February 11, 2003

NEWSLETTER #37

DO YOU HAVE A GOOD HEART?

Ahh, February: time-honored month of love, sharing -- and chocolate. Officially or unofficially, February has achieved national status as Healthy Heart Month, a wonderful excuse to understand what makes us tick. Just four weeks after holiday indulgences, what better time to take stock of the hearts of those you love?

* A Serious Heart-to-Heart

With cardiovascular disease still America's #1 cause of death, it makes sense to not only understand how your heart rules your body, but also how you can use your brain to help this fist-sized muscle to keep on pumpin'.

What our hearts do is nothing short of incredible. Imagine a mere 10-ounce pump, which has the ability to thrust 1.3 gallons of blood PER MINUTE through the body. This translates to a mind-boggling 1,900 gallons per day, and by age 70, 48 million gallons will have passed through the average human. All our hearts ask of us is that we do not interfere with their access to oxygen, and that we keep our arteries clear so blood can circulate without impediment. That said, it is not too much to ask of us to take our hearts seriously.

* Enemies of the Heart

While most of us are blessed with a strong heart, pre-programmed for longevity, there are diseases that can gravely affect our hearts' behavior.

Atherosclerosis is the condition that causes coronary artery disease. This is the gradual buildup of plaques in the blood vessels that in turn feed the coronary arteries. Plaques are deposits of fat, cholesterol, calcium and other cellular debris. Plaque buildup interferes with the flexibility of the arteries and diminishes blood flow to the heart, which in turn can lead to blockage, angina (chest pain) or heart attack.

The "heartening" news is that we can make informed health decisions that will have life-saving ramifications for our hearts and well-being. The American Cancer Society has identified America's key risk factors for coronary heart disease (CHD):

RISK FACTORS YOU CAN'T CONTROL

*   Increasing age

*   Male Gender

*   Heredity and race -- African Americans, due to a higher incidence of hypertension, are at greater risk for CHD. Other ethnic

groups* are more disposed as well; however, their heart disease is often related to obesity or diabetes if not family history.

(*Native Hawaiians Americans, Asian American, Mexican American)

RISK FACTORS YOU CAN CONTROL

*   Smoking

*   High blood pressure

*   Obesity

*   High blood cholesterol

*   Physical inactivity

*   Diabetes mellitus

* Heart-Smart Supplementation

The mantra for a healthy diet has not changed:

*   5+ servings daily of fresh fruits and vegetables

*   Limit salt to less than 1 teaspoon (2400mg) daily

*   Eat plenty of whole grains and high fiber foods

*   Choose low-fat, low-cholesterol foods

*   Replace red meats with plant proteins, such as soy, legumes, nuts

*   Eat fish at least twice weekly

While these guidelines are generally easy to follow, sometimes it is not possible to fully fuel the heart's needs. Dietary supplements can become an important ally in getting your heart back on track.

* Omega-3 Essential Fatty Acids

Essential Fatty Acids (EFA's) perform fundamental functions throughout the body, most importantly controlling the balance between good and bad cholesterol. A low level of EFA's in the bloodstream can make it difficult for the body to rid itself of bad cholesterol. A number of high-profile studies have revealed the mega-benefits of omega-3 fats (eicosapentaenoic and docosahexaenoic acids) in fatty fish. These essential fatty acids decrease the likelihood of clotting in the blood and keep blood vessels relaxed. Controlled research studies, as reported in the Journal of the American Medical Association conclude that men and women who consume fish regularly (at least twice weekly) enjoy a lower risk of heart disease and sudden death. Supplementing with fish oil capsules is an equally effective and convenient way to introduce more high-quality omega-3 into the diet.

*   Flax Seed Oil is a plant-based source of omega-3, known as alpha-linoleic acid and is a practical alternative to the more potent omega-3 in fish oil. Ten grams of flax seed oil are equivalent to one gram of fish oil. Clinical test suggest that EFA's, including alpha-linoleic acid, have demonstrated reductions in risk for CHD that compare favorably with lipid-lowering drugs.

*   Antioxidants

In a healthy body, antioxidant action blasts away free radicals by slowing dangerous oxidation at the

molecular level. Free radicals are unstable molecules that are natural by-products of normal

metabolism (oxidation) and from inhaling our imperfect atmosphere. Oxidation facilitates absorption

of bad cholesterol in the arteries.

*   Vitamin C and Vitamin E are the most widely recognized of the vitamin antioxidants. Vitamin C is

Recommended to help reduce risk of heart disease, and it supports Vitamin E's effectiveness. Vitamin E, only available through food or supplementation, protects cells from damage of free radicals and

Encourages the slick coating that lines the arteries, providing for protection against atherosclerosis.

*   CoQ10 is produced naturally in the body, but its presence decreases as we age. CoQ10 prevents the

formation of rancid fats and other debris that clog arteries. In one study, CoQ10 enhanced the function of a failing heart.

When Valentine's Day comes around this year, go ahead and give chocolates, but how about throwing in some fish oil caps and antioxidant. For your heartthrob, nothing could be more romantic than a good heart.

 

If your loved one must have chocolate, give in. The cocoa in chocolate contains plant-based flavonoids, naturally occurring chemical compounds that cause blood vessels to relax and actually help prevent coronary disease. The heart depends on open pathways in the cardiovascular system to keep blood replenished with life-giving oxygen. If chocolate is your choice, buy organic chocolate to show you really care.

Sources used in this article:

*   Sternberg, Steve. Oily fish helps healthy hearts, too. USA Today Apr. 10, 2002

*   American Heart Association Web site. www. Americanheart.org. "Risk Factors and Coronary Heart Disease

*   Mayo Clinic Web site www.MayoClinic.com. "Supplements for Heart Health."

*   Hu, Frank B., MD, Leslie Bronner, ,MD, Walter C. Willett, MD, Meir J. Stampfer, MD, Kathryn M, Rexrode, MD, Christine M.

Albert, MD, David Hunter, MD and JoAnn E. Manson, MD, "Fish and Omega-3 Fatty Acid Intake and risk of Coronary Heart
Disease in Women." Journal of the American Medical Association Web site
www.jama.ama.assn.org.

*   Blanco, Car, MD. How Your Heart Works. Web site www.howstuffworks.com

*   Carper, Jean. EatSmart: Your Q's Answered, USA Weekend, Sept. 27, 2002

*   Harper, Charles R., MD and Terry A. Jacobson, MD. The Fats of Life: The Role of Omega-3 Fatty Acids in the Prevention of

Coronary Heart Disease. Archives of Internal Medicine, Web site http://archinte.ama-assn.org.

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