PREVENTION OF HEART DISEASE

PREVENTION OF CAD

Coronary Artery disease is on the rise all over the world and the fact is that it has highest incidence in southeast asia.

This part of the world has –

-highest prevalence of CAD

-occurs at younger age

-Mortality is more than rest of the world

-More Triple vessel disease

-Large segments of artery are blocked

-more morbidity and recurrence rate is higher

Causes of CAD-

NONModifiable causes

1.Age->40 years

2-Sex-Males more than Females

3-Familial ,Genetic

Modifiable causes

1-Diabetes Mellitus

2-Hypertension

3-Obesity

4-Dyslipedemia

5-Tobacco

6-Sedentary life style

7-Tensions

New and emerging causes

1-Hyperhomocysteinemia

2-high fibrinogen levels

3-small LDL particles

4-Infections

5-High LpA levels

6-PIA-2

7-ferritin

WHY INDIA

India has already become the diabetic destination of the world and has highest number of Diabetics in the world and is in process of becoming country with highest number of heart patients in near future.

There are various views a to why India is having an epidemic of CAD and one of them is called THRIFTY GENE HYPOTHESIS.

Which explains that this region was comparatively poor and our body is used to saving food and storing it for future use. Now for last few decades we have ample to eat and this leads to deposition of fats in arteries.

So basically CAD is a lifestyle disease and is occurring due to our change of lifestyle. To prevent CAD we need to correct our lifestyles.

LIFE STYLE CHANGES TO PREVENT CAD

1-DIET

2-EXERCISE

3-STOP SMOKING AND TOBACCO

4-REDUCE TENSIONS

DIET-

HARMFUL DIET-1.CHOLESTEROL

2-TRANSFATTY ACIDS

3-SATURATED FATS

4-TOTAL CALORIES

GOOD IN DIET1-POLYUNSATURATED FATTY ACIDS

2-MONOUNSATURATED FATTY ACIDS

3-DIETARY FIBERS

4-FISH OILS

5-PHYTOCHEMICALS and ANTIOXIDANTS

IDEAL COOKING OIL

1-low saturated fatty acids

2-high mono and poly saturated FA

3-N6:N3 ratio-5-10:1

4-no trans fatty acids

5-stable at high temprature

6-unrefined

WHICH OIL

The best is Olive oil unrefined which contains 76% monounsaturated FA,12%Saturated FA and rest as PUFA.

But for India best is Unrefined Mustard oil

WHY MUSTARD OIL IS BEST COOKING OIL

1-Low saturated fats-<8%

2-high MUFA-70%

3-High Omega 3 fatty acids(8-13%)

right n6:n3 ratio

4-Antioxidants,Isothiocyanates,Phenolics and Phytins are present

DIET AND HEART

1-Diet and reinfarction trail (DART) 1989-reduction in total mortality was 28%

2-LYON diet study-1999-Mediterranian diet for 48 months reduced risk of mortality and reinfarction by 70%

3-Very low fat diet –Reversal diet may reverse ateroscerosis

ADVANTAGE OF REDUCING 10 KG WEIGHT

DIABETES 30-50% reduction in fasting blood sugar

15% reduction in HbA1c

LIPIDS 10% reduction in total cholesterol

15% reduction in LDL

30% reduction in triglycerides

8% increase in HDL

ANGINA 33% increase in Exercise tolerance

90% reduction in symptoms

MORTALITY 20-25% reduction in total mortality

30-40% fall in diabetes related deaths

BLOOD PRESSURE 10mm reduction in Systolic BP

20mm reduction Diastolic BP

TOBACCO

1-In 1999 tobacco was responsible for 6% of total deaths all over the world

2-By 2020 Tobacco will be responsible for 12% of total deaths

3-In India responsible for 9% of total deaths

4-Single major preventable cause of mortality and morbidity

EXERCISE

1-Favorable effects on lipid profile, glucose tolrance, BP, weight control

2-Improved endothelial functions

3-Enhances fibrinolysis,reduce platelets reactivity and insitu thrombosis

PSYCOLOGICAL RISK FACTORS

1-Lack of social support

2-Behaviour Type A

3-Job stress

4-Low level of job control

5-Hostility,Anger,Rage

6-Depression

7-coping life style

8-Lack of religion

YOGA LIFESTYLE

PHYSICAL-DIET,EXERCISE AND NO TOBACCO

MENTAL-STRESS MANAGEMENT(MEDITATION)

EMOTIONAL-CONTROL OF ANGER,RAGE,JEALOUSY

SPRITUAL-MORAL VALUES

DR MOHAN PANDE MD

PANDE HEART & MEDICARE CENTRE

DELHI ROAD,SAHARANPUR

PH-0132-725319

0132-761229

EMAIL-mpande777@gmail.com

FOODS THAT FIGHT CANCER

The fight against cancer begins in your kitchen.

Oncologists and researchers have accepted the role that right food can play not only in regressing the advance of Cancer but also in preventing it from occurring.

          While diet alone cannot reverse the course of cancerous cells ,it can deprive the tumours of its essentials.The best  diet to follow is one with lots of salads,fruits,vegetables,sprouts and nuts.Carrots , grapes, and soya beans

Hace cox-2 compounds which hinder the growth of  new blood vessels,which are vital for the growth of tumour to progress.

Fruits and vegetables are rich in antioxidants which clean up  free radicals.

FOODS PLAY BENEFICIERY ROLE IN ALL THREE STAGES OF TUMOUR GROWTH

1.INITIATION

          An external or Internal carcinogen induces changes in the genetic make up of the cell.This creates a lesion which gives the cell potential for tumorous growth.

Role of diet----

Diets high in vegetables and fruits and the intake of food rich in bioactive compounds trigger detoxification enzymes which in turn reduce the exposure of DNA to carcinogens.

Onions and garlic have allium which has anticarcinogenic mechanisms.

Cruciferous vegetables like cabbage and cauliflower have dithiolthiones which inhibits enzymes that activate carcinogens.

2.PROMOTION

Role of food-----

The energy balance must be maintained as it will thwart the expansion of abnormal cells.Selenium and Vitamin D have shown to have a protective effect against tumor promotion.

Selenium a mineral is found in cereals,fish,liver and seafood.It has an antioxidant capacity and functions as a cofactor for glutathione perioxidase,an enzyme that prevents tissue damage.

Vitamin D is present in milk,yogurt,and fish eaten with their bones.

3.PROGRESSION

The local lesion transforms into an invasive tumour.There is widespread DNA damage.Ultimately there is metastasis and tumor cells migrate to distant sites.

Role of food-----

Folate in green,leafy vegetables and wholegrain cereals help reduce damage to DNA.Fruits and vegetables have carotenoids that have antioxidant properties.

Beta Carotene are abundant in spinach,carrots,sweet potatoes and mangoes.

FOODS THAT ARE DETERIMENTAL

Consumption of Red meat—beef,pork,lamb-could increase the risk of cancer

Especially of colorectal,pancreatic,colon and renal cancers.

Fat---increases production of bile acids which can transform into substances that promote colon cancer.It also causes hormone levels to shoot up and increases the growth of Breast and Prostate cancer.

Excessive drinking causes  cancer of mouth,throat,oesophagus and liver.

CARROTS-Contains antioxidantswhich include alpha carotene and beta carotene.

CAULIFLOWER-the indoles promote the production of enzymes that make the hormone estrogen less effective,reducing the risk of breast cancer.

TOMATOES—The lycopene neutralizes cancer causing substances.Ten servings a week may help reduce risk of cancer of prostate by half

CABBAGE,TURNIPS---The phytochemical,phenethyl isothiocyante,hampers the development of lung cancer.

GINGER—suppresses the creation of adducts,formed by the reaction of chemical carcinogens with DNA.

GARLIC,ONION—The allium vegetables contain organosulphides that lower the risk of GIT cancers.

APPLES—The caffeic acid increases the production of enzymes that make carcinogens more soluble in water and ultimately ejects them from the body.

GRAPES-The ellagic acid is a scavenger of carcinogens.

ORANGES_ The terpenes may prevent lung cancers while beta-crytoxanthin is an anti-cancer carotenoid.

ALLEPY BACK WATERS

HOW TO LEAD LONG AND FRUITFUL LIFE

HOW TO LIVE LONG AND FRUITFUL LIFE

Life is the most beautiful thing on planet earth which separates it

from millions of other stars and planets.We have yet to find another

life form in universe.Man is different from other lifeforms because

he can shape and influence his own life and other lives as well.Anybody

and everybody can live but to live a long and happy life one must understand few things.

To live long there are few things we have to understand and to live

purposefully  we need emotional maturity along with a healthy mind

and body.

When you are healthy physically and mentally and are able to take care of

your needs than only you can be useful to others in society. A person

at peace with himself can give peace and happiness to people around

him and can be useful to nation or humanity at large.

There are no certain methods to live long but many things are proved

beyond doubts-

1)   DIET

       Diet forms one of the most important factor in human life which

can increase or decrease the life span of a person.

a)How much to eat-People eating less and just keeping themselves

above starvation levels live longer then people eating as much as

possible.In many biosphere studies this point has been proved.A

biosphere is a specially constructed dome of plastic which has its

own atmosphere and is cut from rest of the world.It has its own vegetation

,own animals ,own water supply and own food cycle and is fully

self sufficient for years.Many scientists have lived in biospheres for

years and have eaten less whatever is available there and have

found that there BP has fallen,there serum fats are less,Heart rate

is less,toxic levels in blood have fallen and longevity increased.So

to sum up one must eat to live and not live to eat.

b)Calories-How much calories you need depend on sex,age and level of

physical activity.Males need more calories than females.

Calorie chart

c)fats-Less fats are better.Fats forming 20% of total calories are best.

A balance of saturated fats,monounsaturated fats ,polyunsaturated fats

and marine fats containing 3 omega acids should be taken.Food

taken without fats may lead to shortage of essential fatty acids and

further damage and lead to depression.

D)protien-Normaly one need 1gm proteins per kg body wt except in

special circumstances like pregnancy ,fever,childhood   when one

needs more protiens.One must be deriving 35-45% calories from proteins.

Proteins derived from animal sources are better than derived from

plant sources.

E)Salt-One should take less salt .Every food contain some salt and

we take extra salt for taste.Salt increases BP which is harmful in long-term.

Caution-In excessive heat,sweating,working in hot and humid environment

,fever,vomitings and diarrhoea one need extra salt and electrolytes.

F)sugar-Sugar have been in world for about 100 years and Gur or

Jaggery for about 200 years and humans are on planet earth for

25,000 years or more .So you can understand that we can live without

these chemicals.Our body is still not used to it and taken in excessive

quantities can do harm to body.Sugar is present in natural form in

many fruits etc.Fruits also contains another sweetening agent

Fructose which is metabolised through different pathways than

glucose and does not need Insulin for metabolism.

G)FIBRE- A high fibre diet is must if you want to live long.Fibres are

of two types.1-insoluble fibres like cellulose present in wheat husk, fruit skin ,covering of pulses etc.2-soluble fibres-like pectin present in

fruits.these are more important  as are known to decrease cholesterol levels.

H)Food of Longitivity-There are certain chemicals and food which are known to increase life

          -Antioxidants

          -Flavinoids

          -Carotenoids

          -Ginseng alkoloids

2-ACTIVE LIFE STYLE

   If you want to live long you have to maintain active lifestyle.By

active lifestyle I mean that one should be active physically .

Some tips for remaining active

          -get up early in morning -6AM is OK

          -Go for a walk or do exercise for 30 min

          -Yoga  or others for 15 min

          -walk to work if possible

          -do not hesitate to get up from chair for work

          -walk around in office or in area of work

          -game or sport in evening

          -light food

          -early to bed

          -avoid smoking

          -minimum alcohol

3-FAMILY SUPPORT

4-health checkups

          Regular health checkups are important if you want to live long

and trouble free life.There are many diseases which are silent killers

and should be detected before they can harm us. Diabetes mellitus

and hypertention are some of the diseases which can be detected easily

and have incidence of 10% or more after 40 years of age.

Even coronary heart disease and cancer dont occur in few days time

and take 10-15 years to occure and can be detected early most of

the times.

Many people have false belief that they will be able to detect disease when

it occurs. Many people have false notion that they can feel high BP.

This feeling is false and most of the times one cant feel the high BP.

Humen cant detect everything like there are radiowaves around us

which our Transistor picks up easily but we cant feel it or when you

are exposed to X-rays you cant feel it.or you are surrounded by radiowaves all the time and any transistor can catch it but you cant feel it.

So it becomes important to go regular health checkups.Once a year is

fine if you are healthy.

5-Economic independence for whole life

6.Mental health – is as important as physical health.

          -All the negative thoughts like anger,jeaulousy,revenge,depression decreases the life span of person. Anger may not harm the person on whom you are angry but will definitely going to harm you. Mother nature wants us to have a positive attitude and positive thoughts towards others. If you have negative thoughts towards others and negative feelings then you waste your time and energy on negative projects and your output falls. Apart from this you harm your psyche and your body and have all sideeffects of chronic tention .even your  lifespan is shortened.

          -Enjoy the daily routine .Anybody who doesn’t enjoy the daily work is heading for trouble.All successful people enjoy whatever they are doing.

         

MEDICON 2009

at IMA BHAVAN-SAHARANPUR