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Daily A Dark Chocolate Improves Your Heart Life

Image result for control lipids by chocolate

Cocoa products, which are rich sources of flavonoids, have been shown to reduce blood pressure and the risk of cardiovascular disease. Dark chocolate contains saturated fat and is a source of dietary calories; consequently, it is important to determine whether consumption of dark chocolate adversely affects the blood lipid profile. The objective was to examine the effects of dark chocolate/cocoa product consumption on the lipid profile using published trials. A detailed literature search was conducted via MEDLINE (from 1966 to May 2010), CENTRAL and ClinicalTrials.gov for randomized controlled clinical trials assessing the effects of flavanol-rich cocoa products or dark chocolate on lipid profile. The primary effect measure was the difference in means of the final measurements between the intervention and control groups. In all, 10 clinical trials consisting of 320 participants were included in the analysis. Treatment duration ranged from 2 to 12 weeks. Intervention with dark chocolate/cocoa products significantly reduced serum low-density lipoprotein (LDL) and total cholesterol (TC) levels (differences in means (95% CI) were −5.90 mg/dl (−10.47, −1.32 mg/dl) and −6.23 mg/dl (−11.60, −0.85 mg/dl), respectively). No statistically significant effects were observed for high-density lipoprotein (HDL) (difference in means (95% CI): −0.76 mg/dl (−3.02 to 1.51 mg/dl)) and triglyceride (TG) (−5.06 mg/dl (−13.45 to 3.32 mg/dl)). These data are consistent with beneficial effects of dark chocolate/cocoa products on total and LDL cholesterol and no major effects on HDL and TG in short-term intervention trials.

Chocolate and cocoa are produced from cacao beans, the seed of Theobroma cacao, and are known to contain fats (the dry weight of whole cacao beans is composed of 50–57% lipid, often called cocoa butter (Hannum and Erdman, 2000)). This cocoa butter, predominantly found in dark chocolate, is composed on average of 33% oleic acid, 25% palmitic acid, and 33% of stearic acid. (http://www.nal.usda.gov/fnic/foodcomp/search/), the latter two being saturated fats. Cocoa products are also very rich in plant phytochemicals, especially flavonoids, which are now objects of increased scientific attention due to their potential health benefits (Engler et al., 2004; Grassi et al., 2005a; Wang-Polagruto et al., 2006; Almoosawi et al., 2010).

Previous studies have suggested that dark chocolate consumption reduces blood pressure (Grassi et al., 2005b; Grassi et al., 2008), improves insulin sensitivity as shown by significantly higher QUICKI (quantitative insulin sensitivity check index) measurements (Grassi et al., 2008), improves vascular endothelial function and reverses vascular dysfunction (Engler et al., 2004; Grassi et al., 2005b; Wang-Polagruto et al., 2006), reduces insulin resistance as evidenced by significantly lower HOMA-IR (homeostasis model assessment of insulin resistance) (Grassi et al., 2005a) measurements, and increases serum total antioxidant capacity (Wan et al., 2001).

Despite solid evidence on the beneficial effects of dark chocolate on blood pressure, limited data exist on the effects of dark chocolate on blood lipids. One clinical trial indicated that regular ingestion of dark chocolate may have no adverse effects on serum lipid profile (Crews et al., 2008), whereas others have suggested that intake of dark chocolate reduced serum LDL cholesterol and triglyceride (TG) levels (Engler et al., 2004; Grassi et al., 2005b), and increased serum high-density lipoprotein (HDL) cholesterol measurements (Mursu et al., 2004). An earlier meta-analysis of eight randomized trials involving 215 subjects reported that an intervention with dark chocolate was associated with a significant reduction in serum LDL in subjects with cardiovascular disease risk factors (Jia et al., 2010) compared with placebo. However, that meta-analysis did not assess the effect of dark chocolate or cocoa on serum TG concentrations and it did not include some important recent studies.

Dark chocolate is a food consumed frequently and widely all over the world. It is therefore relevant to understand its net benefits on health in order to help the public make informed choices. Hence, we sought to review current evidence on the effects of dark chocolate/cocoa products consumption on serum LDL, HDL and TGs using completed randomized trials.

 

Authors & Affiliations

  1. Division of Aging, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA

    O A Tokede, J M Gaziano L Djoussé
  2. Harvard Medical School, Boston, MA, USA

    J M Gaziano L Djoussé
  3. Massachusetts Veterans Epidemiology and Research Information Center and Geriatric Research, Education, and Clinical Center, Boston Veterans Affairs Healthcare System, Boston, MA, USA

    J M Gaziano L Djoussé    
Bariatric Surgery may reduce the need for high BP medications in patients

Get started Go to the profile of Dr. Mohit Bhandari Dr. Mohit Bhandari Bariatric and Metabolic surgeon in India, performed 7000+ bariatric surgeries and 500+ robotic surgeries. http://www.indiaobesity.in/about-us/dr-mohit-bhandari/ Nov 14 Bariatric Surgery may reduce the need for high BP medications in patients Bariatric surgery may reduce or eliminate the need for high blood pressure medications in patients with obesity, often within one month, according to the GATEWAY* Study, the first randomized clinical trial that compared gastric bypass plus medical therapy to medical therapy alone for the treatment of hypertension. The findings were presented at the American Heart Association’s Scientific Sessions 2017 and published simultaneously in the journal Circulation. This investigator-initiated study was funded with a grant from Ethicon, part of Johnson & Johnson Medical Devices Companies. percent of their body weight, compared to weight loss of less than 1 percent for the medical therapy alone group. An improvement in lipid profile and inflammatory markers and reduced cardiovascular risk was also achieved in the surgery group. After a year, a third (33%) of patients normalized their blood pressure to less than 120 mm Hg, and 69 percent of them did so without medication. A little more than a quarter (26%) of the medical therapy alone group achieved normalized blood pressure with an average of 2.8 medications per patient. “This study suggests that cardiologists treating obese patients with hypertension, mainly those with severe obesity and using more than two drugs, can consider referring these patients for bariatric surgery, which is consistent with the American Heart Association, American College of Cardiology and The Obesity Society Clinical Practice Guidelines,” said lead study investigator Carlos Aurelio Schiavon, MD, a bariatric surgeon. “Fewer or no medications means better compliance and weight loss with an improved metabolic and inflammatory profile combine to reduce the risk of major cardiovascular events for these patients.” In the study, researchers followed 100 patients aged 18 to 65 with hypertension and a body mass index (BMI) ranging from 30 to 39.9 kg/m2 who were being treated with at least two antihypertensive medications at maximum doses or more than two drugs at moderate doses. Patients were randomly assigned to have either gastric bypass surgery along with medical therapy or to continue with their current antihypertension regime. Patients were followed for one year and are scheduled to be followed for up to five years. Obesity and hypertension are independent risk factors for cardiovascular disease and stroke. When someone has both risk factors, the risk for cardiovascular mortality doubles. Additionally, the prevalence of hypertension, which affects more than 85 million Americans, increases with an individual’s BMI. Ethicon is engaged in a multi-year, multi-million-dollar effort to combat obesity through the development of products and services that optimize patient outcomes and groundbreaking research that demonstrates the impact of bariatric surgery on obesity and related diseases including type 2 diabetes and heart disease. Facts about Obesity and Bariatric Surgery According to American Society of Metabolic and Bariatric Surgery (ASMBS), qualifications for bariatric surgery include: BMI ≥ 40, or more than 100 pounds overweight. BMI ≥35 and at least one or more obesity-related co-morbidities The worldwide prevalence of obesity more than doubled between 1980 and 2014. According to the World Health Organization (WHO), more than 1.9 billion adults were overweight in 2016. Of this group, more than 600 million have obesity. In the United States, more than 2 in 3 adults are overweight or have obesity, and about 1 in 13 are considered to have extreme obesity. Data suggests bariatric surgery has the greatest weight loss results of any treatment options for those with severe obesity, yet only 1 percent of the 26 million surgically-eligible patients in the U.S. have surgery each year. Obesity is the second leading cause of preventable death in the U.S. and contributes to more than 40 other diseases, including high cholesterol, stroke, Type 2 diabetes, heart disease, cancer and arthritis.

how to identify heart attack or cardiac arrest : How Are They Different?

Image result for heart attack

People often use these terms interchangeably, but they are not synonyms. A heart attack is when blood flow to the heart is blocked, and sudden cardiac arrest is when the heart malfunctions and suddenly stops beating unexpectedly. A heart attack is a “circulation” problem and sudden cardiac arrest is an “electrical” problem.

What is a heart attack?


A heart attack occurs when a blocked artery prevents oxygen-rich blood from reaching a section of the heart. If the blocked artery is not reopened quickly, the part of the heart normally nourished by that artery begins to die. The longer a person goes without treatment, the greater the damage. Symptoms of a heart attack may be immediate and intense. More often, though, symptoms start slowly and persist for hours, days or weeks before a heart attack. Unlike with sudden cardiac arrest, the heart usually does not stop beating during a heart attack. The heart attack symptoms in women can be different than men.

 

What Is Cardiac Arrest ?

Sudden cardiac arrest occurs suddenly and often without warning. It is triggered by an electrical malfunction in the heart that causes an irregular heartbeat (arrhythmia). With its pumping action disrupted, the heart cannot pump blood to the brain, lungs and other organs. Seconds later, a person loses consciousness and has no pulse. Death occurs within minutes if the victim does not receive treatment.


What is the link?
These two distinct heart conditions are linked. Sudden cardiac arrest can occur after a heart attack, or during recovery.  Heart attacks increase the risk for sudden cardiac arrest. Most heart attacks do not lead to sudden cardiac arrest. But when sudden cardiac arrest occurs, heart attack is a common cause. Other heart conditions may also disrupt the heart’s rhythm and lead to sudden cardiac arrest. These include a thickened heart muscle (cardiomyopathy), heart failure, arrhythmias, particularly ventricular fibrillation, and long Q-T syndrome.
Fast action can save lives. Find out what to do if someone experiences a heart attack or cardiac arrest.


What to do in Heart Attack ?


Even if you’re not sure it’s a heart attack, call 9-1-1 or your emergency response number. Every minute matters! It’s best to call EMS to get to the emergency room right away. Emergency medical services staff can begin treatment when they arrive — up to an hour sooner than if someone gets to the hospital by car. EMS staff are also trained to revive someone whose heart has stopped. Patients with chest pain who arrive by ambulance usually receive faster treatment at the hospital, too.

15 Facts About Vitamin D - Nutrition

15 FACTS ABOUT VITAMIN D

Vitamin D prevents Osteoporosis,
Depression,
Prostate cancer,
Breast cancer
and even effects -
Dabetes & Obesity..

Vitamin D is perhaps the single most underrated nutrient in the world of nutrition.

That's probably because it's free....
Your body makes it when sunlight touches your skin !!

Drug companies can't sell you sunlight, so there's no promotion of its health benefits..

The truth is, most people don't know the real story on
vitamin D and health.
So here's an overview taken from an interview between Mike Adams and Dr.Michael Holick.

1. Vitamin D is produced by your skin in response to exposure to ultraviolet radiation from natural sunlight.

2. The healing rays of natural sunlight (that generate vitamin D in your skin) cannot penetrate glass.
So you don't generate vitamin D when sitting in your car or home.

3. It is nearly impossible to get adequate amounts of vitamin D from your diet. Sunlight exposure is the only reliable way to generate vitamin D in your own body.

4. A person would have to drink ten tall glasses of vitamin D fortified milk each day just to get minimum levels of vitamin D into their diet.
5. The further you live from the equator, the longer exposure you need to the sun in order to generate vitamin D. Canada, the UK and most U.S. States are far from the equator.

6. People with dark skin pigmentation may need 20 - 30 times as much exposure to sunlight as fair-skinned people to generate the same amount of vitamin D.
That's why prostate cancer is epidemic among black men -- it's a simple, but widespread, sunlight deficiency.

7. Sufficient levels of vitamin D are crucial for calcium absorption in your intestines. Without sufficient vitamin D, your body cannot absorb calcium, rendering calcium supplements useless.

8. Chronic vitamin D deficiency cannot be reversed overnight: it takes months of vitamin D supplementation and sunlight exposure to rebuild the body's bones and nervous system.

9. Even weak sunscreens (SPF=8) block your body's ability to generate vitamin D by 95%. This is how sunscreen products actually cause disease -by creating a critical vitamin deficiency in the body.

10. It is impossible to generate too much vitamin D in your body from sunlight exposure: your body will self-regulate and only generate what it needs.

11. If it hurts to press firmly on your sternum(chest/breast bone), you may be suffering from chronic vitamin D deficiency right now.

12. Vitamin D is activated in your body by your kidneys and liver before it can be used.

13. Having kidney disease or liver damage can greatly impair your body's ability to activate circulating vitamin D.

14. The sunscreen industry doesn't want you to know that your body actually needs sunlight exposure because that realization would mean lower sales of sunscreen products.

15. Even though vitamin D is one of the most powerful healing chemicals in your body, your body makes it absolutely free. No prescription required.

~ Other powerful antioxidants with this ability include the
super fruits like Pomegranates (POM Wonderful juice),
Acai, Blueberries, etc.

Diseases and conditions cause by vitamin D deficiency:

Osteoporosis is commonly caused by a lack of vitamin D, which greatly impairs calcium absorption.

Sufficient vitamin D prevents
prostate cancer,
breast cancer,
ovarian cancer,
depression,
colon cancer and
schizophrenia..

"Rickets" is the name of a bone-wasting disease caused by vitamin D deficiency.

Vitamin D deficiency may exacerbate type 2 diabetes and impair insulin production in the pancreas.

● Obesity impairs vitamin D utilization in the body, meaning obese people need twice as much vitamin D.

Vitamin D is used around the world to treat Psoriasis(a chronic skin disease).

● Vitamin D deficiency can cause 
schizophrenia.

Seasonal Affective Disorder is caused by a melatonin imbalance initiated by lack of exposure to sunlight.

Chronic vitamin D deficiency is often misdiagnosed as fibromyalgia because its symptoms are so similar: muscle weakness, aches and pains.

Your risk of developing serious diseases like diabetes and cancer is reduced 50% - 80% through simple, sensible exposure to natural sunlight 2-3 times each week.

Infants who receive vitamin D supplementation (2000 units daily) have an 80% reduced risk of developing type 1 diabetes over the next twenty years.


Shocking Vitamin D deficiency statistics:

*32% of doctors and med school students are vitamin D deficient.
*40% of the U.S. population is vitamin D deficient.
*42% of African American women of childbearing age are deficient in vitamin D.
*48% of young girls (9-11 years old) are vitamin D deficient.
*Up to 60% of all hospital patients are vitamin D deficient.
*76% of pregnant mothers are severely vitamin D deficient, causing widespread vitamin D deficiencies in their unborn children, which predisposes them to type 1 diabetes, arthritis, multiple sclerosis and schizophrenia later in life. 81% of the children born to these mothers were deficient.
*Up to 80% of nursing home patients are
vitamin D deficient

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