Bioadditives with obliterating atherosclerosis

21 June 2018, 07:51 | Health
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In this article, Dr. Daniel Clair, Head of the Department of Vascular Surgery at the Cleveland Clinic in Ohio, will talk about the most common dietary supplements in the US that are recommended for maintaining vascular health.

People often ask me if bioadditives can reverse or at least slow the development of cardiovascular diseases such as coronary heart disease (CBC) or obliterating atherosclerosis (OA) of peripheral arteries.

The question is rather complicated, and it is better to address it to scientists.

Let us first recall what is obliterating atherosclerosis. This disease is characterized by inflammation of the internal membrane of the arteries with the deposition of cholesterol, which narrows the lumen of the vessel, disrupts the blood flow and nutrition of the tissues.

It should be understood that obliterating atherosclerosis is closely related to coronary heart disease. People with OA and CBC die as a result of cardiovascular events 3-5 times more often than those who have been diagnosed with CBC alone.

Patients with atherosclerosis should take all possible measures to slow the progression of the disease. Some experts argue that for this purpose, you can use not only traditional medicines, but also supplements. However, we will be frank - not all of them are effective and harmless. This is what I would like to tell.

The five most popular supplements with OA in the United States:.

Omega-3 acids are what we call long-chain n-3 polyunsaturated acids. They are found mainly in fish oil. Although there is no scientific evidence that omega-3 acids reduce mortality in atherosclerosis, we believe that these substances are useful for OA patients with prolonged admission in high doses.

Folate (B9) and other B vitamins are relatively safe for long-term admission, but there is still very little evidence of their effectiveness in OA. It must be warned that these supplements are harmful to people with severe kidney disease. A low dose of folate (400 mcg per day) is recommended for all adults, especially women of reproductive age.

Vitamin C, or ascorbic acid, as some scientists have reported, is especially needed for people with obliterating atherosclerosis. However, so far I have not seen adequate scientific studies that would confirm that vitamin C reduces mortality with OA. At the same time, there is at least one work that showed that when very high doses of vitamin C are used, cardiovascular mortality even increases - this can not but disturb. I can not recommend vitamin C with OA.

Vitamin D. The level of this vitamin in patients with obliterating atherosclerosis is usually lowered, so it is logical to assume that vitamin D can help them. But again, I do not know of any research that would support such a benefit. But the excess of the normal level of vitamin D - is an additional risk of calcium deposition on the walls of the arteries. Most adults are recommended about 700 IU of vitamin D daily.

Vitamin E, the content of which also decreases in patients with atherosclerosis, can be effective. Scientists have proven that further reduction in vitamin E levels is associated with a more rapid disease progression. Whatever it was, there is still no clear scientific evidence of the effectiveness of supplements with vitamin E with OA. Remember that the combination of this vitamin with anticoagulants leads to serious bleeding.

I recommend each of you to talk with your doctor about what vitamin and mineral supplements you can include in your treatment plan. Some dietary supplements can badly combine with prescribed medications, so you take a lot of risk by taking the pill behind your doctor's back.

Patients with obliterating atherosclerosis should not forget about changes in lifestyle that will help live a more fulfilling life and avoid serious complications:.

•To give up smoking. This is the first step in OA. Nicotine causes a spasm of arteries, which are already affected by atherosclerosis, plus increases the risk of blood clots.

•Balanced diet. Your diet should contain as much fiber, vitamins, omega-3 acids, and as little cholesterol as possible. For fats as a whole should not account for more than 30% of the total calorie content of the diet, and for saturated fats - no more than 7%. Try to avoid trans fats, foods that contain partially hydrogenated vegetable fats.

The goal of a diet with OA is to normalize weight, reduce total cholesterol and increase the HDL cholesterol ("good" cholesterol).

•Physical exercises. Despite certain difficulties, you need to move regularly. Even ordinary walking is useful for you. Patients who walk regularly can expect a gradual increase in the distance they are able to pass before the pain in their legs.

• Treatment of chronic diseases, such as hypertension and diabetes mellitus.

• Hygiene of feet and skin, prevention of skin infections.

medbe. en.

Based on materials: medbe.ru



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