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CYCLING PERFORMANCE TIPS

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Dietitian for Cardiovascular Health Goffstown NH

Local resource for dietitian for cardiovascular health in Goffstown. Includes detailed information on diet tips that help with cardiovascular health, such as intake of fresh fruit and vegetables, whole grains, olive oil, omega 3 fatty acids, nuts, beans and more. Read on for more advice and content on the Mediterranean diet and cardiovascular health.

Audrey Lynn Anastasia Kanik, MS, RD
(603) 533-4937
Springfield College500 Commercial Street
Manchester, NH
 
Hilary Warner, RD
(603) 223-8119
Nutrition Works LLC18 N Main St Ste 304
Concord, NH
 
Lilian Pessoa Joventino, MD
(603) 663-6569
100 McGregor St
Manchester, NH
Specialties
Cardiology
Gender
Female
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1996

Data Provided By:
David Joel Goldberg, MD
(603) 669-0413
100 McGregor St
Manchester, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1993
Hospital
Hospital: Catholic Med Ctr, Manchester, Nh
Group Practice: New England Heart Institute Catholic Medical Center

Data Provided By:
William Conover Graff, MD
(603) 663-6389
100 McGregor St
Manchester, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Rene Descartes (Paris V), Uer Cochin-Port Royal, Paris, France
Graduation Year: 1982

Data Provided By:
Kimberly Edith Dorval, RD
(603) 627-6887
Nutrition in Motion82 Palomino Lane Ste 501
Bedford, NH
 
Andrew Michael Cohen, MD
(603) 663-6419
100 McGregor St
Manchester, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1992

Data Provided By:
Andrew Cohen
(603) 663-6657
100 Mcgregor St
Manchester, NH
Specialty
Cardiology, Cardiovascular Disease

Data Provided By:
William Graff
(603) 663-6657
100 Mcgregor St
Manchester, NH
Specialty
Cardiology, Cardiovascular Disease

Data Provided By:
Robert Cadby Dewey, MD
(603) 669-0413
100 McGregor St
Manchester, NH
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1980
Hospital
Hospital: Catholic Med Ctr, Manchester, Nh
Group Practice: New England Heart Institute Catholic Medical Center

Data Provided By:
Data Provided By:

BASICS OF A HEALTHY DIET

 



I recently attended an interesting conference on the effects of diet on cardiovascular risk facotrs. I was impressed with both the benefits of diet on vascular disease risk factors as well as the data that demonstrated diet to be even more effective than many "high powered" prescription medications in reversing the metabolic changes of abnormal glucose and lipid metabolism. I thought it would be fun to summarize a few of the ideas and then to speculate on what lifestyle changes one might easily make to keep themselves healthy. But before we go further, I want to stress again that this is about a baseline healthy lifestyle - and all evidence continues to point towards carbohydrates alone as the underpinning for the energy needs of the cyclist on their bike.

Abnormal lipids, probably as a result of abnormal glucose metabolism (insulin resistance or pre diabetes) are a significant factor in the development of cardiovascular disease. There are proven dietary and life style strategies that are proven to help pts with severe vascular disease (prior MI, stroke, etc.), so it would seem safe to speculate that the same strategies would be beneficial for everyone (but especially if they had undiagnosed insulin resistance). The current presumption is that this "prediabetic" condition can be present for years before full fledged diabetes with an elevated blood sugar is diagnosed - and the entire time blood vessel damage is ongoing.

Here is another way to look at this. There are multiple risk factors:

  • Aging
  • Obesity
  • Genetics
  • Sedentary lifestyle which are factors in aggravating insulin resistance. And the more severe the insulin resistance the greater the odds of
    • Dyslipidemia (decreased HDL, increased LDL and triglycerides)
    • Hypertension
    • Atherosclerosis Improve any of the multiple risk factors and the odds of developing blood vessel disease decreases.

      In reviewing the literature, it is extremely common to note that certain dietary changes improve both the risk of DM and risk of heart disease in the same direction and by the same relative amount. Again, strong suggestive evidence that it is insulin resistance that is the common factor for both development of overt diabetes mellitus and cardiovascular disease. In fact, I heard one lecturere say that if one followed all the dietary and life style recommendations that follow, the chances of developing diabetes type 2 were almost nil.

      The dyslipidemia CV risk factors include

      • an increase in the LDL (or bad cholesterol) levels
      • a decrease in HDL - HDL functions to clear cholesterol from the periphery and transport it back to the liver. (a 1 mg/100ml increase in HDL = 2-4% lower risk of a cardiac event)
      • and an increase in triglycerides. Focusing on changing the balance of these three is the goal. Statin drugs will lower the LDL, but have no effect on the other two. Dietary changes will affect the balance in a way that is actually more effective than statins alone, an...

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