Episode 5: The Untold Power of Diet and LifeStyle (Cardiovascular Disease: Part 5) Podcast By cover art

Episode 5: The Untold Power of Diet and LifeStyle (Cardiovascular Disease: Part 5)

Episode 5: The Untold Power of Diet and LifeStyle (Cardiovascular Disease: Part 5)

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 Episode 5: The Untold Power of Diet and Lifestyle (Cardiovascular Disease: Part 5) In this episode, we uncover why real-world interventions—whole-food diets, metabolic health markers, and the simplest “medicine” of all—walking—outperform any pill in preventing and reversing heart disease. Topics include Ancestral lessons from the Mediterranean, Panama, Japan, and the Nordic countriesKey RCTs: Lyon Diet Heart, PREDIMED, CORDIOPREVMechanisms: refined carbs & seed oils driving insulin resistance and endocannabinoid activationVisceral fat & hormones: aromatization of testosterone, GLUT4 dysfunctionAtherogenic cascade: ↑VLDL → CETP exchange → small dense, oxidized LDL → plaque formationDysfunctional HDL and breakdown of reverse cholesterol transportTriglyceride-to-HDL ratio as a powerful, under-used marker of metabolic riskReversing metabolic syndrome: 28% reversal in PREDIMED’s lifestyle arm; DPP lifestyle successWalking as medicine: Blue Zones insights, DPP activity goals, and a 77% ↓ in CV mortality per 10,000+ stepsWalking vs. Statins: 77% RRR vs. 13% RRR—no side effects, only benefits📚 References & ResourcesEUROLIVE Trial (Polyphenols in Olive Oil)Investigated how high- vs. low-polyphenol extra-virgin olive oils affect HDL and oxidized LDL in healthy men.https://pubmed.ncbi.nlm.nih.gov/12386254/Japanese Diet Systematic ReviewPooled nearly 60 studies on Japanese-style eating patterns and reduced cardiovascular/cerebrovascular mortality.https://pmc.ncbi.nlm.nih.gov/articles/PMC10386285/MDPI Diagnostics – Olive Oil BiomarkersExamined biomarkers of extra-virgin olive oil intake and their clinical impact on lipid profiles.https://www.mdpi.com/2075-4418/13/5/929PMC 9248272 – Olive Oil & Lipid OxidationDemonstrated that polyphenol-rich olive oil lowers markers of lipid oxidation.https://pmc.ncbi.nlm.nih.gov/articles/PMC9248272/PMC 3753679 – Olive Oil Meta-AnalysisMeta-analysis of 26 trials showing high-polyphenol olive oils reduce inflammation and modestly improve blood pressure.https://pmc.ncbi.nlm.nih.gov/articles/PMC3753679/PLOS ONE – TG/HDL Ratio & IHD RiskCase–control study: highest quartile of triglyceride/HDL ratio carried 16× greater ischemic heart disease risk.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0052036GeroScience – Benefits of WalkingReviewed observational and interventional evidence for walking’s impact on healthy aging.https://pmc.ncbi.nlm.nih.gov/articles/PMC10643563/PMC 7706282 – Daily Steps & Incident DiabetesProspective cohort of 3,055 seventy-year-olds linking step count to new-onset diabetes.https://pmc.ncbi.nlm.nih.gov/articles/PMC7706282/PMC 2576026 – Habitual Exercise & Arterial AgingShowed regular aerobic exercise preserves arterial compliance and endothelial function with age.https://pmc.ncbi.nlm.nih.gov/articles/PMC2576026/Systematic Review: Physical Activity & Post-Op RecoveryFound higher post-operative activity levels predict shorter hospital stays across surgical types.https://www.sciencedirect.com/science/article/pii/S1743919117305721Dr. Kumar Discovery – Daily Steps & Mortality RiskMeta-analysis of 17 cohorts (226,000 people) showing each +1,000 steps/day → 15% ↓ in all-cause mortality.https://drkumardiscovery.com/posts/daily-steps-mortality-risk/CORDIOPREV TrialSeven-year RCT in CHD patients: Mediterranean diet vs. low-fat diet, 22% RR reduction in major CV events.https://academic.oup.com/eurjpc/article/30/18/1975/7226309CTT Collaboration – Statin Meta-Analysis (Lancet)Showed each 1 mmol/L LDL reduction from statins yields a 13% relative risk reduction in CV death over 5 years.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00122-2/abstractCirculation – Rosuvastatin & CRP (JUPITER Precursor)Early evidence of statins’ anti-inflammatory effect by lowering C-reactive protein.https://www.ahajournals.org/doi/10.1161/01.cir.99.6.779PREDIMED Trial – NEJMMediterranean diet (plus olive oil or nuts) vs. low-fat diet in high-risk adults: ~30% RR reduction; NNT = 65.https://www.nejm.org/doi/10.1056/NEJMoa1200303Lyon Diet Heart Study – AJCSecondary prevention RCT post-MI: 72% relative reduction in cardiac death/MI; NNT ≈ 9 over 4 years.https://www.ajconline.org/article/S0002-9149(05)01825-4/fulltextCirculation – TG, HDL & MI RiskLandmark 1996 study linking triglycerides and HDL levels to myocardial infarction risk.https://www.ahajournals.org/doi/10.1161/01.cir.96.8.2520JAMA (2023) – TG/HDL Ratio & Acute MICase–control analysis confirming high TG/HDL ratio as a strong predictor of heart attacks.https://jamanetwork.com/journals/jama/article-abstract/374290Korean NHIS – TG/HDL & IHD Longitudinal StudyNational Health Insurance data linking baseline TG/HDL ratio to future ischemic heart disease risk.https://www.researchgate.net/publication/353953093_...
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