Cardiovascular risk factors

The main Cardiovascular risk factors are outlined below:
  • High blood pressureHigh blood pressure (hypertension) is one of the most important risk factors for CVD. …
  • Smoking.
  • High cholesterol.
  • Diabetes.
  • Inactivity. …
  • Being overweight or obese. …
  • Family history of CVD. …
  • Ethnic background.
what is metabolic syndrome

What Is Metabolic Syndrome?

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Metabolic syndrome is an unhealthy metabolism that leads to fatal diseases such as heart attacks, diabetes, and cancer. Moreover, this condition affects more than a fifth of the US population and about a quarter of the European population. Even though its prevalence in South-east Asia is lower, it is still rapidly moving towards the rates of the western world even there. It should be understood that metabolic syndrome is a problem for not only overweight people. So, in 40 out of 70 percent of people with normal weight, doctors diagnose metabolic disorders. This is at least related to an increase in waist circumference or visceral obesity. So what is metabolic syndrome? How do you know if you are at risk? How can lifestyle help prevent this condition and what is the treatment aimed at? This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on 4 September 2021. What is Metabolic Syndrome? Essentially, metabolic syndrome is the simultaneous presence of several conditions, such as obesity, hyperlipidemia (abnormal levels of cholesterol and / or lipoproteins), diabetes and / or hypertension. This combination was first described back in the late 1960s. Nowadays, medical organizations say that even a few of the risk factors are sufficient. Let’s take a look at which conditions are referred to as metabolic syndrome and which of the factors are more influential. Metabolic Syndrome Criteria The NCEP ATP III panel identified 3 of 5 risks of the next metabolic syndrome criteria: At the same time, the International Diabetes Federation names narrower ranges: IN THIS ARTICLE 1 What is Metabolic Syndrome? 2 What causes metabolic syndrome? 3 Metabolic Syndrome treatment 4 Supplements or Nutraceuticals for Metabolic Syndrome RELATED ARTICLES These are recommendations for the European race. For Chinese, Japanese and South Asians, a waist circumference of ≥90 cm for men is at risk. Note that weight is not taken into account, just the waist circumference. This is no accident. In the next chapter, we will review in detail why so much attention is paid to waist circumference. Other risk factors include the following indicators: 2) elevated triglycerides (≥150 mg/dl);  3) low HDL cholesterol (<40 mg/dl in men, <50 mg/dl in women);  4) hypertension (≥130/≥85 mmHg); and  5) impaired fasting glucose (≥110 mg/dl). The American Heart Association reports a level of risk fasting glucose levels at ≥100 mg / dL. At the same time, the pathophysiology of this syndrome remains a subject of continuing controversy. However, despite the lack of knowledge, researchers have identified visceral obesity and insulin resistance as the most important causative factors. Central obesity or visceral obesity is readily assessed at waist circumference and is independently associated with each of the other components of metabolic syndrome. The second significant factor in the development of this disease is an increase in glucose levels (hyperglycemia). However, even a small increase, both on an empty stomach and after a meal, increases the risk of cardiovascular disease and mortality. In addition, a prospective Quebec study has found that even with no increase in blood sugar, elevated insulin levels (i.e., insulin resistance) are associated with a risk of coronary heart disease. In addition, insulin resistance also contributes to the development of hypertension due to the loss of the vasodilator effect of insulin and vasoconstriction. What causes metabolic syndrome? The pathogenic mechanisms of MetS are complex and yet to be fully elucidated. However, the wide variation in geographic distribution of MetS emphasizes that the consumption of excess calories and lack of physical activity are the major contributors to the development of the disease. Moreover, visceral obesity is the key trigger for most pathways involved in metabolic syndrome. It is worth saying here that visceral fat may not be visible to the naked eye, but it is the fat that envelops the heart, liver and other organs, representing a real threat. By itself, visceral fat behaves very differently from subcutaneous fat. For example, visceral fat deposits contribute to insulin resistance. This is due to the fact that the visceral process of lipolysis leads to an increased supply of free fatty acids (FFAs) to the liver. This, in turn, increases synthesis of triglycerides and production of apolipoprotein B, the carrier of “bad cholesterol”. Ultimately, the “bad” particles become smaller, denser and much more numerous and easily penetrate the vascular endothelium, where they cause irreparable damage. Very high levels of “bad” LDL cholesterol and low levels of “good” cholesterol are indirect effects of insulin resistance. If you add to this an increase in triglycerides (atherogenic dyslipidemia), then even at a normal weight, you will get central obesity with the same high risk of death as obesity. Thus, as you can see, visceral fat, elevated insulin levels, and an unhealthy lipid profile (unhealthy cholesterol levels) are linked to each other. And all this leads to problems with cardiovascular diseases, diabetes, hypertension. It is not a surprise why in Healsens, in addition to monitoring weight, we recommend monitoring waist circumference. Metabolic Syndrome treatment Exercise As previously described, MetS results from increased caloric intake out of proportion to metabolic requirements. That is why lifestyle changes are imperative to manage the main risk factors. The first step in reducing risk factors is maintaining ideal body weight. Accordingly, if BMI is increased, then weight loss is an important preventive and therapeutic strategy. However, weight loss doesn’t have to be a goal by itself. As we wrote above, people whose weight within the normal range may have visceral obesity, which can be measured by checking the circumference of the waist. In this case disease prevention will imply reducing visceral fat without losing weight. The good news is that numerous studies show that it suffice to add physical activity to help the problem. In fact, physical exercise can reduce visceral adipose tissue by 6.1%. Moreover, exercise itself is effective in maintaining muscle mass and facilitating mobility. As for exercise, if there is nAs for exercise, if there is no personal trainer to consult, 30-60 minutes of moderate-intensity exercise per week will

thyroid gland hormones

Thyroid Gland Hormones

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All hormones in our body must work in concert to maintain optimal health. Thyroid gland hormones play a major role in regulating this work. In today’s article, we will discuss which symptoms can tell us that not everything is in order with our thyroid hormones. We will also take a closer look at the three ways to check the functioning of the thyroid gland. This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on 17 February 2020. If we look into history, we will see that thyroidology itself (the study of the thyroid gland) is a relatively new field of endocrinology. In spite of this fact, however, as early as in 1600 BC Chinese writers described the treatment of thyroid goiter (an enlarged thyroid gland) with burnt seaweed. However, the goiter itself was not specifically associated with the thyroid gland. It was only in 1656 that Thomas Wharton first gave the thyroid the name that is still in use today. How thyroid gland hormones affect health Thyroid hormone is the main regulator of hormonal levels. Many people do not realize that they have a dysfunction of the thyroid gland even though it is a disorder, every tenth of which, leads to many adverse health changes. In this case we are talking about already diagnosed problems. However, according to the American Thyroid Association, up to 60 percent of people with thyroid disease go undiagnosed. And an undiagnosed illness can put patients at risk of getting some serious illnesses. How do thyroid hormones affect our body? IN THIS ARTICLE 1 How thyroid gland hormones affect health 2 Thyroid stimulating hormone (TSH) 3 Triiodothyronine (T3) 4 Thyroxine (T4) 5 The role of the pituitary gland RELATED ARTICLES Heart Thyroid gland hormones have a permissive effect on catecholamines. Catecholamines are a group of similar hormones produced by the adrenal medulla. Those, in turn, increase the expression of beta-receptors to increase heart rate, stroke volume, cardiac output, and contractility. Often, people with hypothyroidism have very high cholesterol levels (350 and higher), and a bunch of other risk factors leading to a cardiovascular disease. Thermoregulation Thyroid hormones are responsible for thermoregulation, which is why people with reduced thyroid function (hypothyroidism) often complain that they are constantly cold. This happens due to increased available energy in the body, as well as increased appetite, heart rate, and the amount of oxygen delivered to various parts of the body. Metabolism These hormones also help control the basal metabolic rate (the rate at which calories are burned). So fatigue and excess weight are also signs of hypothyroidism. On average, an underactive thyroid gland can add 5 to 15 kg of weight. But most of that extra weight will come from water and salt. In addition, decreased thyroid function can cause constipation, memory problems, and lethargy. An overactive thyroid gland (hyperthyroidism) is characterized by the opposite signs: having difficulty gaining weight, feeling hot, having frequent bowel movements, feeling nervous, and having a rapid heart rate. Other functions controlled by thyroid hormones include metabolism of fats, proteins and carbohydrates, as well as protein synthesis. Relation to other hormones There is also an interrealtion between thyroid function and control over other hormone levels. So, deviation of the thyroid hormone level from the norm can adversely affect the work of the adrenal glands. For instance, сertain human autoimmune conditions can destroy both the thyroid gland and adrenal cortex resulting in combined hormone deficiencies. Moreover, dysfunction of the thyroid gland negatively affects the levels of sex hormones. Hyper- and hypothyroid men have increased rates of sexual dysfunction, including erectile dysfunction (ED). But the good news is that treatment of thyroid disorder at least partially reverses sexual dysfunction. Thyroid hormone also affects fertility, ovulation, and menstruation. What hormones does the thyroid gland produce? In the following, we will discuss three tests for testing thyroid function – thyroid stimulating hormone (TSH), free T3, and free T4. You will probably want to make these tests part of your early diagnosis program and get them done regularly. Thyroid stimulating hormone (TSH) Thyroid stimulating hormone is a hormone that stimulates the thyroid gland. It is also known as TSH and is a glycoprotein hormone produced by the anterior pituitary gland. It is the main stimulus for the production of thyroid hormones. The TSH screening test is the first line test for suspected thyroid disease. According to the American Thyroid Association, TSH levels are typically between 0.4 and 4.0 milliunits per liter (mU / L). However, these ranges will vary among laboratories and the upper limit can be raised from 4 to 5. If your level is higher than this, you are most likely to have an underactive thyroid gland. However, some studies show that this range should actually lie within 0.45–2.5 mIU / L. This is because TSH below the upper limit of the normal reference range poses an additional risk of progression to overt hypothyroidism over time. So, high TSH levels indicate that your thyroid gland is not producing enough thyroid hormones. This condition is called hypothyroidism, which we wrote about above. Low TSH levels, on the other hand, may mean that your thyroid is producing too much hormone, the condition is called hyperthyroidism. Hyperthyroidism can be caused by Graves’ disease. This is a condition when your body’s immune system attacks the thyroid gland. It can also be a result of too much iodine in your body. T3 (triiodothyronine) and T4 (thyroxine) T3 (triiodothyronine) and T4 (thyroxine) are the two key thyroid hormones that are produced by the thyroid gland. The main product of thyroid secretion is T4, while T3 is secreted only in small amounts. However, the activity of T3 is three to four times higher than that of T4. Nonetheless, both hormones play a vital role. Both T3 and T4 contain iodine. And it is iodine that is one of the main building blocks of both hormones. So let’s talk about tests that help measure the content of these hormones in the body.

Lower your cholesterol

LOWER YOUR CHOLESTEROL

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Even with these new ideas that inflammation is the cause of heart disease, cholesterol, and its constituents still account for heart problems in most cases. So this time, we’ll discuss what you can do if your lipid level test results exceed optimal levels. We’ll start by looking at how to lower your cholesterol without pills. This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on July 24, 2021. However, before getting down to this fascinating topic, let’s remember what problem we are solving. ☝️ Heart disease is the main cause of death. ☝️ 3.9 million people die from heart attacks in Europe every year. And the cause of heart disease is the inflammatory process. This inflammatory process begins with an excessive amount of LDL (“bad” cholesterol) particles appearing on the walls of the coronary arteries and causing subsequent oxidation. In turn, HDL particles (“good” cholesterol) reduce the risk of heart disease. So, they move excess LDL back to the liver and thus prevent inflammation and oxidation. We already discussed this topic in our article about the lipid profile. There is yet another independent risk factor for heart disease: triglyceride (unbound fat) levels. Excessive amounts of high glycemic carbohydrates in the diet, as well as alcohol abuse, are common causes of elevated triglyceride levels. How then can you lower your cholesterol? The first step to normalizing your cholesterol and triglyceride levels is following a healthy diet. IN THIS ARTICLE 1 How to Lower Your Cholesterol Naturally 2 Quit smoking 3 Normalize weight 4 Exploring Food Supplements to Help Lower Your Cholesterol Levels RELATED ARTICLES How to Lower Your Cholesterol Naturally Removing trans fats There are two main types of trans fats in food: naturally-occurring and artificial trans fats. Let’s figure it out. Naturally-occurring trans fats are produced in the guts of some animals. Artificial trans fats (or trans fatty acids), on the other hand, are created in an industrial process. And for this, hydrogen is added to liquid vegetable oils to make them more solid. It’s worth knowing that trans fats make us fatter than any other food with the same amount of calories. But that’s not all. Researchers at Wake Forest University have found that trans fats increase the amount of fat around the belly. That happens not only because new fat is added, but also because fat from other areas moves to the abdominal area. Of course, trans fats raise LDL (bad) cholesterol and lower HDL (good) cholesterol. So it is obvious that it increases the risk of heart disease and stroke. This is why the American Heart Association recommends reducing foods containing partially hydrogenated vegetable oils. And in November 2013, the FDA tentatively determined that partially hydrogenated oils were no longer considered safe. Therefore, it is recommended to choose foods where the trans fat content is 0. Let’s find out which foods can contain trans fats! Unfortunately, trans fats can be found in many foods, such as donuts and pastries, cakes and pie crusts, cookies and frozen pizzas, margarine and other spreads. You can determine the amount of trans fat by looking at the Product Facts label. However, if “0 grams of trans fat” is indicated, it doesn’t mean that there are no trans fats there. According to the rules, they can still contain between 0 and less than 0.5 grams of trans fat per serving. You can also identify trans fats by reading the ingredient list and looking for ingredients called “partially hydrogenated oils.” Reducing saturated fat There is nothing more important to a healthy heart than reducing your intake of trans and saturated fats. They are critical to the effectiveness of the diet. And none of the other nutrients in the diet raises LDL levels like saturated fat. Foods high in saturated fats include: In addition, many baked goods and fried foods can contain high levels of saturated fats. Health advocates have repeatedly suggested the use of policy instruments to influence consumer behavior. For example, in 2011, Denmark even introduced a tax on saturated fat in food. But a year later, this tax was canceled, although studies have shown its effectiveness in changing consumer behavior. It should be said that a healthy body is able to maintain normal lipid levels, regardless of cholesterol intake. In other words, our liver does an excellent job of regulating blood cholesterol levels. However, if you passed the test and saw that you need to lower your cholesterol, then, probably, these mechanisms of cholesterol metabolism have begun to work incorrectly. To prevent this problem, it is recommended to choose foods with less than 10% D.V* saturated fat per serving. The question naturally arises, what are the alternatives to saturated fats? *For a 1,500-calorie diet, your daily DRI would be: Total fat: 33 to 58 grams. Saturated fat: No more than 15 grams. Cholesterol: No more than 200 to 300 grams. What then to eat? To get the nutrients you need, eat a diet that emphasizes: You should replace foods high in saturated fat with foods high in monounsaturated and / or polyunsaturated fats. This means eating foods made with liquid vegetable oil, but not with tropical oils. It also means eating fish and nuts. You can also try replacing some of the meat you eat with beans or legumes. Fruits and vegetables aren’t just good for reducing your intake of trans and saturated fats. Soluble fiber, most of which is found in fruits and vegetables, also inhibits fat absorption. And this helps to lower the level of bad cholesterol (LDL). It is useful enrich your menu with legumes, oats (oat bread, porridge, oat bran in smoothies, and bread crumbs), and ground flax seeds, which can be sprinkled on almost anything. Quit smoking Smokers are two to four times more likely to develop a heart attack than non-smokers. There are 4,000 toxic substances in tobacco and tobacco smoke, many of which accelerate the processes leading to heart attacks. Cigarette smoking significantly increases the overall level of inflammation in the body and dramatically

checking homocysteine serum levels

Checking Homocysteine Serum Levels

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Homocysteine is produced in our body (it is not contained in food) through the metabolism of an essential amino acid called methionine. Normally, formed homocysteine quickly turns into other, harmless substances – vitamins B6, B12, and folic acid are needed for these transformations. But in elevated concentrations, homocysteine provides a whole range of adverse effects, which we will discuss in detail below. Also, Also, this article describes who and why may benefit from checking homocysteine serum levels in terms of improving health. Firstly, it can directly damage vascular walls by making them loose. Thus, the damaged surface is subject to cholesterol and calcium depositing, which form an atherosclerotic plaque. Thus, blood coagulation is activated, and this, in turn, leads to the development of atherosclerosis, arterial and venous thromboses. Secondly, folic acid deficiency, which almost always accompanies an increase in homocysteine, can lead to gross malformations of the fetal nervous system during pregnancy – anencephaly (lack of the brain), and neural tube failure. It is for the prevention of these defects that all pregnant women are prescribed folic acid preparations. IN THIS ARTICLE 1 Which level of Homocysteine passes for normal? 2 Causes for High Homocysteine Levels 3 How Often Should You Check? RELATED ARTICLES Thirdly, homocysteine in high concentrations has a direct toxic effect on trophoblast cells, from which the placenta is subsequently formed, causing their death and a decrease in the production of hCG – the pregnancy hormone. This can lead to termination of pregnancy (usually in the first trimester) or to impaired placental development, which further increases the risk of placental insufficiency, fetal growth retardation, preeclampsia, placental abruption, pregnant hypertension, and kidney damage. Elevated homocysteine levels are also associated with increased thrombus formation, as well as higher risks of heart attacks, cerebral accidents, peripheral arterial diseases, and fractures. Doctors measure homocysteine levels as a possible cardiovascular risk factor, to diagnose homocystinuria, thrombosis, diabetes mellitus, senile dementia and Alzheimer’s, and obstetric pathology. The testing is necessary in a number of situations since elevated homocysteine levels are cytotoxic. Which level of Homocysteine passes for normal? The “ideal” homocysteine level levels of about 5-7 µmol/L. “Good” levels of less than 10 µmol/L. So, homocysteine > 10 μmol/L is associated with some risk factors like peripheral microvascular endothelial dysfunction (PMED), higher major cardiovascular events, etc. The normal range of homocysteine levels are less than 15 micromoles per liter (mcmol/L). Higher levels are: Moderate (15 to 30 mcmol/L); Intermediate (30 to 100 mcmol/L); Severe (greater than 100 µmol/L). Any higher than 15 and you will want to work with your Health Coach to further investigate the cause. The latest studies show that homocysteine is an independent risk factor of cardiovascular diseases. Clinical research shows that a 5 umol/L elevation in homocysteine concentration in blood plasma increases the vulnerability to cardiovascular disease and total mortality by 1.3 – 1.7 times. Lowering of elevated homocysteine levels in blood plasma can prevent cardiovascular complications. If levels of homocysteine are found to be elevated, it is advisable to measure the levels of creatinine, thyroid stimulating hormones, folacin, cobalamine to define probable causes of hyperhomocisteinemia and suggest appropriate treatment. Causes for High Homocysteine Levels At first, don’t panic if your homocysteine level is above the norm values. Just because you have high homocysteine doesn’t mean you will develop heart disease or a neurological condition tomorrow, next week or even next month. That’s the beauty of functional lab tests; they often allow us to catch patterns of disease and imbalance in the body before they become chronic or diagnosable. And if you’re already dealing with a chronic disease, then by examining your homocysteine levels, you’ve gotten one big step closer to uncovering the root cause and getting your health back on track. It’s worth mentioning that smokers are more vulnerable to hyperhomocysteinemia. Moreover, high coffee consumption is one of the most powerful factors increasing homocysteine in blood. Those who drink more than six cups of coffee a day have 2-3 umol/L higher homocysteine levels than people who drink no coffee. Elevated homocysteine levels are often associated with a sedentary lifestyle. So, moderate physical activity lowers homocysteine levels in case of hyperhomocysteinemia. Vegan diet can also decrease its levels by 13% without any supplements. However, the most frequent cause of high homocysteine levels is folacin deficit. The deficit of cobalamine (vitamin В12) may also lead to homocysteine accumulation. However, the effectiveness of using vitamins is a subject of debate among researchers. Several major randomized experiments showed that relatively easy lowering of homocysteine levels through taking supplements did not result in lowering vulnerability to cardiovascular diseases. How Often Should You Check? As with all lab work, how often to re-test is highly individual. Yet, there is a number of indications for investigation, such as: – cerebral accident, heart attack, thrombosis, atherosclerotic cardiovascular disease in family history;– blood-clotting disorder;– neurological disorders in childhood;– preparation for IVF, pregnancy;– chromosomal abnormality of the fetus, congenital defects, complications;– smoking;– age higher than 75 years old. Typically, if your levels are on the high-side your Health Coach will recommend re-testing after about 6 months. In conclusion, some estimates suggest that if homocysteine levels decreased by 40% would lead to an extra 8 years of life per 1000 men, and 4 years of life per 1000 women. Ordering Blood Tests in the Netherlands If you are interested in checking your Homocystein level, you can easily purchase a blood test kit from Healsens. 1 Download the Healsens App from Google Play or the App Store, depending on your device. 2 Complete the registration process in the app. 3 Go to the “Profile” page via the bottom menu of the application. 4 Tap on the test you need — ”List of Available Tests” 5 Find the Cholesterol Pack & Tap on the “Add to Cart” button. Proceed with the ordering process. » Discover how to check and improve your health with Healsens preventive checkup plan. Note If you want to assess your homocystein level but are not residing

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