• Mar7

    Fatty tissue in arteries

    Weight and hypertension go hand in hand. The more you weigh, the more likely you are to have high blood pressure, and the more vascular resistance your heart will have to work against.

    An estimated 43 million Americans have hypertension, and more than double that figure are dangerously close to developing it.  Hypertension is the leading cause of cardiovascular disease, which is the leading cause of death in America.

    Males over the age of 45 and females over 55 are at a greater risk of developing hypertension. Too much alcohol or salt, and too little activity or ability to handle stress worsen the risk.  By changing any of these factors you can give your heart a hand and lose weight while you are at it: just 5% weight loss can lower your blood pressure enough to lower your dependence on medication.

    A great way to lower sodium and lose weight is to avoid eating highly processed food. Instead, just once a week, try cooking fresh clean food at home, in quantity (the link is to Pinterest, where there is more).

    Eating fresh clean food is the best way to control your weight and make yourself healthier. Check out my healthy recipes for delicious meals that are healthy, easy and filling.

    Along with eating healthier, start a simple exercise regime. By devoting just a few minutes out of each day to a simple workout, anyone can be on their way to lower blood pressure and a healthier weight. Here is a great workout tool that I recommend to help you lower your weight and avoid hypertension–it is my favorite elliptical trainer, on Amazon.

    If you are not at your ideal weight, losing between 2-4 pounds a week is a great goal for your body, and most importantly your heart.

    Starvation diets, fasting diets and extreme diets, put unnecessary stress on your organs and ultimately do not keep the weight off. That is why it is so important to create a healthy eating plan for every day of your life and supplement that with a simple exercise, sleep and stress control program.  For men, that’s Refuel.

     
  • Jan11

    Treadmills and elliptical trainers are some of the best aerobic exercisers available for weight loss 2012, and Consumer Reports picked its top models this month (reviews to come).

    But if you already have a treadmill or an elliptical, or want to start more simply, select a pedometer (around $30) or a GPS watch (around $200) or both.

    Consumer Reports rates equipment as follows:

    Top 3 pedometers: Mio Trace Acc-Tek, the new Omron GOsmart Pocket HJ-112 (or get the tried and true Omron HJ-112) and the Yamax Digi-Walker CW-701.

    (I especially like both Omrons)

    Top 3 GPS watches: Nike+ SportWatch GPS, the Garmin Forerunner 210 and the Timex Ironman Global Trainer GPS Speed + Distance T5K267F5.

    (I especially like the Garmin)

    These are less expensive than a treadmill: I tell my patients to get 3 pedometers, because inevitably one is lost, and one is always somewhere you meant to put it on, but forgot. They’re invaluable, especially when you’re trying to get to 10,000 steps!

     
  • Aug19

    Omega-3 fatty acids are powerful: with vitamin D, they’re something that almost everyone needs to supplement, no matter how good your diet.

    Why?

    Because people with heart disease who just had a coronary artery bypass graft (CABG) had a 49% lower risk for dying 30 days after their CABG than those who didn’t take 882mg of EPA and DHA (in a 1:2 ratio) after their surgery.

    That means extra DHA, and pure DHA is hard to find. Look for Thorne DHA and Thorne Super EPA Pro: molecularly distilled, no contaminants, pure, concentrated and as above and below, powerful.  To read more or to purchase, click “My Account” in the top right; and then enter the access code HCP1028244 to create a “Personal Account”.

    Because kids with fatty liver disease (the most common liver disease in kids, and pretty soon, adults) had a 99% lower chance of severe fatty liver if they took 250 mg/day of DHA than those who did not…and improved insulin sensitivity.

    And because omega-3s, especially DHA, can protect your eyesight and prevent AMD, the leading cause of blindness in people over 55 by protecting the nerves in your eyes and reducing inflammation..

    DHA is responsible for most of the heart-healthy benefits of fish oil, and gets transformed into EPA if you are short of EPA. Check with your doc before taking extra EPA: it can interact with other drugs.

     
  • Jun15

    If the US had the obesity rate it had in 2000 (not 2009), we might prevent 111,206 total knee replacements.

    If you have arthritis, you are twice as likely to be obese than if you don’t. About 50 million adults (22% of the US population) has arthritis—principally osteoarthritis, or wear and tear arthritis. Joint pain is the most common symptom.

    2000 median obesity among adults with arthritis: 33.2% (range 25.1% in Colorado to 40.1% in Ohio).
    2009 median obesity among adults with arthritis: 35.2% (range 26.9% in Colorado to 43.5% in Louisiana).

    Why do arthritic knees hurt? Is it because the knee bears 4# of stress for every pound of body weight? Is it inflammatory cytokines and adipokines that degrade cartilage? Is it something else?

    I’ve long been interested in improving quality of life in arthritis. A RC trial of omega-3s helped arthritic and neck pain; extra virgin olive oil has ibuprofen-like activity.

    Medical costs are estimated at $147 billion for obesity and $128 billion for arthritis each year, but the real, human cost which cannot be quantified is much greater.

    A systematic, careful, personal approach which looks at drugs and side effects, as well as diet and lifestyle, is what I recommend for my own patients.

     
  • Mar10

    I’ve been preparing for a very exciting conference next week in Baltimore with CIGNA and Johns Hopkins.  I’m giving a keynote: The Food Rx:  Your Body’s Own Culinary Medicine for Healthy Aging.healthy conference buffet

    The meeting planner has also asked me to work with the executive chef and catering manager at the Hyatt to design healthy conference meals.  Can you think of anything more fun?  I love doing this.

    Attendees may be unaware that some food served at meetings impairs learning, and that some can improve it.

    So, I looked it up. A medium carb/medium fat/modest protein lunch improves mood, performance on memory and cognitive tests, and reduces drowsiness.  Compared with either a high carb lunch or a low carb one.

    The wrong lunch means mid-afternoon mental task slowing, poorer attention and memory…not revived until a late snack.

    Ten years ago, 100% of planned medical meeting meals were starchy and sugary. Mostly, they still are. And we’re not as productive or sharp because of it.

    Small changes can improve the quality of food and beverages, without increased cost–if you know what and how to ask. It just takes a good menu, and speaking the language of the kitchen so you get what you really need.

    Lunch is an opportunity for health-conscious organizations to practice what we preach, in a painless, tasty way.

    Attendees should have the option of flavorful, healthful food, and these will!