Impact Of Cardiovascular Health On Youthful Aging2


Published on

Reviews the role heart health has in maintainin overall health, function and vitaliy throughout life.

  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Impact Of Cardiovascular Health On Youthful Aging2

  1. 1. Impact of Cardiovascular Health on Youthful Aging Desmond Ebanks, MD Founder & Medical Director Alternity Healthcare, LLC
  2. 2. Youthful Aging = Successful Aging <ul><li>Low probability of disease and disease related disability </li></ul><ul><li>High cognitive and physical functional capacity </li></ul><ul><li>Active engagement with life </li></ul><ul><li> JW Rowe & RL Kahn, Successful Aging, The Gerantologist, vol 37, no. 4, pg 433-440, 1997 </li></ul>
  3. 3. Cardiovascular disease (CVD) <ul><li>> 80 million Americans have CVD </li></ul><ul><li>Number one killer of Americans </li></ul><ul><li>Kills more people than the next 5 leading causes of death; including cancer </li></ul><ul><li>Sudden death is the first sign of CVD in nearly a quarter of first-time heart attack cases </li></ul><ul><li>American Heart Association, 2009 update </li></ul>
  4. 4. Cardiovascular disease (CVD) <ul><li>Causes over 1 million deaths/ year; more than half of those deaths are among women </li></ul><ul><li>16 million people have coronary artery disease resulting in nearly 500,000 deaths/ year </li></ul><ul><li>Ten times more women die from CVD than breast cancer each year </li></ul><ul><li>American Heart Association </li></ul>
  5. 5. CVD Risk Factors
  6. 6. Silent Inflammation <ul><li>“ High-sensitivity C-reactive protein (hs-CRP) levels are an independent marker of cardiovascular disease risk” </li></ul><ul><li>American Heart Association Scientific Sessions, 2008 </li></ul>
  7. 7. Homocysteine <ul><li>Elevated levels are associated with increased risk for mortality in patients with coronary artery disease (CAD) </li></ul><ul><li>“ Long term folate-based vitamin therapy lowered all-cause mortality in patients with CAD and elevated homocysteine levels” </li></ul><ul><li>The American Journal of Cardiology, Sept. 2009 </li></ul>
  8. 8. Recent Study on Cholesterol <ul><li>“ Almost 75 percent of heart attack patients fell within recommended targets for LDL cholesterol…half were at optimal levels” </li></ul><ul><li>“ HDL cholesterol levels have dropped in patients hospitalized for heart attack over the past few years, possibly due to increasing rates of obesity, insulin resistance and diabetes.” </li></ul><ul><li>American Heart Journal, Jan 2009 </li></ul>
  9. 9. Promoting Heart Health Hormone Optimization Regular Exercise Stress Reduction Good Nutrition and high quality supplements
  10. 10. Nutrition <ul><li>Mediterranean diet has consistently been shown to reduce the incidence of heart disease, cancers and overall mortality </li></ul><ul><li>Avoid highly processed carbohydrates, artificial sweeteners and hydrogenated oils </li></ul><ul><li>Optimal ratio: 40% carbohydrates, 30% protein and 30% healthy fats </li></ul><ul><li>Drink a lot of water </li></ul>
  11. 11. Vitamin D3 <ul><li>62 percent higher risk of a cardiovascular event [was noted] in participants with low levels of vitamin D compared to those with higher levels. </li></ul><ul><li>“ Vitamin D deficiency is associated with increased cardiovascular risk, above and beyond established cardiovascular risk factors”   </li></ul><ul><li>Framingham Heart Study researchers reported in Circulation: The Journal of The American Heart Association, Jan 2008 </li></ul>
  12. 12. Fish Oil <ul><li>“… tremendous and compelling evidence from very large studies…demonstrate the protective benefits of omega-3 fish oil in multiple aspects of preventive cardiology” </li></ul><ul><li>Carl Lavie, MD, Journal of the American College of Cardiology, August 2009 </li></ul>
  13. 13. Co-enzyme Q-10 <ul><li>Powerful antioxidant and free radical scavenger </li></ul><ul><li>Essential for muscular energy production </li></ul><ul><li>Levels found deficient in heart failure </li></ul><ul><li>Statin drugs cause a depletion </li></ul><ul><li>Independent predictor of CV mortality </li></ul><ul><li>Journal of the American College of Cardiology, Dec. 2008 </li></ul>
  14. 15. Exercise <ul><li>Resistance training reduces body fat, increases bone density and muscle mass, reduces the potential for injuries and falls, and improves body appearance. </li></ul><ul><li>Aerobic exercise results in improved endurance and conditioning that is associated with greater life expectancy and lowered health risks. </li></ul><ul><li>Greater flexibility reduces the risk of injury, can help alleviate low back pain, reduce stress, improve balance and grace. </li></ul>
  15. 16. Resistance Exercise <ul><li>Prevents Sarcopenia : insidious, age-related loss of muscle mass and strength in otherwise healthy adults </li></ul><ul><li>Largest loss of muscle mass occurs from age 50 to 75 </li></ul><ul><li>Average American gains 1 lb of fat every year between ages 30 to 60, and loses ½ lb of muscle </li></ul>
  16. 17. Mortality & Muscular Strength <ul><li>“Men with low muscular strength had a 60% higher cardiovascular risk and mortality rate” </li></ul><ul><li>American College of Sports Medicine, 2008 </li></ul>
  17. 18. Aerobic Exercise <ul><li>Maximal oxygen intake decreases 10-15% per decade after age 20 </li></ul><ul><li>an accumulation of body fat and a decrease in habitual physical activity accounts for about half of the age-related decrease </li></ul>
  18. 19. Mortality & Aerobic Fitness <ul><li>“ Better cardiorespiratory fitness was associated with lower risk of all-cause mortality, coronary heart disease and cardiovascular disease.” </li></ul><ul><li>Kodama, S., et al. Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women, JAMA. 2009;301(19):2024-2035. </li></ul>
  19. 20. Assessing Aerobic Capacity <ul><li>Same sophisticated metabolic measuring equipment used to test professional athletes and NASA astronauts </li></ul><ul><li>Measures VO2 max, or oxygen consumption during exercise, to determine: </li></ul><ul><ul><ul><li>Effect of body weight on energy </li></ul></ul></ul><ul><ul><ul><li>Capacity of lungs to move air (respiratory exchange ratio) </li></ul></ul></ul><ul><ul><ul><li>Ability of the heart to transport oxygen (O2 pulse) </li></ul></ul></ul><ul><ul><ul><li>Ability of muscles to generate work (watts) </li></ul></ul></ul><ul><ul><ul><li>Optimal training heart rate range (anaerobic threshold) </li></ul></ul></ul>
  20. 21. Aerobic Capacity <ul><li>Peak VO2 values during exercise can stratify prognosis in patients with heart failure and coronary artery disease </li></ul><ul><li>O2 pulse (oxygen consumed per heart beat) provides an additional means for determining prognosis in heart disease patients </li></ul><ul><li>Can identify sub-clinical heart disease </li></ul>
  21. 22. Fountain of Youth <ul><li>Deterioration in aerobic fitness may result in a loss of independence in later life </li></ul><ul><li>A regular, progressive exercise program can slow or reverse the loss of aerobic power and prolong independence </li></ul>
  22. 23. Effect of excess body fat <ul><li>Weight: 186 lbs or 84.5 kg Ideal weight: 136 lbs or 61.8 kg </li></ul><ul><li>VO2 in ml/kg/min: 22.3 </li></ul><ul><li>Volume of oxygen moved per minute: 1.89L or 1890 ml </li></ul><ul><li>Divided by ideal weight, adjusted VO2 : 1890/61.8 = 30.6 </li></ul><ul><li>Current VO2 divided by adjusted or ideal VO2: 22.3/30.6 = 0.73 </li></ul><ul><li>27% of oxygen consumption is going to support fat that has no ability to use oxygen. Oxygen is only used by muscles and organs. 27% of fuel is wasted. </li></ul>
  23. 24. Effect of excess body fat <ul><li>Heart rate: 80 beats per minute </li></ul><ul><li>60 x 80 = 4800 beats per hour </li></ul><ul><li>4800 x 24 = 115,200 beats per day </li></ul><ul><li>115,200 x 27% = 31,104 wasted heartbeats per day </li></ul><ul><li>31,104 x 365 = 11,352,960 wasted heartbeats/ year </li></ul>
  24. 25. Hormone Balance <ul><li>Mounting scientific evidence favors a balanced endocrine system for optimal heart health, bone health, sexual health, body composition, and cognitive function. </li></ul>
  25. 26. Hormone Balance (men) <ul><li>Low testosterone concentrations were associated with increased mortality due to cardiovascular disease, cancer and all causes. </li></ul><ul><li>Circulation : Journal of the American Heart Association, 2007 </li></ul><ul><li>Risk of cardiovascular events was double for men with ED; and in a range similar to current smokers or those with family history of CV disease. </li></ul><ul><li> Thompson IM, Tangen CM, Goodman PJ, et al. Erectile dysfunction and subsequent cardiovascular disease. JAMA 2005; 294:2996-3002. </li></ul>
  26. 27. Hormone balance (women) <ul><li>The loss of natural estrogen as women age may contribute to the higher risk of heart disease after menopause. </li></ul><ul><li>American Heart Association </li></ul><ul><li>No significant increase in risk due to hormone therapy for any cardiovascular disease outcome in women in the first 10 years of menopause. </li></ul><ul><li>Re-analysis of Women’s Health Initiative (WHI) data, </li></ul><ul><li>Journal of the American Medical Association, 2007 </li></ul>
  27. 28. Summary <ul><li>Good nutrition: eating more fruits and vegetables reduces mortality risk </li></ul><ul><li>Exercise capacity: linked to healthy aging and an opportunity to live out your years with dignity and self-reliance </li></ul><ul><li>A balanced endocrine system: restores vitality and reduces risk of disease </li></ul>
  28. 29. The End