heart Archives - Dr Shawn

04/Jun/2024

Fish oil has long been heralded as a miracle supplement in the world of health and nutrition. From promoting heart health to enhancing brain function, the benefits touted are numerous. But recently, questions have arisen about the true efficacy and safety of fish oil supplements. Should you be worried about fish oil? Let’s delve into the research to uncover the truth.

Comment on the recent BMJ investigation

A recent study published in BMJ Medicine investigated the effects of Omega-3 fatty acid supplements, commonly found in fish oil, on cardiovascular health. Conducting a prospective cohort study with 415,737 participants aged 40-69 from the UK Biobank, researchers found mixed results depending on the cardiovascular status of the individuals.

For those without known cardiovascular disease, regular use of fish oil supplements was linked to an increased risk of atrial fibrillation and stroke. However, in individuals diagnosed with cardiovascular conditions, fish oil supplements showed beneficial effects, such as reducing the progression from atrial fibrillation to major adverse cardiovascular events and myocardial infarction, as well as from heart failure to death.

The study concluded that while fish oil supplements may help people with existing cardiovascular issues transition more safely through various stages of the disease, their use for primary prevention in healthy individuals could be harmful.

^{Problems with the study}

The recent study on Omega-3 fatty acids published in BMJ Medicine, while extensive and insightful, has several limitations and potential faults that should be considered:

Observational Nature: The study is observational, which means it cannot establish causation, only association. There may be unmeasured confounding variables that affect the results.
Self-Reported Data: The reliance on self-reported usage of fish oil supplements can introduce recall bias and inaccuracies. Participants may underreport or overreport their supplement intake.
Single Population Sample: The study’s participants were from the UK Biobank, which may not be representative of the global population. Results might differ in diverse populations with different dietary habits and genetic backgrounds.
Undefined Dosage and Duration: The specific dosage and duration of fish oil supplement use were not clearly defined, which could impact the outcomes. Different dosages may have varying effects on heart health.
Baseline Health Status: The baseline cardiovascular health of participants was not uniformly assessed before starting the study. Individuals with undiagnosed or subclinical cardiovascular conditions may have influenced the results.
Lack of Control for Other Dietary Factors: The study did not comprehensively control for other dietary factors and overall lifestyle habits that could affect cardiovascular health. Omega-3 intake from food sources wasn’t distinguished from supplement use.
Potential Confounders: Despite adjustments for various confounders, residual confounding by factors such as medication use, other dietary supplements, and genetic predispositions cannot be ruled out.

These limitations suggest that while the study provides valuable insights, its findings should be interpreted with caution. Further randomized controlled trials are necessary to establish a clearer causal relationship and better understand the specific circumstances under which Omega-3 fatty acids might be beneficial or detrimental to heart health.

Understanding Fish Oil

Fish oil is derived from the tissues of oily fish and is rich in omega-3 fatty acids, primarily EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These omega-3s are essential fats that our bodies cannot produce on their own, which means we must obtain them through our diet or supplements.

Promoted Benefits of Fish Oil

Heart Health: One of the most significant claims is that fish oil can reduce the risk of heart disease. Omega-3s are believed to lower triglyceride levels, reduce inflammation, and decrease blood pressure.

Brain Function: DHA is a major structural component of the brain. Consuming adequate levels of DHA has been linked to improved cognitive function and a lower risk of neurodegenerative diseases.

Joint Health: Omega-3s have anti-inflammatory properties, which can help alleviate symptoms of rheumatoid arthritis and other inflammatory joint conditions.

Eye Health: DHA is also a critical component of the retina. Adequate intake of omega-3s has been associated with a reduced risk of macular degeneration.

The Rising Concerns

Despite these widely accepted benefits, some recent studies, such as the one previously discussed, and expert opinions have brought concerns to light, questioning the efficacy and safety of fish oil supplementation.

Efficacy Questions

Inconsistent Study Results: While many studies highlight the benefits of fish oil, others show little to no effect. For instance, a comprehensive review by the Cochrane Collaboration in 2018 found that omega-3 supplements had little to no significant impact on preventing heart disease.
Bioavailability: Not all fish oil supplements are created equal. The form of omega-3s in the supplement (triglycerides vs. ethyl esters) can affect how well they are absorbed and utilized by the body.

Safety Concerns

Oxidation: Fish oil is prone to oxidation, which can lead to the formation of harmful compounds. Oxidized fish oil can be detrimental rather than beneficial, potentially causing oxidative stress and inflammation.
Contaminants: Depending on the source, fish oil supplements can contain environmental pollutants like heavy metals (e.g., mercury) and PCBs. Ensuring high-quality, purified fish oil is crucial to avoid these contaminants.
Dosage and Interactions: High doses of fish oil can lead to adverse effects such as bleeding disorders, gastrointestinal issues, and potential interactions with medications.

What Does the Research Say?

To navigate these concerns, let’s look at some key studies and expert opinions:

Cardiovascular Health

A study published in the Journal of the American Medical Association (JAMA) in 2019 analyzed data from multiple clinical trials and found that while high-dose omega-3 supplements did reduce the risk of heart attacks, the overall benefit to cardiovascular mortality was minimal.

Brain Health

Research published in the American Journal of Clinical Nutrition in 2018 suggested that while omega-3 supplements can support cognitive function in older adults, their impact is more pronounced in those who have dietary deficiencies of these fatty acids.

Joint Health

A study in the Annals of the Rheumatic Diseases highlighted that fish oil supplements could reduce symptoms of rheumatoid arthritis, though the benefits were modest and varied among individuals.

Should You Take Fish Oil?

Given the mixed findings, here are some guidelines to consider:

Diet First

Prioritize obtaining omega-3s from whole food sources. Fatty fish like salmon, mackerel, and sardines are excellent choices. They not only provide EPA and DHA but also come with other beneficial nutrients.

Quality Matters

If you choose to take a fish oil supplement, opt for high-quality brands that ensure purity and minimal oxidation. Look for third-party testing and certification to ensure the product is free from contaminants.

Consult Healthcare Providers

Before starting any new supplement regimen, especially at higher doses, consult with your healthcare provider. They can help determine the right dosage for your needs and monitor for potential interactions with other medications.

Balance and Moderation

Remember that more is not always better. Stick to recommended dosages and consider balancing fish oil intake with other sources of omega-3s, such as flaxseeds and walnuts, which provide ALA (alpha-linolenic acid).

Conclusion

Fish oil remains a complex topic within the realm of nutrition and wellness. While there are undeniable benefits, it’s essential to approach supplementation with informed caution. By prioritizing quality, consulting healthcare professionals, and maintaining a balanced diet, you can make the most of what fish oil has to offer without falling prey to its potential pitfalls.

Ultimately, staying updated on the latest research and making well-informed decisions will help you navigate the world of supplements effectively. Should you be worried about fish oil? With the right knowledge, the answer leans towards no – but staying vigilant and informed is key to ensuring your health journey is both safe and beneficial.

DoctorShawn

21/Nov/2023

As we age, our bodies undergo several changes that are influenced by various factors like diet, exercise, stress, and other underlying conditions. One such condition that requires continuous monitoring is blood pressure. High blood pressure or hypertension is a common problem among adults across the globe, and it can lead to several health complications that can be fatal if left untreated. That’s why it’s important to keep a close eye on your blood pressure readings. But how often should you check your blood pressure? Let’s find out.

Age Matters

Your age plays a crucial role in determining how often you should check your blood pressure. According to the American Heart Association, adults above 40 with a history of high blood pressure or other underlying health conditions like diabetes should check their blood pressure readings at least once every year. However, if you’re above 65, you should check your blood pressure every six months to a year. Monitoring blood pressure levels regularly can help you identify and manage any changes that could lead to severe health complications.

For more articles on healthy lifestyle Click Here

Your Health Condition

Apart from age, your overall health also determines how often you should check your blood pressure. If you have a history of high blood pressure or any underlying health conditions like diabetes, kidney disease, or heart disease, it’s important to monitor your blood pressure readings more frequently. You should discuss with your doctor about a monitoring schedule that’s tailored to your health needs and risks. Personally I like to recommend that patients check their blood pressure in the morning, afternoon and evening everyday for 1 week. They then take the average for all three times of day. This gives a very accurate sense of where your blood pressure is at.

Lifestyle Habits

Your lifestyle habits also play a crucial role in regulating your blood pressure. If you’re someone who’s prone to stress, consumes a high salt diet, or indulges in alcohol frequently, you may need to monitor your blood pressure readings more often. Similarly, if you have a sedentary lifestyle with little or no physical activity, you should check your blood pressure more frequently as well. In such cases, your doctor may advise you to monitor your blood pressure levels every 3-6 months.

Medications

If you’re taking blood pressure medication to manage hypertension, your doctor may advise you to check your blood pressure levels more frequently. Generally, doctors recommend monitoring blood pressure 30 minutes before taking your medication to determine its effectiveness. Afterward, you may need to take your blood pressure levels every few days or weeks, depending on your health condition.

Personal Preference

Lastly, your personal preference also plays a crucial role in determining how often you should check your blood pressure. If you’re someone who’s prone to anxiety or panic attacks, monitoring your blood pressure too frequently may cause more harm than good. In such cases, it’s important to discuss your monitoring schedule with your doctor and settle on a schedule that works best for you.

Conclusion:

Monitoring your blood pressure levels is an essential step in keeping hypertension and other health complications at bay. However, the frequency of monitoring your blood pressure levels depends on various factors like age, health condition, lifestyle habits, and personal preference. Speak to your doctor to come up with a monitoring schedule that’s tailored to your health needs and risks. Remember, high blood pressure is a silent killer, so it’s better to be safe than sorry.

For more on Blood Pressure Monitoring Click Here

DoctorShawn

26/Sep/2023

Cooking with oil is one of the most common techniques used in the kitchen. Whether you’re baking, frying, sautéing, or roasting, using the right oil can make a significant difference in the flavour and health of your food. However, it’s crucial to know how much heat a particular oil can handle and how to choose the best oils for your health. In this blog post, let’s dive into the world of cooking with oil and discover the best techniques and tips for healthy and delicious meals.

Not all Oils are Created Equal

Not all oils are created equal when it comes to cooking. Different oils have different smoke points, which affect their stability and overall health benefits. The smoke point is the temperature at which an oil starts to smoke and break down, producing harmful compounds that can be harmful to your health. Therefore, it’s essential to use oils with a high smoke point for high-heat cooking methods such as roasting, frying, and grilling. Examples of oils with high smoke points include avocado oil, peanut oil, canola oil, and vegetable oil.

Common cooking oils and their smoke points:

Extra Virgin Olive Oil (EVOO): With a smoke point of 325-375°F, EVOO is best suited for low-heat cooking like sautéing, baking, and roasting. It’s packed with heart-healthy monounsaturated fats and lends a robust, fruity flavor to dishes.
Canola Oil: Canola oil’s smoke point is around 400°F, making it versatile for medium-heat cooking methods. It’s a good source of monounsaturated fats and has a neutral taste that won’t overpower your dish.
Coconut Oil: This tropical oil has a smoke point of 350°F. It’s ideal for baking and adds a sweet, subtle coconut flavor. Coconut oil is high in saturated fats, but it’s also rich in medium-chain triglycerides (MCTs) that can boost energy levels.
Avocado Oil: With an impressive smoke point of up to 520°F, avocado oil is excellent for high-heat cooking techniques like frying and searing. It’s rich in heart-healthy monounsaturated fats and vitamin E, plus it adds a creamy, buttery flavor to dishes.
Peanut Oil: With a smoke point of 450°F, peanut oil is a great choice for frying, sautéing, and grilling. It’s high in monounsaturated fats and adds a nutty flavor to dishes.
Sesame Oil: This oil has a smoke point of 410°F, making it good for medium to high-heat cooking. It’s rich in antioxidants and adds a powerful, nutty flavor, especially when used in Asian cuisine.
Grapeseed Oil: With a smoke point of 420°F, grapeseed oil is suitable for medium-high heat cooking. It’s high in polyunsaturated fats and vitamin E, and offers a mild flavor that won’t compete with your dish.
Butter: Real butter has a low smoke point of 300°F, so it’s best for baking or low-heat cooking. It’s high in saturated fat, but also contains beneficial nutrients like vitamin A.
Lard/Tallow: These animal fats have a smoke point around 375°F (lard) and 400°F (tallow), making them suitable for medium-heat cooking. They are high in saturated fats, but also contain monounsaturated fats.

However, not all high-smoke point oils are healthy. Vegetable oil and canola oil are often highly refined and processed, leading to the depletion of nutrients and a high amount of omega-6 fatty acids, which can induce inflammation. Remember to also include unrefined oils rich in omega-3 fatty acids like flaxseed oil, hemp oil, walnut oil, or extra virgin olive oil. These oils have lower smoke points and are best used in low-heat cooking methods like sautéing, dressing, or drizzling.

Another essential factor when choosing oils for your health is their composition. Saturated fats like coconut oil and butter have traditionally been considered unhealthy, but recent research suggests that they might have health benefits too. Coconut oil contains medium-chain triglycerides, which are easier to digest and absorb.

Medium Chain Triglycerides

Medium-chain triglycerides, or MCTs, are a type of fatty acid that can work wonders for your health. They’re easily digested and absorbed, providing a quick burst of energy that can fuel your brain and body. MCTs have been linked to numerous health benefits, from enhancing brain function and boosting heart health, to aiding in weight management and even improving exercise performance.

Olive Oil

Additionally, olive oil holds many benefits, including protecting against heart disease, cognitive decline, and even cancer. It’s crucial to balance your intake of saturated fats with unsaturated fats like polyunsaturated and monounsaturated fats found in nuts, seeds, fish, and vegetable oils to promote optimal health.

Extra virgin olive oil is a powerhouse of health benefits, making it an essential addition to your daily diet. Rich in monounsaturated fats, it promotes heart health by reducing levels of bad cholesterol (LDL) and increasing good cholesterol (HDL). The high content of antioxidants and anti-inflammatory properties found in extra virgin olive oil contribute to strengthening bones and muscles, helping to prevent osteoporosis and rheumatoid arthritis. Additionally, it aids in weight management due to its ability to provide satiety and control cravings. What sets extra virgin olive oil apart is its rich flavor profile and high phenolic content, which has been associated with fighting cancer cells and improving brain function. So why not make the switch? Incorporate extra virgin olive oil into your meals for a delicious and nutritious boost to your health.

When it comes to cooking, the right technique significantly affects the final result. Instead of pouring too much oil in the pan or deep-fryer, use a smaller amount and distribute it evenly. Experiment with alternative cooking methods like broiling, baking, or steaming to create delicious and healthy meals without the need for high amounts of oil. You can also swap oils for other types of fats like avocado or tahini to add an explosion of flavour without high-heat cooking.

Conclusion:

Now that you know how much heat and which oils to choose for your health when cooking, go ahead and experiment with different oils and cooking techniques. Opt for high-smoke point oils for high-heat cooking methods, and unrefined oils with lower smoke points for low-heat cooking and dressings. Make sure to balance your intake of saturated and unsaturated fats to promote optimal health. Remember that cooking with oil is all about balance, moderation, and flavour!

More blogs:

Cholesterol Isn’t bad

Check out the top 4 healthy oils for high heat cooking

drshawn

01/Feb/2023

Have you heard of natto? It’s a fermented soybean paste that’s popular in Japan, and it’s gaining popularity around the world as more people discover its incredible health benefits. In this blog post, we will explore five of these benefits and discuss why adding nato to your diet could have a positive impact on your health.

1. Rich in Probiotics

Natto is naturally rich in probiotics, which are beneficial bacteria that can help improve your digestive health. Probiotics can help keep the population of “good” bacteria in your gut balanced so that you can better absorb nutrients from food and fight off harmful bacteria. They can also help reduce bloating, gas, and constipation.

2. High in Protein

Natto is a great source of protein. One tablespoon contains two grams of protein. This makes it an excellent addition to any vegetarian or vegan diet, as well as for those looking to add more plant-based proteins into their daily meals.

3. Full of Vitamins, Minerals and Nattokinase

Natto is packed with vitamins and minerals like Vitamin B12, zinc, magnesium, iron, potassium, phosphorus, and calcium. Additionally, natto has been found to be high in antioxidants which can help protect against free radical damage caused by environmental factors like pollution or UV rays from sunlight.

Natto is also a great source of nattokinase, an enzyme with a variety of health benefits. This enzyme has been studied for its potential to lower blood pressure, reduce inflammation, and improve circulation. Studies have shown that it may help prevent cardiovascular diseases like stroke and heart attack as well as metabolic disorders such as diabetes.

Additionally, nattokinase has been found to have anti-cancer properties and can help boost the immune system. It can also be helpful in improving digestion by breaking down proteins and carbohydrates into smaller molecules more easily absorbed by the body.

Furthermore, nattokinase has been investigated for its ability to break down fibrin, a protein involved in clot formation, which could potentially help reduce the risk of deep vein thrombosis and other dangerous blood clots. On top of all these health benefits, scientists believe that nattokinase may even reduce the risk of developing Alzheimer’s disease due to its ability to fight against oxidative stress and inflammation in the brain. All these findings reflect why natto is such an important part of traditional Japanese cuisine today.

4. Boosts Immunity

The probiotic content of natto helps boost immunity by helping strengthen the body’s natural defense system against infections and illnesses caused by bacteria or viruses. Additionally, the Vitamin C content helps support cell growth and repair while also fighting off infection-causing microbes.

5. Improves Heart Health

Natto is low in saturated fat but high in unsaturated fats which can help improve heart health by lowering cholesterol levels and reducing inflammation throughout the body.

How to eat Natto?

Check out this youtube video on how to enjoy the most common preparation of nato. You can usually find these packs in your local asian food market. Best ways to eat Natto

Natto recipes

Check out these great recipes to get you started with these incredible superfood. HOW TO EAT NATTO (9 EASY NATTO RECIPES AND 30 MORE IDEAS)

Conclusion

All in all, adding nato to your diet has numerous health benefits, from boosting immunity to improving heart health. All these benefits make it worth considering as part of a healthy lifestyle routine!

Comment on the recent BMJ investigation

Problems with the study

Understanding Fish Oil

Promoted Benefits of Fish Oil

The Rising Concerns

Efficacy Questions

Safety Concerns

What Does the Research Say?

Cardiovascular Health

Brain Health

Joint Health

Should You Take Fish Oil?

Diet First

Quality Matters

Consult Healthcare Providers

Balance and Moderation

Conclusion

Age Matters

For more articles on healthy lifestyle Click Here

Your Health Condition

Lifestyle Habits

Medications

Personal Preference

Conclusion:

For more on Blood Pressure Monitoring Click Here

Not all Oils are Created Equal

Common cooking oils and their smoke points:

Medium Chain Triglycerides

Olive Oil

Conclusion:

More blogs:

Cholesterol Isn’t bad

Check out the top 4 healthy oils for high heat cooking

1. Rich in Probiotics

2. High in Protein

Natto is a great source of protein. One tablespoon contains two grams of protein. This makes it an excellent addition to any vegetarian or vegan diet, as well as for those looking to add more plant-based proteins into their daily meals.

3. Full of Vitamins, Minerals and Nattokinase

Additionally, nattokinase has been found to have anti-cancer properties and can help boost the immune system. It can also be helpful in improving digestion by breaking down proteins and carbohydrates into smaller molecules more easily absorbed by the body.

4. Boosts Immunity

The probiotic content of natto helps boost immunity by helping strengthen the body’s natural defense system against infections and illnesses caused by bacteria or viruses. Additionally, the Vitamin C content helps support cell growth and repair while also fighting off infection-causing microbes.

5. Improves Heart Health

Natto is low in saturated fat but high in unsaturated fats which can help improve heart health by lowering cholesterol levels and reducing inflammation throughout the body.

How to eat Natto?

Check out this youtube video on how to enjoy the most common preparation of nato. You can usually find these packs in your local asian food market. Best ways to eat Natto

Natto recipes

Check out these great recipes to get you started with these incredible superfood. HOW TO EAT NATTO (9 EASY NATTO RECIPES AND 30 MORE IDEAS)

Conclusion

All in all, adding nato to your diet has numerous health benefits, from boosting immunity to improving heart health. All these benefits make it worth considering as part of a healthy lifestyle routine!

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