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Heart Health Heart Healthy Diet

Nutrition and Cardiovascular Disease


Author:

Nate Lebowitz, MD

New York Presbyterian Hospital

Medically Reviewed On: March 08, 2001

Coronary heart disease (CHD) is the Western world's most serious public health threat, accounting for 6.3 million deaths annually worldwide. If stroke is included, treatment of cardiovascular disease (CVD) costs an estimated $250 billion dollars per year in the United States alone. Furthermore, CVD kills more men and women annually than all cancers combined. Despite major advancements in detection and treatment and a significant decline in death rates in the last two decades, CHD remains an epidemic of extremely large proportions. There is a growing body of evidence that nutritional supplements may prove to be of significant benefit in the prevention and treatment of CHD. Although large-scale clinical trials are in their early phases, smaller studies are being published at an increasing rate.

Nearly 40 percent of Americans take vitamins and/or herbal or mineral supplements on a daily basis. Vitamins act as coenzymes in vital chemical pathways and minerals play an essential role in several body systems such as neural and cardiac impulse conduction and fluid and electrolyte regulation.

Antioxidant Group
There is ample evidence that compounds called free radicals can lead to damage to several parts of the body. This "oxidative stress" can lead to aging, cancer, and damage to arteries, leading ultimately to CVD. The body's natural defenses may not always be sufficient to combat excess free radical damage. In fact, such inadequate defense against oxidative stress has been linked specifically to CHD, cancer, and degenerative diseases of the nervous system. The ability of free radicals to damage molecules essential to cellular integrity such as DNA, proteins, and cholesterol and fatty acids has been conclusively demonstrated. As such, the potential of antioxidant nutritional supplementation to prevent and treat these underlying mechanisms of cardiovascular disease is intriguing. Indeed, there is evidence that antioxidant vitamin consumption is associated with an inverse relationship with mortality from CHD. The U.S. Male Health-Professionals Study found that beta-carotene intake had no association with risk of CHD among those who had never smoked, but was inversely associated in current and former smokers. This suggests that some of the damage from smoking is caused by free radicals and can be reversed by antioxidant intake.

Has the time come to integrate nutritional supplements into traditional cardiovascular care? The answer is a definite "yes" for some supplements, "no" for others, and "maybe" for many, if not most. As evidence from scientific studies becomes increasingly available in this arena, which of the above categories these supplements fall into will become increasingly clear.

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