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CYCLING PERFORMANCE TIPS

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Dietitian for Cardiovascular Health Merrimack NH

Local resource for dietitian for cardiovascular health in Merrimack. 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.

Kimberly Edith Dorval, RD
(603) 627-6887
Nutrition in Motion82 Palomino Lane Ste 501
Bedford, NH
 
Audrey Lynn Anastasia Kanik, MS, RD
(603) 533-4937
Springfield College500 Commercial Street
Manchester, NH
 
Anne James Boyd, MD
PO Box 1220
Amherst, NH
Specialties
Cardiology
Gender
Female
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1993

Data Provided By:
Gerald Harvey Angoff, MD
(603) 494-7334
39 John Goffe Dr
Bedford, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1970

Data Provided By:
J Beatty Hunter, MD
(603) 472-8412
15 Arrow Head Dr
Bedford, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1971
Hospital
Hospital: Catholic Med Ctr, Manchester, Nh; Elliot Hosp, Manchester, Nh; Monadnock Community Hospital, Peterborough, Nh
Group Practice: Heart Center

Data Provided By:
Clarissa S London, RD
(603) 889-8188
Nutrition ETC Corp15 Tanguay Ave
Nashua, NH
 
Connie J Rieser, RD
(603) 893-5274
8 Cristy Rd
Windham, NH
 
Joseph Addison Hill Jr, MD
6 Briarwood Ln
Amherst, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1987

Data Provided By:
Patrick Vernon Hickle, MD
(603) 488-1143
9 Beards Hill Rd
Bedford, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1990

Data Provided By:
Green Belton Neal, MD
(603) 472-8624
Bedford, NH
Specialties
Cardiology
Gender
Male
Education
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduation Year: 1971

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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