Tag Archives: diet

Protect your Heart with Diet

Did you know that February is American Heart Month? Heart disease is the leading cause of death in the U.S. This celebration aims to help people evaluate their personal heart health and learn how to properly care for their bodies. Today we’ll be exploring some of the risk factors for heart disease, and comparing the risks and benefits of dietary changes vs. prescription medications.

Heart disease is a condition of the blood vessels that causes a process called atherosclerosis, or a “hardening” of the vessels. The affected vessels fill up with plaque, which blocks veins and arteries, causing DVTs, heart attacks or strokes. But at its core, heart disease is the culmination of possible genetic factors and a lifetime of dietary and fitness choices.

Heart Issues and Medications

The top three risk factors for heart disease are high blood pressure, high cholesterol, and type II diabetes. While all three can be influenced by genetics, they correlate highly with weight, diet and exercise habits. Despite this correlation, many people are prescribed medications to treat these conditions and are never asked or ignore suggestions to make proper lifestyle changes. In fact, millions of Americans rely on medications to “solve” their health problem, when simple nutrition could help dramatically.

Of course there are times when medication is unavoidable. But if possible, it should be a last resort, not the first pit stop. Here’s why: medications don’t teach people how to care for their bodies every day, and they can have dangerous side effects. For example, the blood thinner Pradaxa, often given to patients with high cholesterol, definitely does its job and can help prevent blood clots. On the other hand, it also carries the harrowing possibility of deadly bleeding from even a minor cut or injury.

The same goes for other medications. Statins are drugs that lower your LDL (the “bad” cholesterol), but they can also cause liver damage and memory loss. For diabetics, the medication metformin helps the body to use insulin more efficiently by improving the sensitivity of body tissues. In some cases, however, it may cause a serious, fatal condition called lactic acidosis in which lactic acid builds up in the blood. In contrast, a shift in nutrition can help naturally lower your LDL, manage your hypertension and help those with prediabetes from getting full-blown type II diabetes, without any serious dangers. A nutritious lifestyle is a wholly positive shift, and it will help you develop better habits for life.

Nutritious Solutions for Heart Health

Every person’s nutrition needs are different. For example, a person with celiac disease can thrive on a gluten-free diet, while a person with irritable bowel syndrome may need a more personalized diet based on the low-FODMAP diet plan. The same goes for heart health. Generally speaking, avoiding trans fats, sugar-filled snacks and processed products is a great first step. From there, it’s important to consider the needs of your specific condition.

Individuals with high cholesterol need to focus on foods that let them lower the LDL in their blood. While trans fats should be avoided, polyunsaturated fats directly lower LDL and should be included. You’ll also want to make sure to eat plenty of foods high in soluble fibers, like fruits, peas, lentils and some bean varieties. Plant sterols and stanols also help hinder the absorption of cholesterol by your body, and can be found in nuts, legumes and whole grains.

For people with high blood pressure, there’s a specific diet plan known as the DASH diet. DASH stands for Dietary Approaches to Stop Hypertension, and it’s easier to follow than most diets because it doesn’t require huge food group restrictions. Rather, the diet encourages the use of a wide range of foods that are rich in potassium, calcium, magnesium, fiber, and protein, and low in sodium. Dieters should make sure to include whole grains, nuts, broccoli, carrots, kale, and lean meats. Research has shown the DASH diet can lower blood pressure in just two weeks.

For diabetics, things are a bit different. It is impossible to manage full-blown Type I or Type II diabetes through diet and exercise alone. If you have diabetes, insulin injections are absolutely essential, and some medications may be required. You should still, of course, be aware of your dietary choices; it’s recommended that diabetics and prediabetics use the glycemic index to avoid blood sugar spikes.

If you’re prediabetic, have a family medical history of diabetes, or other diabetes risk factors, nutrition and lifestyle changes can absolutely help. As with hypertension and high cholesterol, avoiding saturated fats, processed foods and getting a sufficient amount of fiber will be helpful. It’s also important to maintain an appropriate weight, because obesity is a leading risk factor for diabetes.

As with everything, the keys to a healthy heart are communication and smart choices. Always talk to a professional before beginning a new exercise regime or diet. If you’re already on a medication, it’s imperative to talk with your doctor before making major changes, or before stopping the drug. This February, take the time to check in with your body, and listen to what it tells you. It may be time to make some changes for a healthier you!

 

*This is a non-sponsored guest post

woman breathing on the beach

Treatment for PCOS

Polycystic Ovarian Syndrome (PCOS) is the most common hormonal endocrine disorder in women of childbearing age, affecting approximately 5 million women in the United States.(1,2) It is also the most common cause of ovulatory infertility but research shows that lifestyle changes can help restore ovulation and improve pregnancy rates.(3) High androgens (“male hormones”) like testosterone, high insulin/insulin resistance, and low progesterone are just some of the clinical markers of PCOS.(4) Symptoms include irregular and/or a painful menstrual cycle or no menses, facial hair, acne, infertility, and balding.(5) The term PCOS can be misleading as not all women with PCOS have ovarian cysts. Another common misconception is that all women with PCOS are overweight or obese, however, there are plenty of women (about 20%) with a “normal” BMI who are diagnosed with PCOS.(6) Regardless of BMI, a combination of diet, lifestyle, and supplements should be the primary treatment choices for addressing PCOS.

It is estimated that 50-70% of women with PCOS have insulin resistance(2) so making some simple changes to the diet like eating protein with each meal can help to stabilize blood sugar.  Sleep disturbances and obstructive sleep apnea are also common in women with PCOS and since sleep affects a variety of things including hunger hormones and insulin resistance, making sure to get adequate z’s is an important part of treatment.(7-10) Stress is an equally important factor to address and is even a potential cause of PCOS. Stress can cause the disruption or total loss of menstrual function in women (11) and as we know has an effect on everything else in our lives from what we eat to how much we sleep.

For these reasons we recommend treatment that focuses on the following 5 factors:

  1. Diet
  2. Sleep
  3. Stress
  4. Supplements
  5. Self-care
  6. The gut

Diet

  • Focus on whole foods with a variety of fresh fruits, veggies, whole grains, beans/legumes, meat, fish, poultry, and oils
  • Limit starchy processed carbohydrates (high amounts increase insulin & trigger inflammation)
  • Have carbohydrates, fat, and protein at each meal to help stabilize blood sugar
  • Aim for 2 cups of fruit and 2 ½ cups of vegetables each day
  • Consume up to 6 ounces a day of whole grains like brown/wild rice, rolled oats, bulgur, and quinoa
  • Include healthy fats like olive oil, olives, avocado, nuts, nut butter, seeds, eggs, and fish
  • Use cinnamon which has been shown to improve insulin resistance and dyslipidemia
  • Add garlic to your diet to reduce total cholesterol and triglycerides, just one clove a day shows improvement! (12)

Sleep

  • Aim for between 7-9 hours a night (If you don’t feel rested with 7, you may need more.)
  • Choose a relaxing bedtime routine and aim to turn off electronics 30 minutes to one hour before you go to bed
  • If you have a hard time falling asleep consider taking a supplement like magnesium glycinate

Stress

  • Take 5 deep breaths when you feel stressed to remind yourself that you’re okay!
  • Take some time, even a few minutes, to practice yoga poses
  • Make a list of what needs to be done so you don’t have to think about it
  • Keep areas free of clutter to calm the mind

Supplements (5, 13-15)

  • D-chiro-inositol (DCI) & Myo-inositol (MYO) – helps with: Ovulation, insulin resistance, dyslipidemia, androgen lowering, hypertension
  • N-Acetylcysteine (NAC) – helps with: Insulin resistance, infertility, inflammation, androgen-lowering, dyslipidemia, bronchitis, & immune support
  • Chromium Picolinate – helps with: improving glucose and insulin
  • Cinnamon Cassia – helps with: decreasing HbA1c and fasting glucose
  • Fish oil – helps with: Anti-inflammatory, dyslipidemia, hypertension, depression, androgen lowering, infertility, insulin resistance, Fatty Liver Disease
  • Magnesium, Vitamin D, and B12 – helps with: insulin resistance, infertility, dyslipidemia
  • Various herbs such as licorice, chasteberry, and milk thistle have been effective in the treatment of PCOS.
  • Many of these supplements can be found on my online dispensary

Self-care (16, 17)

  • Make the time to acknowledge your needs
  • Examples include taking a bath, sipping a hot cup of tea, or going shopping
  • Self-care is shown to improve health outcomes
  • Mindfulness, bringing one’s attention to the present moment, can help with all of these components and has been shown to improve outcomes in women with PCOS.(18,19)

The Gut (20,21)

The research on the gut and PCOS is strong and growing more astounding by the month. An unbalanced microbiome is the root cause of most hormonal issues. And fixing the gut is an evidenced-based solution for PCOS. For more on how PCOS and the gut are related and how to fix your gut, check out my eBook!

Every person is different and will need an individualized plan which is why working with a registered dietitian nutritionist who understands your needs and specializes in PCOS is so important.  Remember, it is our patterns over time that impact our health so don’t feel pressured to make all of these changes at once.  Making changes to an already busy life is stressful in and of itself so pick one of the five factors to start with and focus on that! For more information and help, read my eBook.

References

  1. How many people are affected or at risk for PCOS?. Nichdnihgov. 2017. Available at: https://www.nichd.nih.gov/health/topics/PCOS/conditioninfo/Pages/risk.aspx. Accessed November 7, 2017.
  2. Grassi A. 30 INTERESTING FACTS ABOUT PCOS. PCOS Nutrition. 2017. Available at: http://www.pcosnutrition.com/facts/. Accessed November 7, 2017.
  3. LEGRO R. Pregnancy Considerations in Women With Polycystic Ovary Syndrome. Clinical Obstetrics and Gynecology. 2007;50(1):295-304. doi:10.1097/grf.0b013e31803057ed.
  4. Sirmans S, Pate K. Epidemiology, diagnosis, and management of polycystic ovary syndrome. Clinical Epidemiology. 2013:1. doi:10.2147/clep.s37559.
  5. Grassi A. Popular Supplements For PCOS. https://docs.google.com/file/d/0B-1AdyQf8ICwTXAtdzJLc0RXT1k/edit; 2017.
  6. Marshall J, Dunaif A. All Women With PCOS Should Be Treated For Insulin Resistance. Fertility and Sterility. 2012;97(1):18-22. doi:10.1016/j.fertnstert.2011.11.036.
  7. Moran L, March W, Whitrow M, Giles L, Davies M, Moore V. Sleep disturbances in a community-based sample of women with polycystic ovary syndrome. Human Reproduction. 2014;30(2):466-472. doi:10.1093/humrep/deu318.
  8. Helvaci N, Karabulut E, Demir A, Yildiz B. Polycystic ovary syndrome and the risk of obstructive sleep apnea: a meta-analysis and review of the literature. Endocrine Connections. 2017;6(7):437-445. doi:10.1530/ec-17-0129.
  9. Donga E, van Dijk M, van Dijk J et al. A Single Night of Partial Sleep Deprivation Induces Insulin Resistance in Multiple Metabolic Pathways in Healthy Subjects. Endocrinology. 2010;151(5):2399-2399. doi:10.1210/endo.151.5.9998.
  10. Why Is Sleep Important?. Nhlbinihgov. 2017. Available at: https://www.nhlbi.nih.gov/health/health-topics/topics/sdd/why. Accessed November 7, 2017.
  11. Berga S, Loucks T. Stress Induced Anovulation. Emory University School of Medicine; 2007. Available at: http://booksite.elsevier.com/brochures/stress/PDFs/berga.pdf. Accessed November 7, 2017.
  12. Zeng T, Guo F, Zhang C, Song F, Zhao X, Xie K. A meta-analysis of randomized, double-blind, placebo-controlled trials for the effects of garlic on serum lipid profiles. Journal of the Science of Food and Agriculture. 2012;92(9):1892-1902. doi:10.1002/jsfa.5557.
  13. Regidor P, Schindler A. Myoinositol as a Safe and Alternative Approach in the Treatment of Infertile PCOS Women: A German Observational Study. International Journal of Endocrinology. 2016;2016:1-5. doi:10.1155/2016/9537632.
  14. Grassi A. THE 4 BEST SUPPLEMENTS FOR FERTILITY. PCOS Nutrition. 2017. Available at: http://www.pcosnutrition.com/4-best-supplements-fertility/. Accessed November 7, 2017.
  15. Goswami P, Khale A, Ogale S. Natural Remedies for Polycystic Ovarian Syndrome (PCOS) : A Review.IntJPharmPhytopharmacolRes. 2012;1(6):396-402.
  16. Lorig K, Sobel D, Laurent D, Hobbs M. Effect of a self-management program on patients with chronic disease. Effective Clinical Practice : ECP. 2001;4(6):256-262. doi:11769298.
  17. Adams R. Improving health outcomes with better patient understanding and education. Risk Management and Healthcare Policy. 2010:61. doi:10.2147/rmhp.s7500.
  18. Stefanaki C, Bacopoulou F, Livadas S et al. Impact of a mindfulness stress management program on stress, anxiety, depression and quality of life in women with polycystic ovary syndrome: a randomized controlled trial. Stress. 2014;18(1):57-66. doi:10.3109/10253890.2014.974030.
  19. Raja-Khan N, Agito K, Shah J et al. Mindfulness-based stress reduction for overweight/obese women with and without polycystic ovary syndrome: Design and methods of a pilot randomized controlled trial.Contemporary Clinical Trials. 2015;41:287-297. doi:10.1016/j.cct.2015.01.021.
  20. Association between Polycystic Ovary Syndrome and Gut Microbiota.Guo Y1Qi Y1Yang X1Zhao L1Wen S1Liu Y1Tang L1.
  21. Dysbiosis of Gut Microbiota (DOGMA)–a novel theory for the development of Polycystic Ovarian Syndrome.Tremellen K1Pearce K.

 

*This is a non-sponsored post written by Crystal Longo Savoy