The following
program presents principles
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designed to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and
the ideas expressed
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are those of the speaker.
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Viewers are
encouraged to draw their own
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conclusions about the
information presented.
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Welcome to Wonderfully Made.
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I'm glad you joined
us. I'm your host Claudio
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Japas a Doctoral
Student at Loma Linda University
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in the Preventive Care Program.
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In Wonderfully
Made, we want to make sure
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you understand that God
has created the human body
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as an intricate
and marvelous creation.
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There are so
many components to it.
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There are so many
things to learn that
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even in eternity I
believe we will always be
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learning more about it.
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Today, we have
an interesting topic
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and joining me
is Dr. Dos Santos.
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He is a professor at
Loma Linda University
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in the Preventive Care Program.
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Welcome Dr. Dos Santos.
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Thank you it's a
pleasure to be here
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and we will talk
about the heart today.
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That's right you have
worked in many countries,
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so you understand the
global perspective for health.
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What are some of those
countries you worked in?
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Yeah I work in Brazil,
I'm originally from Brazil.
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Then I work in
United States for a while
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and then I move to Hong Kong.
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And the common
thing about that is
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that heart disease is the
main cause of that in both
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of the situations in
Asia, in South America,
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and in North America.
And also in many other
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countries as we
will see in the lecture.
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Right, and you are
dual doctorate right.
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Doctor in medicine, I
correct and doctrine in.
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In Preventive
Care or public health.
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Perfect, perfect,
so we will be enjoying
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your comments on
that wide spectrum
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of knowledge that you have.
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And you are right,
heart disease is the number
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one killer not only in America,
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but in the world. In
the America alone there
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are over 600 thousand people
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that die from it everyday.
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Sometimes we fear accidents
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or gunshot
wounds or deaths a lot,
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but we don't realize
that the own organ inside
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our own body is
killing so many of us.
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In fact in our
graphic we can see that
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in the world as
far as America also
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both are
killing a lot of people.
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It's a number one
killer in both followed in
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America by cancer and stroke
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and in the world by
stroke is number two
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and infectious
diseases as number,
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respiratory infections
diseases as number three.
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So, we can see that
in the whole world over
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7 million people every
year are dying from the heart.
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Why is this epidemic so big?.
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It is interesting
because this starts in our heart
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and it starts in this
small vein that we have
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here or a small artery
that we call coronaries.
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Is a, is a very tiny artery,
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but if blood does
not circulating this part
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of the heart the whole part,
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the whole muscle
can die and that's,
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and that's where
the problem starts.
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So if someone has
a coronary problem
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or obstruction in
the end in this part
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so it just a tiny area of
the heart that will suffer.
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But, when the heart
attack occurs in the bigger,
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biggest part then
there is a risk of
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what we call is
total myocardial infarction
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that will destroy the heart.
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That tissue over
there. So, why does it happen
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again is here, but
is related to lifestyle.
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Mostly there is a
deposit of cholesterol
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inside of the arteries.
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There is a deposit
of calcium and fibrin
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and all over these things
that block the circulation.
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Always, I like to
use cars as an example
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because it's something
that most of us see that
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however familiar with
and perhaps a good analogy
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that I would add
is if we had a car
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and there is
conduit or tubing or pipes
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that go from the
gas tank to the engine
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and that provides
fuel so that engine
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can function normally.
If that conduit is blocked
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or stop in a
certain manner the fuel
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can't get to the
engine and the engine would
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shut down or that part
would stop from working
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much the same way our
heart needs the conduit those
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arteries to pass the
blood to function normally,
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to receive the oxygen
and the nutrients for that
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muscle to be
contracting and working.
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But if it's
blocked, if it's stiffened,
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there is less
life in that right,
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there is, it's to gonna stop
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and does the heart attack.
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What is causing that blockage?
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Will you mentioned
little bit about plaque.
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What is plaque and
what is causing that
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plaque from building there
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or the stiffening
of the arteries also.
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Well there is a combination
of diet and exercise.
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Those are the main
factors so, if you,
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if you don't
exercise then the circulation
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is not gonna be the
same, but the advantage as
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when you exercise
you develop an extra
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copular net of vessels so
instead of having just one,
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you have a lot of
small ones around.
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So, you have an
increase circulation
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because when we exercise
the heart to get stronger.
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So, a lack of exercise means
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lack of irrigation in the heart.
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Okay. The other
point is that too much fat
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in the food and too
much protein in a diet that
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is high in sugar will cause that
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the blood will be thick. Okay.
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When the blood is
think is gonna deposit high,
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higher level or higher amount of
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cholesterol in the arteries.
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The other thing is that
this creates a small bump
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in the arteries.
And it takes maybe 10
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or to 20 years for
this bump to obstruct,
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but you imagine here
you have a small bump
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and then you have a thick blood,
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so a thick blood in a small bump
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will create the flow
and will create a clot easy.
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And this is the
main cause 80% or 85%
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of heart attacks are
caused not because of total
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obstruction may because of
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a clot that was created,
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in the blood that
blocking that, exactly, yeah.
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Okay, so that's good to know.
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So, the diet you
mention what we eat has a big
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part to do and
then lack of exercise.
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Is there a list of risk factors
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or something that we
can look out and say well
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I can maybe check
these risk factors or
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different things
that I maybe in danger of.
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Yes, you are right, there
is two types of risk factors
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and we can see in
the graphic that we have
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risk factors the
first three ones,
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family history, age
and gender are considered
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the normal defiled ones.
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Then the other ones
like weight especially
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abdominal weight,
physical inactivity,
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diabetes,
hypertension, high cholesterol,
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smoking, and stress are
the habits that we can change.
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So, you see that is
a combinational effect
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you cannot say that
heart disease is caused
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by one thing, but
when you accumulate three,
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four of those
factors so your risk
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for heart disease
is increased a lot.
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Alright, right, so
I'm looking at this list
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and I'm wondering
well, which one should I,
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should I check first
you know the last one
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or it should be
maybe my family history
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is their one way
to begin or where
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I should begin looking.
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Yeah, you know
that I always mention
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check your ancestors,
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check your family for risks,
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either heart disease
or cancer or diabetes
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you should know,
you should have a map
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of what happened to
your father, mother,
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grandfather and siblings.
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And then you have an
idea if someone die from
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heart disease or
someone had a heart attack,
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you might have a risk for that
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and then you have to provide so
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Be more cautious. Yeah
more cautious for that.
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Take precautions,
yeah, I should say.
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So, do not fall in
the same trap because
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you already more predisposed
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to those risk
factors or that disease.
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What about age, I saw
age on their and gender.
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Those are things I can't change,
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what should I do about those,
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how should I check on those
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or use those to my advantage.
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Well, age we have a
software that we use
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to calculate the
health age and then I
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believe that
there is biological age
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and health age.
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That means that if you
follow a good lifestyle
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you are gonna live longer.
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So, if you check your
age today you might be
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younger compared to yourself
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if you don't
fall, biological age,
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is to biological age,
so even person that is old
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he might not have
the risk of die soon
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because of lifestyle.
But, some people say well
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I have 60 years old and is old,
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it's late to start
exercising and lifestyle.
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But, I have a lady
that started exercise
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at 66 years old
they wanna have heard
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Peacher now, Hulda Crooks.
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She started
exercising at 66 years old.
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And then she
died when she was 104.
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I use to see her, I
used to live in Loma Linda,
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where she was on that
time she was 100 years old
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and always walking 3, 4 miles
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a day around the
city. Amazing, Amazing.
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Yeah and so you cannot see well,
00:10:21.54\00:10:24.82
but she started
exercising since she was a kid,
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but no she
started with 66 years old
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and she climbed all the
mountains in California.
00:10:32.55\00:10:35.91
And she climbed
Mount Fuji in Japan
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was the oldest
person to climb that
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Mount Fuji with 92 years old.
00:10:41.83\00:10:44.34
And she climbed
Mount Whitney in California
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and many times and they name her
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to the other mountain
close to Mount Whitney
00:10:51.75\00:10:55.33
that is Mount Crook
now. Amazing so even if you
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are above 66, there is
no reason to think that,
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there is no reason to
start exercising or to
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strengthening my heart.
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There should always
age shouldn't be an excuse.
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And going back to
the biological age,
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it's nice to know that
perhaps from 70 or from
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even 30 that I can be
doing things in my life
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that will give me
a normal life or good
00:11:21.51\00:11:24.85
quality of life
while I'm so here.
00:11:24.88\00:11:27.16
And definitely Hulda Crooks is
00:11:27.19\00:11:29.18
a perfect example that.
00:11:29.21\00:11:30.92
Now going to the doctor
is that a good preventive
00:11:31.98\00:11:35.30
measure or only
when I see the risk
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or if I know others risk
how would you assess that?
00:11:38.19\00:11:41.14
Yeah, I would say
that you should do medical
00:11:41.62\00:11:45.30
checkup everybody
should do a medical check up
00:11:45.33\00:11:48.72
to check for
disease. So, you will have
00:11:48.75\00:11:51.86
your family history and
then you go to the doctor
00:11:51.89\00:11:55.39
periodically I mean once a year,
00:11:55.42\00:11:57.45
once every two
years depend on your age.
00:11:57.48\00:11:59.59
And then you
have picture of that,
00:11:59.62\00:12:02.15
some people stop that,
so I went to the doctor
00:12:02.18\00:12:05.63
my cholesterol is
good, my heart is good,
00:12:05.66\00:12:07.58
my blood is good,
but they, they should go
00:12:07.61\00:12:11.44
one step further and
check their lifestyle
00:12:11.47\00:12:14.09
because is not
just the cholesterol,
00:12:14.12\00:12:16.20
is not just the blood samples,
00:12:16.23\00:12:19.16
is not just the
physicals. You might have
00:12:19.19\00:12:22.51
other factors, you might
have an excessive weight,
00:12:24.49\00:12:27.35
you might have, you
might not be doing exercise
00:12:27.38\00:12:30.50
and then even if
their tests are normal
00:12:30.53\00:12:33.14
you might be at risk.
If you don't have a good,
00:12:33.17\00:12:36.09
if you don't do your homework.
00:12:36.12\00:12:37.43
Yeah homework, what
do you mean by homework,
00:12:37.88\00:12:39.53
I thought
hopefully by then we would be
00:12:39.56\00:12:41.70
done with school, but
always a different kind
00:12:41.73\00:12:44.00
of homework
perhaps you are doing
00:12:44.03\00:12:45.41
I don't know explain
that a little bit better.
00:12:46.01\00:12:47.45
Yeah, homework is
like I have a patient
00:12:47.48\00:12:52.65
two weeks ago we did
a fair in San Bernardino
00:12:52.68\00:12:55.38
and then we check blood
pressure in the population.
00:12:55.41\00:12:58.24
So, we have this heavy
guy that sat on the chair
00:12:58.27\00:13:02.34
and say measure
my blood pressure.
00:13:02.37\00:13:04.52
So, we put the cuff
we measure blood pressure
00:13:04.55\00:13:08.12
and there was a friend
of him that was in front
00:13:08.15\00:13:11.23
and he was watching
for him or waiting for him
00:13:11.26\00:13:14.09
and then his
pressure was 120/76 and then
00:13:14.78\00:13:19.51
he was heavy and he told
the guy see what exercise
00:13:19.54\00:13:23.88
does to you and that
guy what you mean by that.
00:13:23.91\00:13:26.38
Well, I go to the gym everyday.
00:13:26.41\00:13:28.03
So, it is not important
that if you are overweight,
00:13:28.83\00:13:33.95
you are gonna have the risk,
00:13:33.98\00:13:35.50
what is more important is that
00:13:35.53\00:13:37.56
even if you
haven't lost the weight.
00:13:37.59\00:13:39.61
But, you are doing
your homework that's
00:13:39.64\00:13:41.84
what I mean, he
was doing the exercise.
00:13:41.87\00:13:44.35
He is doing his
part, he was going everyday
00:13:44.38\00:13:47.41
going to the gym, perfect,
00:13:47.44\00:13:49.59
perfect, even
if is half-an-hour,
00:13:49.62\00:13:50.59
but he was being
consistent with that making
00:13:50.60\00:13:52.47
sure he had the benefits
of what is to do your part
00:13:52.50\00:13:56.83
because the doctor
can't do anything he can maybe
00:13:56.86\00:13:58.69
tell you the symptoms
or what you may need more,
00:13:58.72\00:14:01.24
but God gave us our
body for us to be in charge
00:14:01.27\00:14:04.41
of to us to take care of.
00:14:04.44\00:14:05.88
In the point for him
is that he was able to
00:14:05.91\00:14:09.54
control his blood pressure.
00:14:09.57\00:14:11.19
Another point related to that
00:14:12.13\00:14:14.12
is that you go to the doctor.
00:14:14.19\00:14:15.44
The doctor prescribes something,
00:14:15.47\00:14:17.13
so we know
today the prescription
00:14:17.51\00:14:19.93
for hypertension, the
prescription for diabetes
00:14:19.96\00:14:22.46
and people don't
come comply with that.
00:14:22.87\00:14:24.57
And then they have a high risk,
00:14:24.60\00:14:27.10
I believe that medicines
are important to prevent
00:14:27.13\00:14:30.85
the disease in the
near future in a couple of
00:14:30.88\00:14:34.20
months or years, it
can prevent a heart attack.
00:14:34.23\00:14:38.36
So, it's important
to take the medicine.
00:14:38.39\00:14:40.18
Of course, the
lifestyle is also important
00:14:40.58\00:14:43.00
and lifestyle will give
you a broad longer time,
00:14:43.03\00:14:47.21
and longer range,
will protect you for 10
00:14:47.24\00:14:49.76
and 20 years, but you
cannot skip the medicine
00:14:49.79\00:14:53.10
and that's the
problem. Many people say,
00:14:53.13\00:14:54.88
I don't need that or
I don't like the doctor
00:14:54.91\00:14:57.74
or I don't like
the prescription,
00:14:57.77\00:14:59.35
I feel the side effects,
so if the doctor prescribe
00:14:59.38\00:15:03.45
something you have
to follow because there
00:15:03.48\00:15:05.43
are people that die
because of hypertension simply
00:15:05.46\00:15:08.11
because they don't
take the medication. Right,
00:15:08.14\00:15:10.22
right. They get a
stroke and then is complicated.
00:15:10.25\00:15:12.98
So, medicines are important,
00:15:13.88\00:15:16.21
but the homework is
important and I wanna
00:15:16.72\00:15:18.64
share with you
that the medicines
00:15:18.67\00:15:21.39
like I said are
needed many times,
00:15:21.42\00:15:23.56
but if we can
start our homework,
00:15:23.59\00:15:25.00
remember what
homework was doing our part,
00:15:25.03\00:15:26.95
doing our
exercise, eating right.
00:15:26.98\00:15:28.78
As early as possible
and even if it's late,
00:15:29.32\00:15:32.11
it's never true late.
That we can most likely
00:15:32.14\00:15:34.81
avoid many of
the mediations that
00:15:34.84\00:15:36.49
we often times have to
take because we haven't
00:15:36.52\00:15:39.02
done our homework previously.
00:15:39.05\00:15:40.68
So, exercise is
extremely important
00:15:40.71\00:15:43.31
for heart disease, but sometimes
00:15:43.34\00:15:45.29
we hear some
stories that are little
00:15:45.32\00:15:46.98
discomfort to hear like
somebody goes to the gym
00:15:47.01\00:15:48.89
and they are working
super hard and they work
00:15:48.92\00:15:51.28
on the exercise and
next day I know they
00:15:51.31\00:15:54.04
fall over with the
heart attack or die.
00:15:54.07\00:15:56.62
How do you explain that
00:15:57.32\00:15:58.29
they are doing their exercise?
00:15:58.30\00:15:59.27
Well first of all
7 million people die
00:16:00.50\00:16:03.79
and I would say 99% of this guys
00:16:04.67\00:16:07.98
die because of lack of exercise.
00:16:08.01\00:16:09.91
Okay. But, we
have a percentage 1% of
00:16:09.94\00:16:14.18
people are died during exercise.
00:16:14.21\00:16:16.21
Okay. And why is that,
one time I have a patient
00:16:16.24\00:16:21.61
that was a smoker for many years
00:16:21.64\00:16:24.87
and then he came to my office
00:16:24.90\00:16:26.12
and he stop smoking.
00:16:26.15\00:16:27.42
And then he was
about 60 years old
00:16:28.26\00:16:31.62
and when he was 70 years old
00:16:32.15\00:16:33.99
he was a German
guy, he visited Germany,
00:16:34.02\00:16:36.62
he is Germany and
then when he was there
00:16:36.65\00:16:39.92
in this trip he saw
all the destructions that
00:16:39.95\00:16:43.28
the second world
war cause to his Germany
00:16:43.31\00:16:46.43
and he got so
depressed, he got a heart attack
00:16:46.46\00:16:49.27
and he died. So, they
mentioned why this guy die,
00:16:49.30\00:16:53.76
the same question,
if he stop his smoking
00:16:53.79\00:16:56.25
he was doing a good homework
00:16:56.28\00:16:58.40
then I told the
widow well he would died
00:16:58.43\00:17:02.31
much earlier
probably I cannot guess
00:17:02.34\00:17:06.03
the right things, but
it's about some people die
00:17:06.06\00:17:10.87
everywhere and anywhere
and so you have to may be
00:17:10.90\00:17:15.97
if the person didn't
exercise he would have
00:17:16.00\00:17:20.26
be gone before.
But, I have an advice
00:17:20.29\00:17:24.91
for our
audience. I believe we have
00:17:24.94\00:17:29.82
to respect our body.
00:17:29.85\00:17:31.19
Many people go to
exercise and they go to streams
00:17:31.22\00:17:37.81
and they feel, they
feel uneasy and sometimes
00:17:37.84\00:17:41.12
they feel dizzy they feel pain,
00:17:41.15\00:17:42.60
but they go with the
motivation and they go
00:17:43.03\00:17:46.18
and they think that
this is the main thing.
00:17:46.91\00:17:48.83
I have a
graphic to show you from
00:17:48.86\00:17:51.42
Hong Kong
Marathon. For many years,
00:17:52.81\00:17:55.41
I was a trainer for club
that we have in Hong Kong
00:17:55.44\00:18:00.01
for the Hong Kong
Adventist Hospital.
00:18:00.04\00:18:02.06
And I run a club
for Marathon runners.
00:18:02.35\00:18:05.42
Encourage
exercise, encourage them,
00:18:05.45\00:18:07.40
exactly, be active.
00:18:07.43\00:18:08.48
And you see in this picture,
00:18:08.51\00:18:09.69
I run several half marathons,
00:18:09.72\00:18:12.31
half marathons in what
they call Hong Kong charted,
00:18:12.49\00:18:16.18
standard charted marathon
00:18:16.21\00:18:18.27
and we have people
that will die, almost die
00:18:18.46\00:18:21.55
they will feel
pain in their knees and
00:18:21.58\00:18:24.31
pain in the back and
they will go and say no
00:18:24.34\00:18:28.50
I have to finish and
this will mean that they will
00:18:28.53\00:18:31.18
finish that marathon.
00:18:31.21\00:18:32.36
But, they will have
a lesion in their knees
00:18:32.82\00:18:36.37
that will stay
forever. So, I would say respect
00:18:36.40\00:18:40.28
your body and I
was the person that was
00:18:40.31\00:18:44.18
when they started
to say you run a full
00:18:44.75\00:18:47.69
marathon as you
know full is too much.
00:18:47.72\00:18:49.32
Right. I go for a
half, even half is too much.
00:18:49.35\00:18:52.07
So by respecting you
mean listen to the symptoms
00:18:52.34\00:18:55.96
or the sings of pain or okay,
00:18:55.99\00:18:58.76
I haven't done this in a
while I need to start slowly
00:18:58.79\00:19:01.56
or my body is not used to this.
00:19:01.59\00:19:03.09
I should give my body
a chance to accommodate
00:19:03.12\00:19:05.80
or get to that point
where I can get that.
00:19:05.83\00:19:07.69
And don't exaggerate
in terms of exercise.
00:19:07.72\00:19:10.42
I was interviewed
one time by a reporter
00:19:10.45\00:19:14.09
and then she was
to write an article
00:19:14.12\00:19:16.23
about running and
then she said how about
00:19:16.26\00:19:18.37
a person that runs 5 miles.
00:19:18.40\00:19:20.43
And then cannot go
to 6 and 7 and 10 miles
00:19:20.74\00:19:24.25
and just go to 5
miles and that's it.
00:19:24.28\00:19:26.47
What is your advice?
You know what I said?
00:19:26.50\00:19:29.90
What did you tell her.
00:19:29.93\00:19:30.90
I tell that I told her,
oh, how about the five miles
00:19:30.91\00:19:34.50
is the ideal thing for her. So,
00:19:34.53\00:19:36.34
why she has to go to 10 miles.
00:19:36.37\00:19:38.33
Exactly. You know
00:19:38.36\00:19:39.47
what they never
wrote that article.
00:19:39.50\00:19:41.10
They never
published it that interview
00:19:41.93\00:19:44.37
because I mean the
push is that do a lot you
00:19:44.40\00:19:48.26
motivation you
can do, but in this
00:19:48.29\00:19:50.36
you have to have a limit.
00:19:50.39\00:19:51.62
You have to
respect your own limits.
00:19:51.65\00:19:54.52
So, if you feel so
tired, so exhausted
00:19:54.55\00:19:57.30
and many marathon
runners they get a cold,
00:19:57.33\00:20:00.51
a big cold after the
race that means you're
00:20:00.54\00:20:04.43
your immune system
has been suppressed.
00:20:04.46\00:20:06.08
So, you have to
put attention to that.
00:20:06.11\00:20:07.87
If you feel good.
Exercises taken to
00:20:07.90\00:20:09.63
an extreme and then, exactly,
00:20:09.66\00:20:10.99
that extreme
suppresses or what is a fatigue
00:20:11.02\00:20:14.08
stressor on the
body that's unnecessary.
00:20:14.11\00:20:16.46
So, once in a while
perhaps or if you train up
00:20:16.91\00:20:19.42
to that point it
might be a different story.
00:20:19.45\00:20:21.20
But, like you
said respect the body,
00:20:21.23\00:20:23.75
know that God put limits to it
00:20:23.90\00:20:26.14
and to live happily
in among those limits.
00:20:26.45\00:20:29.90
Another thing is when
you have a major disease
00:20:29.93\00:20:32.93
or a surgery. So,
you have to have a period
00:20:32.96\00:20:37.25
of recovery after that you.
00:20:37.28\00:20:39.20
If you even if you
are a runner after a major
00:20:39.23\00:20:42.15
disease in your
life, you have to go slow,
00:20:42.18\00:20:44.27
you have to start walking and
00:20:44.30\00:20:45.76
then
progressively get to the point.
00:20:45.79\00:20:48.33
Exactly, I think
that point has been
00:20:48.99\00:20:51.69
made clear them
to be progressive
00:20:51.83\00:20:54.17
and slow and respective.
00:20:54.20\00:20:55.91
Now on to a
different topic on diet.
00:20:56.35\00:20:58.36
Diet and heart
disease, you mentioned at the
00:20:58.39\00:21:00.52
beginning that what we
eat becomes part of us.
00:21:00.55\00:21:04.10
So, if we are
eating high fatty foods
00:21:04.13\00:21:07.32
that actually
becomes part of our body
00:21:07.35\00:21:09.39
or actual cells and storage and
00:21:09.42\00:21:11.46
part of it goes to the heart.
00:21:11.49\00:21:13.06
What do you have
to say about diet?
00:21:13.09\00:21:14.96
Well diet is as
important as exercise and
00:21:16.15\00:21:20.04
I mentioned at
the beginning that
00:21:20.07\00:21:21.47
high fat diet will
increase cholesterol and
00:21:21.50\00:21:24.50
this will
depositing in the arteries.
00:21:24.53\00:21:28.14
And also a high sugar
diet mix with the high fat
00:21:28.26\00:21:33.17
diet will
create the flow that is
00:21:33.76\00:21:36.99
very slow in the
arteries. Is like a river.
00:21:37.02\00:21:40.11
Small and thicker. Yeah, because
00:21:40.14\00:21:42.17
of the thickness the
flow is gonna be slow
00:21:42.20\00:21:44.80
and then this will
cause more deposit in the,
00:21:44.83\00:21:47.96
in the wall of the arteries
00:21:47.99\00:21:54.12
and then this will if
you have an artery that
00:21:54.15\00:21:58.33
is ready with a plaque,
00:21:58.36\00:22:01.19
so this plaque
will recreate this,
00:22:01.55\00:22:05.57
something that the
blood will not flow very well
00:22:06.33\00:22:08.63
to the cells
because there is this
00:22:08.66\00:22:11.81
plaque and there is low flow.
00:22:11.84\00:22:14.04
Right. Like a
river full of flesh,
00:22:14.07\00:22:16.89
full of dirt, it cannot flow.
00:22:16.92\00:22:19.82
You see some rivers that.
00:22:19.85\00:22:22.22
Very sluggish. Very sluggish and
00:22:22.25\00:22:24.64
that on circulation
is not going anywhere.
00:22:24.67\00:22:27.72
Well, I like to think
about diet in a global
00:22:28.76\00:22:33.91
perspective or
international perspective
00:22:33.94\00:22:36.30
and then we have a
problem because they have some
00:22:36.33\00:22:39.57
countries that are
in sub nutritious stage
00:22:39.60\00:22:44.62
they don't have what to eat,
00:22:44.65\00:22:46.73
so I'm in charge of a class that
00:22:47.10\00:22:49.11
we call in global
health, global health
00:22:49.14\00:22:52.01
nutrition then is
a struggle because
00:22:52.04\00:22:54.47
we have to teach that
we have to provide food
00:22:54.50\00:22:57.61
for the third war, but
we have to be careful to not
00:22:57.64\00:23:01.18
transform that the
third war to the first war
00:23:01.21\00:23:05.98
or the developing
countries style of not
00:23:06.01\00:23:09.54
having food to the
developed countries
00:23:09.57\00:23:13.73
of having too much food
00:23:13.76\00:23:15.12
and too much rich food.
00:23:15.15\00:23:17.14
That's what we called
a nutritional transition.
00:23:17.65\00:23:20.54
A rich food you mean
foods that are high caloric
00:23:20.57\00:23:23.99
or calorically dense foods. So,
00:23:24.02\00:23:26.53
lot of calories little few
00:23:26.56\00:23:27.98
nutrients. High density foods.
00:23:28.01\00:23:28.98
Yeah high density,
00:23:28.99\00:23:29.96
the nutrients are little low
00:23:29.97\00:23:30.99
and the minerals or
vitamins, the fiber,
00:23:31.02\00:23:33.94
so that when you talk about rich
00:23:33.97\00:23:35.60
that's we are planning.
00:23:35.63\00:23:37.39
Yes, that's the point
and then we have to balance
00:23:37.42\00:23:42.87
that in terms of
teaching these countries.
00:23:42.90\00:23:48.84
Because what is
happening in the developing
00:23:49.15\00:23:51.96
countries is that
in the rural areas
00:23:51.99\00:23:53.76
they don't have enough food.
00:23:53.79\00:23:55.41
But, in the CD they have
Western this kind of food
00:23:55.64\00:23:59.75
high density, low
nutrients food and then people
00:23:59.78\00:24:02.75
in the rural areas
still I wonder they have
00:24:02.78\00:24:05.78
infectious disease
and diarrhea and nutrition
00:24:05.81\00:24:09.62
problem
malnourishment. In the CDs,
00:24:09.65\00:24:12.18
they have obesity, diabetes,
00:24:12.21\00:24:13.99
high
cholesterol, and hypertension.
00:24:14.02\00:24:15.65
So, we need to be
careful that those diseases
00:24:16.48\00:24:18.59
are transformed or
brought into the rural areas
00:24:18.62\00:24:23.16
through the fast
food or the junk food
00:24:23.19\00:24:26.73
or some of theses foods that
00:24:26.76\00:24:28.18
aren't the best for the body.
00:24:28.21\00:24:29.51
Within our company followed by
00:24:30.61\00:24:32.80
if eaten in
access with the diseases.
00:24:32.83\00:24:35.32
Yeah, this they call
epidemiological transition.
00:24:35.60\00:24:38.77
When the
countries come from disease
00:24:38.80\00:24:42.55
that are infectious
and they go to chronic
00:24:42.58\00:24:45.06
disease that are
related to lifestyle
00:24:45.09\00:24:46.97
not only
nutrition, but nutrition
00:24:47.00\00:24:49.68
and exercise this is
the characteristic of rich,
00:24:49.71\00:24:53.38
the rich country.
So, you have more food,
00:24:54.16\00:24:56.48
you have, but you
should not be like that
00:24:56.51\00:24:59.62
because in that case
you just change the style
00:24:59.65\00:25:02.86
of disease or
the types of disease
00:25:02.89\00:25:05.30
and you get in the same trouble.
00:25:05.33\00:25:07.28
So, I have a problem
when we go to these countries
00:25:07.66\00:25:11.01
and we bring our
style of eating and then
00:25:11.04\00:25:16.02
we instead of helping
them to overcome the disease,
00:25:17.17\00:25:20.46
we help them to change
the pattern of disease.
00:25:20.49\00:25:23.15
Not quickly maybe you
can answer the question
00:25:24.17\00:25:27.57
that the argument
that's brought by many that
00:25:27.60\00:25:30.47
maybe this is a
genetic thing that may be
00:25:30.50\00:25:32.67
these different
countries, different areas have
00:25:32.70\00:25:34.41
a generic
disposition to these diseases.
00:25:34.44\00:25:37.10
Is that something that
we can use as an excuse.
00:25:37.63\00:25:40.66
Yeah, before we go there
00:25:40.69\00:25:42.06
I would like to tell a story
00:25:42.09\00:25:43.98
about what happen in Beijing.
00:25:44.01\00:25:45.71
We have, we have a
very interesting thing
00:25:46.10\00:25:51.17
that researcher went to talk to
00:25:51.20\00:25:55.35
Altoist about the problem
00:25:55.38\00:25:58.85
of fast food
restaurants seen in China.
00:25:58.88\00:26:01.96
And after he talked, the Chinese
00:26:01.99\00:26:03.84
Altoist came and said,
00:26:03.87\00:26:05.23
what do you mean by
that. We were under nourished.
00:26:06.00\00:26:09.99
We want more
fresh food restaurants.
00:26:10.02\00:26:12.64
We want more restaurants because
00:26:12.67\00:26:14.14
we are eager to have more food.
00:26:14.17\00:26:16.24
Yes. And they don't
understand that those foods
00:26:16.27\00:26:19.19
might not be the best for them.
00:26:19.22\00:26:20.83
So, then I have
to answer a question
00:26:21.69\00:26:24.24
about what was that?
00:26:24.27\00:26:26.03
The genetic
recession. The genetic, yeah,
00:26:26.06\00:26:28.39
use as an argument many times.
00:26:28.42\00:26:30.10
Yeah, well I just have
a less picture here about
00:26:30.13\00:26:33.69
the Pima Indians to
show that is not genetic.
00:26:33.72\00:26:36.45
So, in this picture
you see that Pima Indians
00:26:36.73\00:26:40.47
are in Arizona and
they are in Southern Mexico.
00:26:40.50\00:26:45.75
In Southern Mexico,
they kept the lifestyle
00:26:46.11\00:26:49.37
that is healthy
exercise and healthy diet.
00:26:49.40\00:26:53.87
In Arizona they
adopted the lifestyle
00:26:54.19\00:26:58.48
the western lifestyle
of eating and no exercise
00:26:58.51\00:27:02.06
so if you talk
about the risk of diabetes
00:27:02.09\00:27:05.38
and high cholesterol
and obesity the Mexicans
00:27:05.41\00:27:09.06
when they don't have it.
00:27:09.09\00:27:10.23
But, in Arizona
they have us we have.
00:27:10.44\00:27:12.96
The same, the
same.. So, is not genetic,
00:27:12.99\00:27:15.48
I mean they have the same
00:27:15.51\00:27:16.76
nature caputring, but they
00:27:16.79\00:27:18.38
have two lifestyles different.
00:27:18.41\00:27:20.25
So, genetics isn't the
only exercise we can use.
00:27:21.05\00:27:23.23
Lifestyle becomes one
of those big components
00:27:23.26\00:27:25.47
in our lives that we
can take control of and use
00:27:25.50\00:27:28.06
for our own
benefit. Dr. Dos Santos you
00:27:28.09\00:27:30.56
have been a blessing to
us I thank you for coming
00:27:30.59\00:27:32.62
for adding your knowledge and
00:27:32.65\00:27:34.66
your practical applications
00:27:34.69\00:27:36.80
on how to take
care of our hearts.
00:27:36.83\00:27:38.17
Thank you very
much. You are welcome,
00:27:38.20\00:27:39.71
it's my pleasure to be here.
00:27:39.74\00:27:41.27
Thank you. And to all
our listeners and viewers
00:27:41.30\00:27:44.30
we want to make sure
that you realize that
00:27:44.33\00:27:47.25
the number one killer
is right inside of us.
00:27:47.28\00:27:49.91
That the heart
often times is mistreated
00:27:50.11\00:27:52.84
and it is part of
God's wonderful creation.
00:27:53.38\00:27:56.02
Let us remember John 14:1,
00:27:56.24\00:27:58.62
where Jesus says let your heart
00:27:58.65\00:28:00.61
not be troubled trust in God,
00:28:00.64\00:28:02.46
trust also in me.
We are Wonderfully Made
00:28:02.49\00:28:05.02
let us trust God
continually treating
00:28:05.05\00:28:06.96
our bodies the best way.
00:28:06.99\00:28:08.12