CORONARY HEART DISEASE (CHD) Cardiology KU School of Medicine
|
|
- Roxanne French
- 5 years ago
- Views:
Transcription
1 CORONARY HEART DISEASE (CHD) Wassim Shaheen h MD Cardiology KU School of Medicine 2011
2 CORONARY HEART DISEASE (CHD) >58 million Americans have at least one form of CHD. 50% of all cardiac deaths result from CHD
3
4 MORTALITY FROM DISEASES OF THE HEART BY RACE/ETHNICITY (DEATHS/100,000) Age Hispanic Asian Native Amer. Black White >
5 CORONARY HEART DISEASE The major underlying cause is atherosclerosis. Atherosclerosis is a slow, progressive disease which h begins in childhood and takes decades to advance
6 CORONARY HEART DISEASE Plaque (the build up of lipid/cholesterol) pd/c oeste o) in the eartery wall forms as a response to injury to the endothelium in the artery wall.
7
8
9
10
11
12 RISKFACTORS RISKFACTORS FOR FOR CORONARYHEART C H DISEASE DISEASE Age: Male > 45 years Female > 55 years or premature menopause without estrogen replacement therapy Family History of premature disease Male first degree relative <55 years Female first degree relative < 65 years
13 RISKFACTORS FOR CORONARYHEART DISEASE Hypertension Appears to weaken the artery wall at points of high pressure leading to injury and invasion of cholesterol. Cigarette Smoking #1 cause of preventable death in US 1i in 5CHDd deaths attributable t bl to smoking
14
15 RELATIVE RISK OF CORONARY EVENTS FOR SMOKERS COMPARED TO NON SMOKERS Relative Risk Never Smoked 1-14 Cigarettes per day 15 Cigarettes per day Source: Adapted from Stampfer 2000
16 RISKFACTORS FOR CORONARYHEART DISEASE Diabetes 50% of deaths related to DM is due to CHD
17 RISKFACTORS FOR CORONARYHEART DISEASE Inactivity Sedentary yperson has 2x risk for developing CHD as a person who is active.
18 RISKFACTORS FOR CORONARYHEART DISEASE Obesity
19 RISKFACTORS FOR CORONARYHEART DISEASE Abnormal Blood Lipids LDL Cholesterol (low density lipoprotein) HDL Cholesterol (high density lipoprotein)
20 Cholesterol Metabolism Diet Cholesterol Liver 15% 75%
21 BLOOD LIPIDS AND LIPOPROTEINS Some S LDL C can be oxidized dand taken up by endothelial cells and macrophages in the arterial wall, which leads to the first stages of atherosclerosis.
22 BLOOD LIPIDS AND LIPOPROTEINS HDL C is thought to be involved in the transport of excess cholesterol from membranes to the liver for removal from the body.
23 BLOOD LIPIDS AND LIPOPROTEINS HDL C IS INCREASED: Exercise, loss of weight, and moderate consumption of ETOH. HDL C is lowered: Obesity, inactivity, cigarette smoking, some oral contraceptives and steroids, hypertriglyceridemia and some genetic factors.
24 CHOLESTEROL AND THE CHD PATIENT Goal: The goal is an LDL C level of 100 mg/dl
25 Blood Lipid Cholesterol: <200 mg/dl mg/dl >240 mg/dl HDL Cholesterol l <40 mg/dl >60 mgl/dl LDL Cholesterol <100 mg/dl mg/dl mg/dl >160 mg/dl Classification Desirable Borderline high-risk High-risk Low High, negates one risk factor Desirable Above optimal Borderline High High Risk
26 TREATMENT INCHD PATIENTS LDL-C Diet & Life Drug Levels Habits Therapy <100 mg/dl Yes No Yes Clinical mg/dl Judgment >130 mg/dl Yes Yes
27 CHOLESTEROL AND THE CHD PATIENT Scandinavian Sinvastatian Survival Study: N = 4,444 patients with history of angina or MI Cholesterol levels = mg/dl Treatment A: Placed on cholesterol lowering diet and B: a statin drug or a placebo.
28 CHOLESTEROL AND THE CHD PATIENT Results: Cholesterol Levels total cholesterol decreased 25%, LDL decreased 35% 34% decrease in major coronary events 42% decrease in CHD mortality 30% decrease in total mortality 37% decrease in surgery for CHD
29 THE SKINNY ON FAT Saturated fats basically means the fat is saturated with hydrogen, they are solid at room temperature. Examples are lard and butter. Why are they bad for you? They increase levels of LDL, decrease HDL and increase total cholesterol.
30 THE SKINNY ON FAT What are polyunsaturated fats? They are unsaturated fats which are liquid at room temperature and in the refrigerator. Why are they good for us? They help the body get rid of newly formed cholesterol.
31 THE SKINNY ON FAT What are monounsaturated fats? They are liquid at room temperature but start to solidify in the refrigerator. Decrease total cholesterol and lower LDL levels.
32 THE SKINNY ON FAT What are trans fatty acids? They are unsaturated fats but they tend to raise total and bad cholesterol. Where do you find them? In fast food restaurants Commercial baked goods. Examples: doughnuts, potato chips, cupcakes.
33 WHAT ABOUT OMEGA3? Type of polyunsaturated fat. Consistently lowers serum triglycerides and may also have an effect on lowering blood pressure. Found in oily fish such as salmon, tuna, and herring. Is available as a supplement.
34 DIET THERAPY OF HIGH BLOOD CHOLESTEROL Healthy Heart Diet Therapeutic Lifestyle Change Diet (TLC) 8-10% calories from <7% calories from saturated fat saturated fat 20-35% calories from fat 20-35% calories from fat <300 mg. cholesterol <200 mg. cholesterol 5-10% of energy from PUFA Up to 20% MUFA Calories to maintain IBW 5-10% of energy from PUFA Up to 20% MUFA Calories to maintain IBW
35 DIETTHERAPY OF HIGHBLOOD CHOLESTEROL Total Fat 20 35% calories from fat Average of total calories consumed over a one week period. Saturated fatty acid Intake is the strongest dietary determinant of LDL C Recommendation: 8 10% calories
36 DIETTHERAPY OF HIGHBLOOD CHOLESTEROL Polyunsaturated df fatty acids Reduces LDL C and risk of CHD when substituted for saturated fat in the diet Can cause small reduction in HDL C when present in high amounts Recommendation: ~10% of energy intake
37 Α OMEGA 3 FATTY ACIDS Help to thin blood and prevent blood platelets from clotting and sticking to artery walls. Food Sources: fatty fish, such as salmon, sardines, trout, swordfish, herring, albacore tuna, mackerel and, soy, canola and flaxseed oil. Consumption of 2 servings (~8ounces)per week of fish high in α linolenic acid
38 Monounsaturated fatty acids If equal amounts of MUFAs are substituted for saturated fatty acids, LDL C decreases MUFAs do not lower HDL C Recommended intakes: up to 20% of total calories
39
40 DIETTHERAPY OF HIGHBLOOD CHOLESTEROL Trans Fatty Acids Increase LDL Cholesterol and decrease HDL Cholesterol Recommendations: R d Intakes of trans fatty acids should be as low as possible
41 Food TRANS FATTY ACID CONTENT OF FAST FOOD Calories Trans Fatty Acids (g) Saturated Fatty Acids (g) Hamburger (7 oz) McDonalds chicken McNuggets (9 oz) Burger King chicken sandwich (8 oz) Burger King fries (6 oz King size) Starbucks cinnamon scone (5 oz) (Data compiled from Nutrition Action Health Letter, June 1999)
42 TREATMENT FOR CHD Physical Activity prescribed by physician for patients with CHD When aerobic activity is appropriate, activity that places moderate stress on the cardio respiratory system can be included.
43 TREATMENT FOR CHD Weight Control 5 10# weight loss
44 DIETTHERAPY OF HIGHBLOOD CHOLESTEROL Soluble l Fiber g/day
45 DRUG TREATMENT Statins Bile Acid Sequestrants Nicotinic Acid
46 DIETARYISSUES REQUIRING FURTHER RESEARCH Elevated levels of homocysteine Elevated homocysteine levels may be present in 15% of Americans.
47 DIETARYISSUES REQUIRING FURTHER RESEARCH Several vitamins, including folic acid, vitamin B6 and B12, function are cofactors in the metabolism of methionine and homocysteine.
48
49 DIETARYISSUES REQUIRING FURTHER RESEARCH Antioxidant Vitamin Supplements Vitamins E, C and A Results of epidemiological observations suggest a Results of epidemiological observations suggest a relationship between increased intake of these vitamins and decreased CHD risk.
50 DIETARYISSUES REQUIRING FURTHER RESEARCH Very low fat diets (<15 % fat)
51 STEPS FOR LOWERING LDL C IN THE DIET Eggs: <300 mg. cholesterol: < 4 yolks/wk < 200 mg. Cholesterol: < 2 yolks/wk
52 GUIDELINES FOR SELECTING & PREPARING FOODS Milk and Milk Products: 2 3 servings/day
53 STEPS FOR LOWERING LDL C IN THE DIET Fats, oils: <6 8 tsp./day p/
54 STEPS FOR LOWERING LDL C IN THE DIET Monounsaturated Fats: Canola, olive and peanut oil Avocado Olives: black and green Nuts: almonds, cashews, peanuts, pecans Sesame seeds
55 STEPS FOR LOWERING LDL C IN THE DIET Polyunsaturated Fats Margarine made with corn, soybean, safflower, sesame oils Tub, squeeze or stick Nuts: walnuts and English Salad dressings Seeds: pumpkin, sunflower
56 STEPS FOR LOWERING LDL C IN THE DIET Saturated Fat: Butter, Coconut & Coconut Oil, Palm Oil Cream, half and half Cream cheese Shortening or lard Sour cream Fat from animal products including milk and meats
57 STEPS FOR LOWERING LDL C IN THE DIET Plant Sterols and Stanols: Natural substances derived from wood, vegetables, vegetable oils and other plants sitosterol and sitostanol
58 STEPS FOR LOWERING LDL C IN THE DIET Meat, Fish and Poultry Select lean meat and poultry <6 oz/day for Step I diet and <5 oz/day for Step II Eat fish on a weekly basis
59 STEPS FOR LOWERING LDL C IN THE DIET Tongue kidneys Liver sweetbreads heart and Tongue, kidneys Liver, sweetbreads, heart and brains are high in cholesterol.
60 STEPS FOR LOWERING LDL C IN THE DIET Breads and Cereals: 6 11 servings/day Low fat crackers Tortillas Hot and cold cereals except granola or muesli
61 STEPS FOR LOWERING LDL C IN THE DIET Vegetables: 3 5 servings per day Fruits 2 4 servings per day Use sweets and modified fat desserts in moderation
62 READING THE LABEL Extra Lean <5 g total fat, 2 g saturated fat, and 95 mg cholesterol Lean < 10 g total fat, 4 g saturated fat and 95 mg cholesterol
63 READING THE LABEL Fat Free less than 0.5 gm fat Low Fat 3 grams or less fat Reduced fat at least 25% less fat Light one third fewer calories or 50% less fat
64 GUIDELINES FOR SELECTING & PREPARING FOODS Try reducing fat by 1/4 to 1/3 in baked products. E.g. if recipe calls for 1 cup oil, try 2/3 C. In casseroles and main dishes, cut back or eliminate the fat. Sauté or stir fry with very little fat or use water, wine, or broth. Chill soups, gravies and stews and skim off ffhardened d fat before serving.
65 RISKFACTORS FOR CORONARYHEART DISEASE Triglycerides Normal: < 200 mg/dl Borderline: mg/dl High: mg/dl Very High:> 1000 mg/dl
66 RISKFACTORS FOR CORONARYHEART DISEASE High Triglycerides (>200 mg/dl) and low HDL cholesterol is associated with increased risk. Stronger in women than men and older adults
67 HYPERTRIGLYCERIDEMIA Factors Associated with Increased Triglycerides: gy Diets low fat, high refined sugar Estrogens Alcohol l Obesity Untreated Diabetes, hypothyroidism, y chronic renal failure and liver disease
68 HYPERTRIGLYCERIDEMIA Treatment: Weight Loss Low cholesterol, low saturated fat diet Increased physical activity i Smoking cessation Management of Diabetes Restricted alcohol use
'Eat Smart' - Nutrition for a Healthy Heart
Definitions - Fats & Cholesterol Found in Blood LDL HDL 'low density lipoprotein' also known as 'bad cholesterol' major cholesterol-carrying molecule in blood delivers cholesterol to the arterial walls
More informationHeart Healthy Nutrition. Mary Cassio, RD Cardiac Rehabilitation Program
Heart Healthy Nutrition Mary Cassio, RD Cardiac Rehabilitation Program Today s Topics Healthy Eating Guidelines Eating Well with Canada s Food Guide Balanced Eating Heart Healthy Nutrition Increased blood
More informationMaintain Cholesterol
Maintain Cholesterol What is Cholesterol? Cholesterol is a Lipid Molecule that has a waxy appearance and is found in every cell of the body and has some important natural functions. It is manufactured
More informationLipids. PBHL 211 Darine Hachem, MS, LD
Lipids PBHL 211 Darine Hachem, MS, LD Outline Functions of lipids in our body Types of lipids Sources of lipids Recommendation of fat intake Fat association with heart diseases Provide energy (9Kcal/g
More informationCoach on Call. Please give me a call if you have more questions about this or other topics.
Coach on Call It was great to talk with you. Thank you for your interest in learning about the fats you eat. I hope you find this tip sheet helpful. Please give me a call if you have more questions about
More informationJust enough of the right sort
Fats and the heart Just enough of the right sort We all need some fat in our diets, just enough of the right sort to keep our bodies and hearts healthy. In fact, a fat free diet isn t recommended because
More informationthan 7%) can help protect your heart, kidneys, blood vessels, feet and eyes from the damage high blood glucose levels. October November 2014
October November 2014 Diabetes - the Medical Perspective Diabetes and Food Recipes to Try Menu Suggestions Diabetes - the Medical Perspective Be Heart Smart: Know Your ABCs of Diabetes There is a strong
More information10/3/2016. SUPERSIZE YOUR KNOWLEDGE OF the CARDIAC DIET. What is a cardiac diet. If it tastes good, spit it out!!
SUPERSIZE YOUR KNOWLEDGE OF the CARDIAC DIET What is a cardiac diet If it tastes good, spit it out!! 2 1 Heart healthy diet includes: Limiting saturated fat Including unsaturated fats Including omega 3
More informationNutrition for the heart. Geoffrey Axiak Nutritionist
Nutrition for the heart Geoffrey Axiak Nutritionist The Food Pyramid Dairy 2-3 servings Vegetables 3-5 servings Breads/Grains 6-11 servings Fats & Oils Use Sparingly Proteins 2-3 servings Fruits 2-4 servings
More informationParticipant Guide. Keep Your Heart Healthy
Participant Guide Keep Your Heart Healthy Session Focus Since you are at risk for type 2 diabetes, you are more likely to have problems with your heart or arteries. So it s important to keep your heart
More informationHEALTHY EATING to reduce your risk of heart disease
HEALTHY EATING to reduce your risk of heart disease Choose these more often: Fruits, vegetables and whole grains Enjoy a variety of fruit and vegetables every day and whole grains more often.* Small portions
More informationDiabetes and Heart Disease
Diabetes and Heart Disease People with diabetes are at a higher risk for developing heart attacks and stroke than people who do not have diabetes. Adults with diabetes are 2 to 4 times more likely to have
More informationTeachers: Cut out and laminate these cards for future use.
Teachers: Cut out and laminate these cards for future use. Fatoid Card # 1 Fats are vital to your health they help kids grow and develop. Fats contain energy, make up part of our cell membranes, and are
More informationA Healthy Lifestyle. Session 1. Introduction
A Healthy Lifestyle Session 1 Introduction Introduction A Healthy Eating Plan How Can Healthy Eating Improve Your Health? Healthy eating can improve your health in many ways. It helps to: Prevent many
More informationABLE TO READ THE LABEL?
ARE ABLE TO READ THE LABEL? A Consumer s Guide to Navigating Food Labels Food and Drug Safety Program Consumer and Environmental Health Services Phone: 609-826-4935 Fax: 609-826-4990 http://nj.gov/health/eoh/foodweb/
More informationThe most concentrated source of food energy. There are 9 calories in every gram of fat
Fat Is The most concentrated source of food energy There are 9 calories in every gram of fat Fats that are liquid at room temperature are called oils. (Examples: vegetable oil, canola oil, olive oil, etc.)
More informationGiving Good Dietary Advice to Cardiovascular Patients
Giving Good Dietary Advice to Cardiovascular Patients Carmine D Amico, D.O. Learning objectives Introduction Basic principles Grocery shopping Cooking Eating out Snacking Staying active Summary Overview
More informationCHOLESTEROL GUIDELINES
CHOLESTEROL GUIDELINES High cholesterol and lipid levels can significantly increase a person's risk of developing chest pain, heart attack, and stroke. Fortunately, a number of effective treatment options
More informationThe Council for Disability Awareness
The Skinny on Fat It s impossible to go to the supermarket and not see numerous claims about fat on the bags and boxes of our favorite foods. These foods appeal to us because we want to lose weight, eat
More informationHEALTH TIPS FOR THE MONTH OF SEPTEMBER HEALTHY EATING IS IN YOUR MIND Continuous
HEALTH TIPS FOR THE MONTH OF SEPTEMBER 2017 HEALTHY EATING IS IN YOUR MIND Continuous 5. Eat more healthy carbs and whole grains Choose healthy carbohydrates and fiber sources, especially whole grains,
More informationJuvenile Arthritis & Nutrition: Understanding the Facts, Demystifying Trends. Laura Gibofsky, MS, RD, CSP, CDN July 25, 2015
Juvenile Arthritis & Nutrition: Understanding the Facts, Demystifying Trends Laura Gibofsky, MS, RD, CSP, CDN July 25, 2015 Overview There are no foods that cause Juvenile Arthritis (JA) or that can cure
More informationBe a Food Label Detective!
Be a Food Label Detective! Elyse Kontra Kara Kelly Total Fat Type of fat is more important than total fat Limit total fat intake to 25-35% of your total calories Fat-free Caloriefree http://www.diabetes.org/food-and-fitness/food/what-can-ieat/taking-a-closer-look-at-labels.html
More informationWHY DO WE NEED FAT? It is now known that Omega-3 and Omega- 6 polyunsaturated fats, or good fats, are particularly good for heart health.
KNOW YOUR FATS WHY DO WE NEED FAT? Fat can contribute positively to our diet, as long as we choose the right types of fats and moderate our intake to the appropriate amounts. Fat has many valuable functions
More informationLipid & Fat: Overview
Lipid & Fat: Overview What is a lipid? Triglycerides, Phospholipids and Sterols Triglycerides = Fat Saturated & unsaturated Essential fatty acids ü Omega 3 & Omega 6 Trans fat Why do you need fat? How
More informationEAT GOOD FATS TO MEET YOUR HEALTH GOALS!
EAT GOOD FATS TO MEET YOUR HEALTH GOALS! THE POWER OF GOOD FATS Did you know healthy fats provide a wealth of health benefits? At almost any age, replacing saturated fats* with polyunsaturated fats (omega-3,
More informationEATING FOR A HEALTHY HEART S A R A Z O O K, R D N, C D, C P H W C
EATING FOR A HEALTHY HEART S A R A Z O O K, R D N, C D, C P H W C ANTI-INFLAMMATORY TURMERIC SMOOTHIE The turmeric has a powerful antiinflammatory, curcumin, in it, which is more easily absorbed by our
More informationNUTRITION Nutrition Information: Fats What is fat and are all fats created equal? The terms fatty acids and fats are often used interchangeably, but a fatty acid is the basic unit/building block of a fat
More informationNAME/ID: SAMPLE PATIENT SEX: FEMALE ACC #: F DATE: NOV 12, 2015 IMPORTANT INFORMATION
Personal Details Name: SAMPLE PATIENT DOB: Jan 1, 19XX Gender: Female Ethnicity: Caucasian Report Date: Nov 12, 2015 Received Date: Nov 2, 2015 IMPORTANT INFORMATION PAGE 3 Test Performed / Method Genotyping
More informationHYPERLIPIDAEMIA AND HARDENING OF ARTERIES
HYPERLIPIDAEMIA AND HARDENING OF ARTERIES What is Hyperlipidaemia? Hyperlipidaemia means that there are too many fatty substances in your blood. Commonest of these are: 1. Cholesterol Of animal origin,
More informationTechnical Appendix to Working Paper 10-WP 518. Accounting for Product Substitution in the Analysis of Food Taxes Targeting Obesity
Technical Appendix to Working Paper 10-WP 518 Accounting for Product Substitution in the Analysis of Food Taxes Targeting Obesity Zhen Miao, John C. Beghin, and Helen H. Jensen This Technical Appendix
More informationTHE SAME EFFECT WAS NOT FOUND WITH SPIRITS 3-5 DRINKS OF SPIRITS PER DAY WAS ASSOCIATED WITH INCREASED MORTALITY
ALCOHOL NEGATIVE CORRELATION BETWEEN 1-2 DRINKS PER DAY AND THE INCIDENCE OF CARDIOVASCULAR DISEASE SOME HAVE SHOWN THAT EVEN 3-4 DRINKS PER DAY CAN BE BENEFICIAL - WHILE OTHERS HAVE FOUND IT TO BE HARMFUL
More informationOM s Health Corner Cholesterol & Heart Disease!!
Cholesterol & Heart Disease!! We may associate cholesterol with fatty foods, but most of the waxy substance is made by our own bodies. The liver produces 75% of the cholesterol that circulates in our blood.
More informationYour cholesterol levels. Questions or concerns
Because you have high cholesterol you should: Know your cholesterol levels Take the medicine to lower cholesterol that your doctor has told you to take Follow your doctor s treatment plan Keep your appointments
More informationFats = Lipids Organic compounds- mostly carbon Found in animals & plants Don t dissolve well in H20 Dissolve in organic solvents: ether, chloroform,
FATS Fats = Lipids Organic compounds- mostly carbon Found in animals & plants Don t dissolve well in H20 Dissolve in organic solvents: ether, chloroform, toluene, methanol Assignment Oil and Water Fats
More informationOUTLINE. The need for fat. What is fat? Types of fats. Dietary sources of the different types of fat
DIETARY FATS OUTLINE The need for fat What is fat? Types of fats Dietary sources of the different types of fat Evidence for cardiovascular health benefit of fish omega-3 and omega-6 fatty acids Possible
More informationFact Sheet Central Adelaide Local Health Network Diabetes Education Service. Risk factors that can contribute heart disease:
Fact Sheet Central Adelaide Local Health Network Diabetes Education Service Fat facts Types of Blood Fats The Cholesterol Family Cholesterol is a fatty substance made by our liver and found in our blood.
More informationHeart health and diet. Our Bupa nurses have put together these simple tips to help you eat well and look after your heart.
Heart health and diet Our Bupa nurses have put together these simple tips to help you eat well and look after your heart. What you eat can have an impact on the health of your heart. Eating a healthy diet
More informationLipid & Fat: Overview
Lipid & Fat: Overview What is a lipid? Triglycerides, Phospholipids and Sterols Triglycerides = Fat Saturated & unsaturated Essential fatty acids ü Omega 3 & Omega 6 Trans fat Why do you need fat? How
More informationThe WorkCare Group, Inc. Content used with permission. StayWell is a registered trademark of The StayWell Company. All rights reserved.
Know Your Cholesterol Numbers Checklist for Lowering Your Cholesterol Cholesterol Questions to Ask Your Doctor Misconceptions about Cholesterol LDL and HDL Lowering Your Cholesterol CHECKLIST Cut down
More informationCholesterol Levels -- What They Mean, Diet and Treatment
Cholesterol Levels -- What They Mean, Diet and Treatment What Is Cholesterol? We may associate cholesterol with fatty foods, but most of the waxy substance is made by our own bodies. The liver produces
More information1. FAT IS. The most CONCENTRATED source of food energy. There are 9 calories in every gram of fat. EAT SPARINGLY from the Fats & Oils Food Group
Fats 1. FAT IS The most CONCENTRATED source of food energy There are 9 calories in every gram of fat EAT SPARINGLY from the Fats & Oils Food Group Fats that are LIQUID at room temperature are called OILS.
More informationHealthy Eating and Diabetes - Consumer Information Sheet. Overweight Unhealthy diet. What does your cholesterol blood test tell you?
Healthy Eating and Diabetes - Consumer Information Sheet Fat facts Types of Blood Fats The Cholesterol Family Cholesterol is a fatty substance made by our liver and found in our blood. Cholesterol is also
More informationCutting the Fat. The first fat to deal with:
Eating is one of the more enjoyable things life has to offer. That s why what to eat and what not to eat especially as it relates to our heart s health can be frustrating, complicated, and confusing. However,
More informationGot Heart? Nutrition for Cardiovascular Health
Objectives Got Heart? Nutrition for Cardiovascular Health 1. Achieve a basic understanding of the evidencebased dietary and lifestyle guidelines for reducing cardiovascular risk 2. Recognize potential
More informationHEÆRT HEÆLTH. Cardiovascular disease is
Cardiovascular disease is the term for several diseases which include high blood pressure, stroke, Coronary Heart Disease (CHD) and others. For this lesson we will address CHD, the leading cause of death
More informationFats and Other Lipids
Fats and Other Lipids Chapter 6 Chapter 6: Fats and other Lipids 1 6.1 Understanding Lipids Lipids include: 1. Fatty acids 2. Triglycerides 3. Phospholipids 4. Cholesterol Oil and Water Don t Mix Because
More informationA N A C P S P E C I A L R E P O R T. Understanding and Managing Your. Triglycerides
A N A C P S P E C I A L R E P O R T Understanding and Managing Your Triglycerides What are Triglycerides? Triglycerides are one of several types of fat in your body, and the most common of them all. Along
More informationThe Food Guide Pyramid
The Food Guide Pyramid In this lesson, you will Learn About n What influences a person s food choices. n How to use the Food Guide Pyramid to make healthful food choices. The Foods You Choose The foods
More informationHeart-Healthy Choices SIMPLIFIED. Nancy Flynn Davis For Wellness Wednesdays
Heart-Healthy Choices SIMPLIFIED Nancy Flynn Davis For Wellness Wednesdays Changes are best when kept manageable & taken one at a time One significant change that sticks is the kindle for long lasting
More informationGet off the SoFAS! Solid Fats and Added Sugars
Get off the SoFAS! Solid Fats and Added Sugars Sponsored by: USDA through the Supplemental Nutrition Assistance Program, the School District of Philadelphia and the Department of NutritionSciences, Drexel
More informationFrom Food to the Bloodstream
FATS The total amount of fat you eat, whether high or low, isn't really linked with disease. What really matters is the type of fat you eat. The "bad" fats saturated and trans fats increase the risk for
More informationNutrition for Rehab Patients
Nutrition for Rehab Patients Michelle Ray, RD Michelle Ray, RD Michelle Ray MS, RD, LDN Making healthcare remarkable Why is nutrition important for our patients? Adequate nutrition protects quality of
More informationSteps to a Healthier You - My Pyramid. Physical Activity
Steps to a Healthier You - My Pyramid Physical Activity - e physically active for at least 30 minutes most days of the week - Children and teenagers should be physically active for 60 minutes everyday
More informationAIAN Ancestors Traditional Healthy Eating Behaviors
Supported by: National Center for Minority Health and Health Disparities Native Navigators and the Cancer Continuum (NNACC) [NCMHD R24MD002811] OBJECTIVES By the end of this segment, the learner will be
More informationHEALTHY EATING. What you need to know for a long and healthy life. March National Nutrition Month
HEALTHY EATING What you need to know for a long and healthy life March National Nutrition Month 890246 This presentation is for informational purposes only. Material within this presentation should not
More informationQuick Fixes Make it Healthy! Caroline Le Clair, RD and Certified Chef IRHA Community Wellness Team
Quick Fixes Make it Healthy! Caroline Le Clair, RD and Certified Chef IRHA Community Wellness Team About me Bachelor of Arts Certified Chef work in the industry for 8 years Bachelor of Human Nutritional
More informationEssential Nutrients. Lesson. By Carone Fitness. There are six essential nutrients that your body needs to stay healthy.
Lesson Essential Nutrients By Carone Fitness 6 There are six essential nutrients that your body needs to stay healthy. 1. Water 2. Vitamins 3. Minerals 4. Carbohydrates 5. Protein 6. Fat 1 6 Of these six
More informationSTAYING HEART HEALTHY PAVAN PATEL, MD CONSULTANT CARDIOLOGIST FLORIDA HEART GROUP
STAYING HEART HEALTHY PAVAN PATEL, MD CONSULTANT CARDIOLOGIST FLORIDA HEART GROUP What is Heart Disease Cardiovascular Disease (CVD): Heart or Blood vessels are not working properly. Most common reason
More informationMANAGING YOUR CHOLESTEROL
MANAGING YOUR CHOLESTEROL WHAT IS CHOLESTEROL? Cholesterol is a white waxy substance found in every cell of our bodies. It comes from The liver our body makes most of it from the fat we eat in food A little
More informationAssignment Lesson Plan: Healthy and Unhealthy Fats
Assignment Lesson Plan: Healthy and Unhealthy Fats Duration: 35 minutes Target Group: College students around the ages of 18 to 22 years old. Overall Goal: To increase knowledge of what healthy fats and
More informationFats & Fatty Acids. Answer part 2: 810 Cal 9 Cal/g = 90 g of fat (see above: each gram of fat provies 9 Cal)
Fats & Fatty Acids Function of Fats Store energy (typically stored in the form of triglyceride fat molecules, shown on next page) Burn for energy (energy content is 9 Cal/g) Fatty acids are components
More informationL III: DIETARY APPROACH
L III: DIETARY APPROACH FOR CARDIOVASCULAR DISEASE PREVENTION General Guidelines For Dietary Interventions 1. Obtain a healthy body weight 2. Obtain a desirable blood cholesterol and lipoprotein profile
More informationWomen and Heart Disease
Patient Education Women and Heart Disease Heart disease is the concern of every woman today. You might think that breast cancer and osteoporosis are the 2 biggest diseases that affect women. But, women
More informationLesson 3. Get Moving!
Welcome Back. Aloha and welcome back to the third lesson of the PILI Lifestyle Program. 1 Let us begin with a review of last week s lesson. What did we talk about last time? We talked about being more
More information營養部. Dietetic Unit. Healthy Eating to Lower Your Cholesterol. Dietetic Unit 營養部. Dietetic Unit. For enquiries and appointments, please contact us at:
營養部 Healthy Eating to Lower Your For enquiries and appointments, please contact us at: 10/F, Li Shu Pui Block Hong Kong Sanatorium & Hospital 2 Village Road, Happy Valley, Hong Kong Tel: 2835 8676 Fax:
More informationA healthy cholesterol. for a happy heart
cholesterol A healthy cholesterol for a happy heart cholesterol A healthy cholesterol for a happy heart You probably already know that cholesterol has something to do with heart disease. But like many
More informationLow Fat Diet. For a regular healthy diet, it is recommended that of the total calories eaten, no more than 30% should come from fat.
Low Fat Diet For a regular healthy diet, it is recommended that of the total calories eaten, no more than 30% should come from fat. Some dietary fat is needed for good health. Fats supply energy and essential
More informationStaying Healthy with Diabetes
Staying Healthy with Diabetes Note to the Health Care Provider: Topics in this handout are discussed in Chapters 6 and 13 of the American Dietetic Association Guide to Diabetes Medical Nutrition Therapy
More informationWhat does heart healthy eating mean to me?
Healthy eating for your heart This handout will help you choose heart healthy foods to include as part of a healthy diet. What does heart healthy eating mean to me? Heart healthy eating, along with an
More informationNutrition: Hypertension Nutrition Therapy
Nutrition: Hypertension Nutrition Therapy WHY WAS NUTRITION THERAPY PRESCRIBED? Hypertension (High Blood Pressure) Nutrition Therapy using the DASH-sodium meal plan reduces sodium (salt) in your meal plan
More informationIntroduction to the Lifestyle Survey
Introduction to the Lifestyle Survey This program is designed to help lower your chances of getting heart disease. To get started, we need to know about your current eating and physical activity habits.
More informationFATS, OILS, & CHOLESTEROL
FATS, OILS, & CHOLESTEROL Percent of calories needed daily from each energy producing nutrient Protein 10% Carbohydrates Calculate the number of fat calories you need based on your daily calorie needs.
More informationThe Lipids: Triglycerides, Phospholipids and Sterols
The Lipids: Triglycerides, Phospholipids and Sterols Chapter 5 The Lipids-Triglycerides, Phospholipids, and Sterols The Lipid Family Triglycerides (fats and oils) Predominate in the body (99%) and in foods
More informationChapter 05: Fats Grodner and Escott-Stump: Nutritional Foundations and Clinical Application: A Nursing Approach, 6th Edition
Instant download and all chapters Test Bank Nutritional Foundations and Clinical Applications A Nursing Approach 6th Edition Michele Grodner https://testbanklab.com/download/test-bank-nutritional-foundations-clinical-applicationsnursing-approach-6th-edition-michele-grodner/
More informationHeart-Healthy Nutrition
Northwestern Memorial Hospital Patient Education HEALTH AND WELLNESS Heart-Healthy Nutrition Coronary artery disease (CAD) is a leading cause of death in the United States. In CAD, fat and cholesterol
More informationNutrients. Nutrition. Carbohydrates. - ex. Carbs, Fats, Protein, Water. - ex. vitamins, minerals
Nutrients Nutrition Introduction elements and compounds an organism needs but can not manufacture itself 6 Basic Nutrients carbohydrates fats proteins water vitamins minerals Macronutrients supply energy
More informationKnow Your Numbers Handouts
Calculating Your Body Mass Index (BMI) 1. Write down your weight in pounds (example: 190) 2. Multiply that number by 703 (190 x 703 = 133,570) 3. Multiply your height in inches by itself ( 70 x 70 = 4,900)
More informationMediterranean Diet. The word Mediterranean refers to the origins of the diet, rather than to specific foods such as Greek or Italian foods.
Mediterranean Diet http://patient.info/health/mediterranean-diet The Mediterranean Diet is rich in vegetables, fruit, peas and beans (legumes) and grains. It also contains moderate amounts of chicken and
More informationEating Healthy with PSC. Erin Paice, RD, CD-N Hartford Hospital Transplant
Eating Healthy with PSC Erin Paice, RD, CD-N Hartford Hospital Transplant Objectives What does it mean to eat healthy? What are barriers to maintaining a healthy diet with PSC? How can we keep a healthy
More informationHEART-HEALTHY LIVING 10/15/2013. Managing Heart Risk. Step One: Defining Fat. Organization of Fats. More on Coconut Oils.
Managing Heart Risk HEART-HEALTHY LIVING Shannon Frink, MS, RD, LMNT Grand Island Hy-Vee Dietitian Blood cholesterol and pressure levels are influenced by: Foods you eat Overweight Limited physical activity
More informationNutritional Guidelines for Roux-en-Y and Duodenal Switch Gastric Restrictive Procedures. Phase III Regular Consistency
Nutritional Guidelines for Roux-en-Y and Duodenal Switch Gastric Restrictive Procedures Phase III Regular Consistency The University of Chicago Hospitals Center for the Surgical Treatment of Obesity (March
More informationHEART HEALTHY EATING
HEART HEALTHY EATING Heart disease is the number one killer of both men and women in the United States. Stroke is number four. High blood cholesterol is a major risk factor for heart disease and stroke.
More informationThe Effects of Lipids on the Body
The Effects of Lipids on the Body Review: 3 general types 1. Triglycerides Major type of fat found in food and in bodies 2. Phospholipids In body: Carry food back and forth across cell membranes In food:
More informationMaterials: Grade 6: Healthy Eating Revised 2008 Page 1
Grade 6: Healthy Eating Lesson 4 - Healthy Eating for the Cardiovascular System: What is a Heart-Healthy Diet? Lesson 5 - Healthy Eating for the Circulatory System: Good Fats, Bad Fats Objectives: Lesson
More informationTerms and Conditions
- 1 - Terms and Conditions LEGAL NOTICE The Publisher has strived to be as accurate and complete as possible in the creation of this report, notwithstanding the fact that he does not warrant or represent
More informationRisk Reduction for Heart and Vascular Disease
Northwestern Memorial Hospital Patient Education HEALTH AND WELLNESS Take steps to lower your risk of heart and vascular disease. Risk Reduction for Heart and Vascular Disease Risk factors are habits,
More informationFat Classification. Poly. Omega 3 Omega 6
CME Module III: Fats Introduction Our thoughts on fats (a.k.a. triglycerides or lipids) have gone through many changes over the years. Not long ago, all fat was considered bad, and people were discouraged
More informationPromoting a Healthy Lifestyle
Promoting a Healthy Lifestyle Your lifestyle and eating habits influence how your heart and body work and how you feel overall. Below are some tips to get you started on the path to better health. The
More informationFATS The Facts. compiled by the Nestlé Research Center
FATS The Facts compiled by the Nestlé Research Center Dietary fats are a public health concern Dietary fats are necessary for ensuring optimal health. Recent dietary guidelines focus on fat quality and
More informationNutrition - What Should We Eat?
Nutrition - What Should We Eat? Adapted from the 2010 USDA Dietary Guidelines for Americans www.choosemyplate.gov Nutrition - What Should We Eat? Adapted from the 2010 USDA Dietary Guidelines for Americans
More informationLisa Sasson Clinical Assistant Professor NYU Dept Nutrition and Food Studies
Lisa Sasson Clinical Assistant Professor NYU Dept Nutrition and Food Studies Introduction Nutrients Components of food required for the body s functioning Roles: Provide energy Building material Maintenance
More informationENERGY NUTRIENTS: THE BIG PICTURE WHY WE EAT FUNCTIONS FATS FAT, CARBS, PROTEIN
ENERGY NUTRIENTS: FAT, CARBS, PROTEIN Angeline B. David, DRPH, MHS NAD Health Summit March 14, 2013 The science of cooking is not a small matter.... This art should be regarded as the most valuable of
More informationHealthy Eating Tip of the Month. Let s Get Heart Smart! Heart Healthy Eating. Healthy Eating Tip of the Month
Let s Get Heart Smart! Heart Healthy Eating Healthy Eating Tip of the Month April 2013 Introduction Our hearts do amazing things for us! For example, did you know that the heart beats an average of 100,000
More informationFats, Oils, Triglycerides. About which Americans seem confused
Fats, Oils, Triglycerides About which Americans seem confused Learning Objectives Define fats and oils Understand triglycerides Consider the benefits of saturated fats Identify trans fats in your food
More informationMediterranean Diet. Why Is the Mediterranean Diet So Special? PATIENT EDUCATION. Why read this material?
PATIENT EDUCATION Mediterranean Diet Why Is the Mediterranean Diet So Special? This is more than a diet. It s a heart-healthy eating plan. For most people, what s good for your heart is good for your brain
More informationDietary Fats Those fats derived from unprocessed food sources are generally good fats essential Omega-3 Omega-6 EFAs
Dietary Fats Fats and oils may well be the most important part of your daily diet. Over the past 20-30 years, there has been an explosion of research on the significance of fats in health and disease.
More informationHigh Blood Cholesterol What you need to know
National Cholesterol Education Program High Blood Cholesterol What you need to know Why Is Cholesterol Important? Your blood cholesterol level has a lot to do with your chances of getting heart disease.
More information13/09/2012. Dietary fatty acids. Triglyceride. Phospholipids:
CARDIOVASCULAR DISEASES (CVD) and NUTRITION Major cause of morbidity & mortality in Canada & other developed countries e.g., majority of approved health claims on food labels relate to lowering CVD Relation
More informationSATURATED FATS. Saturated fats and heart and circulatory diseases. to reduce your risk of heart and circulatory diseases
TAKING CONTROL OF Saturated fats and heart and circulatory diseases Eating too much saturated fat is linked to high cholesterol which can lead to a heart attack or stroke. We all need some fat in our diet.
More informationeat well, live well: EATING WELL FOR YOUR HEALTH
eat well, live well: EATING WELL FOR YOUR HEALTH It may seem like information on diet changes daily, BUT THERE IS ACTUALLY A LOT WE KNOW ABOUT HOW TO EAT WELL. Eating well can help you improve your overall
More information