Hello and welcome to "Health for a Lifetime" 00:00:46.70\00:00:48.43 We're glad that you're with us and Dr. Allan Handysides, 00:00:48.46\00:00:51.72 we're glad that you're with us as well today. 00:00:51.75\00:00:53.97 Thank you very much. 00:00:54.00\00:00:55.33 Now your role is with the 00:00:55.36\00:00:56.62 "General Conference of Seventh-day Adventists" 00:00:56.66\00:00:58.24 You are a physician that works for them, 00:00:58.28\00:01:01.11 and it's no longer Health and Temperance, 00:01:01.14\00:01:03.94 it's "Health Ministries Department" - That's correct 00:01:03.97\00:01:06.36 And you have kind of a global perspective, 00:01:06.39\00:01:09.12 and you look at the major killers around the globe, 00:01:09.15\00:01:12.04 not just maybe in one country, but you're kind of in charge 00:01:12.07\00:01:15.38 of different departments that 00:01:15.41\00:01:17.30 look around the world. That's right 00:01:17.33\00:01:19.60 Now here in America, it's my understanding that one of the 00:01:19.64\00:01:22.97 major killers is heart disease. You're right, it's serious 00:01:23.01\00:01:26.31 But what about in terms of a global health issue, 00:01:26.34\00:01:29.82 is it an important issue globally? 00:01:29.85\00:01:32.65 It's probably not as much of 00:01:32.68\00:01:35.80 a global issue in some of the developing countries, 00:01:35.83\00:01:38.52 but you must remember countries like those in Europe, 00:01:38.55\00:01:42.42 and certain parts of the Far East are becoming 00:01:42.45\00:01:45.86 very sophisticated societies, 00:01:45.89\00:01:47.80 and heart disease is becoming an 00:01:47.83\00:01:49.46 increasing problem in those societies... Like Singapore 00:01:49.49\00:01:54.19 Like Singapore and Korea, for instance is becoming 00:01:54.22\00:01:58.59 much more sophisticated. 00:01:58.62\00:02:00.73 Big cities in China? 00:02:00.76\00:02:02.60 I don't think the Chinese are probably quite into the 00:02:02.63\00:02:07.60 high-fat intake that we are as yet, 00:02:07.63\00:02:09.59 but they are moving in that direction. 00:02:09.62\00:02:11.72 So why is heart health such an important issue? 00:02:11.75\00:02:14.86 When you look at the whole body you've got... 00:02:14.89\00:02:16.41 your liver, you've got your knees, you've got your nose, 00:02:16.44\00:02:18.46 you've got your heart... why is the heart so important? 00:02:18.49\00:02:20.48 I mean, that may be begging the question, but why... 00:02:20.93\00:02:23.84 Because you're leading me on! 00:02:23.87\00:02:25.31 Why is that so important to you? 00:02:25.34\00:02:27.67 If we cut off your nose, you wouldn't look so good, 00:02:27.70\00:02:29.67 but you'd still carry on. That's right 00:02:29.70\00:02:31.74 If we cut out your heart, you'd stop dead. Right 00:02:31.77\00:02:34.46 Now the thing is that there are 00:02:34.49\00:02:36.60 half a million deaths a year in the United States 00:02:36.63\00:02:41.29 secondary to heart disease. 00:02:41.32\00:02:45.11 It's estimated that there will be about 70% of the 00:02:45.14\00:02:48.76 male population will have heart disease. 00:02:48.79\00:02:51.77 ...70%, that will be one of the causes that 00:02:51.80\00:02:54.93 leads to their demise. That's right 00:02:54.96\00:02:57.09 And women - it's a little less, maybe down to 50-55% 00:02:57.12\00:03:00.65 women will have heart disease. 00:03:00.68\00:03:02.35 That doesn't mean that they don't have heart disease, 00:03:02.38\00:03:07.94 but they don't have symptoms of heart disease, 00:03:07.97\00:03:10.10 and they don't show that they have heart disease. 00:03:10.13\00:03:12.51 Now, when you talk about heart disease, 00:03:12.54\00:03:13.89 when you're talking about heart disease, 00:03:13.92\00:03:15.80 I think about different things... 00:03:15.83\00:03:16.86 I think about, you know, an enlarged heart, 00:03:16.89\00:03:19.73 or as some people call that, congestive heart failure. 00:03:19.76\00:03:22.34 I think about a heart attack. 00:03:22.37\00:03:24.41 I think about a problem with one of the valves. 00:03:24.44\00:03:27.35 What do you mean when you say that? 00:03:27.38\00:03:28.76 Well when I say that, I'm really talking about 00:03:28.79\00:03:31.27 arteriosclerotic heart disease. 00:03:31.30\00:03:33.80 So we're talking a vascular problem feeding the heart. 00:03:33.83\00:03:38.76 Now this separates it from the children 00:03:38.79\00:03:41.87 born with congenital heart disease. 00:03:41.90\00:03:43.92 It separates off those with a quiet heart disease 00:03:43.95\00:03:47.24 such as rheumatic fever. 00:03:47.27\00:03:49.18 And I'm not really talking about people who have 00:03:49.21\00:03:51.71 an infected heart problem like some of the myocardiopathies, 00:03:51.74\00:03:57.97 nor things like subacute bacterial endocarditis 00:03:58.00\00:04:01.80 which proportionate to the rest of heart disease, 00:04:01.83\00:04:05.48 are a very small proportion. 00:04:05.51\00:04:06.61 So, infections in the heart, that kind of stuff. 00:04:06.64\00:04:08.81 Yes they occur, but they are somewhat exotic. 00:04:08.84\00:04:12.55 Now your training is with women's health issues, 00:04:12.58\00:04:16.07 and also with pediatrics, but speaking of pediatrics 00:04:16.10\00:04:19.05 or children, is it a big problem with children - heart disease? 00:04:19.08\00:04:22.18 Well, heart disease, the congenital 00:04:22.21\00:04:25.50 heart disease, is a big problem. 00:04:25.53\00:04:27.81 I remember when I worked at "The Hospital for Sick Children," 00:04:27.85\00:04:31.24 any one day, we could count maybe 65 children 00:04:31.27\00:04:34.73 in the hospital with a congenital abnormality. 00:04:34.76\00:04:38.66 And they would do, perhaps every day, 00:04:38.69\00:04:40.61 25-30 cardiac catheterizations to diagnose what the problem was 00:04:40.64\00:04:45.88 ...but very seldom, did we see arteriosclerotic heart disease. 00:04:45.91\00:04:50.05 Although our pathologist told us that when they did autopsies 00:04:50.08\00:04:54.01 on children, they could see in the children arteriosclerotic 00:04:54.04\00:04:58.06 changes in children as young as a year of age - 00:04:58.09\00:05:01.52 already beginning to see change there. 00:05:01.55\00:05:05.42 And what was that coming from - did they think? 00:05:05.45\00:05:07.68 What did they find in there? 00:05:07.71\00:05:09.15 We felt that that was probably related to the fat content, 00:05:09.18\00:05:13.36 the high-fat content in even infant formulas - 00:05:13.39\00:05:17.59 the diets that children were 00:05:17.62\00:05:19.44 receiving that weren't being breastfed. 00:05:19.47\00:05:21.45 Well let's talk about that fat intake... what's that? 00:05:21.48\00:05:25.91 What's the relationship between fat and heart disease? 00:05:25.94\00:05:28.08 Can I beg to just go back a little bit 00:05:28.11\00:05:33.22 and to talk about heart disease... Sure 00:05:33.25\00:05:35.60 Perhaps the underlying lesion in heart disease 00:05:35.63\00:05:40.70 is what we call "plaque" 00:05:40.73\00:05:42.83 Underneath the intima or the lining of the blood vessel, 00:05:42.86\00:05:46.59 ...here's the blood vessel, underneath the lining - 00:05:46.62\00:05:49.06 the little tiny one cell skin of the lining, 00:05:49.09\00:05:54.56 there is an accumulation of material. 00:05:54.59\00:05:57.39 Now we've tended to think that's just fat... 00:05:57.42\00:05:59.82 Well that's just erroneous, it's not just fat. 00:05:59.85\00:06:02.20 Probably there's a damage, first of all, an intimal damage 00:06:02.23\00:06:05.57 takes place - damage to that lining. 00:06:05.60\00:06:07.59 That may be because of oxidized low density lipoproteins, 00:06:07.62\00:06:14.08 a form of cholesterol. 00:06:14.11\00:06:15.46 It may be because of bacteria. 00:06:15.49\00:06:17.96 There's even an association between dental health, 00:06:17.99\00:06:20.04 and heart disease. 00:06:20.07\00:06:22.00 So it may be bacteria similar to those that are 00:06:22.03\00:06:25.50 around our teeth and gums in gingivitis. 00:06:25.53\00:06:28.87 So whatever the trigger is, 00:06:28.90\00:06:30.69 it sets up an inflammatory process... 00:06:30.72\00:06:34.02 and that inflammatory process 00:06:34.05\00:06:35.72 calls in tissue- white blood cells; 00:06:35.75\00:06:39.47 macrophages, platelets, clot onto this damaged area, 00:06:39.50\00:06:44.57 fibrin- which is a proteinaceous material, is released in there, 00:06:44.60\00:06:48.95 and so we get a buildup of these various substances - 00:06:48.98\00:06:52.90 it's not just pure fat sitting on the blood vessels. 00:06:52.93\00:06:55.23 So damage to that inner layer and whatever that damage 00:06:55.26\00:06:59.21 comes from, could be different factors, you're saying, 00:06:59.24\00:07:01.28 it causes these other blood clot type things to come to the area. 00:07:01.31\00:07:06.19 Well, what it does is it gradually expands, 00:07:06.22\00:07:08.79 and closes down the space within the vessel. 00:07:08.82\00:07:13.06 Now, if you take 1/2 inch pipe, in plumbing, 00:07:13.09\00:07:17.99 and you compare it to a 1 inch pipe in plumbing, 00:07:18.02\00:07:21.09 you'd say, "Well, I'm getting half the flow 00:07:21.12\00:07:23.52 through the 1/2 inch pipe than I'd get through the 1 inch. " 00:07:23.55\00:07:27.01 That's not correct! 00:07:27.04\00:07:28.54 The flow is not just hard when you go from 1 inch to 1/2 inch, 00:07:28.57\00:07:32.98 it's to a factor of about 16 00:07:33.01\00:07:35.49 for same pressure and things like that. 00:07:35.52\00:07:37.08 So in other words, this narrowing of the blood vessels 00:07:37.11\00:07:39.40 particularly in our heart vessels, 00:07:39.43\00:07:41.22 is very, very significant and very important. 00:07:41.25\00:07:44.57 Sort of like a garden hose when you squeeze it... 00:07:44.60\00:07:47.45 REALLY has a lot of change on those vessels. 00:07:47.48\00:07:52.94 Well what about the fat thing, let's come back to that. 00:07:52.97\00:07:55.36 How does fat relate to heart disease then? 00:07:55.39\00:07:57.38 Well the fats that are carried around in our body, 00:07:57.41\00:08:01.55 fats are very important to them and we can't live without fats.. 00:08:01.58\00:08:04.75 More important to some people than others... Definitely! 00:08:04.78\00:08:08.17 But the balance of the fats have a very important role to play 00:08:08.20\00:08:13.70 in heart health. 00:08:13.73\00:08:14.76 Remember I said that one of the triggers is the 00:08:14.79\00:08:17.19 oxidized low density lipoproteins - the LDL 00:08:17.22\00:08:21.62 Now, if you have an elevated level of LDL, 00:08:21.65\00:08:25.89 then you're going to find that there is more chance of it 00:08:25.92\00:08:27.89 than being oxidized and, of course, that is where 00:08:27.92\00:08:30.54 antioxidants come in and protect against that, 00:08:30.57\00:08:32.82 and they will then be deposited part of that motley crew of 00:08:32.85\00:08:36.05 substances in that plaque. 00:08:36.08\00:08:37.80 And that's the thing that messes up the intima, 00:08:37.83\00:08:41.11 the little, inner layer... That is what will mess up the intima. 00:08:41.14\00:08:43.52 High density lipoproteins, on the other hand, 00:08:43.55\00:08:46.68 they are important for removing oxidized low density 00:08:46.71\00:08:51.25 lipoproteins from the clot. 00:08:51.28\00:08:52.36 So if we have higher levels of high density lipoprotein, 00:08:52.39\00:08:55.30 we get a better balance... 00:08:55.33\00:08:56.83 And of course, the total cholesterol has a bearing 00:08:56.86\00:08:59.76 on all of these factors. 00:08:59.80\00:09:01.40 Now where do these come from? 00:09:01.44\00:09:03.35 They come from the fats that we eat. 00:09:03.38\00:09:06.88 So if we, as the average American, 00:09:06.91\00:09:09.78 is eating 40% of our calories from fat, 00:09:09.81\00:09:12.48 we're taking far too much for our body's needs; 00:09:12.51\00:09:15.23 far too much for our body to be able to cope with, 00:09:15.26\00:09:17.75 and so we throw these fats in our blood - 00:09:17.78\00:09:20.86 we throw them into imbalance. 00:09:20.89\00:09:23.95 Now the saturated fats, which come from animal sources, 00:09:23.98\00:09:29.27 are by far and away, the most dangerous of the fats. 00:09:29.30\00:09:33.66 And we would like to see saturated fats reduced, 00:09:33.69\00:09:36.70 reduced, reduced, reduced, reduced, brought right down low. 00:09:36.73\00:09:39.49 There are some other fats that are good for us, 00:09:39.52\00:09:42.36 although nothing is absolutely black and white in this area, 00:09:42.39\00:09:48.14 but they are better for us, so we should have 00:09:48.17\00:09:50.81 proportionately more and those are the unsaturated fats, 00:09:50.84\00:09:54.88 and particularly the monounsaturated fatty acids 00:09:54.91\00:09:57.99 which we call "MUFAs" 00:09:58.02\00:09:59.66 So what would be some examples of the MUFAs? 00:09:59.69\00:10:02.54 Well, the MUFAs - if you read in the common literature, 00:10:02.57\00:10:07.67 they'll talk about fish oils. 00:10:07.70\00:10:09.50 They'll be talking about fish oils as being a "good source" 00:10:09.53\00:10:12.40 of MUFAs... Flaxseed though 00:10:12.43\00:10:13.77 Ah ha, but you see, when you take something 00:10:13.80\00:10:16.68 that may be polluted... look at the mercury levels 00:10:16.71\00:10:20.06 in the sea or in the dioxins and so forth, 00:10:20.09\00:10:23.55 then you're running into problems 00:10:23.58\00:10:25.92 of these other contaminants. 00:10:25.95\00:10:27.09 Whereas if you take the MUFAs, say - in flaxseed, 00:10:27.13\00:10:31.26 then you're going to be able to take a higher level 00:10:31.29\00:10:35.20 of monounsaturated fatty acids WITHOUT the collateral problems 00:10:35.23\00:10:39.40 that come along with some of those other contaminants. 00:10:39.43\00:10:41.42 But if you just say "no fat," you may cut out 00:10:41.45\00:10:43.79 the omega-3s and that could be damaged to what? 00:10:43.82\00:10:45.83 That's right... nobody, today, is saying "no fat" 00:10:45.86\00:10:49.74 You know, I don't think anybody who is current is saying- no fat 00:10:49.77\00:10:53.74 We all know - we don't want the cholesterols to go to nothing 00:10:53.77\00:10:58.12 because cholesterols are important for brain function, 00:10:58.15\00:11:01.83 neuro function and so forth. 00:11:01.86\00:11:03.51 In fact, there have been some studies that were done on 00:11:03.54\00:11:06.14 excessively low cholesterol levels being associated with 00:11:06.17\00:11:09.29 depression, psychiatric disorders, 00:11:09.32\00:11:12.54 even increased suicide rates have been correlated 00:11:12.57\00:11:15.74 with very low cholesterol levels. 00:11:15.77\00:11:18.14 So what we try to aim for is the healthiest levels, 00:11:18.17\00:11:22.17 and they've just revised the cholesterol levels. 00:11:22.20\00:11:25.44 What are they now... what should they be? 00:11:25.47\00:11:28.26 Okay, they've left the total cholesterol level 200 mg/100 ml 00:11:28.29\00:11:36.98 that stayed the same; although there has been some 00:11:37.01\00:11:39.45 thought that maybe they should lower that, 00:11:39.48\00:11:40.89 but they've left that the same. 00:11:40.92\00:11:42.24 But they have raised the level of high density lipoproteins; 00:11:42.27\00:11:46.98 they now say - instead of 35 being the low, 00:11:47.01\00:11:49.43 they'd like to see... in other words, you should be 00:11:49.46\00:11:51.55 above 40 with your high density lipoproteins. 00:11:51.58\00:11:53.43 And then for your low density lipoproteins, 00:11:53.46\00:11:57.21 they would like those a little lower... 00:11:57.24\00:11:59.47 And so, they now look at a level, 00:11:59.50\00:12:01.68 once you start getting above 65, 00:12:01.71\00:12:04.01 they say that's not a good level. 00:12:04.04\00:12:06.68 They are adjusting now, these levels at a national level 00:12:06.71\00:12:10.89 or international level and they are saying... 00:12:10.92\00:12:13.30 They are saying, "Let's be more 00:12:13.33\00:12:14.82 stringent on our cholesterol control. 00:12:14.85\00:12:17.85 When should we start checking our cholesterol, and how often? 00:12:17.88\00:12:20.43 I mean, you are a pediatrician, 00:12:20.46\00:12:22.00 should children have cholesterol checks? 00:12:22.03\00:12:23.64 I think we should start at maybe about age 20. 00:12:23.67\00:12:26.82 The reason I would recommend that is that it's a 00:12:26.85\00:12:29.69 national recommendation, but also because 00:12:29.72\00:12:33.37 you will pickup those people who have familial 00:12:33.40\00:12:36.91 inherited problems with fat regulation, 00:12:36.94\00:12:40.44 and those people need to be very, very careful about 00:12:40.47\00:12:44.79 their diet and their lifestyle, 00:12:44.82\00:12:47.09 and they may even need to go on 00:12:47.12\00:12:49.25 cholesterol-lowering medications because they have an 00:12:49.28\00:12:52.17 abnormal high enzyme problem. 00:12:52.20\00:12:56.04 Even if it is familial, in other words... 00:12:56.07\00:12:58.45 let's say you had someone that is not eating high fat foods, 00:12:58.48\00:13:01.26 not eating high cholesterol foods, 00:13:01.29\00:13:03.28 but they still have a high cholesterol. 00:13:03.32\00:13:05.85 They are in real danger. 00:13:05.88\00:13:07.90 Yes, so they have a metabolic disorder. 00:13:07.93\00:13:12.60 If you were to compare them to the diabetics, 00:13:12.63\00:13:14.52 we'd say they are like the type 1 diabetics. 00:13:14.55\00:13:16.26 They are genetically in trouble. 00:13:16.29\00:13:18.53 Then there is the vast majority of us who run into 00:13:18.56\00:13:21.43 cholesterol troubles because we are like the 00:13:21.46\00:13:24.23 type 2 diabetics - we're out of whack with our lifestyle... 00:13:24.26\00:13:27.61 But that group, they will be benefiting by having their 00:13:27.64\00:13:30.73 cholesterols measured when they are early, 00:13:30.76\00:13:32.71 and then maybe every 5 years 00:13:32.74\00:13:34.35 thereafter we should have this profile to keep an idea 00:13:34.38\00:13:37.32 as to where we are going with our cholesterols and fats. 00:13:37.35\00:13:40.17 So we need to know our numbers... 00:13:40.20\00:13:41.74 We need to know our numbers, arithmetic - basic stuff. 00:13:41.77\00:13:43.92 Know where they are. 00:13:43.95\00:13:44.98 Okay, other important aspects of heart health... 00:13:45.01\00:13:48.01 We talked about cholesterol; 00:13:48.04\00:13:49.12 we've talked about the vascular narrowing... 00:13:49.15\00:13:53.47 We can't leave it without talking about smoking. 00:13:53.50\00:13:55.85 Smoking! Okay... 00:13:55.88\00:13:56.91 No way that we can leave without talking about smoking. 00:13:56.94\00:13:58.61 Smoking is one of those factors that damages the intima. 00:13:58.64\00:14:02.21 So it is an initiating factor in setting up the process. 00:14:02.24\00:14:08.77 So how does that work? You smoke, it goes into your... 00:14:08.80\00:14:10.98 The nicotine goes in the neck, causes vasoconstriction, 00:14:11.01\00:14:13.92 maybe hypoxic damage - we don't know, 00:14:13.95\00:14:15.89 maybe direct chemical damage 00:14:15.92\00:14:17.37 from some of the contents of the smoking... 00:14:17.40\00:14:19.61 And here you've got the beginning... the seed is sewn 00:14:19.64\00:14:23.21 for arteriosclerotic heart disease. 00:14:23.24\00:14:25.98 Someone told me once that in that layer - 00:14:26.01\00:14:28.14 and I'm just checking with you to see if that's true, 00:14:28.17\00:14:29.82 there is a substance that is released right in that layer, 00:14:29.85\00:14:33.03 inner layer, that sort of like nitroglycerin. 00:14:33.06\00:14:35.81 It's sort of like that and it can help it relax, 00:14:35.84\00:14:38.95 but when you smoke, that disrupts that. 00:14:38.98\00:14:41.17 Am I correct on that? That's right 00:14:41.20\00:14:43.15 It interferes with the vasoactive components 00:14:43.18\00:14:46.49 in the vessel and it causes spasm, 00:14:46.52\00:14:49.57 and in and of itself, narrows the vessel. 00:14:49.60\00:14:54.19 I had a colleague - he was a physician, 00:14:54.22\00:14:56.46 should have known far better. 00:14:56.49\00:14:57.53 He got chest pain; he sat down and he said, 00:14:57.56\00:14:59.98 "I think I'll have a cigarette, I don't feel good" 00:15:00.01\00:15:02.99 Took the cigarette and he was found dead in the office. 00:15:03.02\00:15:05.94 Is that right? The cigarette probably 00:15:05.97\00:15:08.44 was the straw that broke the camel's back 00:15:08.47\00:15:11.10 in his particular situation. 00:15:11.13\00:15:12.73 What would be the most dangerous? 00:15:12.76\00:15:14.16 And I hate to put you on record of saying what this is 00:15:14.19\00:15:16.67 and maybe you don't want to be on record... 00:15:16.70\00:15:17.85 But let's say you had to choose between that very 00:15:17.88\00:15:20.11 high fat diet and cigarette smoking, 00:15:20.14\00:15:22.58 which is the most dangerous of those two? 00:15:22.61\00:15:24.45 Oh, that's like saying... Which would you rather be 00:15:24.48\00:15:27.05 run over by a Mack truck or be run over by... 00:15:27.08\00:15:30.19 you know - a train or something. 00:15:30.22\00:15:31.82 They are both bad - they are very, very bad. 00:15:31.85\00:15:34.85 Now one thing - another factor is exercise. 00:15:34.88\00:15:39.05 And in our lifestyle, we love to talk about foods, 00:15:39.08\00:15:43.16 but exercise - we talk about it a little bit, 00:15:43.19\00:15:46.61 we don't like to do it. 00:15:46.64\00:15:48.20 You know to get that sweat there and to work it up, 00:15:48.23\00:15:51.01 and 20 minutes a day of, you know, come out in a light sweat, 00:15:51.04\00:15:55.04 and you sort of feel hot for the next hour... 00:15:55.07\00:15:57.71 We don't like that kind of feeling. 00:15:57.74\00:16:00.03 We don't want to be uncomfortable. 00:16:00.06\00:16:01.30 And yet, statics show that a fit smoker, 00:16:01.33\00:16:08.21 as far as health risk is concerned, 00:16:08.24\00:16:10.29 is no worse off than an unfit nonsmoker. 00:16:10.32\00:16:15.61 A fit smoker is no worse off than an unfit nonsmoker. 00:16:15.64\00:16:22.33 You've heard it right here. 00:16:22.36\00:16:23.42 That's kind of bad news maybe for some of us. 00:16:23.45\00:16:25.71 We're talking to Dr. Allan Handysides 00:16:25.74\00:16:27.77 Join us when we come back to talk about heart health. 00:16:27.80\00:16:31.65 Have you found yourself wishing that 00:16:37.34\00:16:38.73 you could shed a few pounds? 00:16:38.76\00:16:40.38 Have you been on a diet for most of your life, 00:16:40.41\00:16:42.71 but not found anything that will really keep the weight off? 00:16:42.74\00:16:45.74 If you've answered "yes" to any of these questions, 00:16:45.77\00:16:48.56 then we have a solution for you that works! 00:16:48.59\00:16:51.45 Dr. Hans Diehl and Dr. Aileen Ludington 00:16:51.48\00:16:54.25 have written a marvelous booklet called... 00:16:54.28\00:16:56.32 "Reversing Obesity Naturally" 00:16:56.35\00:16:58.60 and we'd like to send it to you FREE of charge. 00:16:58.63\00:17:01.33 Here's a medically sound approach successfully 00:17:01.36\00:17:03.93 used by thousands who were able to eat more and lose weight 00:17:03.96\00:17:07.16 permanently without feeling guilty or hungry 00:17:07.19\00:17:10.14 through lifestyle medicine. 00:17:10.17\00:17:11.69 Dr. Diehl and Dr. Ludington have been featured on 3ABN 00:17:11.72\00:17:15.31 and in this booklet, they present a sensible 00:17:15.34\00:17:17.93 approach to eating, nutrition and lifestyle changes 00:17:17.96\00:17:20.78 that can help you prevent heart disease, diabetes, 00:17:20.81\00:17:23.27 and EVEN cancer. 00:17:23.30\00:17:24.58 Call or write today for your free copy of... 00:17:24.61\00:17:26.86 "Reversing Obesity Naturally" 00:17:26.89\00:17:28.68 and you could be on your way to a healthier, happier YOU! 00:17:28.71\00:17:31.76 It's ABSOLUTELY free of charge, so call or write today. 00:17:31.79\00:17:36.89 Welcome back, we've been talking about your heart 00:17:39.61\00:17:40.84 and health, and we've been talking about the fact 00:17:40.87\00:17:43.22 that there are a lot of things we can do to avoid heart disease 00:17:43.25\00:17:45.87 ...one of America's #1 killers and a global concern as well. 00:17:45.90\00:17:49.76 When we left, we were talking about exercise, 00:17:49.79\00:17:52.40 and you were telling me that a smoker who is fit 00:17:52.43\00:17:54.95 is no better off really, than the person that's 00:17:54.98\00:18:00.37 NOT fit who doesn't smoke. 00:18:00.40\00:18:02.30 They are about the same and you were telling me 00:18:02.33\00:18:04.37 it's a one-pack-a-day type smoker. 00:18:04.40\00:18:05.92 That's on a one-pack-a-day, yes. 00:18:05.95\00:18:08.01 A person who smokes one-pack-a-day, 00:18:08.04\00:18:10.04 but is an athlete and is fit is no worse off than the 00:18:10.07\00:18:14.48 nonsmoker who is a couch potato. 00:18:14.51\00:18:16.67 So we do need to be exercising, that's what you're telling us 00:18:16.70\00:18:18.90 that for - to underline that. Yes, that's what we're saying. 00:18:18.94\00:18:21.13 And when we say "exercise," does this have to be 00:18:21.16\00:18:23.02 aerobic exercise... or does anything help? 00:18:23.05\00:18:27.89 Well, I suppose anything is better than nothing, 00:18:27.92\00:18:32.71 but there are some things that are better than others. 00:18:32.74\00:18:34.98 Walking for most people is probably the easiest 00:18:35.01\00:18:40.76 and simplest way of achieving heart health. 00:18:40.79\00:18:45.14 Now you need to walk probably briskly for about 20 minutes, 00:18:45.17\00:18:49.56 but people must not go out - anybody listening to this 00:18:49.59\00:18:51.86 program must not go out and walk briskly for 20 minutes. 00:18:51.89\00:18:54.67 They need to know where they are at before they try that. 00:18:54.70\00:18:59.61 But they need to be able to, in graduated exercise, 00:18:59.64\00:19:03.18 get to the point that they can walk 20 minutes briskly, 00:19:03.21\00:19:07.81 and breaking a light sweat and that would give definite 00:19:07.84\00:19:14.70 and proven benefits. 00:19:14.73\00:19:16.23 Now if you're out there walking briskly or whatever, 00:19:16.26\00:19:19.53 and you've been cleared by your doctor or lightly 00:19:19.56\00:19:21.75 and what are the symptoms of heart disease, 00:19:21.78\00:19:25.02 maybe not just for walking but other symptoms as well? 00:19:25.05\00:19:27.57 What are warning signals that you better go in and get 00:19:27.60\00:19:29.40 checked out by your physician? 00:19:29.43\00:19:30.74 Interestingly, they are different between 00:19:30.77\00:19:32.46 males and females. 00:19:32.49\00:19:33.72 We've traditionally taught, both physicians and the public 00:19:33.75\00:19:39.90 that the crushing pain in the chest - you know the elephant 00:19:39.93\00:19:42.74 foot just on there - that tightness that comes on 00:19:42.77\00:19:46.24 with exercise or with exertion, anger or stress - 00:19:46.27\00:19:52.49 that could be a sign of cardiac disease... 00:19:52.52\00:19:55.71 And in the male, he may develop angina, 00:19:55.74\00:19:59.43 and angina is symptoms of the pain that may be 00:19:59.46\00:20:06.13 is associated with a heart attack, 00:20:06.16\00:20:07.33 but it disappears when the activity is stopped, 00:20:07.36\00:20:11.52 and it repeats - the pattern repeats itself - that's angina. 00:20:11.55\00:20:17.35 Angina doesn't last for just a couple of seconds. 00:20:17.38\00:20:21.25 Angina isn't something that you can induce by 00:20:21.28\00:20:24.09 pressing on your chest. 00:20:24.12\00:20:25.41 A lot of people have tenderness on the chest... 00:20:25.44\00:20:27.86 They think that that's heart pain. 00:20:27.89\00:20:29.55 That's not heart pain - that's connective tissue, 00:20:29.58\00:20:32.68 muscle, joint - something like that. 00:20:32.71\00:20:35.16 The difference with women is that women will often 00:20:35.19\00:20:39.28 have associated nausea, or fatigue and the pain 00:20:39.31\00:20:46.07 often goes up into the neck and into the jaw. 00:20:46.10\00:20:49.48 So they may be getting a jaw pain or a neck pain, 00:20:49.51\00:20:53.34 referred pain and not recognize it... 00:20:53.37\00:20:55.77 And for many years, doctors misdiagnosed women 00:20:55.80\00:20:59.06 because they were looking for 00:20:59.09\00:21:00.98 something other than heart disease. 00:21:01.01\00:21:03.28 We also thought that women were protected 00:21:03.31\00:21:05.49 against heart disease, but now we know 00:21:05.52\00:21:07.54 within 7 years of the menopause, women are just as likely 00:21:07.57\00:21:11.63 as men to have cardiovascular problems. 00:21:11.66\00:21:14.33 So we have to keep aware of the symptoms are 00:21:14.36\00:21:17.21 different for men and women. 00:21:17.24\00:21:18.90 What is the youngest person you've seen 00:21:18.93\00:21:20.54 that has had a heart attack? 00:21:20.57\00:21:21.71 I saw a 14-year-old boy die of a classical myocardial infarction 00:21:21.74\00:21:26.33 at "The Hospital for Sick Children" 00:21:26.36\00:21:27.88 Now, he was a diabetic which brings us to another factor, 00:21:27.91\00:21:32.20 but he was a diabetic and he died. 00:21:32.23\00:21:34.64 And at autopsy, his vessels 00:21:34.67\00:21:36.34 looked like those of a 75-year-old man. 00:21:36.37\00:21:38.56 The diabetes maybe just accelerated 00:21:38.59\00:21:41.47 the problems with his vessels. 00:21:41.50\00:21:43.38 Well, the diabetes definitely accelerates the problem. 00:21:43.42\00:21:46.10 The diabetes causes atherosclerosis; 00:21:46.13\00:21:49.62 it causes small vessel disease, 00:21:49.65\00:21:52.03 and it interferes with fat metabolism, 00:21:52.06\00:21:55.25 and, of course, insulin resistance is very present 00:21:55.28\00:21:59.10 in a lot of diabetics. 00:21:59.13\00:22:00.40 So, the youngest I ever saw when I was working 00:22:00.43\00:22:03.30 in the emergency department, we'd see a lot of people 00:22:03.33\00:22:05.33 come in and we'd have 5 or 6 heart attacks 00:22:05.36\00:22:07.49 at a time in the morning, in the hospital there, 00:22:07.52\00:22:10.33 was a 17-year-old that had none of this; 00:22:10.36\00:22:14.65 not a diabetic or anything. 00:22:14.68\00:22:15.86 So I don't know - the reason I asked 00:22:15.89\00:22:17.25 the question was to see if I was right which 00:22:17.28\00:22:19.22 I was going to say - "Look this is something we need to 00:22:19.25\00:22:21.53 think about a lot younger. " 00:22:21.56\00:22:22.87 But those are the exceptions, but we do need to think of it. 00:22:22.90\00:22:26.21 In fact, what we need to do is, we need as a people 00:22:26.24\00:22:28.98 here in North America to think about our lifestyle. 00:22:29.01\00:22:32.31 We need to say - When are we going to 00:22:32.34\00:22:36.03 take care of ourselves. 00:22:36.06\00:22:37.66 Stop being couch potatoes, reduce that fat content. 00:22:37.69\00:22:40.87 Watch out for the smoking. 00:22:40.90\00:22:42.36 When are we going to sort of protect our young people 00:22:42.39\00:22:46.10 against these evils that are health hazards. 00:22:46.13\00:22:51.01 So those are really things that you're 00:22:51.04\00:22:52.23 clicking out there that we can 00:22:52.26\00:22:53.29 do to PREVENT heart disease. That's right! 00:22:53.32\00:22:55.44 Get them out there working, not being couch potatoes. 00:22:55.47\00:22:58.81 I know there is an exercise program, 00:22:58.84\00:23:00.53 have them eating the right kind of food so they don't 00:23:00.56\00:23:02.97 like that fat taste and just subsist on that, 00:23:03.00\00:23:05.55 and what else to prevent... 00:23:05.58\00:23:07.11 Well the other thing, of course, is the positive benefits 00:23:07.14\00:23:09.54 that come from all these antioxidants. 00:23:09.57\00:23:11.52 If you're going to talk about foods that are protective 00:23:11.55\00:23:14.24 antioxidant foods, you have to think about the rainbow. 00:23:14.27\00:23:17.70 We just had a thunderstorm going on outside 00:23:17.73\00:23:20.67 which I hope that they haven't heard on the program here... 00:23:20.70\00:23:25.65 But the colors of the rainbow, 00:23:25.68\00:23:28.24 if you look for the colors of the rainbow in your diet, 00:23:28.27\00:23:30.91 you KNOW you're getting the right foods... 00:23:30.94\00:23:32.39 those beautiful REDS, and those lovely GREENS and... 00:23:32.42\00:23:36.97 This isn't red Jell-O, green Jell-O... 00:23:37.00\00:23:38.78 No, this isn't artificial flavoring, 00:23:38.81\00:23:40.19 this is the red tomato, this is the red berries, 00:23:40.22\00:23:43.22 the deep plums - the fruits 00:23:43.25\00:23:46.13 and the vegetables that are rich like that... 00:23:46.16\00:23:48.41 And when we take these multiple colors in our diet, 00:23:48.44\00:23:53.12 and that's an easy way - 00:23:53.15\00:23:54.43 Anybody, you don't have to be a 00:23:54.46\00:23:55.91 dietitian to put color in your diet. 00:23:55.94\00:23:58.13 You know, those nice sweet potatoes with the orange hues. 00:23:58.16\00:24:02.76 All those things are really healthy for your heart. 00:24:02.79\00:24:04.54 Very healthy - good antioxidants 00:24:04.57\00:24:06.21 Remember I said - "the oxidized low density lipoprotein" 00:24:06.24\00:24:10.39 Okay, antioxidants are going to protect better. 00:24:10.42\00:24:12.37 It's a WONDERFUL net - this health business makes me just 00:24:12.40\00:24:17.96 over and over again - say, "what a wonderful Creator 00:24:17.99\00:24:22.32 when He created us" 00:24:22.35\00:24:24.58 He gave us the right kind of food to protect us. 00:24:24.61\00:24:26.20 He gave us the right kind of food; 00:24:26.23\00:24:27.89 He gave us the right system! 00:24:27.92\00:24:29.47 You know, He created the metabolism in such a way 00:24:29.50\00:24:32.28 that He could truly say when He created Adam and Eve, 00:24:32.31\00:24:35.42 they are not only good... VERY GOOD! Yeah! 00:24:35.45\00:24:39.50 Now, what if you've had a heart attack... 00:24:39.53\00:24:40.69 I mean, we're talking about preventing, avoiding... 00:24:40.72\00:24:43.18 If you've had a heart attack, is there any hope that 00:24:43.21\00:24:44.89 you could give someone that has had a heart attack? 00:24:44.92\00:24:46.76 Of course! People live for YEARS after 00:24:46.79\00:24:49.88 a heart attack. 00:24:49.91\00:24:51.07 Of course - that's if they take heed of the warning! 00:24:51.10\00:24:54.04 They say - "My goodness, I've had this heart attack, 00:24:54.07\00:24:56.12 I'd better mend my ways. " 00:24:56.15\00:24:57.80 And they go through the same things that we've talked about. 00:24:57.83\00:25:00.88 Although they now need to do it under medical supervision. 00:25:00.91\00:25:04.08 The exercise needs to be very graduated. 00:25:04.11\00:25:06.15 But in this area, a very interesting study... 00:25:06.18\00:25:09.19 showed that men who had had heart attacks 00:25:09.22\00:25:11.97 who did not have social support, 00:25:12.00\00:25:14.89 they didn't have a wife and a family. 00:25:14.92\00:25:16.60 They were lonely people. 00:25:16.63\00:25:19.67 Those people died at 40-50% higher rates 00:25:19.70\00:25:25.23 than the people who had the social support. 00:25:25.26\00:25:27.75 Now there is something that we 00:25:27.78\00:25:28.88 can do to help people who have had a heart attack. 00:25:28.91\00:25:31.16 We can go and visit them. 00:25:31.19\00:25:32.62 We can show them that we do care. 00:25:32.65\00:25:35.27 And by the spirit of community, the spirit of social support, 00:25:35.30\00:25:39.90 we can impact on the people's lives. 00:25:39.93\00:25:42.22 So there's a role for a church group; 00:25:42.25\00:25:44.31 there's a role for a civic group; 00:25:44.34\00:25:47.10 there's a role for getting people involved, 00:25:47.13\00:25:50.36 and this can really save their life. 00:25:50.39\00:25:51.77 This save their life... just the fact that they belong, 00:25:51.80\00:25:55.96 the effect of connectedness is very important. 00:25:55.99\00:25:59.26 Any other advantage you'd like 00:25:59.29\00:26:02.49 to share in the last 2 minutes we have? 00:26:02.52\00:26:04.09 Okay, well you know, people are very interested in advances. 00:26:04.12\00:26:08.46 Nowadays, they are talking about threading tiny little probes 00:26:08.49\00:26:13.40 into the cardiac vessels and maybe put a stent in there, 00:26:13.43\00:26:18.93 or they blow up a balloon and they crush the plaque down, 00:26:18.96\00:26:21.88 or they are even talking about lasers to vaporize the plaque. 00:26:21.91\00:26:25.49 And, what do they call these, you know, microwaves - 00:26:25.52\00:26:28.74 they are experimenting with all these kind of things. 00:26:28.77\00:26:31.36 And it sounds very wonderful and I think it's VERY exciting 00:26:31.39\00:26:34.98 as long as it's your heart that is being catheterized not mine! 00:26:35.01\00:26:38.62 And, I mean, I feel great if I'm an interventional radiologist, 00:26:38.65\00:26:42.89 but really, the thing is - Wouldn't it be better 00:26:42.92\00:26:46.53 NEVER to need all these wonderful advances? 00:26:46.56\00:26:49.93 So the greatest advance would be to 00:26:49.96\00:26:52.04 not have to have the greatest advance. 00:26:52.08\00:26:53.15 THAT'S THE GREATEST ADVANCE! YES 00:26:53.18\00:26:55.35 And I think we could do that! 00:26:55.39\00:26:56.53 With this program that you have here, 00:26:56.56\00:26:58.79 I congratulate you on this program... 00:26:58.82\00:27:00.85 of constantly repeating and educating the public 00:27:00.88\00:27:03.76 as to ways and means that they can impact their own lives 00:27:03.79\00:27:07.70 to the glory of God and to the enjoyment of life. 00:27:07.73\00:27:10.70 So it's true or false - it can be reversed. 00:27:10.73\00:27:13.80 You can have a plaque that then diminishes over time... 00:27:13.83\00:27:16.74 Yes, you can reverse it - not in everybody, not everyone. 00:27:16.77\00:27:22.20 I would think that probably 00:27:22.23\00:27:23.78 you can also dilate the blood vessels. 00:27:23.81\00:27:25.80 You can restore some of the elasticity to the vessels. 00:27:25.83\00:27:28.54 But overall, you can definitely improve the situation. 00:27:28.57\00:27:31.86 And in some cases, the plaque 00:27:31.89\00:27:33.95 has been demonstrated to be removed. 00:27:33.98\00:27:36.60 That's good news! Real good news! 00:27:36.63\00:27:39.70 We've been talking with Dr. Allan Handysides 00:27:39.73\00:27:42.25 He has given us not only a picture of heart disease 00:27:42.28\00:27:45.43 in America but globally and he has shared some good news. 00:27:45.46\00:27:48.45 There are some things that we can do to prevent, 00:27:48.48\00:27:51.37 reverse or better yet, AVOID heart disease. 00:27:51.40\00:27:53.75 We can exercise and we can eat right. 00:27:53.78\00:27:55.69 We can trust in God and have a social support system. 00:27:55.72\00:27:58.51 We hope this has been helpful. 00:27:58.54\00:28:00.67