The benefit of continuous positive airway pressure (CPAP) therapy on cardiovascular (CV) diseases in obstructive sleep apnoea (OSA) remains uncertain. Furthermore, the impact of CPAP on atherosclerosis is not well known.
Intakes of glucose, total sugar, added sugar, and fructose from added sugar and juice were associated with higher coronary heart disease risk, but total fructose intake and fructose from fruits and vegetables were not.
Heart attack patients who do not take daily aspirin have an elevated likelihood of recurrent myocardial infarction, stroke or death compared with those who consistently take the drug, according to research presented at ESC Congress 2023.
There is good evidence showing that inactivity and walking minimal steps/day increase the risk of cardiovascular (CV) disease and general ill-health. The optimal number of steps and their role in health is, however, still unclear.
Ezetimibe combination with moderate-intensity statin could be considered a feasible and effective therapeutic option for patients at very high risk of atherosclerotic heart disease. There were fewer adverse complaints and it is more effective
Chronic diseases are associated with over 80% of all healthcare costs and are the dominant cause of morbidity and mortality in the United States (US). Lifestyle medicine has been proposed as a potential way to address the root causes of chronic disease.
In the Western world, cardiovascular disease is the number one cause of death including both heart attack and stroke. Optimal nutrition, exercise, sleep, stress management and proper supplements can protect the brain while they protect the heart too.
Heart disease can be detected when it is early and silent using coronary artery calcium scoring (CACS) scans done by CT imaging. When abnormal results are found a plan should be instituted to lower the plaque and risk.
It is intuitive that lifelong endurance exercisers are thinner, fitter and more likely to avoid chronic diseases. What about heart disease measured by advanced heart CT angiograms? Surprising data from Belgium raises many questions
Increasing data supports the relationship between gut health and heart health. The gut starts in the mouth and new data has been published connecting oral health and brain volume and health. The importance of healthy oral health habits is stressed.
Dementia is a fear of many and a risk in patients with a rhythm disturbance called atrial fibrillation. A recent analysis showed a lower risk of dementia in patients with atrial fibrillation whom also took a statin cholesterol-lowering therapy.
Olive oil is the main fat source in traditional MED diets. There is some controversy in the plant based community over whether olive oil is healthy or detrimental New data in heart patients is now available
Subclinical heart disease affects ≈1 in 3 US adults with diabetes and confers substantial risk for mortality. Routine testing of cardiac biomarkers may be useful for assessing and monitoring risk in persons with diabetes.
Licorice root, which is considered one of the world’s oldest herbal remedies, comes from the root of the licorice plant (Glycyrrhiza glabra) and may be available as DGL. Can it lower cholesterol and improve arteries?
The data discussed in this review allow us to conclude that plant-based diets are associated with lower blood pressure and overall better health outcomes (namely, on the cardiovascular system) when compared to animal-based diets.
Women developed coronary atherosclerosis approximately 12 years later than men. Post-menopausal women within the highest atherosclerotic burden group were at significantly higher risk for heart events than their male counterparts.
In patients with established coronary artery disease, a regression of atheroma volume was observed in those undergoing 6 months of supervised HIIT compared with patients following contemporary preventive guidelines.
In a statement released Thursday, the American Heart Association rated 10 popular diets based on their standards for heart health.
The diets that rated the best for improving cardiometabolic health included the DASH-style eating plan and the MED diet.
A new study identified that dietary issues are responsible for most of the world’s new cases of type 2 diabetes. Its authors found that a lack of whole grains and consuming too much refined grain and wheat and processed meats were the primary drivers.
For decades, reductions in added dietary sodium (salt) have been advised. Avoidance of high blood pressure has been the main reason. Is it possible that a higher salt diet directly relates to hardening of the arteries?
Symptoms of coronary heart disease manifest late in the natural history of atherosclerosis. With the introduction of safe outpatient heart imaging, answers to the questions like "How Common is Atherosclerosis" and "How Dangerous" can be answered.
Heart disease is the number cause of death in women. There needs to be a massive effort to prevent these deaths. Diet has a major influence on the risk of heart disease. New data indicates the MED diet can drop heart risk by an important 25% in women.
Cholesterol lowering through lifestyle, supplements and prescription medications are necessary in many patients with proven atherosclerosis. Many patients cannot tolerate a statin prescription due to aching and other issues. A new study gives hope.
Artificial sweeteners, such as erythritol, are common replacements for table sugar in low-calorie, low-carbohydrate and “keto” products. Sugar-free products containing erythritol are often recommended for people who have obesity and diabetes
Recent studies have reported that the associations between dietary carbohydrates and cardiovascular disease (CVD) may depend on the quality, rather than the quantity, of carbohydrates consumed. The results show added sugar, not fruit, is the risk.
In experiment of nature , some inherit from birth genetic variants resulting in lifelong lower LDL-cholesterol. An analysis called a Mendelian Randomization uses these variants to assess if it is an advantage. A recent study showed about a 50% lower risk.
Time spent outside in parks, forests, and water, sometimes called forest bathing, can be healing and even therapeutic. Do people that visit "green spaces" use less and need less medication than those that do not?
A hot topic in the news is the benefits vs risks of fasting. In view of the epidemic of obesity, the safety of this growing trend is an important topic. It would seem that eating less often is safe but prior data questioned this. Are 3 meals a day best?
Multiple studies show that exercise, including intense exercise, protects from heart attacks and prolongs life overall. A prior data found unexpected coronary calcification in athletes. Now a 6 year follow show intense exercise drives more calcification.
In some, cholesterol control to reach goals promoting disease reversal requires medication. Most prescribe a single medication, usually a statin, at a moderate or high dose. Is there a safer path that is also more effective?
One of the gravest fears is memory loss and the possibility of dementia. In animal studies, Extra Virgin Olive Oil improves memory functions. A randomized human study is now completed showing the same findings.
Injectable peptides like semaglutide were developed as diabetic medications but are now used for weight loss (Ozempic, Wegovy, Mounjaro). While the weight loss is impressive, is it sustained if the injections are stopped?
Prior randomized human studies have shown that a combination of the natural agents Pycnogenol and Centellicum have a profound beneficial impact on arteries and regress atherosclerosis. New human data now show Pycnogenol is of value in Parkinson's Disease
The simple clinical likelihood models that include classical risk factors or risk factors combined with CACS provide improved risk stratification for myocardial infarction and death compared with the standard PTP model. Get a heart calcium CT scan.
TMAO is a metabolite measured in the blood that increases after eating certain foods like red meats, duck, and egg yolks. A new study relates animal food intake, particularly red meat, in the diet to heart disease and TMAO levels
Along with the explosion of overweight and obesity, pre-diabetes in growing rapidly. A new study examines two types of exercise, traditional aerobic training and a second patter of slow exercise that is a variant of Qigong. And the winner is: both work.
How many times have I heard patients tell me they are "plant-based" but the words cheese, chicken, egg yolks, faux chicken nuggets, faux pepperoni and others make it into the history. NO! To gain the benefits, it must be a whole food plant-based diet.
Approximately 15–20 min of vigorous activity per week accrued through short bouts were associated with lower mortality, and CVD and cancer incidence. Our findings suggest premature mortality may be lowered through short bursts of exercise .
Food can serve as medicine in some situations. Ground flax seed, about 2 tbs a day, has been shown to lower blood pressure and blood cholesterol. Now a new study shows it can blunt blood sugar after a meal in patients with diabetes.
Nutrition is complex and terms like "carbs" and "grains" are thrown around without precise meaning. A new research report differentiates the impact of refined vs whole grains on heart health. Precise language is required to discuss nutrition.
Viral respiratory infections enter through the nose and mouth. The burden of viral replication can be reduced by nasal irrigation and probably by gargling too. Can severe viral infections be reduced by these simple measures?
Early chronotypes with metabolic syndrome utilized more fat during rest and exercise independent of aerobic fitness when compared with late chronotypes. Early chronotypes were also more physically active throughout the day.
This study is one of the longest to suggest that the simple act of adding about a handful of heart-healthy^ walnuts into the diet often could act as a bridge to other health-promoting lifestyle habits later in life.
Many treatments, whether prescriptions or over the counter, have the potential to heal or do harm. Annually, over 1 million patients present to emergency rooms from adverse reactions to prescription medications.
A pragmatic randomized trial in more than 21,000 patients with high blood pressure followed for over five years has concluded that protection against heart attack, stroke and vascular death is not affected by the timing of medications taken.
When you talk about the science of nutrition, longevity, and fasting, all must pause and listen when Valter Longo, PhD, speaks up. His brilliance in research and translating it to clinical tools is unparalleled. So, what does he eat?
GlyNAC supplementation in OA for 16-weeks was safe and well-tolerated. By combining the benefits of glycine, NAC and GSH, GlyNAC is an effective nutritional supplement that improves and reverses multiple age-associated abnormalities to promote health.
Quercetin is a natural pigment present in many fruits, vegetables and grains.
It’s one of the most abundant antioxidants in the diet and plays an important role in helping your body combat free radical damage, which is linked to chronic diseases.
The saying goes "food is medicine" but some are more potent than others. Green tea has many benefits and is a part of a traditional Asian diet associated with longevity and health. New data shows green tea is a therapy for lower blood sugars.
A tragic death 50 years ago, noted runner Jim Fixx and his Book of Running, presented the question: Can you out exercise a CRAP diet? The latest data indicates it takes BOTH a health diet and fitness to optimize health and lifespan.
In a large sample of the general population without established heart disease, silent coronary atherosclerosis was common. High calcium CT scores convey a significant probability of substantial stenosis.
The CORDIOPREV trial is a single centre, randomized clinical trial aimed at assessing the superiority of a Mediterranean diet rich in olive oil in the secondary prevention of cardiac disease compared to a lower fat diet.
Balance quickly diminishes after the mid-50s increasing the risk for falls and other adverse health outcomes. The ability to complete a 10- second one-legged stance is associated with better all-cause mortality.
Over many decades it has been observed that the higher the HDL-Cholesterol (HDL-C), the lower the risk for heart events but newer studies question this. As more data is needed, a large analysis examined this relationship. What a surprise!
Increasing low-fat plant foods and minimizing high-fat and animal foods is associated with decreased body weight and fat loss with legumes having the most notable impact. A low-fat vegan diet can improve measures of diet quality and metabolic health.
Whether the genetic risk of prostate cancer can be attenuated by a healthy lifestyle is unclear. New data show it is protective to have healthy habits (healthy weight, regular exercise, not smoking, and a healthy diet).
One important change occuring in the specialty of heart risk reduction is the recommendation to obtain a Lp(a) measurement at least once in all adults to identify high risk persons. At the Kahn Center this is routine.
What is a coronary artery calcium scan (CACS)?
It is a simple CT of the heart performed without injection of any contrast dyes that permits the easy identification of calcification (plaque) in the three major heart arteries.
New headlines have brought up again, perhaps for the third time in 3-4 years, that not all adults over age 50 need a daily aspirin for cardiovascular prevention. Where might you fit in to those headlines? It is important to get it right.
You have a stress test that is read as abnormal and leads to a coronary CT angiogram or cardiac catheterization. The results are disappointing and you are told you have blockages requiring bypass surgery or stents but you can go home. Are there options?
Want to live to 100? Dr. Joel Kahn explains what the Blue Zones, or areas of the world where people live the longest, can teach us about staying healthy. From similar food habits to stress management, find out what they all have in common.
Exposure to air pollutants – even at levels below World Health Organization air quality guidelines – may trigger a heart attack within the hour, according to a new study from China that found the risks were highest among older people and in colder weather.
Please help spread the word that lifestyle medicine prevents tragic and needless deaths. Together, we can make heart attacks a rarity. Parents can have more years with their families. Spouses don't need to mourn a deceased partner. Start today, because it'
Not all fats, carbs, and proteins are the same quality and have the same impact. Saturated fats from animal sources like butter, and some plant based sources like coconut oil, have been show to be very disruptive to our health short and long term.
“You are what you eat” applies to both human and planetary health. The burden of environmental damage from animal heavy diets is large not only for the risk of heart disease and cancer, but also for deforestation and pollution.
Fascinating data has emerged in the last few years suggesting that the flexibility of the spine and joints predicts the flexibility of arteries. Additional data indicates that yoga may help maintain our arteries in a youthful state.
Maintaining five healthy habits—eating a healthy diet, exercising regularly, keeping a healthy body weight, not drinking too much alcohol, and not smoking—during adulthood may add more than a decade to life expectancy. Now new data guides us even more.
It does not matter what food philosophy you follow, whether WFPB (whole food plant based), keto, Paleo or Mediterranean, the central piece of all diets promoting health unite at a large amount of plant based servings a day with 10 being the goal.
Whether it’s lead, mercury, PFAS, BPA, DDT, glyphosate or other toxins that are in the news, there are new challenges to health that the chemical industries have created over the past century. Chlorella tablets offer a path to protect your health.
Odds are you’ve heard about fasting. Defined as "abstinence from eating," the potential medical benefits have increasingly been substantiated in animal and medical research projects and now extend to enhance cognitive function.
When Hippocrates wrote 2,400 years ago to “let food be thy medicine,” he had no idea that scientific experiments would one day prove him a visionary. Food is no longer just a source of calories containing protein, carbs and fats. Food is information!
Soybean based foods like edamame, tofu, tempeh and natto are traditional foods in cultures with excellent health and longevity. In the US they have been around for decades but still foreign to most. Should you add soybean based foods?
Exercise may be like a dose of medication, too little or too much may not work out as well as a sweet spot. While exercise is a MUST for health, the pressure to do too much and create injury is a consideration.
No one escapes the feelings of stress, anxiety and time pressure. A healthy practice to control and diminish these feelings without Rx medication is a tool everyone needs. The 4-7-8 breathing exercise is taught at the Kahn Center
Maintaining spinal flexibility combined with a breathing practice is the core of many yoga practices. The Five Tibetans are an ancient and simple yoga flow that I have practiced for years and years. Perhaps it is one habit you can add to your daily routine
In a world that bombards us with negative news, it is crucial to learn skills to protect your attitude and outlook and keep it focused on the positive. Here are some tips that work at the Kahn Center for Cardiac Longevity
Heart disease remains the #1 cause of death in men and women but estimates are at least 85% of cases are preventable with mainly lifestyle adopted as early in life as possible. Here are 10 from Dr. Kahn
The idea of eating a high "carb" diet has been so demonized that some will avoid and apple or beans for fear of gaining weight or becoming diabetic type 2. Nothing could be further from the truth if you keep it whole.
What is collagen? Collagen is the protein that forms connective fibers in tissues such as skin, ligaments, cartilage, bones and teeth. Collagen also acts as a kind of intracellular “glue” that gives support, shape and bulk to blood vessels, bones, and
Sadly, heart disease still causes more deaths in the Western world than any other condition. Early detection is key and can involved exercise tests, CT scans, and lab studies. Yet, looking in the mirror is one of the most powerful steps to do.
A number of people have identified veganism as one of the biggest trends in health. The reality is that the number of persons identifying their diet as plant-based or vegan is growing larger and larger. Yet, veganism must be done "right".
The nutrients derived from whole plant foods repeatedly show health benefits. Some have unique science data and garlic is one of those. Research has shown that the concentrated components of aged garlic, even odorless, are a powerhouse for the heart
Lipoprotein(a) is an inherited cholesterol particle effected 20-25% of all persons on the planet and it can harm arteries and heart valves throughout life. Standard therapies currently available are not approved for lowering this particle.
The constant reminders that cardiovascular disease is the #1 cause of death in the Western world are crucial. Educating the public on the research showing that excellent oral health promotes excellent cardiac and brain health.