Posts Tagged ‘Health Initiative’

Women’s Heart Problems-Women, Hormones, and Heart Disease

Sunday, December 27th, 2009

Did you know that as a woman, estrogen provides crucial benefits that may help you prevent or at the very least delay, women’s heart problems?

Here is what Arthur Agatston, MD of everydayhealth.com has to say about this important health topic:

Women, Hormones, and Heart Disease
http://www.everydayhealth.com/heart-health/women-hormones-heart-disease.aspx

It may appear as though women don’t get heart disease because they tend to develop it later in life than men, largely due to the protective effects of natural estrogen. As long as women are having regular menstrual cycles, they enjoy a significant, although not absolute, level of protection. Naturally produced estrogen is linked with lower levels of LDL (“bad”) cholesterol and triglycerides and higher HDL (“good”) cholesterol. When a woman’s estrogen production plummets in her late forties to early fifties, she begins to lose her hormonal advantage.

Female hormones and heart disease.
For decades, experts advised women to take hormone replacement therapy (HRT) to protect their hearts as well as to relieve menopausal symptoms and strengthen their bones. Estrogen’s heart-protective properties looked so promising that nearly half of all postmenopausal female physicians took HRT, a rate higher than that of the general public, according to a 1997 study.

That all changed in 2002, when preliminary results from the Women’s Health Initiative, a 15-year research program, caused a dramatic turnaround in the thinking about HRT. Compared with women who did not take HRT, women who took Prempro, a combination of estrogen and progestin, had a startling 29 percent increase in deaths from heart disease, along with a 22 percent increase in total cardiovascular disease. These results stunned the health community and caused a great deal of confusion in the general public.

But as it turns out, the HRT story is probably far from over. A review and analysis of many of the published HRT studies recently appeared in the Journal of General Internal Medicine. The authors pointed out possible explanations for the disparities between the earlier observational HRT studies of women who had chosen, in consultation with their physicians, to be on HRT and the more recent controlled trials. One factor that appears to be important is the timing of when HRT is started. Those women who begin it later appear to be more likely to experience heart attacks than those who begin HRT soon after menopause. In addition, much of the increased risk seems to occur in the first year HRT is started and may be due to an increased tendency to develop blood clots in the first year of HRT use.

I wish I could give women more definitive advice on this subject, but at this time the research is just too inconsistent. Whether beginning HRT earlier after menopause and perhaps at lower dosages is safer is frankly unknown at this time. Therefore, any decision on whether to begin HRT should be made with your physician after careful review of the potential risks and benefits for your particular situation.

JoAnne’s Story
“I feel younger now than I did 2 years ago.”
I’m 85 years old, and I have pulmonary hypertension (high blood pressure in the arteries that supply the lungs). It can be very serious. When I went to see Dr. Agatston 2 years ago, I wasn’t doing well. I couldn’t walk across the room without getting out of breath. I was overweight and I felt terrible. He put me on a healthy diet and told me to get some exercise. Thanks to that, I’ve lost 40 pounds. I breathe a lot better now and I can do a lot more things. I like to walk, but I’m not a youngster. I go to the gym three times a week to walk on the treadmill and do the bike. I do as much as I can. When I get tired, I stop, but I feel much happier and I look much better.

feel younger now than I did 2 years ago. I used to eat a lot of sugar and a lot of junk. Now I don’t eat fried foods, and I don’t eat sugar. I don’t keep it in my house. If you visit me and you want sugar, you have to bring your own! Now I eat a lot of chicken soup with fresh vegetables. I take care of myself. I do my own shopping and my own cooking. I’m still driving. I never expected to make it to this age. But here I am, thanks to a great lifestyle.

I hope you benefited from this. Whatever you decide, you can always take steps each day to reduce the risk of developing women’s heart problems by eating right, exercising, and having the right mental attitude. When you do these this things, your heart will thank you for it!

Monique Hawkins
540-858-2885
mentormonique@gmail.com
Remember to sign up for my “You Deserve To Have A Healthy Heart” Newletter!

Women’s Heart Attack|Women’s Heart Attack and Your Heart Rate

Thursday, December 24th, 2009

Did you know that women’s heart attack risk can be partically determined by their heart rate? I did not know this until I read an article by Dr. Susan Aldridge, medical journalist, PhD. Here is what she had to say:

Summary

Previously resting heart rate has been shown to be linked to increased heart attack risk in women. Now researchers for the long-running Women’s Health Initiative find a similar relationship for women. Measuring heart rate might therefore be a low tech and simple way of pinpointing women at higher risk of heart attack.

Introduction

The resting heart rate, which has a value of between 60 and 80 beats per minute, is an indicator of the tone of the autonomic nervous system. As such, it has been found to predict coronary events in men – with high rates indicating higher risk. But studies in women have not shown this association, save for one report from the National Health And Nutrition Examination Survey which did show a link between heart rate and cardiovascular death among African-American women. The relationship between heart rate and stroke in women is also unclear.

What was done

Researchers at George Washington University and elsewhere carried out this study as part of the Women’s Health Initiative which involves 161,808 postmenopausal women. They recorded cardiovascular events (heart attack and stroke) during eight years of follow up and searched for any relationship between these events and resting heart rate.

What was found

There were 2281 heart attacks and 1877 women with stroke during the follow up period. Women with a higher resting heart rate – more than 76 beats per minute – were more likely to have a heart attack than those with a lower rate, defined as less than 62 beats per minute. No such link was found with stroke.

What this study means

Resting heart rate has more clinical significance than previously believed. It could be a simple and low cost way of assessing a woman’s heart attack risk, in conjunction with other assessments.

Source

* Hsia J Larson JC et al Resting heart rate as a low tech predictor of coronary events in women: prospective cohort study British Medical Journal Online First February 2009 doi:10.1136/bmj.b219

http://www.healthandage.com/professional/Heart-rate-can-predict-womens-heart-attack-risk

So, watch your heart rate. Do all you can to take care of you and your heart. If you do, heart disease is something you never will have to worry about.

Have a Merry Christmas!

Monique Hawkins
540-858-2885
mentormonique@gmail.com
Remember to sign up for my “You Deserve To Have A Healthy Heart” Newletter!