Tori Hudson, N.D. See book keywords and concepts | ET does not have a significant effect on stroke risk in postmenopausal women with known ischemic cerebrovascular disease, but for healthy older women, effects of ET on stroke risk are not clear. However, unless confirming data become available, ET should not be used for primary or secondary prevention of these conditions."
CONVENTIONAL MEDICINE APPROACH
There is still much that is unknown about cardiovascular disease, hormone replacement, and the aging process in women. The results of the Women's Health Initiative (WHI) have dramatically changed how HRT has been prescribed in this country. | Dr. Paula Baillie-Hamilton See book keywords and concepts | Cigarette smoke, which also contains several toxic metals, such as cadmium, can also increase the stroke risk. As with pesticides, toxic metals can also play an important role in the development of many stroke risk factors, such as the important role played by lead and mercury in causing high blood pressure (see page 190).
Air pollutants such as sulphur dioxide and carbon monoxide also appear to increase the stroke risk. One South Korean study revealed that higher levels of air pollution caused an increase in the number of people getting strokes. | Bottom Line Health See book keywords and concepts | | STROKE PREVENTION
What most affects stroke risk...
•Smoking. Everyone knows that smoking increases heart disease risk, but did you know that smoking is actually more likely to cause a stroke than a heart attack? Not only does smoking promote the development of fatty deposits that narrow arteries (atherosclerosis), but the nicotine in tobacco causes blood vessels in the brain to constrict.
Result: Smokers have up to a four times greater risk of stroke than nonsmokers.
What you can do: Quit smoking. If you've tried but can't kick the habit, consider using nicotine-replacement patches or gum.. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | Eating fish has been linked to reduced stroke risk in most,22, 23, 24 but not all,25,26 studies.
High salt intake is associated with both stroke27 and hypertension (page 246), a major risk factor for stroke.28 Salt intake may increase stroke risk independent of its effect on blood pressure.29 Among overweight (page 446) people, an increase in salt consumption of about 1/2 teaspoon (2.3 grams) per day was associated with a 32% increase in stroke incidence and an 89% increase in stroke mortality.30 Reducing salt intake is recommended as a way to reduce the risk of stroke. | Jonny Bowden, Ph.D., C.N.S. See book keywords and concepts | And researchers feel that in addition to helping with pain and inflammation, anthocyanins may help lower heart attack and stroke risk if consumed on a regular basis. As a bonus, these same anthocyanins may significantly reduce your risk for colon cancer, the third leading cancer in the United States.
But That's Not All, Folks!
Besides anthocyanins, cherries have three other compounds in them that are of great interest to the field of natural healing: quercetin, ellagic acid, and perillyl alcohol. | Mike Adams, the Health Ranger See article keywords and concepts | It's true: A pharmaceutical that reduced stroke risk by 31 percent while introducing no negative side effects would be considered a medical miracle. But when it's an antioxidant in question, the AMA essentially declares it to be useless.
This particular distortion was achieved by counting the results of all the women who did NOT take the antioxidants. If you look at the total outcomes and include the women who took no antioxidants, then of course the results don't look very impressive. | The Editors of FC&A See book keywords and concepts | | Slash stroke risk. Potassium helps keep your blood pressure under control, especially when you also limit your sodium intake. Lower blood pressure means lower stroke risk. But potassium's powers go beyond its effect on blood pressure. Reduce your chance of having a stroke by up to 40 percent, simply by getting more of this natural mineral.
Boosting your potassium intake to 4 grams a day can help tremendously, according to a Harvard study. That would mean eating the equivalent of about nine bananas. | | Eating 29 grams of fiber a day can drastically lower your stroke risk. If you have high blood pressure, adding just 10 grams of fiber to your diet every day can cut your risk of stroke by a whopping 41 percent. Cereal fiber, the kind in oats, wheat, rye, and barley, provides the most protection.
• Magnesium relaxes your blood vessels and balances the amount of potassium and sodium in your blood cells. Getting more than 450 mg of magnesium a day can significantly decrease your stroke risk. | Bottom Line Health See book keywords and concepts | | This class of cholesterol-lowering drugs appears to reduce stroke risk by approximately 25%, even in people who have normal cholesterol. Side effects can include muscle pain, nausea and diarrhea or constipation.
•If you smoke, quit. Smokers are several times more likely than nonsmokers to have a stroke. Within 10 years of quitting smoking, the risk of having a stroke is almost the same as for someone who has never smoked.
SCREENING
People who have had a TIA or stroke require a number of screening tests to identify the type of stroke and where in the brain it occurred. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | Evidence regarding the role of unsaturated fats (primarily found in vegetable oils, cooked and processed foods made with vegetable oils, nuts, and seeds) is equally unclear,19,20,21 suggesting that unsaturated fats may have varying effects on different types of stroke or that some unsaturated fats differ from others in their influence on stroke risk.
Evidence is accumulating in favor of fish consumption, a rich source of omega-3 fatty acids (page 509), as a way to help prevent stroke. Eating fish has been linked to reduced stroke risk in most,22, 23, 24 but not all,25,26 studies. | Bottom Line Health See book keywords and concepts | | Because women have strokes almost as often as men—and their risk of dying from stroke is even higher—they should consider aspirin therapy if they have stroke risk factors, such as smoking, high blood pressure, etc.
Important: Consult your doctor before starting or discontinuing aspirin therapy.
Drug Alert for Women
Women respond differently than men to certain drugs and, therefore, should be aggressive in researching their medications.
Women have been underrepresented in clinical drug studies, which long assumed that they respond to drugs in the same way that men do. | Mike Adams, the Health Ranger See article keywords and concepts | According to the results published in the Archives of Internal Medicine, women who took these vitamins on a regular basis experienced a remarkable and statistically significant reduction in stroke risk (31 percent) and heart attack risk (22 percent). Not all the women in the study, of course, actually took the vitamins on a regular basis, and when you count the results of those women who never took the vitamins, the study shows no statistically significant benefits for vitamins E and C. In other words, the vitamins didn't work on those who didn't take them. (Is this surprising to anyone? | Bottom Line Health See book keywords and concepts | | What you can do: Taking a blood-thinning drug, such as warfarin (Coumadin), can virtually eliminate AF's added stroke risk by preventing the formation of blood clots. Aspirin may be nearly as effective.
•Transient ischemic attack (TIA). If you have had one or more of these brief strokelike episodes, your risk for a full-blown stroke increases dramatically. A TIA can cause dizziness, numbness or paralysis on one side of the body, difficulty speaking, double vision or other stroke symptoms that disappear after minutes or hours. | | Most stroke risk factors can be dramatically reduced through changes in lifestyle. Medications also can cut the risk.
•Manage hypertension. High blood pressure is a major cause of ischemic and hemorrhagic strokes.
David Chiu, MD, medical director, stroke unit, The Methodist Hospital; director of the Eddy Scurlock Stroke Center; neurologist at The Methodist Hospital Neurological Institute; and associate professor of neurology, Baylor College of Medicine, all in Houston.
Daily exercise reduces hypertension. So does maintaining a healthy weight. | Dr. Paula Baillie-Hamilton See book keywords and concepts | Lastly, there is a wealth of evidence that links a wide range of pesticides to many of the other major stroke risk factors, such as obesity, diabetes, and hypertension.
Toxic metals are also linked to stroke. For instance, a study investigating the long-term risks of arsenic exposure (from contaminated water and other environmental sources) reveals that the higher the exposure, the greater the risk of developing a stroke. Cigarette smoke, which also contains several toxic metals, such as cadmium, can also increase the stroke risk. | | As with pesticides, toxic metals can also play an important role in the development of many stroke risk factors, such as the important role played by lead and mercury in causing high blood pressure (see page 190).
Air pollutants such as sulphur dioxide and carbon monoxide also appear to increase the stroke risk. One South Korean study revealed that higher levels of air pollution caused an increase in the number of people getting strokes. | Jonny Bowden, Ph.D., C.N.S. See book keywords and concepts | And researchers feel that in addition to helping with pain and inflammation, consuming anthocyanins on a regular basis may help lower heart attack and stroke risk.
Your New Favorite Dessert
You can get the health benefits of cherries by eating the tart ones whole, or by juicing them. I have a favorite secret dessert that I'll share with you: I buy organic frozen red cherries and put them in my freezer. When I'm ready to eat them, I put them—direct from the freezer—into a little bowl with some raw milk or yogurt, which promptly semifreezes on the cherries, forming a kind of "ice milk. | | Plus they lower blood pressure and reduce triglycerides, cancer risk, and stroke risk.
9. Whey protein: Boosts the body's stores of glutathione, one of the most important antioxidants. Whey protein contains natural ACE inhibitors, which lower blood pressure and improve cardiovascular health. It also improves immune function.
10. Wild game (venison, caribou): Wild game is high-quality protein with a complete complement of amino acids, low saturated fat, no trans fat, and a higher content of polyunsaturated and especially omega-3 fats. | Hyla Cass, M.D. See book keywords and concepts | When you consider how big a difference even a small change in homocysteine can make in terms of heart attack and stroke risk, these doses of nutrients translate to big protection.
Diabetics are already likely to have high homocysteine, especially when they also have high blood pressure or cardiovascular disease. Metformin, with its B6- and B12-depleting effects, may add even more to the big picture of heart attack, stroke, or blood clots in diabetics. | | A persistent rise in homocysteine levels of about 3 micromoles per liter (mmol/L) is believed to raise risk of heart attack about 10 percent, and to raise risk of stroke risk by 20 percent, in people who are not diabetic. One study found that for every 10 percent increase in homocysteine levels, there was a similar increase in risk of heart disease. The risks from excess homocysteine are even greater in people with diabetes.
Homocysteine is directly harmful to blood vessel walls. | Bottom Line Health See book keywords and concepts | | Diet. stroke risk, like heart disease risk, can be related to diet.
What you can do: Maintain a diet that's low in saturated fats (no more than 30% of total fats per day) and high in fruits and vegetables (five to nine one-half cup servings per day).
Research shows that people who are deficient in potassium are 1.5 to 2.5 times more likely to have a stroke. Aim for the government's recommended potassium intake of 4,700 milligrams (mg) daily. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | Fish consumption and stroke risk in elderly individuals: The Cardiovascular Health Study. Arch. Intern. Med. 165, 200-206.
94. Folsom, A. R., and Demissie, Z. (2004). Fish intake, marine omega-3 fatty acids, and mortality in a cohort of postmenopausal women. Am. J. Epidemiol. 160, 1005-1010.
95. Dolecek, T., and Granditis, G. (1991). Dietary polyunsaturated fatty acids and mortality in the Multiple Risk Factor Intervention Trial (MRFIT). World Rev. Nutr. Diet. 66, 205-216.
96. de Lorgeril, M., Renaud, S., Mamelle, N., et al. (1994). | Hyla Cass See book keywords and concepts | A persistent rise in homocysteine levels of about 3 micromoles per liter (mmol/L) is believed to raise risk of heart attack about 10 percent, and to raise risk of stroke risk by 20 percent, in people who are not diabetic. One study found that for every 10 percent increase in homocysteine levels, there was a similar increase in risk of heart disease. The risks from excess homocysteine are even greater in people with diabetes.
Homocysteine is directly harmful to blood vessel walls. | | When you consider how big a difference even a small change in homocysteine can make in terms of heart attack and stroke risk, these doses of nutrients translate to big protection.
Diabetics are already likely to have high homocysteine, especially when they also have high blood pressure or cardiovascular disease. Metformin, with its B6- and B ^-depleting effects, may add even more to the big picture of heart attack, stroke, or blood clots in diabetics. | Elaine Magee See book keywords and concepts | Some research suggests that seafood slashes stroke risk, probably thanks to its omega-3s. But don't take that high-omega-3 fish and fry it; data from the Cardiovascular Health Study found that older people who ate fried fish had a higher risk of ischemic stroke than those who ate broiled or baked fish. The AHA recommends eating fish (particularly fatty types like salmon, sardines, mackerel, herring, and albacore tuna) at least twice a week.
8. A little wine will do fine. | Andreas Moritz See book keywords and concepts | The extensive 1991 Nurses' Health Study showed a 46 percent increase in ischemic stroke risk among nurses using HRT, despite the fact that this group is comprised of women with less diabetes, less cigarette smoking, and less adiposity than those not using estrogen. Six years earlier, the Framingham, Massachusetts study suggested that the risk of heart disease actually increased with the use of HRT. Similar results were reported by the Journal of the American Medical Association in 1995. | | Besides, aspirin belongs to the same class of painkillers as Vioxx, Celebrex and Aleve, all of which were found to increase heart attack and stroke risk by over 50 percent.
Tests have shown that abstaining from food for a periodic length of time reduces the size and amount of both fat cells and collagen fiber deposits. This also demonstrates that overeating protein does, in fact, increase protein tissue in the body. | Elaine Magee See book keywords and concepts | If you drink, enjoying a moderate amount of alcohol (one or two drinks per day) seems to have a beneficial effect on stroke risk, but excessive drinking (more than three drinks a day) actually raises the risk of stroke and the incidence of diabetes.
The systolic reading measures the pressure in the blood vessels during that split second when the heart pumps out the blood. The diastolic reading measures the pressure when the heart is at rest. Years ago, the diastolic measurement was considered the more important of the two. |
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