Reversing Heart Disease: CardioMetabolic Health
Cardiovascular Disease: Understanding the Foundation
According to the World Health Organization. Cardiovascular diseases (CVDs) stand as the leading cause of death globally, claiming approximately 17.9 million lives each year (1). More than half of U.S. adults don’t know heart disease is the leading cause of death according to a 2023 Harris Poll survey conducted on behalf of the American Heart Association (10).
In my membership model, I prioritize addressing metabolic health as a foundational aspect of comprehensive system-based care in order to prevent and reverse heart disease and metabolic disorders.
Biochemical Foundations: Energy and Mitochondria
Understanding the intricacies of biochemistry is essential before delving into strategies for preventing or reversing cardiovascular disease. The body primarily derives energy from three sources: carbohydrates, fats, and proteins, with mitochondria serving as the powerhouses of cells responsible for harnessing this chemical energy. Healthy mitochondria are crucial for generating sustainable energy. How a person can utilize and burn these 3 forms of energy will either make them metabolically healthy or efficient or metabolically unhealthy or inefficient.
Cholesterol and Fats: Clarifying Misconceptions
Before proceeding further, it’s crucial to establish distinctions between cholesterol and fats. Fats encompass mono-unsaturated, poly-unsaturated, saturated, and trans fats, present in the form of triglycerides composed of three fatty acids. Triglycerides are typically stored in adipocytes (fat cells) for future energy production but may overwhelm the liver if excessively accumulated.
Conversely, cholesterol, often misconceived as detrimental, serves as a vital molecule in the body. It acts as a precursor for synthesizing vitamin D, bile acids, and steroid hormones (2) while also stabilizing cell membranes! Due to its lipid solubility, cholesterol requires transportation via lipoproteins (8).
How we balance the cholesterol in our body with excessive carbohydrates and triglycerides is what contributes to the harmful effects of cardiovascular disease. This is crucial in understanding how to start reversing heart disease and metabolic disorders.
Carbohydrates and Cardiovascular Risk
Research spanning over four decades has established a link between excessive carbohydrate intake and heightened production of very low-density lipoprotein (VLDL) particles by the liver (4,5). These VLDL particles eventually metabolize into intermediate-density lipoproteins (IDL) and low-density lipoproteins (LDL) (6). LDL, known as low density lipo-protein, by itself isn’t a bad molecule rather it is the mode by which cholesterol is transported. What is harmful is when the concentration of our LDL particles increases. Atherosclerosis, the major cause of Cardiovascular disease, is triggered by the accumulation of LDL particles in the arterial wall (7). Learn how to prevent or reverse cardiovascular disease before it’s too late.
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