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
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