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Coumadin Users Can Avoid Unnecessary Complications By Wearing Identification
The police arrive at the accident scene promptly. A driver has run his automobile into a guardrail while exiting a highway. The driver does not seem to be injured but is somewhat incoherent and is slipping in and out of consciousness. Did he...
Go for low-cholesterol diet
Question : I HAVE numbness in my hands especially the fingers.
Could it be due to hypercholesterolemia? My total blood
cholesterol is slightly above 200mg/dl and I just had my gall
bladder removed last month. Please advise.
Answer :...
INDIAN DOCTOR IMPROVES TECHNIQUE OF FLOURESCIEN ANGIOGRAPHY BY INTRODUCING "DIGITAL CAMERA INNOVATION"
INDIAN DOCTOR IMPROVES TECHNIQUE OF FLOURESCIEN ANGIOGRAPHY BY INTRODUCING "DIGITAL CAMERA INNOVATION"
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Retina is the only part of the human body where the blood vessels are directly...
Is Cosmetic Surgery Right For You?
For most of us, we go through the majority of our lives not even noticing our skin; then one day we wake up and notice we just got older. I remember that day!
We might begin to look tired with bags under our eyes, our eyelids look a bit...
The Atkins Diet: Is It Still Worthwhile or Worthless?
By now, almost everyone has heard of the Atkins diet. This is
the diet that promotes weight loss through the consumption of
foods low in carbohydrates and quite high in fat and protein
contents, but not necessarily low in calories.
It was the...
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The risk of ischemic heart disease with low-fat, high-carbohydrate diets
There is convincing scientific evidence that type of fat have a more important role in determining the risk of coronary heart disease(CHD) than total amount of fat in the diet.(1) However, because of misleading presentation of epidemiological data by some authors(1), the readers might be left with the impression that low-fat, high- carbohydrate diet is the best option for patients with CHD risk.
In fact, high- carbohydrate diets, in the absence of weight loss, can lead to both elevated triglyceride and reduced HDL cholesterol, effects that may be associated with increased risk for CHD.(2) Although these effects may be lessened with dietary fiber and moderate physical activity, they appear to be worse among individuals with insulin resistance.(3)
As reviewed by Kris-Etherton(4) adverse metabolic effects of low fat diet do not occur with substitution of monounsaturated (MUFA) or polyunsaturated (PUFA) fatty acids for saturated and trans-fatty acids. This is also the case for individuals with diabetes, with the added benefit of better glycaemic control.(5)
As predicted by metabolic studies, replacement of saturated fat, and even more so trans fatty acids with either PUFA or MUFA was associated with a larger reduction in risk of CHD than simple reduction of total fat consumption.(6) With respect to weight control, a moderate-fat diet can
be as, or even more, effective that lower-fat diet. (6)
References
1. Hu FB, Manson JE, Willet WC. Types of dietary fat and risk of coronary heart disease: a critical review. J Am Coll Nutr 2001;20:5-19.
2. Fung MA, Frohlich JJ. Common problems in the management of hypertriglyceridemia. CMAJ 2002;167:1261-6.
3. Jeppesen J, Schaaf P, Jones G, Zhou MY, Chen YD, Reaven GM. Effects of low-fat, high-carbohydrate diets on risk factors for ischemic heart disease in postmenopausal women. Am J Clin Nutr 1997;65:1027-33.
4. Kris-Etherton PM, Kris-Etherton PM, Binkoski AE, Zhao G, Coval SM, Clemmer KF, et al. Dietary fat: assessing the evidence in support of a moderate-fat diet; the benchmark based on lipoprotein metabolism. Proc Nutr Soc 2002;61:287-98.
5. Rivellese AA, De Natale C, Lilli S. Type of dietary fat and insulin resistance. Ann N Y Acad Sci 2002;967:329-35.
6. Krauss RM, Eckel RH, Howard B, Appel LJ, Daniels SR, Deckelbaum RJ et al. AHA Dietary Guidelines: revision 2000: A statement for healthcare professionals from the Nutrition Committee of the American Heart Association. Circulation. 2000;102:2284-99.
About the author:
Dr. Michal R. Pijak is a consultant in rheumatology, allergy and clinical immunology at the University Hospital in Bratislava, Slovakia
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