older adults revealed that those who grew up in areas with poorly rated schools had a higher risk for dementia. 

that included more than 2,000 men with prostate cancer, researchers observed that a diet featuring a high

intake of fruit, vegetables, and whole grains is associated with a 52% lower risk of cancer progression and a

53% reduced risk for recurrence. 

American Society of Clinical Oncology, February 2023

that eating a healthy diet (such as the MIND diet, Mediterranean diet, Alternative Healthy Eating Index, or Healthy

Eating Index) is associated with better performance on hearing tests, particularly at higher frequencies.

American Journal of Clinical Nutrition, March 2024

exercise can benefit cognitive function in adults with dementia, a recent study found that exergaming (a videogame

that requires physical movement) may be just as or even more effective at improving physical and cognitive health in

such individuals. 

Journal of Medical Internet Research, March 2023

of the central nervous system in which the immune system attacks the brain and spinal cord resulting in

symptoms such as numbness, tingling, mood changes, memory problems, pain, fatigue, blindness, and paralysis.

In a recent experiment that included mice prone to develop a disease analogous to MS in humans, researchers

observed that rodents given an omega-3 fatty acid supplement developed the disease later and with less severe

symptoms than the mice that continued their usual diet. 

Journal of Biological Chemistry, January 2023 

high-fat diet given a dietary supplement that included green, oolong, and black tea catechins—beneficial

compounds found in tea, cocoa, and berries—exhibited improvements in the composition of their gut

microbiome, as well as reduced systemic inflammation and fat accumulation in the liver. The findings suggest

that a catechins supplement may counter some of the negative effects of the Western-style diet.

Journal of the Science of Food and Agriculture, March 2023

called “gray divorces” in recent decades, with divorces among couples aged 50 and up now accounting for a

third of all divorces. A recent study found that while late-life divorce can affect the mental health of both men

and women in the following year, women are much more likely to continue experiencing poor mental health issues. 

BMJ, February 2024

Sources of Strength Australia project, researchers report that among adolescents, frequent worry, lack of sleep,

and anxiety that interferes with daily activities are risk factors for suicide ideation in the following 18 months.

Journal of Affective Disorders, April 2023

that a history of celiac disease is associated with up to a 60% elevated risk for heart disease, even among those

otherwise considered to be low risk for cardiovascular disease. Study author Dr. Megan Conroy adds, “The

increased risk could be due to inflammation in those with celiac disease as is seen in people with other

autoimmune diseases, or it is linked in some way to consuming a gluten-free diet; however, without further

research, we cannot say.” 

BMJ Medicine, January 2023

worse on assessments of cognitive function than those who sustained two or fewer concussions. Lead investigator Dr. Vanessa Raymont adds, “Our research indicates that people who have experienced three or more even mild episodes of concussion should be counseled on whether to continue high-risk activities. We should also encourage organizations operating in areas where head impact is more likely to consider how they can protect their athletes or employees.” 

Journal of Neurotrauma, January 2023

featuring several daily servings of fruit and vegetables is associated with a reduced risk for breast cancer, while

a high intake of alcohol is linked to an increased risk for the disease. 

Clinical Nutrition, March 2023

dangerous situations if they are unable to ensure the welfare of their pets. The authors of the study recommend

policy makers can improve outcomes for people in crisis by increasing the availability of pet-friendly shelters.

Anthrozoös, January 2024

shoulder stiffness, researchers observed that those who switched to a pillow with greater cervical spine support

experienced a reduction in their neck pain and related symptoms. Doctors of chiropractic can provide advice to

patients on the optimal pillow to support their neck during sleep.

Journal of Physical Therapy Science, February 2023

According to a recent study, the combination of moderate-to-severe depressive symptoms with obstructive sleep

apnea or insomnia symptoms is associated with worse functional disability in patients with chronic low back

pain. The finding highlights the importance of a holistic approach in treating patients with chronic low back

pain, including assessing and managing psychological and sleep issues in those demonstrating a decreased

ability to carry out activities of daily living. 

Healthcare (Basel), November 2023

higher risk for chronic neck pain, chronic low back pain, and migraines than individuals without the

inflammatory respiratory condition. 

Journal of Clinical Management, November 2023 

physical activity in your exercise regimen. Examples of unstructured physical activity include dancing; walking;

hiking; gardening; exploring nature; or any physical activity outside of organized sports, fitness classes, or

scheduled exercise routines. 

Northeastern University, January 2024

Preventive Medicine, January 2024

that causes a staph infection—who took a daily bacillus subtilis supplement experienced a 97% and 66% reduction

in staphylococcus aureus in the gut and nasal cavity, respectively. Future research will determine if the probiotic is

safe and effective for long-term use and if it can prevent a staph infection. 

Lancet Microbe, January 2023 

analysis of 500 randomly selected individuals who had been referred to an outpatient neurosurgery clinic for a

neurosurgical consultation revealed that 78.6% of the patients were not candidates for surgery.

Frontiers in Medicine, January 2024

investigate if residents are being falsely diagnosed with schizophrenia in an effort to sedate them. Experts note these

drugs can cause harmful side effects among frail seniors, including death. Health and Human Services Secretary

Xavier Becerra notes, “No nursing home resident should be improperly diagnosed with schizophrenia or given an

inappropriate antipsychotic… The steps we are taking today will help prevent these errors and give families peace of mind.” 

Associated Press, January 2023

Nutrients, November 2022 

than 900 women during pregnancy revealed that nearly half experienced pregnancy-related lumbopelvic pain,

with a quarter rating their pain as severe. Further analysis revealed the risk for lumbopelvic pain among

expectant mothers is higher in women who have previously given birth (especially if they had lumbopelvic pain

during one or more previous pregnancies) and those who gain excessive weight during pregnancy.

Women’s Health, January 2024

with chronic non-specific neck pain, those who received immediate treatment featuring manipulative therapy

(the primary form of treatment provided by doctors of chiropractic) experienced better outcomes with respect to

pain, disability, sleep, fatigue, and depression than patients who waited four to six weeks before receiving treatment. 

PM&R, December 2022

intensity physical activity during pregnancy is associated with 27% reduced risk for pre-term birth.

Journal of Maternal-Fetal & Neonatal Medicine, January 2023

Examination Survey, researchers report that a high intake of carbohydrates, protein, phosphorus, iron,

potassium, and sodium during childhood is linked to an increased risk for myopia, or nearsightedness.

Journal of Health, Population, and Nutrition, January 2024

analysis of federal health survey data concerning nearly 10,000 older adults found that the use of a hearing

aid can mitigate much of this risk. The finding highlights the importance of regular hearing checks for seniors. 

The Lancet Healthy Longevity, January 2024

cumulatively lifting more than 1,100 lbs. (~500 kg) a day is associated with an elevated risk for low back pain

and the risk increases substantially beyond the 11,000 lbs. (~5,000 kg) per day threshold.

Scandinavian Journal of Work, Environment and Health, November 2023

million Americans meet the criteria for cannabis-use disorder, cannabis use accounts for 10% of all drug-related

emergency room visits, and cannabis use may exacerbate several mental health disorders including depression,

anxiety, psychosis, schizophrenia, bipolar disorder, and post-traumatic stress disorder.

New England Journal of Medicine. December 2023

of psychological distress, including anxiety, depression, and post-traumatic stress disorder. The findings highlight

the necessity for strong support systems for family members caring for stroke survivors. 

Neurology, December 2023

mother consumed fewer than five servings of fruit and vegetables a day during pregnancy.

International Journal of Hygiene and Environmental Health, January 2024

40 years of age revealed that nearly three-quarters of those with either chronic neck or low back pain reported

tight hamstrings in one or both legs. The authors note that hamstring tightness can affect the biomechanics of

the spine, increasing the risk for disorders such as low back pain and neck pain.

Journal of Pakistan Medical Association, August 2023

that looked at long-term population data from Denmark, women with a history of both migraines and

gestational hypertension are nearly three times more likely to experience a major adverse cardiovascular and

cerebrovascular event before age 60. 

Neurology, January 2024

consumption and reduced breast cancer risk. Now, a recent study may have identified why this is the case.

Researchers found that a component of flaxseed called lignans can interact with the gut microbiota to alter the

expression of mammary gland microRNAs that regulate genes associated with some breast cancers.

Microbiology Spectrum, December 2023

Research Database, researchers report that men with a history of traumatic brain injury (TBI) have a 14%

increased risk for heart failure. Additionally, women under age 50 with a history of TBI have a 32% elevated

risk for coronary heart disease.

 PLoS One, December 2023

players experience elbow pain, possibly due to the repetitive stress of throwing a baseball using improper

technique and insufficient arm rest. Researchers add that young ballplayers are at elevated risk for issues in the

elbow region that include fluid build-up, stress injuries, fractures, and osteochondritis dissecans lesions.

Radiological Society of North America, November 2023

during either daytime or nighttime, the risk for cardiovascular disease increases by roughly four percent

over the following fourteen years. 

Environmental Health Perspectives, December 2023

vehicle exhaust fumes during rush-hour traffic leads to rises in blood pressure that can persist for up to 24

hours, potentially resulting in an elevated risk for cardiovascular disease.

Annals of Internal Medicine, November 2023

United States each year. Past research has shown that improving vitamin D status can benefit patients who are

under treatment for asthma. In a recent analysis, researchers estimate that vitamin D supplementation can

reduce the annual cost per patient for asthma-related healthcare services by nearly 20%.

Journal of Asthma, May 2023

vegetables contain molecules called aryl hydrocarbon receptor ligands that help protect the lining of the small

intestine. 

Laboratory Investigation, January 2023

recommends women begin breast cancer screening at age 40, undergoing mammograms every other year.

Journal of the American Medical Association, April 2024

commonly associated with stress, many people fail to recognize less obvious symptoms like loss of interest,

anxiety, and avoidance behaviors. If you find these behaviors interfere with daily life, consider stress

management with physical activity, relaxation techniques, and social interaction.

Baylor College of Medicine, April 2024

doctor of chiropractic were 68% less likely to receive a subsequent prescription for tramadol, a less potent

opioid, in the following year than patients who first received usual medical care. 

BMJ Open, May 2024

Myofascial pain syndrome is a chronic condition characterized by the presence of sensitive trigger points in the muscles, leading to pain, muscle stiffness, and tenderness. Among a group of 31 myofascial pain syndrome patients, researchers observed that soft tissue mobilization and myofascial release—both treatments that may be provided in a chiropractic setting—are effective for reducing pain, pain intensity, range of motion, and function.

Hong Kong Physiotherapy Journal, June 2024

Among a group of 42 patients with a recent whiplash injury, researchers observed that those with higher initial neck pain intensity and/or those who described their pain in more negative and exaggerated terms (pain catastrophizing) were more likely to experience persistent headaches six months later.

Clinical Journal of Pain, June 2024

Northwestern University Feinberg School of Medicine researchers examined nearly 1,700 children with skin ailments like acne, psoriasis, eczema, vitiligo, and alopecia and found that nearly 3 in 4 experienced severe stigma associated with their skin condition, leading to an increased risk for being a victim of bullies as well as a lower quality of life.

JAMA Dermatology, April 2024

According to a recent study, higher performance in cardiovascular activities, strength, and muscular endurance is linked to a reduced risk for symptoms associated with depression, anxiety, and attention-deficit/hyperactivity disorder in children and teens.

JAMA Pediatrics, April 2024

For individuals with reduced ankle dorsiflexion following a lower limb injury, a recent study found that ankle joint mobilization and calf muscle massage are effective interventions for improving ankle range of motion. Doctors of chiropractic are trained in the use of these and other therapies in the management of musculoskeletal disorders of the extremities, including the ankle and foot.

Journal of Bodyworks and Movement Therapies, January 2024

Using data from the Cohort of Swedish Men and the Swedish Mammography Cohort studies, researchers found that current smokers have a 42% elevated risk for pneumonia and a 70% higher risk for dying from the disease than never smokers. The research team adds that the risk is even greater for heavy smokers and those with a longer history of smoking.

PLoS One, May 2024

This case study involved a 55-year-old female with trigeminal neuralgia that failed to respond to conventional treatment. A chiropractic examination revealed joint dysfunction at several levels of the cervical and thoracic spine, as well as trigger points in the trapezius and levator scapulae muscles. The patient underwent a multimodal treatment plan that included spinal manipulative therapy, mechanical cervical traction, and focused radial shockwave therapy that led to a significant reduction in her symptoms that maintained at a six-month follow-up appointment. The authors conclude, “The lasting nature of the pain reduction provides a compelling argument for the long-term benefits of chiropractic intervention in the management of [trigeminal neuralgia].”

Cureus, February 2024

In a recent case study, researchers observed that addressing vitamin B12 deficiency resolved cervical radiculopathy symptoms in a young male patient. While vitamin B12 deficiency is rare in the developed world, the authors of the study note that its incidence may increase as more people adopt a vegan diet.

BMJ Case Reports, April 2024

New research suggests that office employees who use a standing or treadmill desk exhibit superior brain function and reasoning skills while standing, stepping, or walking during work tasks than when seated at a traditional desk.

Journal of the American Heart Association, April 2024

A study that monitored more than 550 pre-teens found that those whose overall fitness declined during the three-year study were least likely to engage in activities that are important for strengthening their bones. The findings are especially important because poor bone health in childhood may set the stage for conditions like osteoporosis later in life.

Journal of Science and Medicine in Sport, February 2024

Questionnaires completed by 1,173 young adults revealed an association between taking vitamins and other dietary supplements and lower scores on a standard assessment used to measure depressive symptoms. The findings suggest that addressing nutrient deficiencies may reduce depressive symptoms.

Cureus, March 2024

The Mediterranean diet is an eating pattern focused on fruit, vegetables, nuts, fish, olive oil, and whole grains while avoiding red and processed meats, dairy, saturated fats, and refined sugars. A recent study found that greater adherence to the Mediterranean diet is associated with improved mental health and gastrointestinal symptoms in patients with irritable bowel syndrome (IBS). The results are surprising as it’s generally thought that legumes and whole grains can exacerbate IBS symptoms.

Alimentary Pharmacology & Therapeutics, November 2023

According to a recent systematic review that included twelve studies, a high intake of artificial sweeteners is associated with an elevated risk for stroke, particularly ischemic stroke. While the nature of this relationship is not yet understood, the findings suggest that reducing one’s artificial sweetener consumption may benefit cardiovascular health.

Current Nutrition Reports, April 2024

In a sample of 180 women whom researchers monitored throughout pregnancy, 75% experienced pregnancy-related low back pain. Further analysis revealed an association between higher fitness, particularly stronger back and leg muscles, and a reduced risk for low back pain.

PLoS One, December 2023

A silent heart attack is a myocardial infarction that occurs without the usual symptoms like crushing chest pain, shortness of breath, and cold sweats. In most cases, an individual may not notice they had a heart attack and it’s only detected during a future examination. In a recent study, researchers observed an association with lead exposure (based on blood testing) and an increased risk for silent heart attacks. The authors conclude, “These results underscore the significance of the ongoing efforts to mitigate lead exposure and implement screening strategies for silent myocardial infarction in high-risk populations.”

Journal of Clinical Medicine, March 2024

An analysis of admissions data from 48 hospitals revealed that 12% of patients treated with a full course of antibiotics for community acquired pneumonia did not meet the diagnostic criteria for the condition (fewer than two signs or symptoms and/or negative chest imaging). The researchers point out the risk for inappropriate and potentially harmful treatment is greatest for older patients, those with dementia, and those with altered mental status.

JAMA Internal Medicine, March 2024

Among a group of 349 pre-hypertensive adults, those who practiced tai chi for one year experienced greater improvement in their blood pressure and were less likely to progress to hypertension than participants in an aerobic exercise group.

JAMA Network Open, February 2024

In a study that included 527 patients with concurrent cervical myelopathy (compression of spinal cord at neck with resulting neurological symptoms) and low back pain, researchers observed that treatment to address the patients’ cervical myelopathy resulted in clinically important improvements in low back pain in nearly half the patients. The findings highlight the importance of examining the whole patient as dysfunction elsewhere in the body may contribute to the patient’s chief complaint, something doctors of chiropractic are trained to do when assessing a patient.

Clinical Spine Surgery, January 2024

The Mediterranean diet is an eating pattern focused on fruit, vegetables, nuts, fish, olive oil, and whole grains while avoiding red and processed meats, dairy, saturated fats, and refined sugars. A recent study that included 150 older adults revealed an association between greater adherence to the Mediterranean diet and better performance on cognitive assessments.

Nutrition Neuroscience, March 2024

According to a recent study, grief can manifest in the body as low-grade inflammation, increased sensitivity to pain, and disruption to the gut microbiome—all of which may hinder the immune system and increase the risk for illness.

University of California, Los Angeles, February 2024

University of Limerick and Iowa State University researchers report that resistance training may have a role to play in managing anxiety and depressive symptoms, though more research is needed to better understand the underlying mechanisms as well as what dosage may yield optimal benefits.

Trends in Molecular Medicine, February 2024

Cervicogenic headache is a type of headache that occurs when dysfunction in the neck compresses or restricts the trigeminal nerve, resulting in a mild-to-moderate headache characterized by nausea, vomiting, photophobia, phonophobia, autonomic symptoms, and dizziness. Because these symptoms can overlap with migraine, it’s often misdiagnosed. Doctors of chiropractic frequently manage cervicogenic headache patients using a multimodal approach that includes manual therapies, modalities, and neck-specific exercises.

Best Practice & Research. Clinical Rheumatology, February 2024

Following an analysis of data from two Scandinavian birth cohorts, researchers report that eating a diet rich in fish and vegetables and low in sugar-sweetened drinks at age one can reduce the risk for inflammatory bowel disease before age 21 by up to 25%.

Gut, January 2024

In addition to being a fun social activity, a meta-analysis of ten studies found that dancing can help an individual lose weight, tone their muscles, and improve their coordination and balance.

PLOS ONE, January 2024

Using data from the 2014 and 2020 European Health Interview Surveys for Spain, researchers report that asthma sufferers have a higher risk for chronic neck pain, chronic low back pain, and migraines than individuals without the inflammatory respiratory condition.

Journal of Clinical Management, November 2023

Frailty is a condition characterized by weakness, slowness, physical inactivity, self-reported exhaustion, and unintentional weight loss that is associated with an increased risk for poor health outcomes. A recent study found that frailty has a bi-directional relationship with chronic neck/shoulder pain, stomach/abdominal pain, back pain, hip pain, and knee pain, as well as chronic pain in multiple sites.

Age and Ageing, January 2024

A systematic review that included 16 studies found that corrective postural exercises and manual therapies are effective interventions for improving pain and disability in patients with chronic neck pain associated with forward head posture. Doctors of chiropractic often use a combination of manual therapies and specific exercises when managing patients with chronic neck pain.

HealthCare (Basil), December 2023

Researchers from the University of Jyväskylä report that individuals with low cardiorespiratory fitness during adolescence have an elevated risk for diabetes, hypertension, and coronary heart disease in middle and old age.

Scandinavian Journal of Medicine & Science in Sports, October 2023

With the aid of three-dimensional computed tomography (CT) and magnetic resonance imaging (MRI), researchers assessed 181 individuals under 40 years of age and identified the following risk factors for chronic low back pain in this age group: higher body mass index; fat infiltration into the multifidus at the L4-5 level; increased lumbar lordosis; and lumbar disk degeneration.

Journal of Pain Research, September 2023

Texas A&M University researchers note that alcohol can affect sperm quality, reducing the risk for conception and increasing the risk for potential birth defects if pregnancy is achieved. Because these effects can persist during withdrawal, the research team recommends men wishing to become fathers abstain from alcohol for at least three months.

Andrology, December 2023

It’s estimated that more than 16 million Americans meet the criteria for cannabis-use disorder, cannabis use accounts for 10% of all drug-related emergency room visits, and cannabis use may exacerbate several mental health disorders including depression, anxiety, psychosis, schizophrenia, bipolar disorder, and post-traumatic stress disorder.

New England Journal of Medicine. December 2023

Lumbar spondylolysis is defined as a defect or stress fracture in a lumbar vertebra. A meta-analysis of data from nine studies found that upward of 41.7% of athletes with low back pain have lumbar spondylolysis—a prevalence significantly higher than the general population. Doctors of chiropractic often manage lumbar spondylolysis with a combination of manual therapies, physiotherapy modalities, and specific exercises.

Medicine (Baltimore), September 2023

Questionnaires completed by nearly 1,500 expectant mothers revealed that low fitness before and during pregnancy is associated with an elevated risk for back pain and pelvic pain during pregnancy. Doctors of chiropractic commonly manage pregnancy-related musculoskeletal pain with a combination of manual therapies and at-home exercises.

Scandinavian Journal of Obstetrics and Gynecology, October 2023

According to a recent study that monitored 142 children until 18 months of age, those fed fish at least once a week after starting solid foods had a healthier gut microbiome as well as a lower risk for neurodevelopmental delays.

Microorganisms, December 2023

An analysis of global datasets suggests that poor work ergonomics may contribute to more than 126 million cases of low back pain each year, leading to $216.1 billion in productivity losses and $47 billion in healthcare costs.

Scandinavian Journal of Work, Environment & Health, October 2023

Past research has identified an association between flaxseed consumption and reduced breast cancer risk. Now, a recent study may have identified why this is the case. Researchers found that a component of flaxseed called lignans can interact with the gut microbiota to alter the expression of mammary gland microRNAs that regulate genes associated with some breast cancers.

Microbiology Spectrum, December 2023

New research suggests that between 20-40% of youth baseball players experience elbow pain, possibly due to the repetitive stress of throwing a baseball using improper technique and insufficient arm rest. Researchers add that young ballplayers are at elevated risk for issues in the elbow region that include fluid build-up, stress injuries, fractures, and osteochondritis dissecans lesions.

Radiological Society of North America, November 2023

According to a recent study, there’s an association between frequent alcohol consumption and an elevated risk for low back pain. On the other hand, regular tea drinkers are less likely to develop low back pain.

European Spine Journal, November 2023

According to a recent study, children born to women who take a vitamin D supplement during pregnancy are 50% less likely to experience asthma or wheezing. The findings suggest that pregnant women and women looking to become pregnant should have their vitamin D levels assessed and they should discuss strategies for improving their vitamin D status with their healthcare provider.

Journal of Allergy and Clinical Immunology, October 2023

A literature review that included 96 studies found that alcohol impairs mitochondrial function and extracellular matrix remodeling, which can have detrimental effects on skeletal muscle mass and function in individuals with a long-term history of alcohol abuse.

Alcohol Research, November 2023

Using data from six cohort studies, researchers estimate that women who develop a hypertensive disorder during pregnancy may be up to 66% more likely to receive a dementia diagnosis later in life.

Hypertension Research, December 2023

New research suggests that exercise-induced muscle inflammation activates specialized immune cells to counter inflammation, called Tregs, which enhance muscle energy use and endurance, especially among frequent exercisers.

Science Immunology, November 2023

According to a pair of recent studies, regular marijuana use among older adults is associated with a 20% increased risk for heart attack, stroke, and heart failure, and the risk is nearly double among daily users.

American Heart Association, November 2023

The 10-20-30 training method is characterized by jogging for 30 seconds, then running at regular pace for 20 seconds, and then sprinting for 10 seconds, repeating the process up to 15 times. In a recent experiment involving 19 runners, researchers observed that participants who ran at 80% capacity during the sprinting phase experienced better improvement in their running performance.

Scandinavian Journal of Medicine & Science in Sports, September 2023

Not only does consuming produce provide gut microbes with nutrients that in turn benefit our overall health and wellbeing, but a recent study found that fruit and vegetables are also vectors for introducing friendly bacteria into the gut.

Gut Microbes, October 2023

According to a recent study, consuming a high-protein drink following exercise reduces both post-exercise appetite and late-night snacking.

Physiology & Behavior, November 2023

A study that included 141 depression and/or anxiety patients found that both antidepressants and running therapy offer similar benefits for mental health. However, running also leads to physical health improvements like weight loss, lower blood pressure, and better heart function—all of which tend to worsen with antidepressant use.

Journal of Affective Disorders, May 2023

Osteoarthritis is the most common form of arthritis and is characterized by the slow breakdown of the cartilage within joints, leading to swelling, stiffness, and pain that tends to worsen with time. According to the Global Burden of Disease Study, 595 million adults had osteoarthritis in one or more body sites in 2020, and the total number of osteoarthritis patients is expected to top one billion by 2050.

Lancet Rheumatology, August 2023

A review of MRI scans of 118 female nurses, half with a history of chronic low back pain, revealed an association between fat infiltration—a sign of deconditioning—in the lumbar extensor muscles and chronic low back pain. Doctors of chiropractic frequently incorporate core strengthening muscles into a multimodal treatment plan for patients with chronic low back pain.

Discovery Medicine, June 2023

A lumbosacral transitional vertebra (LSTV) is a congenital anomaly that occurs when part of the last lumbar vertebra fuses to the sacrum to some degree. A review of 4,816 medical files of patients with low back pain treated at a single facility revealed that 8.1% had an LSTV. Doctors of chiropractic are trained to detect these radiographic findings and provide treatments to manage low back pain in patients with LSTV.

Journal of Craniovertebral Junction and Spine, March 2023

A systematic review that included 14 studies found that patients who undergo primary hip arthroscopy for femoroacetabular impingement syndrome experience less favorable outcomes if they also have a low back pathology. Chiropractic care to address co-occurring low back pain could benefit patients in need of hip surgery.

Arthroscopy, May 2023

Emulsifiers are commonly used in processed foods to improve texture and shelf life. In a recent study, researchers observed that a high intake of emulsifiers is associated with an elevated risk for cardiovascular disease, including coronary heart disease and cerebrovascular disease.

BMJ, September 2023

Soil samples collected from parks and playgrounds built over former waste incinerator sites throughout the United States and Canada revealed lead levels that exceed (up to five times higher in some samples) current safety standards. The findings call for an urgent need to test and monitor similar sites and take measures to address lead contamination as it can have serious effects on child development.

Environmental Science & Technology Letters, September 2023

Among a group of 320 school children, those who attended weekly nutrition education classes for twelve weeks improved their intake of fruit and vegetables and reduced their consumption of sugary drinks.

Public Health Nutrition, October 2023

A systematic review that included 18 studies found that motor control exercises may outperform other types of exercise for reducing disability in patients with chronic low back pain.

Clinical Journal of Sports Medicine, July 2023

A study that monitored 88 office workers for four weeks found that reduced cervical range of motion and greater sensitivity to painful stimuli in the neck muscles are associated with greater headache frequency, intensity, and disability. Several studies have shown that care to improve function in the neck, such as chiropractic care, can benefit patients with headaches of several types.

Musculoskeletal Science & Practice, June 2023

Examinations of 148 adults, half with neck pain, revealed an association between higher thoracic kyphosis (rounding of the mid back) and neck pain. Doctors of chiropractic routinely assess posture and employ passive and active strategies for addressing postural faults that may contribute to the patient’s chief complaint.

Journal of the Pakistan Medical Association, April 2023

According to a study that compared the brains of teenaged smokers and non-smokers, those who started smoking by age 14 were more likely to exhibit reduced gray matter in the areas of the brain associated with decision making, compliance to rules, and pleasure seeking.

Nature Communications, August 2023

Texas A&M University researchers report there exists an association between higher levels of cotinine—a nicotine byproduct indicating secondhand smoke exposure—and elevated levels of lead in blood samples collected from more than 2,800 children. The research team notes that even low-level lead exposure can harm a child’s development.

Texas A&M University, July 2023

An analysis of computer activity and typing accuracy data collected from 789 employees over the course of two years revealed that productivity falls and the frequency of typos increases on Fridays. The findings suggest that stress and exhaustion may affect employee performance at the end of the week, and a compressed workweek or hybrid schedule may ultimately improve employee performance.

PLOS ONE, August 2023

Among a group of 60 pregnant women with low back pain, those who participated in an eight-week intervention focused on muscle contractions and stretches primarily involving the lower back reported lower levels of low back pain than expectant mothers who maintained their usual activities.

American Journal of Obstetrics & Gynecology, July 2023

Questionnaires completed by 295 migraine headache patients revealed that 51.9% experience neck pain, which is associated with increased headache frequency. Past research has shown that using chiropractic care to address musculoskeletal disorders of the neck can reduce the frequency, intensity, and duration of many forms of headache, including migraines.

Journal of Clinical Medicine, June 2023

Examinations of 40 women with non-specific low back pain and 32 with no history of low back pain revealed an association between reduced pelvic muscle strength and both low back pain and disability. The findings suggest that pelvic floor muscle strength should be evaluated in women with non-specific low back pain.

International Urogynecology Journal, July 2023

A literature review that included 26 studies found that headaches are a common complaint after whiplash injury and are associated with higher levels of disability. Doctors of chiropractic are trained in the evaluation and management of patients with whiplash injuries, including whiplash-associated headaches.

Musculoskeletal Science & Practice, June 2023

For adults without a history of stroke or heart attack, a recent study found that taking a daily low-dose aspirin does not lower the risk for a first-time adverse cardiovascular event; however, this practice may increase the risk for bleeding in the brain by up to 38%. These findings align with recent guideline changes that aspirin is not indicated for preventing first-time strokes or heart attacks in many otherwise healthy individuals.

JAMA Network Open, July 2023

The lumbar multifidus muscles are important for stabilizing the lumbar spine. Examinations of 875 low back pain patients revealed an association between stronger lumbar multifidus muscles and lower levels of low back pain-related disability and leg pain intensity. Doctors of chiropractic often recommend low back pain patients exercise to strengthen the core muscles to aid in their recovery, as well as reduce the risk for a future episode.

PloS One, June 2023

For patients with carpal tunnel syndrome (CTS), a new study found that adding mobilization with movement technique—a type of manual therapy provided by doctors of chiropractic—to a conservative treatment plan resulted in better improvements with respect to pain and function.

Journal of Hand Therapy, August 2023

This case report involves a 67-year-old male military veteran with a multi-decade history of chronic low back pain that radiated into the lower right leg. Following four treatments of low-velocity flexion-distraction technique—a manual therapy provided by doctors of chiropractic—the patient reported increased mobility and he was able to reduce his pain medication use.

Journal of Chiropractic Medicine, June 2023

A survey of 121 chiropractic patients revealed that more than 90% either fully or partially complied with their doctor’s recommendations for at-home care, which often include stretching and other exercises to aid in the recovery process.

Journal of Chiropractic Medicine, June 2023

In a recent animal study, researchers observed that in-utero exposure to THC, the main psychoactive compound in cannabis, resulted in changes in gene regulation and expression that resemble those associated with neurobehavioral conditions like autism spectrum disorder. The findings emphasize the potential health risks associated with cannabis use during pregnancy and the need for better understanding and communication of these risks to support safer habits during this critical period of fetal development.

Clinical Epigenetics, July 2023

This case study involved a 48-year-old male with an eight-month history of difficulty swallowing that did not respond to conventional medical care. Following treatment that included spinal manipulative therapy, instrument-assisted soft tissue manipulation, and mechanical traction—all of which may be provided in a chiropractic setting—to address postural abnormalities in the neck and upper back, the patient reported a complete resolution of his dysphagia symptoms. While further research is necessary, the findings suggest that dysphagia patients who don’t respond to usual care may benefit from a trial of chiropractic treatment.

Journal of Medicine and Life, May 2023

In a recent animal study, researchers observed that mice prone to develop Alzheimer's disease experienced a reduction in stress chemical and beta-amyloid plaque build-up in the brain following four weeks of the equivalent of resistance training in humans.

Frontiers in Neuroscience, April 2023

Examinations of 41 chronic low back pain patients revealed that those with a pelvic tilt imbalance exhibited abnormal movement of the hip joint and higher disability scores. Doctors of chiropractic routinely evaluate pelvic orientation in low back pain patients and formulate treatment plans accordingly.

Healthcare, March 2023

Cervicogenic headache is defined as a headache caused by a cervical spine disorder. Examinations of 18 cervicogenic headache patients and 18 adults without a history of headache revealed that cervicogenic headache patients are more likely to exhibit abnormal thoracic spine posture.

Physiotherapy Theory and Practice, July 2023

In a recent experiment that included 100 patients with mid-back pain, those who received eight treatments that included a combination of thoracic spinal manipulative therapy and therapeutic exercises experienced better outcomes than participants in a therapeutic exercise-only group. Doctors of chiropractic often utilize a multimodal treatment approach when managing mid-back pain that includes manipulative therapy and exercises.

Biomed Research International, April 2023

Among a group of 48 women with low back pain, researchers observed that including manual therapy in a multimodal treatment approach led to better outcomes with respect pain, disability, and mobility. Doctors of chiropractic often utilize one or more manual therapies as part of a multimodal approach to manage musculoskeletal disorders, including low back pain.

Malaysian Journal of Medical Science, June 2023

Frailty is a condition characterized by weakness, slowness, physical inactivity, self-reported exhaustion, and unintentional weight loss that is associated with an increased risk for poor health outcomes. A recent analysis of data from the UK Biobank study identified an association between increased alcohol intake and reduced muscle mass, which raises the risk for frailty in old age.

Calcified Tissue International, May 2023

Using activity tracker data concerning participants in the UK Biobank study, researchers observed that those with Parkinson’s disease exhibited altered movement characteristics up to seven years before diagnosis.

Nature Medicine, July 2023

According to a recent meta-analysis, eggs may be associated with the following benefits: a good source of choline, folate, vitamin D, iodine, B vitamins, and high-quality protein; increased muscle protein synthesis; a lower risk for cardiovascular disease; and increased satiety when included in a meal.

Nutrients, June 2023

Scientists report that a floating mass of sargassum seaweed is on course for Florida’s coastline, which can release toxic gases like ammonia and hydrogen sulfide as it decomposes. Health officials advise beachgoers to leave the area if they smell ammonia or rotten eggs, especially those with respiratory conditions that can be exacerbated by these gases at higher concentrations.

Baylor College of Medicine, May 2023

According to a recent study, kids who perform volunteer work in their community experience benefits that include better physical health, a positive outlook on life, and lower rates of anxiety, depression, and behavioral problems.

JAMA Network Open, May 2023

Examinations of 100 women with or without neck pain and/or migraines revealed that those with migraines (even those without concurrent neck pain) exhibited similar poor cervical muscle performance as participants with neck pain and no history of migraines. Past studies have demonstrated that addressing cervical dysfunction—with chiropractic treatment, for example—can help to reduce migraine frequency, duration, and intensity.

Musculoskeletal Science & Practice, May 2023

Questionnaires completed by more than 1,500 adolescents revealed that e-cigarette users were more likely than non-nicotine users to both use cannabis and engage in multiple episodes of binge drinking in the previous month. The findings highlight the need for interventions that address vaping, cannabis use, and binge drinking simultaneously in the teenage population.

Substance Use and Misuse, May 2023

Proprioception is the body's ability to sense where its various parts are in relation to one another for purposes of movement and balance. In a recent experiment, researchers observed that patients with either chronic neck or low back pain exhibited altered joint position sense, a means of assessing proprioceptive accuracy. Treatment to restore proper joint motion in the cervical and lumbar spine, such as therapies provided by doctors of chiropractic, can help to improve proprioception as well as reduce pain and disability.

Archives of Physical Medicine and Rehabilitation, March 2023

Hypertrophic cardiomyopathy (HCM) is a rare inherited heart disorder that causes the heart muscle to thicken and enlarge. A recent study concluded that vigorous exercise is not linked to an elevated risk for adverse cardiac events in HCM patients, suggesting that universal restrictions on exercise for individuals with HCM may not be warranted. Rather, patients should consult with their doctor to assess their risk and make an informed decision on exercise intensity and frequency.

JAMA Network, May 2023

Examinations of 120 older adults (half with chronic neck pain) revealed that chronic neck pain is associated with both reduced functional balance and cervical proprioception—the body's ability to sense where its various parts are in relation to one another for purposes of movement and balance.

Journal of Clinical Medicine, April 2023

Schizophrenia is described as a serious mental health condition that can involve hallucinations or delusions and symptoms of a mood disorder—such as mania and depression—that typically manifest in early adulthood. According to a study that monitored more than 6.9 million Danes from age 16 to 49, the data suggest that heavy cannabis use before age 30 may account for about 30% of schizophrenia cases in men.

Psychological Medicine, May 2023

Babies born at a weight considered large for their gestational age are at an increased risk for several poor near-term outcomes including neonatal intensive care admission, respiratory issues, metabolic issues, and neonatal death. Among a group of 3,245 women who gave birth to two children (singleton pregnancies) between 2011 and 2014, those with a normal pre-pregnancy weight who were heavier during their second pregnancy were 69% more likely to give birth to a baby large for their gestational age.

Journal of Maternal-Fetal & Neonatal Medicine, May 2023

Between 1999 and 2019, the rate of hip fracture among older adults in Norway fell by 27%. An analysis of available data suggests that 11% of this reduction is attributable to a 50% decline in smoking among Norwegian adults.

The Lancet Regional Health – Europe, July 2023

Using data from the National Highway Traffic Safety Administration's Fatality Analysis Reporting System, researchers report that when a collision occurs between two moving vehicles, 42% of at-fault drivers are under the influence of alcohol, cannabinoids, stimulants, narcotics, depressants, or hallucinogens.

Traffic Injury Prevention, April 2023

Fitness guidelines recommend high school-aged children to engage in at least one hour of physical activity a day; however, a recent study found that less than a quarter of late adolescents meet this recommendation.

Morbidity and Mortality Weekly Report, April 2023

In a recent experiment featuring patients with neck pain and trigger points in the upper trapezius muscles, researchers observed that addressing such trigger points led to improvements in neck pain intensity, function, and pain sensitivity. Doctors of chiropractic are trained in the application of several therapies for trigger point management.

Journal of Manual & Manipulative Therapy, March 2023

Myofascial release is a hands-on treatment in which a doctor of chiropractic applies pressure with their hands, elbow, or a tool to stretch the muscles to knead out trigger points or adhesions that may inhibit the ability of the muscles to slide against one another during normal movements. In a recent study, 36 patients with clinical anxiety received either four weekly myofascial release treatments or four weekly sham treatments. Follow-up appointments one, four, and six weeks later revealed that participants in the myofascial release group had lower scores on an assessment used to measure clinical anxiety. The results suggest that myofascial release may benefit patients under care for anxiety disorder.

Complementary Therapies in Clinical Practice, May 2023

A retrospective study that included 300 patients with neck pain and/or temporomandibular joint pain identified an association between higher levels of neck pain and a risk for tension-type headache, while higher levels of both neck and jaw pain are more closely linked to migraines. Chiropractic care has been demonstrated to be an effective intervention for these various conditions.

Acta Odontologica Scandinavica, March 2023

Three dimensional kinematic assessments of 22 adults with various heel lifts in one shoe (5mm, 9mm, and 12mm) revealed that even a slight difference in leg length can affect the orientation of the pelvis, which may contribute to musculoskeletal disorders of the low back, hip, and knee. Doctors of chiropractic routinely check leg length when examining a patient with spinal pain or pain in the extremities.

BMJ Musculoskeletal Disorders, March 2023

Researchers report that 1 in 6 preschoolers with autism spectrum disorder have been expelled from their daycare program, likely because preschool teachers lack training to recognize behaviors common to autistic children that are misinterpreted as general disruptive behavior. The research team recommends that young children at risk of removal from their daycare program should be screened for autism spectrum disorder so that appropriate services and support can be provided to allow them to stay in class with their friends.

Exceptional Children, January 2023

A systematic review that included 17 randomized clinical trials concluded that spinal manipulative therapy—the primary form of treatment provided by doctors of chiropractic—is an effective intervention for reducing pain and disability in patients with chronic neck pain.

Complementary Therapies in Clinical Practice, April 2023

New research suggests that forward pelvic tilt is associated with an increased risk for both low back pain and osteoarthritis of the knee. Doctors of chiropractic routinely use manual therapies and specific exercises to address postural defects, including anterior pelvic tilt.

Systematic Reviews, March 2023

To keep infants safe at night, the Baylor College of Medicine recommends placing the child on their back in a crib that has a firm pad without soft items like blankets, toys, and bumpers.

Baylor College of Medicine, March 2023

As one option to build and maintain strong core muscles, the Mayo Clinic recommends trying yoga or Pilates, which can also improve balance and flexibility.

Mayo Clinic, April 2023

A review of health histories of 2,000 chronic low back pain patients revealed that the condition is associated with poorer physical function, more activity limitations, more depressive symptoms, and lower health-related quality of life. The findings highlight the importance of managing low back pain—chiropractic care is an excellent choice—in the acute and subacute states to prevent it from progressing to chronic low back pain.

Scientific Reports, November 2022

Among a group of 36 stroke survivors, researchers observed that adding talocrural manual therapy to improve foot/ankle mobility to a stroke rehabilitation program led to greater improvements in walking speed, balance, mobility, dual-task mobility, and quality of life. Doctors of chiropractic are trained in the application of several forms of manual therapy.

Disability and Rehabilitation, April 2023

Following a review of data from 22 studies, researchers conclude the following steps can reduce the risk for falls in the home by 26%: declutter; address tripping hazards; improve lighting; and add handrails and non-slip strips to steps and stairs.

Cochrane Database of Systematic Reviews, March 2023

A systematic review that included ten studies concluded that poor sleep in the weeks prior to giving birth is associated with a 2.71 times increased risk for postpartum depression.

Journal of Affective Disorders, April 2023

A recent survey found that 68% of adults falsely believe that rest is the best treatment for low back pain and incorrectly think remaining physically active while dealing with low back pain is unnecessary. Doctors of chiropractic routinely advise patients to stay active within pain tolerance and avoid prolonged bed rest when managing an episode of low back pain.

Joint Bone Spine, January 2023

Following an analysis of data concerning more than 415,000 new mothers, researchers report that for every 10% increase in street-level green space, the risk for postpartum depression falls by 4%. The finding adds to a growing body of research on the benefits of greenery and access to parks and natural spaces.

The Lancet Regional Health, March 2023

The Centers for Disease Control and Prevention recommends gathering the following emergency supplies for the home and vehicles in the event of a major weather event in the spring time: a flashlight, weather radio, and batteries; an emergency evacuation plan for your family; contact information for your family and neighbors, as well as insurance and medical information concerning your family and property; a well-provisioned first aid kit; a five-day supply of non-perishable food and bottled water; sleeping bags, blankets, and personal hygiene items.

Centers for Disease Control and Prevention, March 2023

Using data from the UK Biobank study, researchers calculate that living a healthy lifestyle (not smoking, avoiding excessive alcohol consumption, eating a healthy diet, and exercising regularly) may decrease an individual's risk for depression over the following fifteen years by more than 50%.

Journal of Affective Disorders, February 2023

The Centers for Disease Control and Prevention offers the following tips to make playtime in the backyard safer for kids: keep all walkways, porches, and stairs clear and well lit; ensure children have adult supervision; and make sure to cut tall grass, remove litter and brush, and eliminate sources of standing water to discourage animal and insect nests.

Centers for Disease Control and Prevention, March 2023

For patients unable to use an arm or leg due to injury, a recent study found that eccentric muscle contractions—negative bicep curls, for example—with the opposite arm or leg may help maintain strength in the immobilized limb.

Medicine and Science in Sports and Exercise, March 2023

The American Cancer Society reports that rate of advanced colon cancers seen in adults under age 55 increased from 11% of all colon cancer cases in 1995 to 20% of all colon cancer cases in 2019. The organization recommends screening start at age 45 among people with average risk; however, only 4 in 10 people in this group are screened.

CA: A Cancer Journal for Clinicians, March 2023

To reduce food waste, which is the fate of 30-40% of the food supply in the United States, the Environmental Protection Agency recommends the following: don’t purchase more produce than you need; learn how to properly store specific fruit and vegetables; store bananas, apples, and tomatoes separate from other produce; and to help avoid mold growth, delay rinsing berries until just before you eat them.

Environmental Protection Agency, February 2023

Atherosclerosis is a disease of the arteries which lead to accumulations of fats cells, and calcium deposits (i.e. plaques). It has been shown that people with a rapid increase in the amount of calcium deposits have a higher risk for stroke and heart attack than people with a decreased amount.

Vitamin K2 is associated with the inhibition of arterial calcification and arterial stiffening. An adequate intake of vitamin K2 has been shown to lower the risk of vascular damage because it activates matrix GLA protein (MGP), which inhibits the deposits of calcium on the walls

In the groups receiving high-dose vitamin K2 (MK-4), not only was there no further arterial calcium accumulation, there was a 37% reduction of previously accumulated arterial calcification after six weeks. After 12 weeks, there was a 53% reduction in accumulated arterial calcium deposits.

Medical peer reviewed papers support considering adding vitamin K2 to a healthy lifestyle protocol (cardio/resistant exercise, Paleo-Diet, relaxation, flexibility exercises, etc.) to reverse the damaging effects of arterial calcification and arterial stiffening.

Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP

https://www.healthline.com/nutrition/vitamin-k2#bottom-line

https://www.lifeextension.com/magazine/2017/11/vitamin-k-and-arterial-stiffness

https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.118.12157

https://clinicaltrials.gov/ct2/show/NCT04010578

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566462/

https://pubmed.ncbi.nlm.nih.gov/26176325/

https://www.sciencedaily.com/releases/2009/10/091006093345.htm

Children between the ages of seven and nine, with mothers who had untreated hypothyroidism, scored an average of seven points lower on IQ tests than children with mothers that had normal thyroid function. The article goes on to say that during the first 12 weeks of pregnancy the fetus relies entirely on the mother for thyroid hormone. The thyroid may play a role in brain development.

by Judith A. DeCava, C.N.C., L.N.C.

Have you heard? The rates of death from cardiovascular disease in the US have dropped! This improvement has been attributed to the “major medical advances in the prevention and treatment of cardiovascular disease.” In reality, increased survival rates appear to be due to progress in emergency technologies that prevent only immediate death.

The overall incidence of heart attacks, for example, has not declined and has actually increased among women. People are having as many, or more, heart attacks. Heart disease, strokes, and peripheral arterial disease (all cardiovascular diseases) are still the leading causes of death and major causes of disability. “The absolute number of deaths from these conditions continues to increase.” Increase! “The epidemic of obesity and associated diabetes is expected to further increase the prevalence of cardiovascular disease in the 21st century.” Though emergency care may have advanced, preventing and treating the causes of cardiovascular disease have been flops.

Over the past 15 years, there has been a dramatic increase in the use of “cardiac procedures” in the US such as bypass surgery and angioplasty. But this has not affected the heart attack rate. Doctors are quicker to intervene when there are even mild symptoms although sometimes these procedures “may be unnecessary.” Lots of data “show that opening a narrowed artery will not reduce your chances of having a heart attack.” It may help while having a heart attack, but it doesn’t get to the cause. Within 6 months of having angioplasty, 50% of patients are already showing signs of “re-clotting” with plaque buildup. Plugging-in pieces of arteries doesn’t solve the underlying problem either. Many people believe that bypass or angioplasty saved their lives, “but the benefit of most procedures is [solely] control of symptoms.” There “is no evidence to show that artery-opening procedures will prolong life.” Doctors ordered more cardiac tests and procedures between 1993 and 2001 than ever before. But the rates of heart attacks over that period were no better than before. And there is no sign of let-up.

What causes cardiovascular disease? We are told that high cholesterol, high blood pressure, diabetes, obesity, tobacco, secondhand smoke, and physical inactivity all increase risk. Some people with some of these “warning signs” develop heart disease, but others don’t. “This observation indicates that yet-unrecognized factors must also influence risk.” No kidding! A review of more than 40 trials conducted over a period of 3 decades showed that risk-factor reduction had “limited, if any impact on reducing mortality and morbidity [illness].” Not everybody who is obese or smokes or is inactive has a heart attack. About half of heart attack victims didn’t have high cholesterol. Diabetes does double risk for cardiovascular disease, which kills up to 80% of diabetics. Elevated blood sugar, not only in diabetics, increases risk of heart attack. Elevated blood sugar is often a result of over-consuming refined carbohydrates and trans fats. Could these be causes?

We used to be told that having a heart attack was due to a sort of plumbing problem—that coronary arteries slowly became narrowed with plaque like a pipe becomes corroded with rust and other gunk. In time an artery became so clogged that blood flow to the heart got shut off with a blood clot. Now we’re told that only a minority of heart attacks occur this way since most of the time heart attacks don’t occur in the part of the artery that is most obstructed. Rather, most heart attacks (60 to 70%) occur where plaque breaks off and a clot forms over the area. If the clot cuts off the flow of blood to the heart, the person has a heart attack. If the clot cuts off blood to the brain, the person has a stroke. Problem plaques are soft, vulnerable, and comprised of an assortment of inflammatory cells, LDL cholesterol, and blood. They are topped with a thin, fibrous cap that can rupture at any time, spilling their contents into the bloodstream. But not all plaques rupture and not all ruptures lead to heart attack. Heart disease is now believed to involve an inflammatory process by which coronary arteries are subjected to a constant cycle of irritation, injury, healing, and re-injury that makes plaque likely to rupture. The demand on the immune system from perpetual inflammation can result in immune system compromise or dysfunction. In other words, normally inflammation would proceed along a programmed agenda ending in repair, but, instead, there’s an inability to properly complete this function.

The medical tendency is to seek ways of interfering with or stopping the inflammation, but there is another angle that should be considered. What if inflammation is the process used by the body to repair damaged cells—like biochemistry books say? What if plaques were the body’s attempt to reinforce and support a weakened or injured blood vessel wall? And that cells involved in the inflammatory process, LDL cholesterol, platelets, and other cells were used to build this patchwork? Suppose that if a body was able to make good, strong patches and that the inflammatory process—aided by nutrients needed for healing and for improving the strength, integrity, and elasticity of the blood vessel walls—was able to accomplish its repair. Then risk for a heart attack would greatly diminish. It’s known that small, vulnerable soft plaque—poor patching—is more likely to rupture than large, calcified, strong plaque—good patching. On the other hand, if the body doesn’t get the nutritional support it needs, then the patches may not be able to bolster the weakened areas, may be soft, and break away. The blood vessel walls wouldn’t get the reinforcement and repair needed and would be subject to re-injury, more inflammation, and spasm. Arteries are more prone to injury when required nutrients are deficient, and they can be irritated and weakened by various toxins.

Air pollution and other toxins have been linked to cardiovascular risk. Sitting in traffic for as little as an hour might almost triple your risk of having a heart attack within a few days. Public-transit riders and even bicyclists are also at risk. Toxic particles in the air can constrict arteries, cause inflammation (due to tissue insult and injury), and disrupt heart rhythms. Poor nutrition can increase the susceptibility to tissue injury and compromise the body’s ability to deal with toxic insult.

C-REACTIVE PROTEIN (CRP)

Because vulnerable plaque is mostly made of inflammatory cells, the search is on to find blood tests that identify increased amounts of these “risk markers.” CRP is one of them. “People with a high CRP are more likely to have unstable plaques, which are more prone to rupture.” Researchers hope that by lowering CRP heart attacks can be prevented. But this may not work! First, to get an accurate reading, you must have the high-sensitivity form of the test. Second, a few studies “purportedly” showed that lowering CRP levels with statin drugs can lower the rate of heart attacks in people with severe heart disease. The goal is to give statins to as many people as possible, which can cause more harm than help. The authors of 2 such studies have “strong financial ties to the cardiac drug industry.” Statins (including Crestor, Lipitor, Mevacor, Pravachol, and Zocor) are widely prescribed. They lower cholesterol and have anti-inflammatory effects. But scientists like John Abramson, MD, (Harvard Medical School) remain unconvinced that the studies proved that reduced CRP levels account for the reduced incidence of heart attacks and stroke. And the recommended higher doses of statins increase potential for “serious adverse reactions.” Third, a recent large study found CRP doesn’t predict risk any better than “traditional major risk factors.” Routine measurement of CRP “is not warranted for risk assessment.” Fourth, CRP levels fluctuate—you need several tests to get a fix on your usual level. Fifth, elevated CRP can signal inflammation in your body, but it doesn’t tell you WHERE.

CRP increases during numerous inflammatory flare-ups such as occurs in sinusitis, lupus, or rheumatoid arthritis; during chronic inflammation as occurs in periodontal disease or osteoarthritis; when taking hormone replacement therapy; when overweight; with high blood pressure; and with diabetes—among other things. Small elevations occur with age, second-hand smoke exposure, and air pollution. Your genes can affect CRP levels. So a CRP test will not necessarily predict cardiovascular disease! Still, more and more doctors are using CRP tests to determine who should go on statin drugs. Millions of people at low risk for heart disease will be targeted for statin prescriptions if the only indication for such ‘treatment’ is elevated CRP. “CRP is a weak risk factor.” Most Americans currently on stain drugs don’t have heart disease. The drugs interfere with the natural inflammation and repair process, disrupt cholesterol production, and depress adrenal function.

Foods and nutrients affect CRP levels. Fiber reduces it. A healthier diet lowers it. A diet high in fruits, vegetables, legumes, poultry, tea, and whole grains resulted in lower CRP than a diet high in refined grains, red meat, butter, processed meat, dairy, sweets and desserts, trans fats, pizza, eggs, and soft drinks. Non-foods in the latter diet (refined grains, processed meats, sweets, desserts, trans fats, soft drinks) no doubt contributed to the higher CRP. Adherence to a Mediterranean diet resulted in a 20% reduction in CRP. High intake of vegetables and fruit lowers CRP. Dietary intake of vitamin C complex, omega-3 fatty acids, carotenes, B vitamins, vitamin E complex, magnesium, arginine, and other nutrients have all been linked with lower CRP. The average American diet is loaded with trans fatty acids that up CRP, and is low in omega-3 fatty acids which reduce CRP. Low fat diets don’t reduce CRP. Foods cooked at high temperatures (like frying or grilling) can increase CRP. Sure enough: “A comprehensive dietary program can be as effective as a statin drug in reducing both LDL-cholesterol and C-reactive protein levels.” Physical activity can also reduce CRP. So why not suggest that people eat a healthful, whole-food diet, lose weight, and exercise instead of giving them potentially dangerous drugs? [ii]

FATS AND CHOLESTEROL

We’ve long been told that a high-fat diet leads to more cholesterol in the blood, which sticks to artery walls, causing heart disease. But there is plenty of evidence that this is wrong. Still hanging on to the theory, the latest view is that atherosclerosis comes from a combination of poor fat/cholesterol regulation and inflammation.

Health recommendations are often based on “surrogate endpoints” along with “a heavy dose of assumptions.” For example, ‘estrogen drugs lower cholesterol in women; therefore it must save them from heart disease.’ That was wrong, like many other assumptions are wrong. The idea that a low-fat diet (below 20% of total calories) reduces the risk of heart attack was challenged following the results of the 8-year Women’s Health Initiative study which involved thousands of healthy women over age 50. No distinctions were made in the types of fat consumed—good or bad—as long as they kept the total intake below 20%. Yet even the highly motivated women couldn’t get their fat intake that low—best they could do was 24% in the first year and 29% in subsequent years. Nevertheless, the low-fat diet didn’t prevent heart disease, stroke, or other cardiovascular disease.

So, total fat intake may not be a major determinant of cardiovascular disease. For one thing, most studies that looked for links between fat intake and cardiovascular disease didn’t take into account the association between fats and refined-sugars, which often occur together in ‘non-foods.’ Fats were blamed when refined carbohydrates could have been the culprit. If natural fats are a problem, this may be due to impaired capacity to properly process fats. The typical American diet is low in nutrients needed to process fats such as vitamin C complex, magnesium, B vitamins, chromium, potassium, choline, betaine, and more. Other people have a reduced or disturbed functioning of the liver, gallbladder and/or pancreas—they can’t digest fats properly. But good, natural fats don’t cause cardiovascular disease. Overall, low-carbohydrate eating plans (such as those popularized by the South Beach and Zone diets) “don’t appear to raise the dieter’s risk of heart disease despite higher intake of fat and protein.”

However, research does indicate that certain types of fat contribute to atherosclerosis. These include trans fatty acids (partially-hydrogenated fats), heated unsaturated oils (resulting in the formation of toxic lipid perioxides), and oxidized (rancid) cholesterol (made during high-temperature cooking of meat, dairy products, or other animal fats). “Thus, the type of fat consumed appears to be more important than the total amount consumed.” Cardiovascular disease is becoming epidemic in Third World countries where it used to be rare. What changed? Not the amount of fat, but the type of fat. Refined vegetable oils are replacing animal fats for cooking. Consumption of trans fats and refined carbohydrates has escalated. And there is heavy use of pesticides and confinement livestock systems.

Though scientists still link total blood cholesterol with the risk for cardiovascular disease, “there is no connection between fat intake and cholesterol—in fact, quite the reverse.” Dr. William Castelli, director of the Framingham study, observed, “the more saturated fat and cholesterol one ate, the lower the person’s blood cholesterol.” Actually, saturated fats protect against the harmful effects of trans fats! A recent study compared the effects of two diets on 120 overweight people with high blood cholesterol. For 6 months, 60 of them ate a low-fat/low-cholesterol diet. The other 60 ate a low carbohydrate diet that allowed unlimited amounts of animal foods and eggs; 68% of their calories came from fat. Total cholesterol levels went up a little, but it was mostly the so-called “good” HDL cholesterol that went up. (Cholesterol will increase temporarily when there is a significant change [increase] in fat intake.) After 6 months, the low-carb dieters had lower triglycerides and lost more weight than the low-fat dieters. Risk for heart attack went down.

Remember, half the people who have heart attacks never had high cholesterol levels and had an HDL in the “normal range.” So perhaps it can be assumed that high cholesterol is not a sure sign of cardiovascular disease. Sounds more like a crap shoot with 50/50 odds! Ah, but the story is that it’s not the total cholesterol that’s important, but the ratio of HDL to LDL cholesterol. The higher the relative levels of HDL, the lower the risk. Well, maybe. Alan Fogelman, MD, at UCLA, says HDL can transform in people who already have inflammation in their arteries, raising rather than lowering the risk of heart attack or stroke.

Another add-on is that there are two types of LDL, one more dangerous than the other. The smaller the LDL particle, the deadlier it’s supposed to be. So there’s type “A” (big and relatively harmless) and type “B” (small and bad). But researchers found that a 20%-fat diet produced around 50% “bad” Bs in the blood, whereas a 45%-fat diet produced only 20% Bs. Furthermore, the lower-fat diets actually converted many of the ‘harmless’ As into ‘deadly’ Bs. Another study showed that a low-fat diet in children raises the ‘bad’ Bs. Oops. That didn’t work! Low-fat diets do not increase the light, fluffy, beneficial LDL

In 2005, results of a 5-year study of nearly 30,000 middle-aged people were announced. The study looked at fat intake and deaths (especially from cancer and heart disease). Only female cancers seemed to be affected by high-fat diets. No links were found for heart disease or for death in general. High fat intakes were not only not associated with higher death rates, but the highest fat intakes resulted in the fewest deaths—and vice versa! The advice to keep total dietary fat below 30% and saturated fat below 10% doesn’t seem right!

Researchers from the UK found that high cholesterol levels protected people who had chronic heart failure, leading to dramatic reductions in death rates. The higher the level of cholesterol, the higher the chance for survival. One of the researchers said: “In contrast to what you might imagine, having a high level of cholesterol might be good for you.” Scientists at the University of Michigan concluded that the new goals for even lower cholesterol levels have no scientific validity but may only be arbitrary.

If neither natural fats nor cholesterol are culprits, what is? Mary Enig, PhD, points out: “It’s a little known fact that, before 1920, coronary heart disease was rare in developed countries like America, but it rose dramatically over the next 40 years. If, as we have been told, heart disease results from the consumption of saturated fats, one would expect to find a corresponding increase in animal-fat consumption. Actually, the reverse is true. In America, for example, during the period from 1910 to 1970, there was a significant decline in the proportion of traditional animal fat in the national diet.” Dr Enig has shown that the rise of heart disease corresponds with the introduction of refined polyunsaturated plant oils into the American mainstream diet around the early 1900s. One reason polyunsaturated oils cause problems is that, when they are heated, as in food processing, they produce extremely reactive chemicals that can damage blood vessels, initiating atherosclerosis. The most harmful process is hydrogenation used to transform poly-unsaturated plant oils into solid fats. Hydrogenated oils contain large amounts of toxic trans fats which have found their way into processed foods of all kinds.

Harvard researchers reported on their analysis of at least a decade’s worth of data on trans fat intake and heart disease. “TFAs [trans fatty acids] have a major role in heart disease,” announced Professor Walter Willetts. “The magnitude of the association with CHD [coronary heart disease] is considerably stronger than for saturated fat.” Saturated fats have been blamed for causing cardiovascular disease. Yet, until the mid-1980s, scientists did not discriminate between saturated fats and trans fats when they analyzed diets. So the harm caused by trans fats was blamed on saturated fats. And all that early research has been the basis for dietary recommendations since then. Assumptions!

Scientists are finally admitting that individuals are different in the way they respond to fats, that not everyone eating substantial amounts of fat or saturated fat will get high blood cholesterol levels. They allow that many factors influence risk for cardiovascular disease, all of which should be taken into account. Wait! Weren’t we all advised to lower fat and cholesterol intake? Many people assume—probably because that’s what they were told—that the cholesterol in the foods they eat (meat, eggs, full-fat milk products, butter, etc.) contributes directly to the amount of cholesterol in their blood. Nope. Cholesterol in foods can increase blood cholesterol to some degree, more in some people than in others. But most cholesterol in the blood comes from what the body itself produces, depending on its needs. If cholesterol levels are high, there’s a darned good reason. It’s the reason that needs to be determined. Cholesterol itself is not bad. We need it for health and survival.

At least we’re now told not to go on a very low-fat diet, one in which less than 20% of calories comes from fat. As fat intake goes down, carbohydrate intake goes up. The carbs craved are usually refined—sweets, snacks, bakery products, soda, and the like. This can raise triglyceride levels, lower HDL, damage blood vessels. We need natural fats. [iii]

To aid proper digestion of fats, for 3-6 months: With Your Two Largest Meals:

1 Cholacol OR 2 Cholacol II

1 Multizyme

2 Betafood—chew

To support liver health and function, can add, before two meals: 3 Cataplex B, 1 Choline (180 only), and 1 Livton Complex (120) only.

What about nutrients that may help prevent cardiovascular disease? Look for Part 2

[i] PH Gabriel Steg, Deepak Bhatt, et al, JAMA, 21 Mar 2007, 297(11):1197-1206; Mary McDermott, JAMA, 21 Mar 2007, 297(11):1253-55; Lewis Kuller, Nutr Rev, Feb 2006, 64(2):S15-S26; N Seppa, Sci News, 20 Jan 2007, 171(3):36-7; Altern Med Alert, Mar 2007, 10(3): S1-S2; Tufts Univ Hlth & Nutr Lttr, Jan 2005, 22(11):6; HealthFacts, Apr 2006, 31(40):1-3; What Doctors Don’t Tell You, Apr 2006, 17(1):4; Duke Med Hlth News, Apr 2007, 13(4):1&11; Lynne McTaggart, What Doctors Don’t Tell You, Feb 2006, 16(11):6-8; Matthias Rath, et al, Proc Natl Acad Sci USA, 1990, 87:6204-7; Stephen Sinatra, interview, part 5, Whole Foods, July 2004; Center for Medical Consumers, HealthFacts, Apr 2007, 32(4):5-6.

[ii] Bonnie Liebman, Nutrition Action Hlth Lttr, Mar 2003, 30(2):1-7; IM van der Meer, MPM de Maat, et al, Stroke, 2002, 33:2750-55; M Cushman, Am Arnold, et al, Circulation, 2005, 112(1):25-31; Environmental Nutr, Feb 2007, 30(2):1&6; Paul Ridker, Nader Rifai, et al, JAMA, 20 Jul 2005, 294(3):326-33; Center for Medical Consumers, HealthFacts, Feb 2005, 30(2):1-2 & Apr 2007, 32(4):5-6; Health News; May 2004, 10(5):14; Nutrition Today, Sept/Oct 2006, 41(5):193; P Bogaty, JM Brophy, et al, Arch Intern Med 2005, 165:2063-8; Caroline Kistorp, Ilan Raymond, et al, JAMA, 6 Apr 2005, 293(13):1609-16; Jonathan Abrans, Internal Med Alert, 15 Jul 2004, 26(13):99-100; B Lau, AR Sharrett, et al, Arch Internal Med, 2006, 166:1368-73; M Miller, M Zhan, S Havas, Arch Intern Med 2005, 165: 2063-8; Caroline Kistorp, Illan Raymond, et al, JAMA, 6 Apr 2005, 293(13):1609-16; Jonathan Abrans, Internal Med Alert, 15 Jul 2004, 26(13):99-100; B Lau, AR Sharrett, et al, Arch Intern Med, 2006, 166:64-70; Hans Detlev Stahl, Lancet, 14 Apr 2007, 369(9569):1259-60; Antonello Silvestri, et al, Circulation, 2003, 107:3165-9; LN Hanson, HM Engelman, et al, Am J Clin Nutr, 2006, 84(4):774-80; Arch Intern Med, 8 Jan 2007, cited in Environmen Nutr, Mar 2007, 30(3):8; Howard Sesso, Julie Buring, et al, JAMA, 10 Dec 2003, 290(22): 2945-51; Sherry Rogers, Total Wellness, Jul 2003:2-3 & Feb 2007:6; Leslie Lange, Christopher Carlson, et al, JAMA, 13 Dec 2006, 296(22):2703-11; Wm Ferril, Townsend Lttr D&P, May 2005, 262:54-6; Yunsheng Ma, Jennifer Griffith, et al, Am J Clin Nutr, Apr 2006, 83(4):760-6; DE King, BM Egan, et al, Arch Intern Med, 2007, 167(5):502-6; A Esmailzadeh, M Kimiagar, et al, J Nutr, Jun 2007, 137:992-8; K Niu, A Hozawa, et al, Am J Clin Nutr, Jul 2006, 84(1):223-9; S Devarag, B Autret, I Jialal, Am J Clin Nutr, Oct 2006, 84(4):756-61; WMR van Herpen-Broekmans, AFM Kardinaal, et al, Eur J Epidemiol, 2004, 19:915-21; Juan Carrero, Juristo Fonolla, et al, J Nutr, Feb 2007, 137(2):384-90; WMR van Herpen-Broekmans, IAAKlopping-Ketelaars, et al, Eur J Epidemiol, 2004, 19:915-21; Teresa Fung, Margorie McCullough, et al, Am J Clin Nutr, Jul 2005, 82(1):163-73; B Jancin, Fam Prac News, 1 Jan 2004:20; Y Song, TY Li, et al, Am J CLin Nutr, 2007, 85(4):1068-74; D Mahoney, Fam Prac News, 15 Dec 2004; Dana King, Arch Mainous, et al, J Am Coll Nutr, Jun 2005, 24(3): 166-71; UC Berkeley Wellness Lttr, Mar 2005, 21(6):8; BJ Wells, AG Mainous, CJ Everett, Nutrition, 2005, 21:125-30; B Watzl, S Kulling, et al, Am J Clin Nutr, Nov 2005, 82(5):1052-8; SG Wannamethee, GD Lowe, et al, Am J Clin Nutr, Mar 2006, 83(3):567-74; SophieDesroches, W Roodly Archer, et al, J Nutr, Apr 2006, 136(4):1005-11; Alan Gaby, Townsend Lttr D&P, May 2005, 262:21& citing DJA Jenkins, et al, JAMA, 2003, 290:502-10; Nutr Today, Jul/Aug 2005, 40(4):153; SM Boekholdt, MS Sandhu, et al, Eur J Cardiovasc Prev Rehabil, 2006, 13(6):970-6; Barry Fox, JANA, 2005, 8(1):43-4.

[iii] Lawrence Appel, et al, JAMA, 16 Nov 2005, 294(19):2455-97; Barbara Howard, Linda Van Horn, et al, JAMA, 8 Feb 2006, 295(6):655-66; Cheryl Anderson & Lawrence Appel, JAMA, 8 Feb 2006, 295(6):693-6; Alan Gaby, Townsend Lttr, Jun 2006, 275:96; TL Halton, et al, N Engl J Med, 6 Nov 2006, 355(19):1991-2002; Sally Fallon & Mary Enig, Wise Traditions, Summer 2006, 7(2):12; Tufts Univ Hlth & Nutr Lttr, Feb 2007, 24(12):1-2; Tony Edwards, What Doctors Don’t Tell You, Feb 2007, 17(11):6-9; Am J Clin Nutr, 1999, 69:411-8; J Intern Med, 2005, 258:153-65; J Am Coll Cardiol, 2003, 42:1933-40; N Engl J Med, 2006, 354:1601-13; Michael Lefevre, Catherine Champagne, et al Am J Clin Nutr, Nov 2005, 82(5):957-63; Jose Ordovas, Am J Clin Nutr, Nov 2005, 82(5):919-20; Hlth Facts, Mar 2006, 31(3):1-4; Sherry Rogers, Total Wellness, Apr 2007:2-4; What Doctors Don’t Tell You, Nov 2006, 17(8):4, citing World Congress of Cardioloby, Barcelona, 2-6 Sept 2006 and Ann Intern Med, 2 Oct 2006; James Lo, Yugang Wang, et al, Science, 13 Apr 2007, 316(5822):285-8; Mary Enig, Wise Traditions, Winter 2006, 7(4):55-7; Scott Westcott, Health, Jan/Feb 2007:76.

Thirty-one NCAA football athletes received combined omega-3 supplementation including 2,000 mg DHA, 560 mg EPA, and 320 mg DPA daily during pre-season training and throughout the regular season for a total of 131 days. A second group of 35 NCAA football athletes served as a control group and did not receive supplementation. Both groups were asked to limit foods high in omega-3 fatty acids to no more than two servings per week for the duration of the study. Blood samples were obtained prior to pre-season and the initiation of supplementation, along with multiple time points during the study and following completion of the final game.

Combined omega-3 supplementation resulted in increased plasma levels of DHA and EPA, decreased arachidonic acid (AA), and improvements in the omega-3 index and EPA:AA ratio. Omega-6 to omega-3 ratios were also improved in the supplementation group. In regard to Nf-L, there was significant between-group effect, time effect, and treatment by time effect. Starting players from the control group exhibited elevated Nf-L throughout the season, while the supplementation group had a reduction in Nf-L. The authors noted that these findings suggest omega-3 supplementation attenuates Nf-L levels associated with repeated head trauma, and supplementation of combined omega-3 fatty acids is both cardio- and neuro-protective in American football athletes.

Heileson JL, Anzalone AJ, Carbuhn AF, et al. The effect of omega-3 fatty acids on a biomarker of head trauma in NCAA football athletes: a multi-site, non-randomized study. J Int Soc Sports Nutr. 2021;18(1):65. doi:10.1186/s12970-021-00461-1

Vitamin K2 is associated with the inhibition of arterial calcification and arterial stiffening. An adequate intake of vitamin K2 has been shown to lower the risk of vascular damage because it activates matrix GLA protein (MGP), which inhibits the deposits of calcium on the walls.

In the groups receiving high-dose vitamin K2 (MK-4), not only was there no further arterial calcium accumulation, there was a 37% reduction of previously accumulated arterial calcification after six weeks. After 12 weeks, there was a 53% reduction in accumulated arterial calcium deposits.

Medical peer reviewed papers support considering adding vitamin K2 to a healthy lifestyle protocol (cardio/resistant exercise, Paleo-Diet, relaxation, flexibility exercises, etc.) to reverse the damaging effects of arterial calcification and arterial stiffening.

Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP

https://www.healthline.com/nutrition/vitamin-k2#bottom-line

https://www.lifeextension.com/magazine/2017/11/vitamin-k-and-arterial-stiffness

https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.118.12157

https://clinicaltrials.gov/ct2/show/NCT04010578

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566462/

https://pubmed.ncbi.nlm.nih.gov/26176325/

https://www.sciencedaily.com/releases/2009/10/091006093345.htm

 Today I have 7 simple and effective ways for you to shed that unwanted body fat. While fat loss can be quite frustrating, these 7 strategies are proven to help you slim down fast.

You may be thinking what is the most effective form of exercise to lower blood pressure.

More and more studies are showing the exciting results of something called HIIT in lowering blood pressure. HIIT stands for High Intensity Interval Training

What is HIIT?

HIIT is not any specific exercise, rather, it is a technique. You can apply this technique to almost any kind of exercise whether it be walking, riding a bike, swimming, doing some body weight exercises or even dancing in your living room.

HIIT training consists of combining very short bursts of working at your absolute max alternating short periods of active recovery rest. Research has found that this form of exercising gives you more health benefits than any other way of exercising.

It shortens the amount of time you need to spend on exercise and is more effective; you work out for just 10-30 minutes and reap impressive health benefits. You burn more body fat, your metabolism is stimulated for long after you finish exercising, and it also it helps you utilize oxygen more efficiently.

One of the biggest benefits people find from HIIT is the reduction in training time. Through HIIT, you can put in about half the amount of time compared to traditional cardio exercise to reach your goals.

One study found that just 2 minutes of HIIT sprinting increased metabolism as much as 30 minutes of running. HIIT increases the efficiency of your heart and HIIT training also has a major effect on naturally lowering your blood pressure.

Although most any type of exercise has its benefits, HIIT shines when it comes to saving time. Using the HIIT technique is the ultimate short-cut.

Study after study shows that HIIT exercise improves blood pressure in people with hypertension better than any other kind of exercise routine.

HIIT is extremely effective in reducing resting heart rate and blood pressure in overweight and obese individuals.

It has been shown that HIIT exercising just 3 times per week for just 20 minutes at a time lowers blood pressure more effectively than continuous endurance training.

HIIT training changes something called endothelial function.

The endothelium is a very thin membrane that lines the inside of your heart and your blood vessels. The cells in this membrane release a variety of substances that control how your blood vessels relax and contract.

The ability of your artery walls to expand (vasodilate) is very important.

You need to have flexibility in your arteries to allow for appropriate blood flow throughout your body.

Just a 1% improvement in your endothelial function can result in a 13% reduction in the risk of cardiovascular events like heart attacks and strokes.

One study showed that 73% of people restored blood pressure to normal using a HIIT training method for just 2 months and 24 exercise sessions. There was a significant reduction in systolic blood pressure from 145.4 (± 9.0) to 118.3 ( ± 15.6) mm Hg.

With HIIT training you're are going to go ‘all out' at a high intensity for short amounts of time. You then do an ‘active recovery' rest for a short interval. You can apply this technique to any kind of exercise, walking, running, jumping rope, cycling and even to weight training.

I personally prefer using a stationary bike for minimizing injury. It is simply a great option to implement HIIT into your workouts.

Using the HIIT on a stationary bike

Warm-up for 5 minutes on a low setting.

After your 5 minute warm-up increase the tension on the bike and pedal as fast as you can for 20 seconds. This is called the Sprint phase. After the 20 second sprint phase, lower the tension on the bike and comfortably pedal for 2 minutes.

This is one session of HIIT.

Repeat the above 5 times and you are done.

After doing your 20 second sprint, lower the tension and wait 60 seconds and check your pulse. You want your elevated pulse to come down between 8-10 beats. This is your heart recovery zone. If for some reason your pulse does not come down 8-10 beats you should stop and call it a day. For example: After you do your all out sprint for 20 seconds your heart rate goes up to 110 beats. After one minute of decreasing the tension and comfortably pedaling, your heart rate should come down to 100-102 beats. That is a good heart recovery.

Although as I mentioned above I prefer the stationary bike this can be applied to walking as well. Simply walking at a comfortable pace for 5 minutes then do an all out "brisk" walk for 20 seconds. Walking comfortably for 2 minutes then repeat five times.

That is all you need to do to maximize this effective form of exercise (HIIT) to lower your blood pressure.

Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP

References

https://pubmed.ncbi.nlm.nih.gov/29424402/

https://www.sci-sport.com/en/articles/HIIT-and-hypertension-Improvement-of-cardiovascular-functions-163.php

https://www.healthline.com/nutrition/benefits-of-hiit#TOC_TITLE_HDR_8

https://pubmed.ncbi.nlm.nih.gov/21450580/

https://journals.sagepub.com/doi/abs/10.1177/1741826711400512

https://www.sciencedirect.com/science/article/pii/S0531556516306003

The most recent data suggests that well over half a million Americans die from Alzheimer's disease each year, making it the third leading cause of death in the US, right behind heart disease and cancer.3,4

As discussed by Dr. Danielle Ofri in a recent New York Times blog, losing your mind, and with it, much of your personality and dignity, is a terrifying proposition. Making matters worse, many doctors shy away from addressing dementia—both with colleagues and their patients.5

Dr. Ofri goes on to say that all of the top 10 killers in America are potentially and largely preventable or at the very least modifiable – all except dementia. We have tests to screen for many cancers and treatments that prolong life. But there’s nothing, really, that we can do about dementia. There aren’t any screening tests that can pick up the disease before symptoms appear. Even if there were, there aren’t any treatments that make a substantial difference. For doctors, this is profoundly frustrating. No wonder dementia gets pushed onto the back burner. In the dishearteningly limited time of a medical visit, we’re forced to focus on the diseases we can treat.

According to several natural health care experts there is much that can be done in the form of prevention. Unless the conventional paradigm shifts to realizing that through a healthier lifestyle the situation can go from hopeless and grim to positively optimistic then the battle really will be a hard one to win.

In an ideal world, doctors would begin to advise their patients early on, that lifestyle strategies promoting heart and brain health throughout a lifetime are of the utmost importance.

Trends in the current literature point to lifestyle factors, especially diet as one of the major driving forces behind dementia’s development. Similar articles have been written highlighting the connection between Alzheimer’s and other dietary-related diseases, such as diabetes and heart disease. The researchers seem to point at the fact that if diabetes and heart disease can be prevented through a proper diet then so too can Alzheimer’s/dementia.

According to the literature Alzheimer’s was tentatively given the moniker, “type 3 diabetes” in 2005, when researchers discovered that the human brain produces insulin that is necessary for the survival of your brain cells.

A toxic protein was found and named ADDL. This substance removes insulin receptors from nerve cells, renders these neurons insulin resistant and as ADDLs accumulate, your memory begins to fade. Recent research also points out that heart disease increases your odds of developing Alzheimer’s.

According to MedicineNet.com: “Researchers found that artery stiffness—a condition called atherosclerosis—is associated with the buildup of beta-amyloid plaque in the brain, a hallmark of Alzheimer’s disease.”6

Lead researcher Timothy Hughes says, “This is more than just another example of how heart health relates to brain health. It is a signal that the process of vascular aging may predispose the brain to increased amyloid plaque buildup.

So, what if anything, can be done?

According to Dr. David Perlmutter, author of the New York Time’s bestseller Grain Brain and one of the leading integrative medical neurologist in the U.S, Alzheimer’s is preventable through proper diet. He states: “Alzheimer’s is a preventable disease. It surprises me at my core that no one’s talking about the fact that so many of these devastating neurological problems, are, in fact, modifiable based upon lifestyle choices…What we’ve crystallized it down to now, in essence, is that diets that are high in sugar and carbohydrates and similarly diets that are low in fat, are devastating to the brain. When you have a diet that has carbohydrates in it, you are paving the way for Alzheimer’s disease. I want to be super clear about that. Dietary carbohydrates lead to Alzheimer’s disease. It’s a pretty profound statement, but it’s empowering nonetheless when we realize that we control our diet. We control our choices, whether to favor fat or carbohydrates.”

Dr. Perlmutter goes on to note that Mayo Clinic research reveals diets rich in carbs are associated with an 89 percent increased risk for dementia while high-fat diets are associated with 44 percent reduced risk. This combination of very little sugar and carbs, along with higher amounts of healthful fats is an absolute key for addressing not only Alzheimer’s but diabetes and health disease too.

The Role of Saturated Fats for Healthy Brain Function

The diet our ancestors used was phenomenally high in saturated fats and almost completely void of non-vegetable carbohydrates. Today, not only are we eating a tremendous amount of carbs but our carbs tend to be of the refined and highly processed type. If you’ve been alive over the last 60 years it’s also likely that you’ve heard the conventional medical wisdom that warned about saturated fats causing heart disease and therefore the need to severely limit those in the diet. This key factoid along with the dramatic onslaught of pharmaceutical use targeting cholesterol reduction have undoubtedly played a rather significant role in the sharp rise in dementia and other neurological diseases/disorders. Without fats the brain simply cannot function optimally.

To fully understand how to proceed a discussion of fats is necessary. Avoid trans-fats or hydrogenated fats; found in margarine, vegetable oils and various butter-like spreads.

Instead use plenty of the good and health fats in your diet like: avocados, butter (from raw, grass-fed organic milk), organic pastured egg yolks, coconut (and its oil), unheated organic nut oils, raw nuts—pecans/macadamias and also grass-fed meats or pasture raised poultry.

In addition to the fat discussion there are some additional dietary approaches to be considered.

How Else Can We Prevent This Disease?

The avoidance of sugar and refined fructose, avoidance of gluten and casein, optimize your gut flora and increase consumption of all healthy fats, including animal-based omega-3 oils, reduce overall calorie consumption, improve magnesium levels and eat a nutritious diet that is rich in folate can be a great start.

Certainly, a closer examination of lifestyle habits both good and bad can also confer benefits, such as: regular exercise, optimal Vitamin D levels, avoidance and elimination of mercury, avoidance of the flu vaccine and avoidance of anticholinergic and statin drugs. The statin drug class can be particularly problematic because they suppress the synthesis of cholesterol, deplete the brain of CoQ10 and prevent adequate delivery of essential fatty acids and fat-soluble antioxidants to your brain by inhibiting the production of the indispensable carrier molecule known as low-density lipoprotein or LDL. But wait, I thought the LDL was the bad cholesterol? Yes, it is given that label, but we are rarely told about all the good benefits it also provides for our body and brain.

In conclusion it seems like a well-designed personal approach to health may be in the best interest of our population to combat this public health care crisis. If you or someone you know needs help make sure to call your local nutritional health care expert as you don’t have even a minute to waste. Getting things corrected from a dietary approach can be far more beneficial with early intervention.

References

1. Alzheimer’s Association 2013 Alzheimer’s Disease Facts and Figures (PDF)

2. Medical News Today May 2, 2014

3. Neurology March 5, 2014 [Epub ahead of print]

4. URL Sort Order Edit Alzheimer’s Association 2013 Alzheimer’s Disease Facts and Figures (PDF)

5. New York Times May 8, 2014

6. Medicinenet.com March 31, 2014

7. https://articles.mercola.com/sites/articles/archive/2014/05/22/alzheimers-disease-prevention.aspx

Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N., MS, CFMP

With cardiovascular disease claiming the lives of one out of two people in America today, it's no wonder people look to medicine for help preventing heart attacks and strokes.

However, the focus on high cholesterol as the main cause of heart attacks and strokes is woefully misguided. The clinically proven indicators of cardiovascular disease include elevated levels of trigycerides, insulin, cortisol and C-reactive protein, but not high cholesterol.

What About Cholesterol?

Unfortunately, medical studies show that lowering your cholesterol won't actually lower your risk of a fatal heart attack or stroke. According to William Castelli, M.D., a former director of the Framingham Heart Study, people with low cholesterol (lower than 200) suffer nearly 40 percent of all heart attacks. In addition, people with low cholesterol (less than 180) have three times as many strokes as the general population.

What are the Real Risk Factors for Heart Attack and Stroke?

The following ten items are some of the most important clinical indicators that show you have a higher risk for heart attack and stroke.

1. Cardiac arrhythmia. This includes atrial fibrillation and other disruptions of the heart's normal rhythm.

2. Elevated triglycerides, particularly an elevated ratio of triglycerides to HDL cholesterol. Studies have implicated triglycerides in the progression of coronary atherosclerosis (hardening of the arteries).

3. Elevated homocysteine. One study found that men with extremely high homocysteine levels were three times more likely to have a heart attack than others.

4. Elevated insulin.

5. Elevated cortisol levels. High levels of cortisol are associated with hypertension, which increases your cardiovascular risk. Patients with heart diseases exhibit higher cortisol levels than do others.

6. Elevated estrogen in respect to progesterone.

7. Low testosterone (in men). Higher levels of testosterone has been found to offer men greater than five-fold protection against coronary artery disease.

8. High testosterone (in women).

9. Lipid peroxide. Lipid peroxides are the products of chemical damage done by oxygen free radicals to the lipid components of cell membranes. High levels of lipid peroxides are associated with cancer, heart disease, stroke, and aging.

10. Elevated C-reactive protein. C-reactive protein is a marker associated with production of inflammatory cytokines, which represent a threat to cardiovascular health. Men with CRP values in the highest quartile had three times as many heart attacks and two times as many ischemic strokes as the general population.

Other risk factors include thyroid insufficiency, magnesium deficiency, fatty acid imbalances and lipid fractionation.

Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP

A new study presented at the American Heart Association's Prevention, Lifestyle and Cardiometabolic Health Scientific Sessions 2020 revealed that consumption of olive oil was associated with up to a 7% lower risk of coronary artery disease.

The study shows that replacing a mere five grams of margarine, butter or mayonnaise with the same amount of olive oil was associated with up to a 7% lower risk of coronary artery disease.

Even more remarkable was the fact that people who used even higher olive oil intake -- more than seven grams, or 1/2 tablespoon a day -- had a 15% lower risk of any kind of cardiovascular disease and a 21% lower risk of coronary artery disease.

The take away was REPLACE don't ADD.

The study author Dr. Frank Hu, who chairs the department of nutrition at Harvard T.H. Chan School of Public Health was quoted to say: "Don't just add olive oil to your regular diet. Substitution is what's important here."

This study reinforced a large 2013 study with over 7000 people. It found people who followed a Mediterranean diet supplemented with extra virgin olive oil for five years had a 30% lower risk of heart attack or stroke

Cooking with olive oil

Contrary to what people have been told about the problem of cooking olive oil at high temperatures, a 2018 Australian study which found that EVOO -- extra virgin olive oil -- was actually more chemically stable at high temperatures than other common cooking oils.

Extra virgin olive oil (but not regular olive oil) produced the lowest levels of trans fats and other potentially harmful byproducts when heated to temperatures even higher than those commonly used for sauteing, deep-frying and baking. Coconut oil took second place.

Canola oil was the most unstable, creating over twice as many harmful compounds than extra virgin olive oil and well above the "limits permitted for human consumption," the study found.

Dr. Hu goes on to say that instead of using butter for your bread, dip it in olive oil. Instead of using a store-bought salad dressing, use olive oil and vinegar instead.

"These small changes can have significant health benefits in the long run."

Are your medications to blame?

Did you know that statins are known to raise glucose levels? Statins are a medication used to lower cholesterol. In fact, on average, statins can increase fasting plasma glucose in non-diabetic statin users by 7 mg/dL, and in diabetics, statins increased glucose levels by 39 mg/dL.1 Statins raise your risk of diabetes by increasing your insulin levels and blood sugar by blocking the liver’s ability to convert the starches you eat into cholesterol.2 Instead, the starches are returned to your blood stream which raises your sugars in the blood.

Statins can more than double your risk of developing diabetes. Studies show, individuals who used statin drugs longer than two years are more than three times as likely to get the disease.3

Unfortunately, as of 2014 the American Diabetes Association calls for patients with diabetes to be put on a statin to lower the risk of heart disease. Your doctor may take into account other risk factors to determine which statin would be best for you based on blood pressure, cholesterol, age, etc. So, if you were not diabetic before going on a statin, how do you know if your diet is to blame or if the medication could have been the contributing factor to your elevated Glucose levels? There are many ways to reduce risk factors for heart disease, diabetes, and even lowering cholesterol naturally just by changing a few things in your diet and exercise. Read on to find out more…

What’s in your drinks?

A simple way to cut out unneeded calories and sugar from the diet is to evaluate your beverage sources. Many research studies have shown that sugary drinks from soda, fruit juice, sweetened tea, and specialty coffee drinks can increase your risk of developing not just diabetes, but cause weight gain, inflammation, tooth decay and even cancer. Research shows that adults who routinely consume at least one can of soda or other sugar-sweetened beverages a day are 46 percent more likely to develop elevated blood-sugar levels than people who rarely or never drink cola.4 It’s not just soda that can be a culprit to your daily sugar increase. Fruit juice can be just as bad. For example, the average 12-ounce soda contains roughly 35 to 45 grams of sugar. The same amount of orange juice comes in at about 30 grams! A study done by researchers from Sorbonne Paris Cite University, showed that the consumption of sugary soft drinks — including 100% fruit juice — was “significantly associated with the risk of overall cancer.”5

Are you consuming additives in your food and drink?

Studies have shown hyperglycemic effects of the common food additives, MSG and aspartame. Not only can they increase the risk of diabetes, but food additives and artificial sweeteners have been linked to obesity, Alzheimer’s, heart disease, autoimmune disease and even cancer. Animal studies have also shown that dietary MSG induces markers of insulin resistance, a direct cause of type 2 diabetes.6 Aspartame, on the other hand, has been shown to stimulate the rapid release of insulin and leptin, which are hormones that tell the brain when you are satisfied, regulate your metabolism and fat storage. Leptin is largely responsible for the accuracy of insulin signaling and whether or not you become insulin resistant.

When reading labels try to avoid processed foods and condiments with:

• Glutamate

• Glutamic acid

• Gelatin

• Monosodium glutamate

• Calcium caseinate

• Textured protein

• Sodium caseinate

• Bouillon and broth

• Natural flavorings

• Soy protein isolate

• Hydrolyzed protein

These additives are just to name a few. You may be more sensitive to additives than you think. If you are getting headaches, muscle aches, swelling, and/or any allergy type of symptoms after eating certain foods you may want to read the “other ingredient” section of the nutrition label to see if there are any additives in the product.

Understanding Glycemic Load

Different carbohydrates can affect your blood sugar in different ways. The way food makes your blood sugar rise is dependent on what is called its glycemic index. The Glycemic Index is based on a scale from 0-100, the lower the number the slower the food makes your blood sugar rise. However, the glycemic index does not take into account the carbohydrates contained in the food. Therefore, the glycemic load is a calculation using the glycemic index of the food and the amount of carbohydrates. Using the glycemic load can give you a better idea of the quality of the food. Again, the lower the number the better it is.

A low glycemic load diet is not as restrictive as you may think. Researching lists of low glycemic load foods is available on the web however, here are some vegetables and fruits to consider with the lowest carbohydrate content:

Asparagus, Avocado,   Broccoli,  Carrots,  Brussel Sprouts 

Cauliflower, Celery,   Cucumber, Kale, Lettuce,  Mushrooms

Onions,   Peppers(any), Tomato, Cantaloupe, Strawberries, Watermelon

Are you testing enough?

The best way to know where you are at is to monitor your blood tests. You can test the Glucose every day but this value will fluctuate. You should also be testing your Hemoglobin A1C as well. If you note any trends of the numbers keep going up then you’ll need to take a closer look at your lifestyle choices. Significant improvements can be seen in just a few weeks! It is also advisable to do a urinalysis every 6 months if you are over 30. A comprehensive blood test should be done initially and repeated once a year to monitor other metabolic factors in the blood to include kidney function, liver function, digestion and other areas that may need improved and or optimized for your health overall.

Deficiencies can be corrected easily with proper supplementation. Diabetics should be on common vitamins such as Vitamin C, Fish Oil, Magnesium, and Vitamin E. Other nutrients to consider would be Niacin, Vanadium, Chromium Picolinate or whatever else is indicated by your comprehensive testing. Dosages of vitamins and minerals depend largely on the individual and can change over time depending on improvements noted when retesting of blood work is performed. Stop guessing at what is causing your numbers to go up. Get on a precise plan tailored to exactly what you need.

References 

1. Sukhija, Rishi, et al. “Effect of Statins on Fasting Plasma Glucose in Diabetic and Nondiabetic Patients.” Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research, U.S. National Library of Medicine, Mar. 2009, www.ncbi.nlm.nih.gov/pubmed/19188844.

2. “Are Statin Drugs Linked to Diabetes and Muscle Damage?” Mercola.com, articles.mercola.com/sites/articles/archive/2011/11/28/are-statin-drugs-harmful-to-health.aspx.

3. Sandoiu, Ana. “Statins May Double the Risk of Type 2 Diabetes.” Medical News Today, MediLexicon International, 26 June 2019, www.medicalnewstoday.com/articles/325567.php.

4. “Sugary Drinks May Raise Diabetes Risk.” The Washington Post, WP Company, 19 Nov. 2016, www.washingtonpost.com/national/health-science/study-ties-sugary-drinks-to-an-increased-risk-of-pre-diabetes/2016/11/18/94e8ddb0-ac1e-11e6-8b45-f8e493f06fcd_story.html?noredirect=on&utm_term=.882566254ea0.

5. Taylor, Chloe. “Drinking Fruit Juice May Raise Cancer Risk, Study Claims.” CNBC, CNBC, 11 July 2019, www.cnbc.com/2019/07/11/drinking-fruit-juice-may-raise-cancer-risk-study-claims.html.

6. Collison, Kate S, et al. “Effect of Dietary Monosodium Glutamate on HFCS-Induced Hepatic Steatosis: Expression Profiles in the Liver and Visceral Fat.” Obesity (Silver Spring, Md.), U.S. National Library of Medicine, June 2010, www.ncbi.nlm.nih.gov/pubmed/20111022.

A concussion is considered a mild form of a traumatic brain injury. This happens when there is trauma (bump or blow) to the head during a sporting event or during a fall. During the impact, the brain is pushed in a back and forth motion against the skull. Generally speaking, a concussion is not a life-threatening injury, but the side effects can be very serious.

Depending on the type of injury, signs and symptoms of a concussion have the potential to show up immediately. This occurs most often in high impact sports or car accidents. Often times, however, the symptoms can take up to 24 hours to a week before they appear in lower impact injuries. Some injuries may develop into Post-Concussion Syndrome. A diagnosis of Post-Concussion Syndrome is considered if 3 or more of the following symptoms have occurred or are still occurring:

• Poor concentration

• Mood changes

• Irritability

• Poor word recall

• Trouble sleeping

• Headaches

• Dizziness

• Trouble with noise or lights

Why is it important to supplement with nutrition after a concussion has occurred?

A concussion is not just a physical injury but can also be a metabolic injury. Following a concussion, it is vital that the brain make energy to not only function, but to heal itself. The brain produces a natural chemical called brain-derived neurotrophic factor (BDNF). It is important to reset and support BDNF as it helps damaged neurons recover. (2) For the best results, it’s important to start a nutritional support program as close to the injury date as possible. 

Listed below are recommendations for post-concussion nutritional support:

• Protein - Multiple studies have shown that by adding 1 gram of protein for every kilogram of your body weight can help support the healing and repairing process. (2,5)

• Creatine - Is used as an energy support. One study used to support the use of creatine for post traumatic brain injury demonstrated the following, “children and adults with traumatic brain injury (TBI), six months of creatine supplementation of 400mg/kg bodyweight appears to significantly reduce the frequency of headaches (from 93.8% to 11.1%), fatigue (from 82.4% to 11.1%), and dizziness (from 88.9% to 43.8%), relative to an unblinded control.” (6)

• Choline – supports the formation of brain synapses and development. (7)

• Magnesium - studies show that magnesium in the brain can drop up to 50% within the first 5 days of a traumatic brain injury. This in return may cause inflammation due to the inability produce energy to repair and restore function. (7)

• Zinc - After a traumatic brain injury, there is a potential increase in urinary zinc loss. Intake of Zinc has been linked to improved behavioral outcomes. (7)

• Curcumin – helps reduce neuroinflammation and linked to improved cognitive function.(8)

• Resveratrol- helps reduce inflammation and increase cerebral blood flow. (7)

• Vitamin D - is neuroprotective and supports the immune system. (2)

• Fish Oils - Omega 3 Fatty Acids, particular DHA are essential for brain development and function. A study on American Football players demonstrated lower makers for brain damage, when supplementing with 2 grams of DHA daily. (8)

• Coenzyme Q10 - helps reduce neurodegeneration and increases blood supply to the brain.

• Magnesium and Vitamin B2 – are linked to reduction of post-concussion headaches.

Not sure where to start or need further advice? If you or a loved one have had a concussion – it is never too late to reach out to a nutrition professional. It is important to start with a comprehensive blood analysis to check on the body’s foundation as a whole. This can help determine what you need to be consuming from a dietary and supplement standpoint from the list above. It can also help indicate if there is something you need to be avoiding. What has worked for someone you know, may be completely different than what will work for you. Contact us today to get started and improve your body safely and naturally.

 

Works Cited

1. Harmon, Kimberly G., et al. “American Medical Society for Sports Medicine Position Statement.” Clinical Journal of Sport Medicine, vol. 23, no. 1, 2013, pp. 1–18., doi:10.1097/jsm.0b013e31827f5f93.

2. Silverman, Robert. “How To Use Nutrition To Speed Your Concussion Recovery.” Mindbodygreen, Mindbodygreen, 19 Nov. 2016, www.mindbodygreen.com/0-27480/how-to-use-nutrition-to-speed-your-concussion-recovery.html.

3. Bozic CR, et al. Neurogenic amplification of immune complex inflammation. Science, 1996;273:1722.

4. Davis KA, et al. Complement deficiency and immune complex diseases. Semin Immunopathol, 1994;15:397.

5. Silverman , Robert. “Feed a Concussion: Speedy Nutrient Support Offers the Hope of Better Healing.” Dynamic Chiropractic - Chiropractic, News, Articles, Research & Information for Chiropractors - Find a Chiropractor, 15 June 2015, www.dynamicchiropractic.com/mpacms/dc/article.php?id=57406.

6. “Concussion Post 14 – Creatine.” Doc Edwards Health & Fitness, 7 Apr. 2016, docedwardsfitness.com/concussion-post-14-creatine/.

7. Swanson , Alex. “The Best Supplements for Concussion Recovery.” TheHealthBeat.com, 14 June 2014, thehealthbeat.com/how-nutrition-can-help-concussions/.

8. Tropf, Allison. “Nutrition Supplementation and Concussions.” ALT Performance Nutrition, 28 Dec. 2018, www.altnutrition.net/nutrition-supplementation-and-concussions/.

9. Kalayci, M., Unal, M. M., Gul, S., Acikgoz, S., Kandemir, N., Hanci, V., … & Acikgoz, B. (2011). Effect of Coenzyme Q 10 on ischemia and neuronal damage in an experimental traumatic brain-injury model in rats. BMC neuroscience, 12(1), 75.

In a recently published large international study the findings show that taking a low-dose aspirin as a preventative for heart attack or stroke is no longer recommended for adults age 70 or over, according to guidelines released in March 2019.

The new recommendations that were issued by the American College of Cardiology and the American Heart Association, are a reversal of previous guidance that endorsed taking a baby aspirin daily to prevent cardiovascular problems in adults over age 50. The two groups agreed that in older adults with low risk and no prior history of MI (heart attack) or stroke, the risk of gastrointestinal bleeding outweighed any heart benefit.

The changes come on the heels of the international study’s findings that even at low doses, long-term use of aspirin may be harmful, without providing any benefit, for older people who have not already had a heart attack or stroke.

Dr. Roger Blumenthal, co-chair of the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease states: “Clinicians should be very selective in prescribing aspirin for people without known cardiovascular disease. Aspirin should be limited to people at the highest risk of cardiovascular disease and a very low risk of bleeding.”1

The committee of experts reminded individuals that a healthy lifestyle is the most important way to prevent the onset of atherosclerotic cardiovascular disease, heart failure, and atrial fibrillation.

Nearly 80 percent of all cardiovascular disease (still the #1 killer of people worldwide) can be prevented with lifestyle modifications, according to the Heart Association. Doctors recommend regular physical activity and following meals plans that emphasize fruits, vegetables and proper protein intake.

In our clinic, we have access to cutting-edge laboratory testing to help assess vitamin and mineral deficiencies as well as identify heart health problems on a specific blood test called the Cleveland Heart Panel. By utilizing this laboratory technique and establishing a baseline before a problem begins it becomes much easier to track patients over decades of time and solve problems while they are small. Looking at levels of Omega 3 and Omega 6 balance, particular dietary recommendations as well as supplement suggestions can be used to reach optimal health goals.2 Specific levels for inflammation and heart muscle damage as well as atherosclerotic (hardening/narrowing of the arteries) changes are measured and then a unique and individualized plan is used to improve the values and the patient’s overall health. Typically, after a few months of treatment have been done then another blood test is conducted to measure improvements and progress.

If you haven’t had a heart attack yet then you are in perfect time to establish your baseline as soon as possible. If you have already had a heart attack then we need to get started right away! The heart muscle can remodel and regain its healthy shape but the sooner one starts the better.

 

References:

1. https://www.nbcnews.com/health/heart-health/daily-aspirin-no-longer-recommended-prevent-heart-attacks-healthy-older-n984406

2. https://www.peacehealth.org/healthy-you/8-heart-health-supplements-take-%E2%80%93-and-one-avoid

3. Take2Health Care newsletter: CoQ10: Should You Take It TODAY? (October 2016)