Lower CholesterolHow to Lower Cholesterol: Step 3
In the last post I gave you the first step towards lowering cholesterol. Here is the third. Remember, by implementing these basic steps, you’re establishing a solid foundation that will support heart health and increase the effectiveness of medications and supplements.
Step 3: Lose weight and/or maintain a healthy weight.
Weight has a significant impact on your heart health and cholesterol levels. Weight loss alone may lower triglycerides, LDL cholesterol, and total cholesterol levels. Losing as little as 10% body weight could drop your cholesterol back to the heart healthy range.
Lower Cholesterol: Step 1
Lower Cholesterol: Step 2
Eight steps to lower your cholesterol
All the best,
Lisa Nelson, RD
Lose WeightHeart Health and Weight Loss – Do you need to eat fat to lose belly fat?
I enjoy the show The Biggest Loser. On one of the episodes this season they had an individual from Prevention magazine share some tips based on the “Flat Belly” diet. I was very excited because it sounded like a link had been found between the Mediterranean diet and reduced abdominal obesity. Hence, the reason for this article!
The Mediterranean diet contains an increased level of monounsaturated fat compared to the typical American diet. Monounsaturated fat is a type of heart healthy unsaturated fat. One of the best monounsaturated fat sources is olive oil. I went to work researching to find scientific evidence to support a link between a diet high in monounsaturated fat and reduced belly fat.
Here’s the main study supporting the connection between decreased abdominal obesity and monounsaturated fats.
Study: Published in the Diabetes Care back in 2007 by J.A. Paniagua, MD, PHD, A. Gallego de la Sacristana, MD, I. Romero, PHD, A. Vidal-Puig, MD, PHD, J.M. Latre, MD, PHD, E. Sanchez, MD, P. Perez-Martinez, MD, PHD, J. Lopez-Miranda, MD, PHD and F. Perez-Jimenez, MD, PHD
Monounsaturated Fat-Rich Diet Prevents Central Body Fat Distribution and Decreases Postprandial Adiponectin Expression Induced by a Carbohydrate-Rich Diet in Insulin-Resistant Subjects
The purpose of this study was to show that central obesity is linked with insulin resistance (when the body does not respond normally to insulin) and studied the effect of three different diets with the same level of calories on fat distribution, insulin sensitivity, and peripheral adiponectin (fat hormone) gene expression. The study included 11 individuals that were considered insulin resistant. Everyone in the study spent 28 days on each of the following diets: 1. diet enriched in saturated fat, 2. diet rich in monounsaturated fat, 3. diet rich in carbohydrates.
The study found weight, body composition, and metabolism unchanged during all three diets. On a high carbohydrate diet, fat tended to be redistributed to the abdominal area versus the high fat diets.
There have been many studies conducted on this theory, but the results are all conflicting.
Expert Opinion
1. Not enough evidence to support a connection.
This was a fairly small study of only eleven individuals. A study on 62 women published in the Journal of Nutrition in 2004 did not find a link between a diet high in monounsaturated fat and changed body fat distribution. There needs to be more large scale studies that conclusively establish a link before we can jump on the bandwagon.
2. Follow a Mediterranean Diet anyway!
Whether or not a Mediterranean Diet targets belly fat or not, the benefits of this type of diet are well known when it comes to heart health and weight loss.
Those that follow a Mediterranean Diet have a reduced risk of developing heart disease and dying from a heart attack. Even those that have survived a heart attack and lived to adopt the Mediterranean Diet significantly reduce their risk of a second heart attack and other complications.
Also, those that follow the Mediterranean diet have increased satiety (feelings of fullness) due to the adequate fat and fiber content. This means a decreased urge to overeat which promotes weight loss.
Characteristics common to a Mediterranean Diet include:
Consume high intake of fruits and vegetables
Select whole grains
Consume healthy fats (canola and olive oil)
Eat nuts in moderation
Low red wine consumption
Limit eggs to less than 4 times per week
Consume little red meat
Eat fish regularly
If you adopt this style of eating now and some conclusive evidence comes out in the future supporting a link with decreased belly fat, it won’t matter. You’ll already be lean with a healthy heart!
Receive heart health and weight loss tips from dietitian Lisa Nelson when you subscribe to The Heart of Health ezine at https://www.lisanelsonrd.com/hearthealth.html. You can select from the free courses How to Lower Cholesterol in 8 Simple Steps or 7 Natural Ways to Lower Blood Pressure when you subscribe.
Heart HealthHeart 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
Lower CholesterolWould you like to ask Dr. Cynthia Shelby-Lane, heart health expert, a question?
Dr. Cynthia Shelby-Lane, MD
Well, now’s your chance! I will be interviewing Dr. Cynthia Shelby-Lane later this month. I want to ask the questions you want answers to. Submit your questions by commenting on this post below.
Here’s a little background information on Dr. Shelby-Lane. She’s known as the “agelessdoctor” with a private practice located in Detroit, Michigan – Elan Anti-Aging & Longevity Center of Michigan. After 23 years as an emergency room physician, her experience with life and death crises made her realize the limitations of traditional medicine. She became a board certified anti-aging specialist with a holistic approach to medicine, integrating traditional and complimentary strategies to treat and prevent disease. Dr. Shelby-Lane has recently expanded her practice to the internet and answers questions for patients around the world, providing alternative solutions and second opinions.
Dr. Shelby-Lane’s knowledge is extensive and has led to positions with numerous state and national medical boards, including two terms as President of the American Association of Women Emergency Physicians. Her areas of expertise include cardiovascular disease prevention, bio-identical hormone replacement therapy, detoxification, adrenal and thyroid disorders, weight management, memory and brain health, autoimmune disorders and fibromyalgia.
In a unique twist, Dr. Shelby-Lane not only graduated from the University of Michigan Medical School, but also the Second City Comedy School in Chicago. She’s a firm believer that laughter is good medicine and I have to agree. She’s produced her own comedy show titled “Laugh Attack: Stopping the # 1 Killer – Heart Disease” and delivers a powerful lecture called “Heart Sense & Humor”. You can join her live via satellite radio on February 4th as she discusses heart disease and her upcoming book release.
The list of Dr. Shelby-Lane’s accomplishments is endless (including being a guest on Oprah – more than once!). The above is just a quick synopsis of the ones I thought you’d find most interesting related to heart disease.
Make the most of Dr. Shelby-Lane’s generous offer to carve time out of her busy schedule to answer your questions.
Comment on this post to submit your questions.
This interview will be posted in February as a special feature to recognize “American Heart Month”. So, watch for the answers to your questions next month! Until then, I’d love to have you join the hundreds of people reading The Heart of Health ezine where I provide free heart health and weight loss tips. Subscribers also receive the free report “Stop Wasting Money – Take Control of Your Health” or the free course “How to Lower Cholesterol in 8 Simple Steps”.
Lower CholesterolMediterranean Diet to Reduce Heart Disease
I’m sure you’ve heard of the Mediterranean Diet and it’s link to heart health. The Mediterranean Diet emphasizes fruits, vegetables, whole grains, fish, and monounsaturated fats (olive oil).
Those that follow a Mediterranean Diet have a reduced there risk of developing heart disease and dying from a heart attack. Even those that have survived a heart attack and lived to adopt the Mediterranean Diet significantly reduced their risk of a second heart attack and other complications.
In an interesting twist, the native Mediterranean population has gradually adopted a more Western diet leading to negative results. The Mediterranean area has seen an income rise that’s resulted in extra dollars being spent on meat and saturated fat food sources. Over the past 4 decades the average calorie intake in the Mediterranean countries has increased ~30%. So, the once healthy Mediterranean countries are now seeing the weight epidemics the US is familiar with – 75% of the population overweight or obese in Greece, with over half of the population in Italy, Spain, and Portugal following suit. These countries are now supporting the “Mediterranean Diet” as a part of their cultural heritage they can not let die.
Here’s a quick breakdown of the characteristics common to a Mediterranean Diet:
- High intake of fruits and vegetables
- Select whole grains
- Consume healthy fats (canola and olive oil)
- Eat nuts in moderation
- Low red wine consumption
- Limit eggs to less than 4 times per week
- Consume little red meat
- Eat fish regularly
All the best,
Lisa Nelson, RD
Lower CholesterolReduce Heart Disease with Glucomannan
Have you heard of glucomannan? Glucomannan is a type of soluble fiber. Research has shown that for every 1-2 grams of daily soluble fiber intake, LDL (bad) cholesterol is lowered 1%.
What is glucomannan?
Glucomannan is a soluble fiber derived from the root of the konjac plant. It’s sold as a supplement and used as a thickener in some foods.
Eight steps to lower your cholesterol
All the best,
Lisa Nelson, RD