11c. CV Health - Natural Approach to CVD Flashcards

1
Q

What is the natural approach to CV health?

A

Adopt plant-based/Mediterranean diet
Exercise
Stress management

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2
Q

Why is a plant-based/Mediterranean diet beneficial for CV health?

A

Reduced inflammatory mediators, ROS and RNS
Reduced adiposity
Reduced risk of thrombosis
Increased SCFA production
Improved insulin sensitivity
Increased adiponectin
Improved endothelium function

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3
Q

Why is exercise beneficial for CV health?

A

Leads to more favourable lipoprotein profile - reduced TG
Improves insulin sensitivity/insulin signalling in vascular endothelium, activating eNOS/increasing NO synthesis
Reduction in BP at rest

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4
Q

Ways to reduce stress to support CV health

A

Diaphragmatic breathing
Humming/singing to promote PSNS
Herbal teas - chamomile, passionflower, lemon balm

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5
Q

Nutrients to support CV health

A

C, D, E
O3
Mg
CoQ10
Garlic
Hawthorn

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6
Q

How does vit C support CV health?

A

Downregulates NADPH oxidase - key source of ROS
Upregulates endothelial NO synthase
Lowers platelet aggregation

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7
Q

Dosage of vit C to support CV health

A

500-1000mg/3 day

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8
Q

How does vit D support CV health?

A

Modulates NO synthesis
Modulates RAAS
Lowers BP

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9
Q

Dosage of vit D to support CV health

A

600-1000iu/day

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10
Q

How does vit E support CV health?

A

Protects endothelium from ROS (with vit C)
Supports NO synthesis (with vit C)
Reduces oxidation of LDL-C
Inhibits platelet aggregation

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11
Q

Dosage of vit E to support CV health

A

400-800iu/day
(not with warfarin)

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12
Q

How does O3 support CV health?

A

Improves lipid and lipoprotein profiles
EPA stabilises cellular membranes
DHA supports membrane fluidity

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13
Q

Dosage of O3 to support CV health

A

3-6g/day
(not with warfarin)

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14
Q

How does Mg support CV health?

A

Modulates neuronal excitation, intracardiac conduction and myocardial contraction through regulation of ion transporters
Helps regulate vascular tone
Stabilises heart rhythm

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15
Q

Dosage of Mg to support CV health

A

500-800mg/day
(glycinate/taurate)

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16
Q

How does CoQ10 support CV health?

A

Helps protect against endothelial dysfunction
Reduces LDL oxidation
Increases superoxide dismutase activity which preserves NO activity
Supports mitochondrial health and production of ATP

17
Q

Dosage of CoQ10 to support CV health

A

60-300mg/day

18
Q

How does hawthorn support CV health?

A

Cardiac tonic
Strengthens and improves vascular elasticity
ACE-inhibiting actions (lowering BP)
Reduces ET-1
Increases NO (vasodilatory)
AO
Anti-inflammatory

19
Q

Dosage of hawthorn to support CV health

A

1000-1500mg/day

20
Q

How does garlic support CV health?

A

Anti-hypertensive
Decreases arterial calcification
Reduces LDL cholesterol/oxidation
Enhances glutathione and SOD
Protects against abnormal platelet aggregation

21
Q

Dosage of garlic to support CV health

A

2-5g fresh bulb/day

22
Q

Which CVD drugs can deplete nutrients?

A

Statins (CoQ10)
Cholestyramine (fat soluble vits and beta carotene)
Diuretics (K, Ca, Zn)
ACE inhibitors (Zn)
Beta blockers (melatonin)