Informational Video for Cardio Metabolic Syndrome by Dr.Kotha

CardioMetabolic Syndrome:

C ardio M etabolic S yndrome Basic Informational Video Purushotham Kotha MD, FACC www.heartsmartglobal.com “Larger your waist, shorter your life span”

What is it?:

What is it? Cardio Metabolic syndrome is the name for a group of risk factors linked to overweight and obesity. These risk factors increase your risk of heart disease and other health problems such as diabetes and stroke. The term "metabolic" refers to the biochemical processes involved in the body's normal functioning. Risk factors are traits, conditions, or habits that increase your chance of getting a disease.

Risk Factors:

Risk Factors Patients with Cardio Metabolic Syndrome have three or more of the following Risk Factors: Large waist Line( Belly Fat) Hypertension (high blood pressure) High triglycerides count (fat) Low HDL or Healthful cholesterol High blood sugar ultimately resulting in type 2 diabetes

How Dangerous is it?:

How Dangerous is it? The following is a graph of the Metabolic Syndrome’s cumulative hazard as compared to a healthy population

Know your numbers:

Know your numbers Waist circumference (most significant component of MetS) Less than 35 inches in men Less than 31 inches in women Non HDL Cholesterol : (Total Cholesterol - HDL Cholesterol = Non HDL Cholesterol) Less than 130 mg/dl HDL Cholesterol Greater than 40 mg/dl in men Greater than 50 mg/dl in women

Know your numbers:

Know your numbers Triglycerides Less than 140 mg/dl Blood Pressure Less than 130/ 80 mm in Diabetics less than 120/70 mm LDL Cholesterol Less than 100 mg/dl in Diabetics & known CAD less than 70 mg/ dl

How to measure waist line:

How to measure waist line

Recommended Waist Size ( Inches):

Recommended Waist Size ( Inches) Population Men Women United States < 40.2 < 34.6 Canada < 40.2 < 34.6 European < 40.2 < 34.6 Asian < 35.4 < 31.5 Japanese < 33.5 < 31.5 Chinese < 33.5 < 31.5 Middle Eastern < 37.0 < 31.5 Sub-Saharan African < 37.0 < 31.5 Ethnic Central and South American < 35.4 < 31.5

Recommended Waist Size (in cm):

Recommended Waist Size (in cm) Population Men Women United States 102 88 Canada 102 88 European 102 88 Asian 90 80 Japanese 85 80 China 85 80 Middle East 94 80 Sub-Saharan African 94 80 Ethnic Central and South American 90 80

Prevalence of cardiovascular disease in adults  20 years of age and older (by age and gender) :

Prevalence of cardiovascular disease in adults  20 years of age and older (by age and gender)

Deaths due to CVD:

Deaths due to CVD CVD = Heart disease, Stroke, PAD (Peripheral Arterial Disease)

Statistics from the American Heart Association :

Statistics from the American Heart Association Heart disease is the leading cause of death in the U.S. More common than cancer, even in women. This year 1.2 million Americans will have a heart attack – 479,000 will die. This year 795,000 Americans will have a stroke 65% of all people with diabetes die from heart or blood vessel diseases.

Number of Deaths (in thousands) due to Heart Disease in each region per year :

Number of Deaths (in thousands) due to Heart Disease in each region per year © 2011  World Heart Federation

Symptoms of a Heart Attack:

Symptoms of a Heart Attack In men the symptoms of heart attack include: Discomfort in the center of the chest, experienced as an uncomfortable pressure Squeezing, fullness or pain which lasts for more than a few minutes or goes away and comes back Discomfort in one or both arms, the back, neck, jaw, or stomach Shortness of breath Cold sweat Nausea or light-headedness. In women the symptoms of heart attack include: Chest pain may or may not be present during heart attack More likely to experience some of the other common symptoms Particularly shortness of breath Nausea/vomiting Back or jaw pain. There are gender differences in the warning symptoms for heart attack.

Number of deaths (in thousands) due to Strokes in each region per year:

Number of deaths (in thousands) due to Strokes in each region per year © 2011  World Heart Federation

What is a Stroke?:

What is a Stroke? A stroke happens when blood flow to a region of the brain is interrupted due to a blood vessel in the brain that is blocked from a clot or torn and is leaking. If blood flow is stopped for more than a few seconds, the brain cannot get blood and oxygen. Brain cells die, causing permanent damage.

Symptoms of Strokes:

Symptoms of Strokes In men the symptoms of stroke are: Sudden numbness or weakness of the face, arms, or legs Sudden confusion or trouble speaking or understanding others Sudden loss of vision in half the visual field Sudden trouble walking, dizziness, or loss of balance or coordination Sudden severe headache with no known cause In women the symptoms of stroke are: Sudden face and arm or leg pain Sudden hiccups Sudden nausea Sudden tiredness Sudden chest pain Sudden shortness of breath Sudden palpitations There are gender differences in the warning symptoms for stroke.

Number of deaths attributed to diabetes (20-79 years old), in 2010:

Number of deaths attributed to diabetes (20-79 years old), in 2010

Prevention:

Prevention Exercise for at least 30 minutes everyday; children need to exercise 60 to 90 minutes a day! Activity Calories / Hour Basketball game 690 Jogging 600 Moving furniture, boxes 776 Mowing the lawn 474 Running 8.5 minute mile 992 Skiing 604 Competitive Soccer 863 Swimming laps freestyle 863 Tennis singles 690 Walking moderate pace 300

Exercise breakdown over a week:

Exercise breakdown over a week

Nutrition:

Nutrition In general 10% weight loss is associated with 30% loss in adipose tissue. Nutrition Restrict total calories, especially from simple carbohydrates (rice) Consume more calories from mono, poly and Omega 3 fats. Source of Omega 3 fats is oily Fish like Salmon and Flax seed Read Nutrition labels on food items to see calorie and fat intake

Slide 22:

How to read nutrition labels

Nutrition:

Nutrition Bake, Broil or BBQ! Minimize frying Stop deep frying Stop re-heating the edible oils for cooking Eat at least five servings (cups) each of fresh fruits and vegetables a day. Eat whole/multi grains, legumes, lentils, variety of nuts, low fat milk products, soy milk and tofu.

Dietary prevention:

Dietary prevention Balance your Omega 3 and Omega 6 Oils! Olive oil, Canola oil, Nuts and Avocado are rich in Monounsaturated (good) fats Flax seed, oily fish like wild salmon are rich in Omega 3 (heart protection)

Nutrition:

Nutrition Sun flower oil, safflower oil and soy bean oil are rich in healthy polyunsaturated fatty acids. When hydrogenated become Trans Fats which are highly atherogenic Avoid sugars, white flour, polished rice, Colas Avoid Trans Fats crispy and crunchy, fried and fast foods, desserts; cookies, cakes, pastries! Lower Salt intake (pickles, chips, pretzels!)

Lifestyle Recommendations:

Lifestyle Recommendations Practice Yoga, meditation Quit Smoking Call 1-800-QUITNOW Take medications under your Physician’s supervision to achieve target numbers

Contact Information:

Contact Information Website: www.heartsmartglobal.com Follow heartsmartglobal on Twitter or become a fan of heartsmartglobal.com on Facebook Search “ heartsmart iglobal ” in the App Store on your iPhone / iPad /iPod