic groups in the United States, principal investigator Dr. Gregory L. Burke, of Wake Forest University, Winston-Salem, North Carolina told Reuters Health. The study also confirms the potentially deadly toll obesity exacts on the heart and blood vessels.


"The obesity epidemic has the potential to reduce further gains in U.S. life expectancy, largely through an effect on cardiovascular disease mortality (death)," Burke and colleagues warn in the latest issue of Archives of Internal Medicine.

Among 6,814 middle-age or older adults participating in the Multi-Ethnic Study of Atherosclerosis, or "MESA" study, researchers found that more than two thirds of white, African American and Hispanic participants were overweight and one third to one half were obese.

• We know cigarettes are bad for your health, but cigarettes butts are bad for the environment. From the Better Planet Blog:

The question is loaded and points to a really interesting diagnosis: What IS the biggest environmental problem on the planet? The answer is subjective, of course. If you are talking about global warming then coal plants are the biggest problem on the planet. If you are talking about natural resource preservation then deforestation is the biggest problem. Insert water for life sustainability and disease, or plastics for waste. To be sure, cigarettes are no one’s friend: Neither health nor the environment. In fact, in terms of litter, they are the biggest source of it: More than two billion pounds of cigarette butts are discarded worldwide – more than two pounds for every person in China. I use that country as an example because as I traveled from Beijing southward along the Silk Route, people still smoked a lot – everywhere. In Southeast Asia too people light up.


Smokers’ waste is rather easy to calculate. Figure out how many cigarettes are smoked and you’ll find out how many butts are tossed. You can’t recycle ‘em. One thing I’d like to know is the emission factor, or pollution due to smoking.

• Thanks to Rae for finding this one. Research has determined that popular shampoos contain toxic chemicals. From NaturalNews:

The experiments were conducted with the brain cells of rats and they show that contact with this ingredient called methylisothiazoline, or MIT, causes neurological damage.


Which products contain this chemical compound MIT? Head and Shoulders, Suave, Clairol and Pantene Hair Conditioner all contain this ingredient. Researchers are concerned that exposure to this chemical by pregnant women could put their fetus at risk for abnormal brain development. In other people, exposure could also be a factor in the development of Alzheimer's disease and other nervous system disorders.

The chemical causes these effects by preventing communication between neurons. Essentially, it slows the networking of neurons, and since the nervous system and brain function on a system of neural networks, the slowing of this network will suppress and impair the normal function of the brain and nervous system.

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According to a new study both doctors and patients are dropping the ball when it comes to blood pressure. Kevin McKeever of HealthDay News explains:

"Doctors should be screening more routinely during all office visits," study co-author Dr. Randall Stafford, an associate professor of medicine at the Stanford Prevention Research Center, said in a prepared statement. "Dual medication treatment should be seen as standard therapy, and intensive lifestyle changes should be encouraged."

The study analyzed data from a federal 2003-04 survey of services performed in offices of private U.S. physicians. It noted such details as whether the blood pressure cuff was brought out, whether appropriate medications were prescribed, and whether treatment achieved its goal.

High blood pressure affects more than 65 million people in the United States and is one of the most important and preventable risk factors for cardiovascular disease, strokes and kidney disease. High blood pressure, often called "the silent killer," can damage one's body for years before actual symptoms develop.

This lack of symptoms may be a major reason for poor quality of care, researchers said.

"This is a problem that spans much of preventive medicine," Stafford said. "The treatment itself doesn't make patients feel better. If somebody has asthma, they know that if they stop taking medication, they're going to start wheezing. With blood pressure medicines, patients don't feel any different."

And here are a few more posts about blood pressure. Take a look:

• Eat For Health: Dying from a Diet
• Atherosclerosis and High Blood Pressure: Organ Trouble
• Food Scoring Guide: Silent, Invisible Damage

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Do you want to live forever? I do. I plan on sticking around for as long as possible and Dan Buettner of The Huffington Post has compiled a list of nine healthy habits that’ll help get you to 100. Take a look:

For the the last five years, I've been taking teams of scientists to five pockets around the world where people live the longest, healthiest lives. We call these places the Blue Zones. We found a Bronze-age mountain culture in Sardinia, Italy, that has 20 times as many 100-year-olds as the U.S. does, proportionally. In Okinawa, Japan, we found people with the longest disability-free life expectancy in the world. In the Blue Zones (Sardinia, Italy; Okinawa, Japan; Loma Linda, Calif.; and the Nicoya Peninsula, Costa Rica), people live 10 years longer, experience a sixth the rate of cardiovascular disease and a fifth the rate of major cancers.

1. Move naturally: Be active without thinking about it. Identify activities you enjoy and make them a part of your day. Cut calories by 20 percent.
2. Cut calories by 20 percent: Practice "Hara hachi bi," the Okinawan reminder to stop eating once their stomachs are 80 percent full.
3. Plant-based diet: No, you don't need to become a vegetarian, but do bump up your intake of fruits and veggies.
4. Drink red wine: In moderation.
5. Plan de Vida: Determine your life purpose. Why do you get up in the morning?
6. Down shift: Take time to relieve stress. You may have to literally schedule it into your day, but relaxation is key.
7. Belong/participate in a spiritual community.
8. Put loved ones first/make family a priority.
9. Pick the right tribe: The people surrounding you influence your health more than almost any other factor.

These are fantastic suggestions. Be active, eat plants, and relax—perfect! You won’t get much argument out of Dr. Fuhrman:

Increasing the consumption of vegetables, legumes, fruits, and raw nuts and seeds (and greatly decreasing the consumption of animal products) offers profound increased longevity potential, due in large part to broad symphony of life-extending phytochemical nutrients that a vegetable-based diet contains…

… Centenarian studies in Europe illustrate that those individuals living into their hundreds were likely to have consumed a plant-based diet consisting of fewer than 2000 calories per day. Multiple studies have confirmed that the thinnest people live the longest…

… As we condition our muscles and gain strength, our bones thicken and strengthen along with the muscle. Without regular exercise along the way, your bone structure can deteriorate as you get older. Some people survive with weak bones, but their quality of life suffers when they are immobilized by arthritis and osteoporosis…

…A safe and satisfying work environment, a happy marriage, a satisfying social and/or family life, and activities you enjoy are all related to positive health outcomes. Emotional wellness starts right here your finger tips end. As you respect and appreciate the value in the world around you and develop interests in other people and in such things as art, music, entertainment, sports, nature, and physical activity, you can respect yourself more for your ability and desire to appreciate the value of things not yourself.

Okinawans are fascinating people. These avid plant-eaters live a long-long time. In fact, they made John Robbins’s list of longest-lived people in his book Healthy at 100. Check it out:

1. Abkhasia: Ancients of the Caucasus, where people are healthier at ninety than most of us are at middle age.
2. Vilcabamba: The Valley of Eternal Youth, where heart disease and dementia do not exist.
3. Hunza: A People Who Dance in Their Nineties, where cancer, diabetes, and asthma are unknown.
4. The Centenarians of Okinawa: Where more people live to 100 than anywhere else in the world.

Now, for the flipside, primitive people like Inuit Greenlanders and Kenyan Maasai have short life expectancies—why? Too much meat in their diets. More from Dr. Fuhrman:

Inuit Greenlanders, who historically have had limited access to fruits and vegetables, have the worst longevity statistics in North America. Research from the past and present shows that they die on the average about 10 years younger and have a higher rate of cancer than the overall Canadian population.1


Similar statistics are available for the high meat-consuming Maasai in Kenya. They eat a diet high in wild hunted meats and have the worst life expectancy in the modern world. Life expectancy is 45 years for women and 42 years for men. African researchers report that, historically, Maasai rarely lived beyond age 60. Adult mortality figures on the Kenyan Maasai show that they have a 50% chance of dying before the age of 59.2

I guess the same can be said about us; between all the fast food, beef jerky, potato chips, cheese pizza, and no exercise, Americans start dying at middle-age. We’d learn a lot from our foreign neighbors.
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