Importance of Nutrition in Cardiac Rehab Patient Education
Hospital readmission rates are a reflection on quality of care.
Poor care coordination and discharge planning combined with medication errors and adverse events such as infections contribute to readmission rates.
For those being treated for heart disease, poor diet and medication compliance are the most common reasons for readmission.
Cardiac Rehab Patient Education: Nutrition Guidance
Research is analyzing the effectiveness of cardiac rehabilitation programs, particularly programs that provide a nutrition education component versus those that do not.
One retrospective study reviewed data from 73 cardiac rehabilitation patients who attended nutrition classes. All 30-minute classes were taught by the same registered dietitian incorporating dietary guidelines recommended by the American Heart Association Adult Treatment Panel III and Therapeutic Lifestyle Change diet.
Participants were categorized based on number of classes attended. One session offered twelve nutrition classes and a second session offered a condensed version with six nutrition classes.
Dietary fat intake was used to assess diet quality pre- and post-rehab. Those attending the greatest number of nutrition classes saw the greatest improvement in dietary fat intake.
Blood pressure benefits of avocado seeds
Avocados provide monounsaturated fats, the omega-3 fatty acid alpha-linoleic acid, vitamin B6, pantothenic acid, folic acid, magnesium, potassium, beta-sitosterols, and vitamin E… all of which add up to equal a heart healthy addition to your diet rich in antioxidants to reduce inflammation.
However, all the above refers to the flesh of the avocado. What about the large seed, which most of us tend to scoop out and throw away?
An avocado seed can be consumed by removing the fine layer of brown skin and then grating it or using a coffee bean grinder to grind it into a powder.
This powder can then be added to soups, salads, stews, pasta/rice dishes, smoothies and baked goods.
A viral Facebook video showed how to peel, chop, and pulverize the seed adding fuel to the idea of the avocado seed being a type of “super food”.
There is some argument regarding the positive health benefits of avocado seeds.
Avocado seeds contain protein, fiber, calcium, magnesium, potassium, flavonoids, and phenols.
Potassium to lower blood pressure
Better with Friends: Benefits of Working Out with Other People
There’s little in life that isn’t better with friends—right? Food is better, vacations are better, nights out are better.
And then there’s working out. Not only is it better with friends, but you’re more likely to stick with a workout routine and make yourself stronger in the process. There are a lot of reasons why, but first and foremost: If you have someone waiting to workout with you, you’re less likely to skip out on a class or strength session, or any other exercise effort. And if you’re being led in that workout session by a teacher at a gym, then you’re reaping other benefits too. For example, that teacher is going to help push you to do your best—and correct you when you’re doing an exercise wrong.
Does intermittent dieting equal long term results?
What is dieting?
Dieting is when you restrict yourself to small amounts or special kinds of food to lose weight.
Does dieting work?
Many people do lose weight when dieting. The problem is a diet is a temporary, short-term plan, not a long-term solution. Many regain lost weight after the diet ends.
What about intermittent dieting?
Continuous dieting is very restrictive and often difficult to maintain for the required length of time to hit goal weight levels. This has led to increased interest in intermittent energy restriction. An example of intermittent energy restriction is alternate-day fasting. This type of dieting involves a “fast day” with reduced or no energy consumed followed by an all you want “feast day”. Another intermittent energy restriction example is a 5 and 2 regime where you eat however you desire five days and fast on two days.
However, the greater problems with diets is seen at the six month mark when weight regain often occurs.
Heart Failure Part 1: What is heart failure?
One of the most common misunderstandings about heart failure is that the heart suddenly stops beating. The reality is that it happens over a period of time. Early diagnosis of heart failure is critical to managing the disease and extending a patient’s life.
I had the pleasure of discussing heart failure with Dr. Eileen Hsich, Director of the Women’s Heart Failure Clinic at the Cleveland Clinic and Chair of the WomenHeart Scientific Advisory Council, has devoted her medical career to treating, educating and researching cardiovascular disease in women.
Lisa Nelson RD: One of the most common misunderstandings about heart failure is that the heart suddenly stops beating. What is heart failure and what actually occurs during heart failure?
Dr. Hsich: What happens during heart failure is that the heart fails to pump the blood forward properly. The fluid backs up and goes into your lungs. That could be due to a weak heart or a stiff heart. The heart can be strong but stiff and not able to relax. That is what causes the backup of fluid into the lungs.
Lisa Nelson RD: So it is not a sudden stop, but a gradual slow down of heart function. What are other misconceptions around heart failure?
Dr. Hsich: There are three that I want to discuss. The first misconception is that patients often think that they’re dying. I think that’s very unfortunate. They get that idea because heart failure has the word “failure” in there. I hear that all the time.
They think that it’s a disease that they’re going to die from. In fact, most patients improve on medical therapy. One out of every four fully recovers. I think that’s one misconception. I want people to know that there’s hope.
The second misconception is the fact that women feel that they are alone. And yet, 55% of patients with heart failure are women. This affects women and men nearly equally.
The third misconception is the fact that patients and doctors refer to this as one disease, like sometimes we refer to cancer as one disease. With cancer, we know that there are many different types.
With heart failure, we often forget that there are many different causes. High blood pressure, valvular disease, diabetes, as well as heart attacks are common causes. You can have heart failure with a weak heart or a strong heart. All of these factors affect how you do.
Heart Failure Part 2: Who is most at risk for heart failure?
In this second part of a two-part series on heart failure, we explore who is most at risk and new heart failure treatment options to improve quality of life with the Director of the Women’s Heart Failure Clinic at the Cleveland Clinic and Chair of the WomenHeart Scientific Advisory Council, Dr. Eileen Hsich.
Lisa Nelson RD: Who is most at risk for heart failure?
Dr. Hsich: Heart failure risk is greatest for the people who have had heart attacks. That is the most common risk factor, for both men and women. Once you’ve had a heart attack, you’re at the highest risk to have heart failure. High blood pressure is more common in women than men as the cause. So is valvular disease. Diabetes is a common risk factor for both women and men.
Lisa Nelson RD: How about in regards to age or race? Is there any predominance in one group versus another?
Dr. Hsich: Yes. Women are more likely than men to develop heart failure due to high blood pressure and valvular disease, and develop it at older ages, as well as with stronger hearts. Men tend to develop heart failure with weaker hearts, younger ages and due to heart attack.
Patients who are African American often have high blood pressure as the underlying cause. They can develop heart failure with a weak heart or a strong heart. High blood pressure is often the underlying cause. I always refer to it as the silent killer. None of us can feel our blood pressure. It’s really important that we get checked. Diabetes is also something that you don’t necessarily know until you get checked.
