The
latest statistics on heart disease indicate that about a third of
us will find out that we have heart disease just before we're about
to die from it. Fortunately, modern medicine provides us with a
number of tools to assess and monitor our cardiovascular health.
And more importantly, we are aware of all of the most important
risk factors for cardiovascular disease.
What
follows is a look at the top determinants of the health of your
heart and blood vessels, and what you can do to keep your cardiovascular
system as healthy as possible.
1.
Your Stress Levels
Your
body is well designed to handle temporary spikes of physical and/or
emotional stress. Chronic emotional stress is an entirely
different beast, one that dramatically increases your risk of heart
disease.
When
you're stressed, your nervous
and endocrine systems work together to cause many of your blood
vessels to narrow and your blood to clot quickly - these physiological
changes serve you well if you're fighting a grizzly bear, but they
increase your risk of experiencing a heart attack or stroke over
the long haul.
Chronic
emotional stress is also likely to accelerate the buildup of plaque
in your arteries, regardless of how healthy or unhealthy your diet
is. This contention is supported by studies conducted by Kaplan
et al. in the early 80's.
It's
also well established that chronic emotional stress can induce irregular
heartbeats. In some cases, stress-induced arrhythmias can be fatal.
Of
all the emotions that fit under the umbrella of chronic emotional
stress, studies indicate that chronic depression and anger are the
emotional states that are most strongly correlated with an increased
risk of experiencing blockage in your coronary arteries and an unexpected
heart attack or stroke.
Perhaps
the best example of the potential that chronic emotional stress
has to damage your heart - even while the arteries supplying your
heart are strong and healthy - is a condition called stress
cardiomyopathy, sometimes called broken heart syndrome.
Stress cardiomyopathy is a state of severe cardiac muscle weakness,
brought on by extreme emotional stress (grief, worry, anger, fear,
surprise), and when triggered, stress cardiomyopathy can temporarily
disable heart function.
So
the obvious question is this: What can you do to effectively manage
stress to keep your cardiovascular system healthy?
You've
already completed the first and most important step, which is to
be aware of how damaging chronic emotional stress is to your heart
and overall health.
As
Dr.
Dean Ornish says, "we sometimes view the time we spend relaxing,
meditating, and hanging out with our friends and family as luxuries
that we do only after the important stuff in our lives is done...studies
make it clear that this is the important stuff."
Put
another way, make time to engage in relaxing activities that you
enjoy.
On
a moment-to-moment basis, tune your focus in on your breathing to
gauge your emotional state. Quick, shallow breathing is indicative
of a stressed state, while slow, deep breathing reflects a relaxed,
emotionally balanced state.
Whenever
you notice that you're feeling tense, you can consciously decrease
stress by taking deep, slow breaths. You can further promote deep
relaxation by closing your eyes while you engage in mindful breathing,
as a good deal of nervous system stimulation happens courtesy of
your vision.
Some
people find relaxation
CDs to be helpful in systematically tuning out stress and promoting
an emotionally balanced state. If you have interest in using such
a tool, one that I recommend is EarthRain.
And
if you can use some help with getting deep, restorative sleep while
faced with significant emotional stressors, you may benefit from
a natural sleep aid like Soft
Ocean Dreamland.
But
most importantly, strive to be aware of the undeniable connection
between your stress levels and the health of your heart - this awareness
is critical to following a heart-healthy lifestyle.
2.
Your Activity Levels
Contrary
to popular belief, über-athletes whose hearts and lungs have extraordinary
pumping power and stamina do not have a significantly lower mortality
rate than people who lead sedentary existences.
A study
published in JAMA in 1989, led by Cooper et al. looked at more than
13,000 people over a period of more than eight years, and found
that the greatest benefit from exercising occurred in people who
went from being mostly sedentary to engaging in moderate exercise
for about 20 to 30 minutes a day. Simply walking at a relaxed pace
for a short while each day led to significant improvement in longevity.
The
take-home lesson here is that if you're not doing a little exercise
every day because you don't think it will make a difference, you're
mistaken. You can improve cardiovascular function and extend your
lifespan by going for a walk or engaging in any other type of moderate
exercise for just 20 to 30 minutes each day.
3.
Your Food Choices
Conventional
advice for a heart-healthy diet typically involves lowering intake
of foods that are rich in saturated fats and cholesterol. The problem
with this advice, as I see it, is that it doesn't take into account
factors like food quality and cooking temperature. Why do these
variables matter?
Consider
this: Poached organic eggs and pan-fried bacon both contain significant
amounts of saturated fat and cholesterol. But the relatively low
cooking temperature that's required to make poached organic eggs
is likely to leave the saturated fatty acids and cholesterol found
in eggs in healthy states. To pan-fry bacon, a higher cooking temperature
is typically used, which increases the chance of ending up with
damaged saturated fatty acids and damaged cholesterol, with free
radicals, heterocyclic amines, and other disease-causing compounds
thrown into the mix as well.
The
truth is that you need a steady supply of saturated fatty acids
and cholesterol to be at your best. If this fact is hard for you
to accept, and you'd like more information on how your body uses
saturated fatty acids and cholesterol, please view: Healthy
vs. Unhealthy Fats.
Food
quality and cooking temperatures matter. And this is why I don't
tell all of my clients that they need to eat less saturated fat
and cholesterol. In fact, over the years, I've probably recommended
increasing intake of these nutrients more often than I've recommended
decreasing their intake, with the understanding that food quality
and cooking temperatures must be taken into account.
Steaming
and boiling are the healthiest cooking methods for animal foods
because they require relatively low temperatures. Pan-frying at
high temperatures, deep-frying, barbecuing, and broiling should
be avoided most or all of the time, especially when animal foods
are involved.
By
the way, none of the studies that I have reviewed - dating back
to the early 80's - that link saturated fat and cholesterol to heart
disease have taken into account food quality and cooking temperatures.
It amazes me to repeatedly observe highly respected physicians and
scientists not take these variables into account in supporting low-fat,
low-cholesterol diets.
Thankfully,
most people in self care circles understand that low-fat, low-cholesterol
diets that are high in sugar and other highly processed carbohydrates
are sure paths to diabetes
type 2 and other forms of cardiovascular disease. Cookies, cereals,
and other highly refined foods that are labeled as having low or
zero fat but have several grams of sugar per serving are horrible
for cardiovascular health. A number of studies indicate that that
such foods increase blood levels of the small, dense variety of
LDL (sometimes called pattern B), which are more likely
than other lipoproteins to contribute to plaque formation in your
arteries.
The
best foods for your heart include nutrient-rich plant foods like
vegetables, legumes, whole grains, and fruits, as well as nutrient-rich
animal foods that are not charred to a crisp and that your body
can tolerate without discomfort - organic eggs and wild fish are
generally well tolerated by the masses.
It
should be noted that your genes are also a determinant of your cardiovascular
health, but your genes mainly mark predispositions, and we know
that you can influence how your genes are expressed with your food
and lifestyle choices. So ultimately, unless you have a rare genetic
condition, your genes are not as important as the factors listed
above in determining the health of your cardiovascular system.
Next
week, we'll take a look at six reliable measures that can be used
to track the health of your heart and blood vessels.
Improve
Your
Health With Our Free E-mail Newsletter
Join thousands of people from all over the world
who receive our natural health newsletter.
100%
free. You can unsubscribe anytime.
No
spam. We respect and protect your privacy at all times.
Valuable
information that you can use to improve the quality of your health
and life.
Reviews
Just a note to let you know how much I appreciate
your newsletter. As a fellow health care provider (optometrist)
and medical researcher, I find your distillation of the literature
into lay terms to be accurate and very understandable. I really
enjoyed your contribution regarding macular degeneration. Keep up
the good work. - Kristine Erickson, OD,
PhD, FAAO
I get a lot of e-mailed newsletters and yours is the only one
I read thoroughly from top to bottom. Your advice is enlightening,
educational, easy to follow and it works! Thank you so much for
all that you offer. - Lisa Abramovic
Thanks for your excellent health newsletter. I look forward
to it every week. Thanks for providing the best online health resource
I have found. - Moorea Maguire
I'm sure as a doctor you hear your share of complaints. I just
thought you'd like to know that there's at least one person in your
"e-audience" that appreciates the time and effort you put into sending
the emails. I really look forward to them. - Linda H., Raleigh,
North Carolina
Many of my adult ESL students are Korean, and enjoy bits and
pieces from your newsletter that I have shared with them. In addition
to your logical approach to health, I enjoy sharing your newsletter
because your English is unfailingly correct as well as easily understood.
Thank you for your beautiful approach to life. - J. Zetterstrom
I thank you and your staff for such a great website. I am former
National Level Bodybuilder so I know a thing or two about health
and fitness. Your site is very valuable and I do my best to pass
it on to friends and people I train. It is also a helpful resource
in my career as a human service provider working with clients who
need to recover from substance abuse. I believe a major part of
recovery is getting your body and mind feeling healthy and strong.
Thank you again! Great Website! - Michael Christopher, MSW
I truly appreciate your wonderful newsletter - your balanced
and professional way of looking at issues is so helpful! -
Erica H.
Disclaimer:
Throughout this website, statements are made pertaining to the properties and/or
functions of food and/or nutritional products. These statements have not been
evaluated by the Food and Drug Administration and these materials and products
are not intended to diagnose, treat, cure or prevent any disease.