Fish Oil, Vitamin D, New Medicines and New Cholesterol Guidelines – Reports from the American Heart Association (AHA) and the American College of Cardiology for a research conference that combines what prevents a heart attack and other problems and which is not.
As it was announced this week, the good news from the conference, for all humans, is that at least in the United States, before blood testing to test cholesterol, it should not be hungry – it's good if most people eat something before blood sampling.
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Food supplements in tablets and capsules – "dietary supplements" are most often lost – "do not lose money in this mode" – the doctors concluded that on the basis of health, they suggest natural food and a balanced diet, and only if it is not enough by adding vitamins or minerals tablets, but not in their own hands, but only on a physician's recommendation individually for the patient who needs it.
After all, they explained that "nutritional supplements", as their name suggests, are "supplements" rather than replacing vitamins and minerals with food, which is the best basis for health, "said Penny Kris-Eterton, Doctor, Researcher, Professor, State Pennsylvania College .
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For example, conference doctors reaffirmed that instead of vitamin D as "supplements" it is necessary to eat twice as much fat than fish, or at least use fish oil, which was better shown in heart disease among patients than "supplements".
According to the AP, the conclusions of these and other conferences were attended by writers – physicians, no one of whom is financially involved with pharmaceutical manufacturers.
The conference presented two major studies on the variability of fish oil or omega-3 fatty acids. There are also various types, including EPA and DHA.
In a study of 26,000 healthy people, the combination of EPA / DHA / gram per day / day and the type of supplements in many supplements – "supplements" – did not provide a clear opportunity to reduce the risk of heart and cancer problems.
But another study, which tested four grams of concentrated EPA days, found that these reduced heart problems in people at higher risk are associated with high levels of triglycerides – the type of fat in the blood.
The first study of the effect of a smaller amount of fish oil on the population included the effects of vitamin D, one of the most popular "additions," and found that it did not know the risk of cancer or heart problems.
"We have to accept that this test was good," and that vitamin D as "additions" does not have the value assigned to it, said Dr. Jane Armitage of Oxford University, UK. "We do not see any benefits to him."
"Dr. Dipak Bat said in a Boston Women's Hospital that" do not pay for these additives ", which are not well-regulated and of different quality.
All this is indicated in the instructions of the Heart Association and the American College of Cardiology, which are approved by other groups of doctors.
At many days of the heart disease conference, which is the leading cause of death worldwide, new guidelines for calculating cholesterol levels cause artery damage that causes a heart attack or a stroke.
Five years ago, when the Cholesterol Reduction Guidelines Guidelines were revised last year, it exceeded the simple use of cholesterol to determine who needs treatment. It started with a formula that would take age, high blood pressure and other factors into account to extend risk assessment.
Because of physicians, it was unclear, therefore, the new guidelines created last weekend conference combine both approaches by setting goals based on the formula and taking into account the individual "personal circumstances" of each patient, such as other health conditions or family history of early illness heart
"It's never going to be simple – cholesterol", because it does not make a clear picture of risk, said Donald Lloyd-Johnson, MD at the Northwest University.
If treatment is needed, the first physician's choice is still "staine", which is sold as a cheap generic medicine. For people at high risk, such as those who have already had a heart attack, guidelines recommend adding other types of medication and cheap "ezetimibe" if "staining" does not reduce cholesterol. Only if both drugs do not help enough should be taken into account strong but expensive new drugs called "PCSK9 inhibitors".
Finally, the guidelines state that even if it is unclear if all the analyzes require the necessary treatment, a coronary artery calcium test, a radiological dose similar to mammography, should be performed, but some of the participants in the conference consider this The method is too expensive because the revision costs $ 100 to $ 300.
The American Blood Congestion Conference confirmed the finding that a relatively new drug approved this year not only helped people with diabetes control their blood sugar levels and reduced their body weight but also reduced their hospitalization due to heart failure, which in many cases is followed by diabetes.
Since diabetes mellitus patients develop heart disease, large studies need to test new diabetes medications to show that they are not risky in the heart.
One of the following medicines, the generic empaglifosin, was struck by physicians several years ago, reducing the risk of heart and stroke, while another overall canaglifosin was later side-effects.
The new study examined the third drug, the daplegiflozine species, more than 17,000 diabetic patients with other cardiovascular risk factors and lower hospitalizations for heart failure, reported this week in the United States after the American Heart Association and the American College of Cardiology.