Heart Disease and Fibromyalgia – Is there a link?
Here’s another question I asked Dr. Cynthia Shelby-Lane and her answer.
Lisa Nelson RD: Do you feel there is a link between heart disease and fibromyalgia?
Dr. Shelby-Lane: Fibromyalgia symptoms were akin to the symptoms of several “functional” disorders (i.e., medical conditions that affect bodily function via causes that are poorly understood) including recurrent non-heart-related chest pain, heartburn, heart palpitations and irritable bowel syndrome. However, a number of studies since have detected evidence of abnormalities in the internal organs of many fibromyalgia patients, including heart valve problems, malfunction of the muscles that move food to the stomach, and weakened lung function. These studies suggest that the abnormalities likely are symptoms of a larger disease, not illnesses by themselves.
Because of weakened respiratory muscles an individual finds it hard to breathe and the supply of oxygen to heart is decreased resulting in the above symptoms. Similar is the case with neck pain, due to weakened muscles.
Fibromyalgia (FM) is a recently recognized disorder rheumatologists and practitioners see quite often, especially in women 20 to 50 years old. It is characterized by widespread, chronic musculoskeletal pain, tenderness, fatigue and stiffness affecting muscles, tendons, ligaments and connective tissues with loss of sleep, depression, and shortness of breath. It is a poorly understood condition and there appears to be no universal cause and no single treatment that is effective for every person. Diagnosis of fibromyalgia is based on the tenderness of specific anatomical sites (at least 11 of 18 points) and pain in all four quadrants of the body that has lasted for 3-6 months or longer. It mostly affects the neck, shoulders, lower back, chest and/or thighs. Fibromyalgia patients meet many of the diagnostic criteria for chronic fatigue syndrome. Three to six million people are affected by fibromyalgia.
Possible Causes or Contributing Factors of Fatigue & Fibromyalgia
The cause of fibromyalgia is not known. Patients experience pain in response to stimuli that are normally not perceived as painful. Researchers have found elevated levels of a nerve chemical signal, called substance P, and nerve growth factor in the spinal fluid of fibromyalgia patients. The brain nerve chemical serotonin is also relatively low in patients with fibromyalgia. Studies of pain in fibromyalgia have suggested that the central nervous system (brain) may be somehow supersensitive. Scientists note that there seems to be a diffuse disturbance of pain perception in patients with fibromyalgia.
Also, patients with fibromyalgia have impaired non-Rapid-Eye-Movement, or non-REM, sleep phase (which likely explains the common feature of waking up fatigued and unrefreshed in these patients). The onset of fibromyalgia has been associated with psychological distress, trauma, and infection.
Fibromyalgia can occur in the presence of other conditions such as rheumatoid arthritis, osteoarthritis and hypothyroidism.
Nutritional therapies that help with fibromyalgia are D-ribose, L carnitine, magnesium, coenzyme Q 10, glutamine, fixated nitrogen, SAMe (optimal dosages vary for all supplements) and detoxification, but detection and correction of the underlying problem is the first course of action. This should also include hormone evaluation for adrenal and thyroid problems.
All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight
Weight Loss: What Causes Weight Cycling?
Do you find you find your weight frequently yo-yoing up and down? Do you tend to go through repeat periods of experiencing exciting weight loss followed by discouraging weight regain?
According to the Federal Weight Control Information Network, the cycle may be small, say 5-10 pounds up and down, or large, more than 50 pounds lost and regained repeatedly.
Weight Cycling Causes
The reasons for the weight cycle are often linked to the following four causes:
- Selecting a diet that is too extreme or unrealistic for the long term. This would include “fad” or “crash” diets. They tend to be hard to stick with because you start to feel deprived.
- Using poor techniques that cause you to overeat, such as skipping meals or doing well with your diet during the week but “taking a break” on weekends.
- Unrealistic goals – Yes it’d be great to say you can fit into your old high school jeans, but is that really realistic?
- Not surrounding yourself with a support system. Are the people around you health conscious and supportive of your new healthy actions or do they tempt you to stray?
Difficulty Stopping the Cycle
Oftentimes, your body finds a weight it likes and doesn’t want to change. So, you have biology working against you.
Your body uses hormones, such as leptin, to monitor your calorie needs and body fat. When you start to lose weight hormone levels change and your body reacts. Usually your body thinks “I’m starving” and switches to conservation mode by decreasing your metabolism (the rate your burn calories) to conserve energy and protect fat stores. In other words, you body is preparing for a famine. When this occurs you’ll typically begin to feel the urge to eat more.
So, let’s say your calorie intake gradually goes back up to your pre-diet level. At this level you should maintain your previous weight, but since your body has dropped your metabolism, your caloric needs are lower. That means your typical calorie intake which in the past maintained your weight, now leads to weight gain.
A cycle that is very difficult to overcome, but I don’t know many who say losing weight is easy.
All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight
Heart Health – Are you on the right path?
Did you know that every March since the 1970’s we have been celebrating National Nutrition Month? For those in a healthcare profession this is a time extra emphasize is placed on nutrition education and getting the message out to you. How can you get the most out of this time focused on nutrition? Every March provides you an opportunity to take an annual inventory of your nutrition habits. Are you “fueling” your body the way you want to ensure weight loss and heart health?
If this is the first time you have taken “inventory” focus on just a few areas. I will help you narrow it down by starting with beverages, snacks, and dining out. Do you select the healthiest choices in these areas?
Beverages
What is sitting on the corner of your desk or in the cup holder in your car? Soda, coffee, water? If you are a soda drinker, consider what you can do to cut back. A 12 oz. can of regular soda contains about 150 calories. If you drink one can everyday you consume 4200 soda calories each month and 50,400 calories each year. This is equal to an extra 14 ½ pounds of body weight. What are you adding to your coffee? Frequent Starbucks consumption, or adding cream and sugar to your coffee means extra calories expanding your waistline. Positive steps towards being healthier – Switch to diet soda to drastically decrease sugar and calorie intake. Try nonfat dairy creamers, less sugar and cream, or adding sugar substitutes to your coffee. Save dollars and calories by brewing coffee at home and have Starbucks for the occasional treat. If you are toting around a bottle of water you are doing great. Everyone should be consuming six to eight 8-oz. glasses of water daily. Water is the beverage our bodies need and crave to keep us replenished and feeling our best.
Snacks
Are you heading for the vending machine for your afternoon snack? Most vending machines contain high fat and high sodium products. Forgo the Swiss cakes by bringing snacks to work with you. You know you are going to have an afternoon craving, so plan ahead. Some good snack choices include fruit, yogurt, crackers and cheese, or a handful of nuts.
Dining Out
Is the drive in lane your destination several evenings after a long day of work? Most fast food is deep fat fried and includes significant fat, calories, and sodium. If you are tired and do not want to deal with cooking a meal at home you can select healthier options at the drive through. Opt for products that are not breaded, such as a grilled chicken sandwich. Forgo the fries and get a yogurt, side salad, or fruit to go with your sandwich. Your heart will thank you.
Just remember when March rolls around next year to take another inventory. Expand to other areas, such as fruit and veggie intake, omega 3’s, whole grains, etc. If you evaluate how you are doing every year and make modifications you are taking positive steps towards a healthy long life.
All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight
3 Tips to Prepare Healthy Meals Efficiently
Who likes spending time in the kitchen? Not I! Here are a few tips to get in and out of the kitchen quickly with a well-balanced nutritious (and good tasting!) meal.
Here are 3 tips to prepare meals efficiently:
Keep it simple – Gourmet meals can be saved for special occasions. If you want to prepare a meal quickly opt for recipes with fewer ingredients that do not require elaborate preparations.
Make it a habit – Prepare the same meals on a fairly regular basis and you’ll be able to throw ingredients together without thought.
Multi-tasking – Now this is usually frowned upon, but when it comes to preparing a meal it’s good to juggle more than one task at a time, such as water on to boil while you prepare the meat and veggies.
All the best,
Lisa Nelson RD
Heart Healthy Tips
http://www.hearthealthmadeeasy.com
Weight Lifting and Blood Pressure – How does weight lifting impact blood pressure?
Lifting weights can cause a temporary, but dramatic blood pressure rise. Systolic blood pressure can increase up to 350-400 mm Hg and diastolic blood pressure to 150 mm Hg even if your blood pressure is typically a healthy level of 120/80 or less.
Long-term high blood pressure is linked to arterial endothelial dysfunction. The endothelium is the inner lining of your artery walls. Endothelial dysfunction can result in the hardening of artery walls. Researchers have been monitoring the effects of short duration rises in blood pressure, such as what occurs during strength training, to determine the effect on endothelial function. It has been determined that acute rises in blood pressure impairs endothelial function in untrained individuals and regular resistance training helps protect against vascular dysfunction.
At one time, weight lifting was discouraged if you lived with high blood pressure. However, this is no longer the recommendation. Regular physical activity that includes moderate strength training is one of many natural ways to lower blood pressure. A study published in Hypertension monitored participants completing resistance training 2 to 5 times per week and found strength training to help lower resting blood pressure.
Including strength training and aerobic physical activity can be a positive step towards lowering blood pressure; however, you must consult your physician before beginning an exercise and/or strength training program. Strength training is not recommended if you have uncontrolled high blood pressure, untreated heart disease, or an irregular heart rate.
The current American Heart Association recommends individuals 18 to 65 years-old include moderate intensity aerobic physical activity 5 days a week for a minimum of 30 minutes and strength training at least twice a week.
Be sure to sign-up for the free e-course 7 Natural Ways to Lower Blood Pressure.
Physical Activity – How much physical activity is recommended?
By now you know being heart healthy and losing weight go hand-in-hand with physical activity. If you want to lose weight and keep it off, you have to be regularly active. If you want to lower triglycerides you have to be active. If you want to raise HDL you have to be active.
The Health and Human Services Department sets physical activity guidelines after reviewing a good decades worth of research related to physical activity and health.
Here’s a quick review of the adult guidelines:
- All adults should avoid inactivity.
- To see substantial health benefits, include at least 150 minutes (2 ½ hours) per week of moderate-intensity activity. If times a factor, you can see the same benefits by bumping up the intensity and being vigorously active 75 minutes (1 hr. 15 min.) each week.
- If you want to take things to the next levels, more extensive health benefits are seen when activity is increased to 300 minutes (5 hours) per week of moderate intensity activity or 150 minutes of vigorous intensity aerobic activity.
- Don’t forget strength training! You want to include all major muscle groups on two or more days each week. Especially beneficial as we age and see a decline in metabolism (and corresponding weight gain) if muscle mass is not maintained.
All the best,
Lisa Nelson RD
