The central theses
- A new study finds that people with genetically high cholesterol, heart disease, or both were more prone to heart attacks after being infected with COVID-19.
- People with genetically high levels of cholesterol are at high risk of developing heart disease.
- Doctors believe that the increased risk of a heart attack when infected with COVID-19 could be linked to inflammation in the body caused by the virus.
According to a new study, people with genetically high cholesterol, heart disease, or both were more prone to heart attacks after contracting COVID-19.
The study, published in the American Journal of Preventive Cardiology, analyzed data from 55,412,462 people and divided them into six groups:
- Those diagnosed with genetically high cholesterol – also known as familial hypercholesterolemia (FH)
- The ones who probably had UAS
- Those who have been diagnosed with a type of heart condition called atherosclerotic cardiovascular disease (ASCVD)
- Those diagnosed with both FH and ASCVD
- The ones who likely had both FH and ASCVD
- Those who had neither FH nor ASCVD
The groups were further divided into patients who had COVID-19 and those who didn’t.
The overall heart attack rates in all groups were low – only one was just over 2%. But there have been more heart attack cases in those who have had COVID-19. Specifically, the researchers found that heart attack rates were highest in people diagnosed with COVID-19 who were either diagnosed with genetically high cholesterol or who were likely diagnosed with genetically high cholesterol along with heart disease.
“We already know that people with familial hypercholesterolemia are already at very high risk of a cardiovascular event,” study co-author Katherine Wilemon, founder and CEO of the FH Foundation, told Verywell. “But the data shows that COVID infections also increase the risk. We wanted to look at the intersection and see the effects on the individual. ”
The researchers also discovered that people with undiagnosed genetically high cholesterol “are at high risk for cardiovascular events, especially if they have COVID-19,” says study co-author Kelly Myers, chief technology officer of the FH Foundation. opposite Verywell.
What is familial hypercholesterolemia?
Familial hypercholesterolemia (FH) is a condition that is passed on through the family. The condition results in high levels of low-density lipoprotein (LDL) cholesterol, which is known as the “bad” form of cholesterol in the body. It starts at birth and can cause heart attacks in patients at a young age.
About 1 in 250 people has familial hypercholesterolemia. If the disease is left untreated, people with the disease are up to 22 times more likely to have heart disease than those who do not have FH.
People with genetically high cholesterol may not have symptoms when they are younger. However, if symptoms develop, they can include:
- Oily deposits of skin called xanthomas on parts of the hands, elbows, knees, ankles and around the cornea of the eye
- Cholesterol build-up in the eyelids is known as xanthelasma
- Chest pain or other signs of coronary artery disease, even at a young age
- Cramps in one or both calves when walking
- Sores on the toes that don’t heal
- Stroke-like symptoms such as difficulty speaking, getting caught on one side of the face, weakness in an arm or leg, and loss of balance
The COVID-19 Heart Attack Connection
It’s not entirely clear why people with familial hypercholesterolemia are at higher risk of having a heart attack after COVID-19, but doctors suggest that this may be related to inflammation.
The increased risk “could be related to the inflammation of the blood vessels that occurs with COVID-19”. Richard Watkins, MD, an infectious disease physician and professor of internal medicine at Northeast Ohio Medical University, says Verywell.
“COVID-19 is an infection, and any infection causes inflammation in the body – this is how our immune system works,” says Robert Greenfield, MD, cardiologist and lipidologist at the MemorialCare Heart & Vascular Institute at Orange Coast Medical Center in California Very Well. People with FH already have inflammation around plaques and blockages that form in their blood vessels, and adding COVID-19 to the equation can make things worse, he says.
“COVID-19 is coming and this new insult sets off an inflammatory response that causes these plaques to burst or rupture like a volcano,” explains Greenfield. This creates a blockage that can lead to a heart attack.
“People with familial hypercholesterolemia sit on a powder keg,” he says.
Treatment of familial hypercholesterolemia
Treatment for genetically high cholesterol should reduce the risk of heart disease. It can include diet changes such as:
- Eat less beef, chicken, pork, and lamb
- Replace full-fat dairy products with low-fat products
- Elimination of trans fats
Medications like statins can also help lower your risk of heart attack and stroke.
People with a severe form of FH may need to undergo a treatment called apheresis, which involves removing blood or plasma from the body, filtering it to remove LDL cholesterol, and then returning it to the body.
What that means for you
Getting vaccinated against the virus is critical to protecting your heart health if you have familial hypercholesterolemia or if you are at risk for heart disease. You can find a vaccination appointment near you at Vaccines.gov.
How To Lower Your Risk Of COVID-19 Complications With FH
Myers recommends individuals who have either been diagnosed with FH or have a family history of the disease “get a COVID-19 vaccination or evaluate it seriously”.
Watkins agrees. “More research is needed to prove causality, but I encourage them to get the COVID-19 vaccine,” he says.
It is important to exercise and follow a good diet. “Anti-inflammatory diets are good for the body,” says Greenfield, noting that it is best to use whole grain bread for white bread and eat berries, which tend to be anti-inflammatory. “Diets that we believe are the healthiest tend to be anti-inflammatory, and those that are full of saturated fat are prone to inflammation.”
If you have FH, Myers recommends that you continue to take your medication as directed. And if you have symptoms of FH, see a doctor. “These results underscore the importance of the diagnosis,” says Myers.
The information in this article is current as of the date indicated, which means more recent information may be available by the time you read this. For the latest updates on COVID-19, visit our Coronavirus news page.
My Health: Tess Daly shares her top tips for wellbeing
Tess shares her rules for better health (Image: Metro.co.uk)
Stricly Come Dancing’s Tess Daly returns to co-host with Claudia Winkleman the new series of the hit BBC1 show, starting with the launch show this Saturday.
Tess, 52, started modeling after being scouted outside a McDonald’s in Manchester.
A bustling international modeling career ensued, and while living in New York, she interviewed celebs who attended red carpet events.
In 2000, she hosted the Find Me A Model competition on Channel 4’s The Big Breakfast, appeared on Strictly in 2004, co-hosted with Bruce Forsyth, and presented BBC Children In Need for 11 years before stepping off the charity telethon last year .
Tess is married to her TV host Vernon Kay and has two daughters.
What do you do to stay fit and healthy?
I eat a healthy and balanced diet consisting mainly of whole foods – whole grain legumes, fruits and vegetables. I haven’t eaten red meat since I was a teenager and I’m a fanatic of gut-healthy foods – natural yogurt, bananas, almonds, and olive oil – because digestion is so important to our general wellbeing.
I train with a personal trainer two to three times a week. On my own, I would find any excuse not to make it to the gym. I need this person who is physically above me to motivate me. I do yoga every day, even if it’s only a 15-minute stretch at the end of the day. If I miss it, I don’t sleep either.
What are your secret vices?
Chocolate. I long for it, especially in the afternoon over a cup of tea. I have a real sweet tooth and love to bake at home with my girls.
Are there any fitness goals that you haven’t reached yet?
I’ve always wanted to do Pilates. I’m tall and have a long spine and I know that strengthening my core and this exercise discipline would benefit me. But I’ve tried it a few times now and just can’t get anywhere. It’s so tech driven and requires a lot of mental and physical control to get into each position. And for me I find it too complicated, ie I tend to lose interest before the end of the session.
Tess is a huge fan of ginger (Image: Getty Images)
How did the lockdown affect you?
One of the things I missed the most – aside from the obvious things like seeing friends and family and the ease and ability to do things – is a routine. Since there were no school runs, no regular working hours, or fixed meal times, I felt quite confused. In a positive way, I learned to enjoy planning. I used to be the live-in-the-moment guy who always organized things at the last minute. Then I realized that due to a lack of plans with friends and family, I couldn’t really look forward to much, apart from work.
I’ve found it important to make plans, whether it’s a day trip with the family, a barbecue with friends, or small outings.
How is your physical health?
I am very grateful for continued good health – apart from hay fever, which drives me crazy in the summer months. That’s how I became such a fan of Artelac eye drops – they literally saved me from puffy, red, and itchy eyes.
I make a conscious effort to take care of my health – we only have one life, right? I value good nutrition, take the right supplements, and try to keep my body moving with some form of exercise every day.
I don’t mean going to the gym – walking the dogs or jumping for a few minutes also increases the heart rate positively.
Has your job helped make you healthier?
My work life requires a certain amount of perseverance, I suppose. Studio days can be 15 hours long with no lunch or dinner breaks, and I usually walk in high heels. It is in my best interest to be physically fit to stay on schedule.
Any mood-enhancing tips?
If it was one of those days when I didn’t have five minutes to myself and feel a little frayed, I treat myself to a long bath with wonderfully scented oils and candles to make it feel soothing. Yoga, which I do with Adriene on YouTube, always helps to lighten the mood … as does a spontaneous kitchen disco!
Tess Daly’s top tips for good health:
I’m obsessed with health tips. So let’s go
- My top tip is ginger. It is nature’s best medicine as it is a brilliant immune booster. If possible, drink it daily as tea. I chop it fresh and boil it in water, add honey and lemon to taste. It’s amazing for colds and digestion.
- Try to skip three minutes in the morning – skip a minute, then rest for a minute. It’s better than a morning wake-up coffee. You can do it at home and it lifts your spirits too – gets those old endorphins going.
- Invest in a blender. Throw in all of your old fruits and vegetables and superfoods it-up with a handful of spinach leaves. Throw in a little of that fresh ginger while you’re at it for a nice boost of fresh vitamins and minerals.
- Try to get yourself a good night’s sleep. For me, seven hours are the dream. In reality, it’s usually closer to six and really broken. I think it helps not to have devices an hour before bed or my brain won’t stop. And I have a positive book ready to read before going to sleep. I’m just rereading The Power Of Now by Eckhart Tolle. It’s a pretty strong book.
Further information on Artelac eye drops and how dry eyes can be prevented and treated can be found at artelac.de
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The Easy Ratio That’ll Make A Perfectly Balanced Kids Lunch
Packing a nutritionally balanced lunch that your kids will actually eat can feel like shitty business at times – once you think you’ve got your lunch game locked up, the day is the day they go after the elaborate bento box Coming home that you have packed intact.
As parents, we feel responsible for the health of our children and that understandably means a lot of stress about what they or don’t eat.
“Your job as parents is to offer healthy, nutritious foods on a consistent schedule as often as possible,” said Aubrey Phelps, a functional perinatal and pediatric nutritionist. “But it’s up to your child to decide what to do with you.”
The best way to become a happy, healthy eater is to keep offering your child what you ideally want to eat – and not take it personally if they choose not to eat it. At school lunch, Phelps recommends keeping it simple: “Focusing on certain vitamins or minerals can miss the big picture,” she said.
If you use the following macronutrient formula to package your kids ‘lunch and vary each one’ s sources, you are almost guaranteed to have a healthy, balanced meal that will keep them focused and energized at school.
50% vegetables and fruits
25% lean protein and healthy fats
25% starch or whole grain products
The ideal formula for school lunches is often called. designated the plate method – a visual representation of what a well-rounded meal looks like.
“Every child needs a healthy balance of macronutrients (protein, carbohydrates, fat) and vitamins and minerals”, Nicole Avena, a New York-based health psychologist and author of What to feed your baby and toddler said HuffPost. “The plate method helps ensure that no nutrient overwhelms the rest.”
For example, if your child has a lunch that is mostly carbohydrates or whole grains and some protein, they will likely feel tired in the afternoon. Not only do carbohydrates make you drowsy by increasing tryptophan and serotonin levels in the body (both are sleep-inducing compounds), but they can also make your blood sugar levels rise quickly, and the subsequent drop can make you sleepy, called avena. A larger serving of protein and fewer carbohydrates can also make your child sleepy.
“Proteins and fats are often harder to digest than carbohydrates and nutrients from fruits and vegetables,” says Avena. “This can potentially lead to fatigue as your body has to use more energy during digestion.”
If you make sure the lunch box contains all of the elements of this formula, your child will get the nutrients they need to focus and enjoy their school day without feeling sluggish.
Let’s break down the formula.
Vegetables and fruits – 50%
Try: carrot sticks, pepper strips, grape tomatoes, cucumber, grapes, apple slices, watermelon, berries.
The largest portion or half of the lunch box should contain 2-3 different types of vegetables and fruits – ideally two types of vegetables and one fruit, as the daily vegetable intake of children according to a. tends to be lower than the fruit intake 2019 review published in the American Journal of Lifestyle Medicine.
This is actually an example of what NOT to do. Don’t eat more fruits than vegetables, as most children tend to eat more fruits anyway.
“Vegetables and fruits provide antioxidants for warding off disease, including vitamin A for skin and eye health, lutein for eye protection (from blue light), and vitamin C for immunity,” said Amy Shapiro, registered nutritionist and founder of Real nutrition.
The product is also rich in water to keep the children hydrated and contains fiber for continued energy and improved digestion.
Lean Protein and Healthy Fats – 25%
Try: Chicken, Turkey, Tofu, Edamame, Hard Boiled Eggs, Greek Yogurt, Cream Cheese, Nuts, Seeds.
“Protein is the nutrient that is digested the longest. So if your child eats it as part of lunch, they’ll stay full and their blood sugar stable, ”Shapiro said.
Depending on the type of protein provided, it may also contain amino acids for growth and muscle repair, zinc for immunity, and iron and vitamin B12 for energy supply.
Regarding healthy fats: “Fat helps you stay full, provides energy and enables the bioavailability and absorption of many vitamins that we ingest from other foods,” said Shapiro. “By including fat in your child’s meals, you will help them stay full longer and have more energy.”
There is often enough fat cooked in your food or part of the meal that it doesn’t necessarily have to be a separate addition, Shapiro said. (Eggs and nut butters, for example, offer a double punch of protein and healthy fats.)
Starch or whole grain – 25%
Try: Whole Wheat Bread, Granola, Muesli, Brown Rice, Quinoa, Crackers, Air Popcorn.
“Carbohydrates are broken down into sugars in the body, providing energy for immediate use and reserves for later use,” said Shapiro. “Ideally, whole grain or whole-grain bread should be included as it is rich in nutrients, digests more slowly, and is high in fiber to support balanced blood sugar and digestion.”
They also contain B vitamins, which are important for energy and metabolism.
But if your child isn’t the biggest fan of whole grains, don’t worry: “Vegetables and fruits also fit into the carbohydrate category so you don’t always have to think about bread or cereals when your child doesn’t like them,” Shapiro said.
Starchy vegetables and fruits include carrots, corn, potatoes, winter squash, and bananas.
Even slight dehydration can lead to a decrease in cognitive function.
“Dehydration can affect reaction time, alertness, memory, and thinking,” said Avena. “Children are potentially at a higher risk of dehydration because they are more dependent on someone else for their fluid intake.”
Send your child to school with a large water bottle to keep them hydrated during the school day – and remind them to keep them at their desk.
“Out of sight is out of mind,” said Phelps. “I also recommend a water bottle that will keep the water cold or at room temperature (whichever your child prefers) so that drinking warm water doesn’t turn it off.”
It doesn’t have to be pure water either: You prefer it with fruit, coconut or fizzy drink or a completely different liquid such as milk or 100% fruit or vegetable juice.
“If your child is really struggling to drink enough, consider sending hydrating foods,” Phelps said. “Soups, smoothies, juicy fruits like grapes and melons, peppers, and even yogurt are all hydrating options that can help kids stay up to date.”
The easiest way to measure lunch box portions
Children are intuitive eaters – they eat when they’re hungry and stop when they’re full because the amount of lunches they eat fluctuates each day – so there really aren’t any perfect portions to pack.
The easiest way to make sure you are at the ballpark? Use your child’s hands as a guide.
Think of your child’s hands as a plate – palms up, little fingers together. Half of your “plate” (or one hand) should be vegetables and fruits. The palm of the other hand protein and fingers complex carbohydrates.
“With this method, the amounts you need will change as your child grows (and so will the portion sizes you need),” Phelps said.
She is also a fan of the Bento box style lunch boxesthat are already divided into child-friendly portions. You can fill a section with vegetables and fruits, one with protein and healthy fats, and one with starch or whole grains without guesswork. These ratios do not necessarily need to be adjusted if your child has special dietary needs.
“Appropriate substitutions are needed to ensure they have a filling and nutritious meal regardless of the dietary changes required.” Maya Feller, a Brooklyn-based registered nutritionist, told HuffPost. However, the general rule of thumb generally remains the same.
Ratios and formulas should only be used as guidelines, not as hard rules, as children should determine for themselves how much to eat.
“If parents find that their child is consuming 100% of the packaged food throughout the day, it could be a sign that they are going through critical stages of development and need more energy,” said Feller.
It’s also important to keep in mind that this is a full day meal – so when a lunch box comes home practically full, the game isn’t over. “We want to look at diet throughout the day, not a meal,” Shapiro said.
When in doubt, check in with your kids: find out how lunch was and make food and portion changes based on the feedback.
Remember: nutrition is cumulative
Look at your child’s diet over the course of a week, not a day – or a meal. “You will get what you need in time,” Shapiro said. “Some days are great and some are free and everything balances out.”
The most important thing parents can do is develop a good relationship with food. It’s more important than creating the perfect lunch.
“Children are more likely to be black and white thinkers, so I don’t recommend focusing on ‘healthy’ or ‘unhealthy’ or ‘funny’ foods,” said Krystyn Parks, a California-based Pediatric Registered Dieter. “All food is food. All food has a purpose. “
Perfection is not the goal, but routines that work for you and your child.
“Find your own routine, involve your children in the decisions and don’t measure yourself against another person,” said Feller. “No day – or meal – will be perfect in terms of nutrition.”
Do you fall for these slick food myths?
In this week’s Ask the Nutritionist, Nonie De Long shares the first of two parts that explore popular beliefs about good and bad food
Dear reader, our question this week comes from Maya, who asks if she should have breakfast or skip it because she heard that fasting was good, but she always thought breakfast was super important. Given these and similar questions I get asked all the time, I want to go over the top 10 nutritional myths we need to be familiar with. I’ll tackle five this week and five next week. Let’s get straight to the point.
The 10 most important nutritional myths:
10) Oats are a healthy food
Many people have learned of the damage gluten does to our digestive system over time, especially since it is now being produced. This is because this grain is exposed to a lot as more and more people attribute their health problems to an intolerance. This is how more gluten-free products are made and more people are talking about it. It is understandable, therefore, that many people would think that oats are great substitutes for grains. After all, it is a whole grain product that is available in organic quality and unprocessed.
However, there are several problems with oats when it comes to optimal health. First, they are often processed in facilities that also process wheat and are often contaminated with gluten. Second, oats often have added sugars or sweeteners, and even when they don’t, they can raise blood sugar levels. Eat a large bowl and watch your blood sugar and see. And fourth, they are very heavily sprayed with the well-known carcinogen glyphosate.
To find out who is selling the least-sprayed grains, go here. A list of the grains that are sprayed in Canada and to what degree can be found here. For your information, the government is in the process of raising these levels if we don’t talk about them.
9) Vegetables are the healthiest foods to eat
Vegetables are often touted as the god of food: the only thing that can’t make us sick while eating. And many studies show increased health from consuming more of it. So what on earth am I talking about? Well the logic is flawed. The reason vegetables are hailed as so healthy isn’t because of all of the nutrients they contain. That’s because they don’t contain the things we’ve been told are bad for us – namely, fat or sugar. By eliminating them, they are then considered the gold standard. But food isn’t just what it isn’t. It’s also about what it really is.
Comparing the nutrients side by side shows that animal foods are far more nutritious than vegetables. And we know that a diet that excludes more nutritious foods can, over time, be very stressful to both physical and mental health. Check out these charts to better understand the nutrients in meat and vegetables compared.
In addition, some vegetables contain lectins, which make the digestive system difficult and provoke symptoms in a growing number of people. Lectins are more common in cereals and lentils, but they are still found in some vegetables. If we get just a little bit of it, we’re usually fine. When we get too much, we become sensitive to them. It is not uncommon for me to get calls from vegetarians who do not understand why they can no longer tolerate vegetarian proteins. To better understand lectins and their role in health, go here.
Vegetables also contain oxalates. This is a much more serious problem in my opinion. Some people are really symptomatic of oxalates and it’s hard to determine unless you know what to look for. Essentially, these are naturally occurring compounds in some foods that attach to calcium and minerals in foods that we digest. The crystals that form in the process cause kidney stones. And they can also cause sharp, glassy shards that circulate in the blood and can form in tissues throughout the body. There is a large correlation between this pathological response to oxalates and chronic fatigue, fibromyalgia, and autism spectrum disorders. You may be involved in other conditions as well. You will find more information on this topic here.
Essentially, if this is a problem, the foods we believe to be the healthiest – these leafy vegetables – are actually harming us. One key to understanding when this is at stake is a person who says, “I’m doing everything right, but I just feel terrible. What the hell is going on here? “
My analysis is simple: we should eat food based on the nutrient density of the food and, for certain people, vegetables should not be over-eaten.
8) If it’s natural sugar, it’s better for you
If you’ve read my column long enough, you know for sure that this statement is obviously untrue. Even organic, whole, raw sugar cane is still sugar. It will still do the same damage to your blood sugar regulatory systems. Ditto raw honey. Ditto molasses. Ditto maple syrup. Ditto date sugar. Ditto fructose. Ditto fruit syrups and fruit juices, also unsweetened. These natural sugars can on rare occasions be benign in very small amounts, but if taken regularly they will still fuel diabetes and metabolic syndrome. This does not apply to whole, unprocessed fruits, in small quantities as part of or after a meal so that the blood sugar does not rise so high. This is because fiber and nutrients throughout the fruit and protein and fat in the meal offset the metabolic damage from the sugar in the fruit.
Dr. Robert Lustig discusses this much better than I could ever do here.
Take away: Eat your fruit with or after your meal if you want fruit. Skip the sugar, no matter how pure it seems. Try monk fruit or stevia, or a mixture thereof, to contain your sweet tooth. These do not increase blood sugar at all.
7) Complex carbohydrates are better for you than simple carbohydrates
This myth was long maintained by the food industry so you are sure to have heard it. The logic goes like this: Complex carbohydrates / starches take longer to break down into sugar, so they don’t do as much damage because they don’t make blood sugar soar.
While this analysis is true, some other information is missing. It turns out that polysaccharides feed the “bad” bacteria in the gut and are very difficult to break down without a healthy gut microbiome. This leads to all sorts of health problems. And many, many people have unhealthy microbiomes, especially those with mental health problems of all kinds. For these people and those with autism spectrum disorders, these seemingly healthy starches can do a lot of damage and cause symptoms to worsen. The best breakdown of this problem can be found in the book Gut and Psychology Syndrome by Dr. Natasha Campbell-McBride MD.
Essentially, these complex carbohydrates are not easily digested, and when intestinal permeability is an issue, as in the case of an altered gut microbiome, the improperly digested complex carbohydrate particles get through the gaps in the intestinal barrier and cause havoc in the bloodstream. This is certainly related to the self-stimulating behavior of ASD and carbohydrate cravings. Caltech studies now support the visionary work of Dr. Campbell-McBride. So if you are concerned with this topic, I recommend you read their books.
6) Eating eggs causes high cholesterol
Before we talk about your cholesterol, let’s talk about what else eggs contain. A medium-sized egg contains about 5.5 grams of protein and all 9 essential amino acids. They also contain choline – a very important B vitamin that up to 90% of the population is deficient in. Choline protects the brain and is important for brain function and health of young and old alike.
Eggs also contain selenium (a powerful antioxidant), lutein and zeaxanthin (carotenoids that are important for eye health), and natural vitamin D. And most of these nutrients are found in egg yolks.
I know we were taught to fear eggs because of the cholesterol in egg yolks, but cholesterol is tightly regulated by the body. The liver produces more when we are too little, and food intake has very little effect on it.
Then of course there is the idea that cholesterol is bad for us. This is a myth of epic proportions, but don’t take it off me. Read health writer Mark Sisson’s definitive guide to cholesterol for the complete picture. Mark is by far one of my favorite health and wellness writers.
The real takeaway here is that not all of the health information we receive is accurate. Tune in next week when I discuss the top 5 food myths and consider breakfast the most important meal of the day. Thanks Maya for writing! If readers have questions of their own, they can, as always, reach me at email@example.com and find me online at hopenotdope.ca.
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