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