All Posts tagged stroke

Antioxidants May Reduce the Risk of Stroke in Women

Increasing the intake of antioxidants in the diet is associated with a reduced risk of stroke in women, according to a study, published in the journal Stroke. Antioxidants from fruits, vegetables and whole grains may lower the total risk of stroke among women with no history of cardiovascular disease (CVD), and hemorrhagic stroke in women with a history of heart problems.

Researchers from the Karolinska Institutet in Sweden said “Eating antioxidant-rich foods may reduce your risk of stroke by inhibiting oxidative stress and inflammation,” said Susanne Rautiainen, who led the study. “This means people should eat more foods such as fruits and vegetables that contribute to total antioxidant capacity.”

They found that women in the highest group of dietary antioxidant intake, and with no CVD, had a 17% lower risk of total stroke compared to those in the lowest group. Further, they reported that women with history of CVD in the highest three-quarters of antioxidant intake had up to a 57% lower risk of hemorrhagic stroke.

Fruits and vegetables contributed about 50% of antioxidant capacity in women with no history of heart disease who had the highest total antioxidant count. Other contributors included whole grains (18%), tea (16%) and chocolate (5%).

Reference: Stroke; Published online ahead of print.

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Stroke

The biggest worry is often about having another stroke. Of all stroke risk factors, none rank higher than having already had a stroke. I know Harvard did a stroke study and found risk of a second stroke is about 2.5 percent in the first two weeks, and about six percent over three months. I forget how many patients were in that study.

Certain supplements might significantly improve recovery. Proper nourishment, especially protein is important. I suggest 1 gram of protein per lean body mass per day. At least 100 grams of protein per day is a good amount to aim for. 
 
An intensive supplement regimen will certainly help. This includes a multivitamin with minerals, vitamin C, a wide spectrum of B vitamins (high doses of vitamins B6, B12, and folic acid).
 
I remember one study saying researchers found that subjects who had the highest intake of the three B vitamins reduced their risk of ischemic stroke and coronary disease by more than 20 percent. The worst outcomes were seen in subjects who had the lowest intake of vitamin B12. It’s easy to develop B12 deficiency because of poor absorption. 
 
Many studies indicate that patients with elevated levels of the amino acid homocysteine are roughly 1.7 times more likely to develop coronary artery disease and 2.5 times more likely to suffer from a stroke than those with normal levels. The B vitamins I already mentioned help break down homocysteine in the body.

Assuming it’s an embolic stroke, not hemorrhagic (from a burst blood vessel), I’d go heavy on the fish oil, along with high-dose nattokinase. Then, of course, you’d have to add mixed tocopherol E to the fish oil to protect against free radical formation. For stroke, I’d add something like 1,200 iu/day. I’d also add some selenium, since it augments vitamin E in any of its uses.
 
For Vitamin C five to nine servings of a wide variety of fruits and vegetables each day would put most people in the top vitamin C quartile. Another study (can’t remember), subjects with the lowest plasma concentrations of vitamin C were almost two and a half times more likely to experience a stroke compared to subjects with the highest C levels. One of the most interesting things about this study is that the vitamin C intake difference between subjects with high levels and subjects with low levels was not enormous. The difference between the two groups was equal to the equivalent of only about one and a half glasses of orange juice per day.
  
The link between folate levels and stroke risk was examined by researchers at Tulane University who assessed 19 years of dietary and medical data collected from more than 9,700 subjects. When folate intake was compared to incidence of strokes and development of cardiovascular disease (CVD), researchers found that subjects who consumed at least 300 micrograms (mcg) of folate daily reduced stroke risk by 20 percent and CVD risk by 13 percent. Dietary sources of folate include spinach, leafy green vegetables, asparagus, beans, and chickpeas.  
 
Let’s make sure she gets these supplements: CoQ10, D3, alpha lipoic acid, resveratrol, and omega-3 fatty acids. Omega-3 Fatty Acids can help inhibit the development of plaques and blood clots. You know me, I like 2-3 grams of omega 3 per day. Coenzyme Q10 inhibits blood clot formation and boosts levels of antioxidants. Get her Vitamin D3 levels checked. Aim for at least 60.
I have heard that Melatonin may be helpful.
 
Selecting an exercise type or mode for her should be based on her functional capacity, interests, available equipment and time constraints. Any activity that continuously employs large muscle groups and is rhythmic and cardiorespiratory in nature can be used. Once a cardiorespiratory base has been developed and a plateau has occurred, the exercise mode should be manipulated every two to three weeks in order to keep her from physiologically adapting. Walking is the most functional mode of cardiorespiratory activity for someone recovering. Check her balance and walking pattern. Walking on a treadmill seems like a simple place to start. 

 
Chiropractically I would perform gentle spreading of the sagittal suture on the top of the head. Do it so it’s relaxing and soothing. Cervical stairstep technique and gentle gliding of the cervicals is helpful. Try to release suboccipital muscle tension. Improving lost motor function is a priority that can be accomplished during rehab. Of course, performing joint mobilization and soft tissue therapy will enhance her recovery and prevent joint/muscle contracture.   

 “Plasma vitamin C concentrations predict risk of incident stroke over 10 y in 20,649 participants of the European Prospective Investigation into Cancer – Norfolk prospective population study” American Journal of Clinical Nutrition, Vol. 87, No. 1, January 2008, ajcn.org
“Dietary Intake of Folate and Risk of Stroke in US Men and Women” Stroke, Vol. 33, No. 5, May 2002, stroke.ahajournals.org

 

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Cut your risk of stroke by 34 percent!

High blood pressure (HBP) is a life-threatening condition for millions of Americans. Drugs that help HBP can have serious side effects.

Prof. MacGregor and his team have shown that you can lower blood pressure with Potassium chloride. This is the main component in HBP drugs. So his team looked at dietary potassium –  potassium citrate (in food) rather than chloride ( in the drugs).

They compared both types of potassium and their effect on HBP in a series of tests.

“Increasing [dietary] potassium [has] the same effect on blood pressure as potassium chloride,” says Prof. MacGregor.

His team believes that modern diets are the root cause of HBP. “Until recently, humans consumed a diet high in potassium,” says Prof. MacGregor. “However, with the increase of processed food, there has been a large decrease in potassium intake.”

Another reason why we’re lacking potassium is because we eat fewer fruits and vegetables. Instead, we’re switching to potassium-lite carbs and grains.

Basically a high-potassium diet lowers blood pressure. A research team at the Hypertension Unit of Ben Gurion University in Israel revealed that tomato extract effects blood pressure. They took 54 people with HBP. They treated half of them with tomato extract. The other half received a placebo. People taking the tomato extract averaged a reduction of more than 10 mmHg in systolic pressure (the top number on your blood pressure reading) and more than 5 mmHg in diastolic pressure (the lower number). This is amazing research because a reduction of just 5 mmHg can decrease your risk of stroke by 34 percent.

The best foods that are rich in potassium are bananas, cantaloupes, papayas, and honeydews. But I recommend your primary source of potassium be tomatoes. That’s because those other foods have a high glycemic score that triggers a hormonal response. One that leads to weight gain. And weight gain is also a factor in HBP. So stick with tomatoes because they have a lower glycemic score. Try to get them into your diet at least twice a day to lower your blood pressure.

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Eat Fat To Lose Fat?

This continues to be a big topic. I am all about helping clients reduce body fat, heart disease, diabetes, high blood pressure, stroke, and dementia. It’s true, daily consumption of saturated fats (like coconut oil) can help reduce abdominal fat which helps reduce your risk of these other diseases.

I recommend a whey protein powder by Metagenics called UltraMeal Plus 360 as a shake in the morning. I also recommend Meta Lipoate 300. I always tell clients that they have to stay on this program for at least for 12 weeks (daily shakes of UltraMeal Plus 360). Follow a balanced, low-carb diet with increased protein and fiber intake, start exercising with a 20-30 minute walk each day and I know changes will take place.

Bad LDL cholesterol and good HDL cholesterol levels improve,
body mass index improves, waistlines look better.

Don’t be skeptical about saturated fat!

What I am seeing is that people who eat the most saturated fat, the most cholesterol and the most protein calories weigh the least. I get my clients more physically active and they have the ideal serum cholesterol levels.

Animal fats are not bad for you. They boost your energy and your immunity. They help your body build stronger and more resilient cells. They contain chemicals that help your brain stay focused, and even contain concentrated levels of ‘good’ HDL cholesterol.

Let’s discuss your specific needs!

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