“Dr. Hyman, my father has heart disease, his father did too and I’m
obviously concerned about my own heart,” writes this week’s house call.
“What can I do to prevent heart disease?”
Most importantly, please know while genetics contributes to some
degree, many other factors completely within your control can contribute
to or reverse heart disease.
Genetics loads the gun, but environment pulls the trigger. The way you eat, how much you exercise, how you manage stress and your exposure to environmental toxins all contribute to things like high cholesterol, high blood pressure, high blood sugar and of course, heart disease.
The current way doctors treat heart disease is misguided because they treat the risk factors not the causes. At the same time, most patients can achieve the benefits of most medications through lifestyle changes.
Dr. David Jenkins from the University of Toronto compared treatment
with statin drugs (the number one cholesterol medication) with a diet
rich in viscous fiber, almonds, soy and plant sterols. Researchers in
this study found that, while they created almost equal benefits, diet became more effective to lower inflammation and homocysteine (a risk marker for heart disease).
Simply put, preventative medicine becomes the best form of medicine.
These 10 simple modifications can go a long way to preventing or
reversing heart disease.
1. Eat a healthy diet. Increase healthy, whole foods
rich in nutrients and phytonutrients (plant molecules). Aim for at
least 8 to 10 servings of colorful fruits and vegetables every day.
These foods are loaded with disease-fighting vitamins, minerals, fiber, antioxidants and anti-inflammatory molecules
2. Steady your blood sugar. Studies
show blood sugar imbalances contribute to heart disease. Stabilize your
blood sugar with protein, healthy fat and healthy carbohydrates at
every meal. Never eat carbohydrates alone and avoid processed sugars
with carbohydrates. I discuss this more in-depth in The Blood Sugar Solution 10-Day Detox Diet.
3. Increase your fiber. Work your way up to 50 grams
of fiber per day. High-fiber foods include vegetables, nuts, seeds and
lower-sugar fruits like berries. If that becomes a challenge, try a fiber supplement such as PGX (Konjac fiber or glucomannan).
4. Avoid processed, junk foods. That includes sodas, juices and diet drinks, which adversely impact sugar and lipid metabolism. Research
shows liquid-sugar calories become the biggest contributor to obesity,
diabetes and heart disease. Don’t be fooled that 100 percent fruit juice
is healthy. Juices are essentially pure, liquid sugar because
processing strips away the fruit’s fiber.
5. Increase omega-3 fatty acids. Eat anti-inflammatory foods like cold-water fish including salmon,
sardines and herring, as well as flaxseeds and even seaweed. Healthy
fat actually benefits your heart by improving your overall cholesterol
profile. It also lowers the small, dangerous LDL particles that
contribute to heart disease by converting them into light, fluffy, safe
LDL particles. I discuss how healthy fat can help you achieve and
maintain good health in my new book, Eat Fat, Get Thin.
6. Eliminate all hydrogenated fat.
Hydrogenated fat lurks in margarine, shortening, processed oils and
many baked goods and processed foods like cookies and crackers. Even
when the label states “no trans fats,” the word “hydrogenated” indicates
that the product contains trans fat in one or more of the ingredients.
Use healthy oils instead like coconut oil (rich in medium-chain triglycerides or MCTs), extra-virgin, organic, cold-pressed, olive oil, organic sesame oil and other nut oils. You can now find MCT oil in my store.
7. Avoid or reduce alcohol intake. Alcohol can raise
triglycerides, contribute to fatty liver and create sugar imbalances.
Reducing or eliminating alcohol intake lowers inflammation, which contributes to heart disease and nearly every other chronic disease.
8. Take quality supplements. Combined with a healthy diet and exercise program, supplements can dramatically improve cardiovascular health. Take a good multi-vitamin/mineral along with a purified fish oil supplement
that contains 1,000 to 2,000 milligrams a day of EPA/DHA. (You might
need higher doses if you have low HDL and high triglycerides.) I also
recommend a fiber supplement such as PGX (Konjac fiber or gluccomanan) to lower cholesterol and balance blood sugar levels. You can find these and other supplements in my store.
9. Get out and move! Research shows 30 to 45 minutes of cardiovascular exercise
at least five times a week can benefit your heart. After all, your
heart is a muscle and muscles need exercise. If you feel stronger and
more capable, high-intensity interval training (also called burst
training) and strength training help build muscle, reduce body fat
composition and maintain strong bones. You simply cannot age
successfully without sufficient, optimal exercise.
10. Manage stress levels. Stress
alone can cause a heart attack. Sadly, chronic stress often triggers a
cascade of events that cause that final, fatal heart attack. Among its
problems, stress increases inflammation, raises your cholesterol and
blood sugar, increases blood pressure and even makes your blood more
likely to clot. Find your pause button to manage stress and relax. Yoga,
Tai Chi, meditation, breathing techniques and guided imagery can lower
stress. Many patients find my UltraCalm CD helps dials down stress levels very effectively. [Eco watch]
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