From the monthly archives:

October 2010

Theme of the Week: Does Cardiology Have a Heart?

by Dr. Stephen Parker (Article selection and Commentary) on October 31, 2010

Starting November 1

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Heart Healthy Habits: The Middle-Aged Engine That Could

by Dr. Stephen Parker (Article selection and Commentary) on October 30, 2010

Continuing on the theme of using will-power as a strategy for behavioral change — I grew up on the Little Engine that Could. Perhaps it helps children climb mountains and surmount obstacles. This article suggests, however, that if you attempt to do more than is reasonable, if you think you can avoid temptation all the [...]

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Heart Health Tip #1: Eat Walnuts

by Dr. Stephen Parker (Article selection and Commentary) on October 29, 2010

Walnuts’ Potential New Link to Heart Health Reported Walnuts, already shown in some studies to reduce “bad” (LDL) cholesterol, may have yet another way of enhancing cardiovascular health. University of California-Davis (UC-Davis) scientists and their Agricultural Research Service (ARS) and University of Padova (Italy) co-investigators have found that laboratory hamsters that ate feed containing walnuts [...]

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Heart Health: Reducing Food Cravings

by Dr. Stephen Parker (Article selection and Commentary) on October 29, 2010

One of the themes this week has been that “will power” is not a very effective strategy in behavioral change. It is much better to plan specific, individually tailored-strategies that take into account the task at hand and one’s personality characteristics. This research from Australia suggest that one strategy is to visualize something other than [...]

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Strategies for Change: (Not) Will Power

by Dr. Stephen Parker (Article selection and Commentary) on October 28, 2010

Years ago, California had a 1-800 hotline you could call if you were trying to quit smoking. They asked the callers if they could check back on them to see what strategies of quitting smoking worked. It turned out that a large variety of strategies worked, except for the strategy of using willpower. The problem [...]

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Exercise and the Heart: Putting Your Socks and Shoes on Right

by Dr. Stephen Parker (Article selection and Commentary) on October 27, 2010

For want of a nail the shoe was lost. For want of a shoe the horse was lost. For want of a horse the rider was lost. For want of a rider the battle was lost. For want of a battle the kingdom was lost. And all for the want of a horseshoe nail. John [...]

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(91!) Tips to Stay Motivated

by Dr. Stephen Parker (Article selection and Commentary) on October 26, 2010

The theme of the last posts has been while we all know what we should do, it is a whole other matter to actually consistent do it. Frankly, I get tired of lists of things to do to diet right, exercise, sleep, etc. Most are so obvious that they put the mind to sleep. Appealing [...]

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Stategies for Excercise Adherence

by Dr. Stephen Parker (Article selection and Commentary) on October 25, 2010

Yesterday’s post suggested that “keeping it simple” was important for adherence to an exercise program. Here is some other research: Peer Influence People behave in a similar way to others who are like them, and have influenced them. Martin, S. (2008). The science of compliance. Practice Nurse, 35(1), 38-39. Reciprocity People are more obliged to [...]

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Adherence to an Exercise Program

by Dr. Stephen Parker (Article selection and Commentary) on October 24, 2010

A young man who just graduated from Agricultural College is walking by a farm in Iowa and watches an old farmer for a while. Finally, he says to the farmer, You know sir, with these new methods I just learned in school, I can show you how to farm twice as well as you are [...]

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Walking Increases Gray Matter

by Dr. Stephen Parker (Article selection and Commentary) on October 23, 2010

Can you believe it? Walking is better for you than not walking?… Perhaps science needs to convince us to use common sense…. Note that the lowest quartile in this group reported walking eight blocks a week or less…. That’s possible? (I presume these were able-bodied participants who could walk…) The basic issue is often not [...]

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Most Dangerous Medical Time: Care Transition

by Dr. Stephen Parker (Article selection and Commentary) on October 22, 2010

Physicians who work with geriatrics have my vote for an under-appreciated speciality… Dr. Lachs spotlights a vulnerable time in hospital care… After a heart attack, the last thing I wanted to do was leave the hospital… This was the most anxiety I had ever dealt with in my life; the hospital felt like the only [...]

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Risk Reduction 18%: Surgical Checklist

by Dr. Stephen Parker (Article selection and Commentary) on October 21, 2010

… The idea of being asked who you are, why you are having surgery, and listening to a checklist sounds very empowering to me — an antidote to how helpless one feels before surgery… Ask for it at your local hospital… Patient Safety: Checklists And Teamwork Lower Number Of Surgery Deaths LINDSEY TANNER 10/19/10 CHICAGO [...]

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Warming Your Hands and Heart: Autogenic Training

by Dr. Stephen Parker (Article selection and Commentary) on October 20, 2010

When the idea behind biofeedback of training people to warm their hands to reduce their migraine headaches was developed at the Menninger Clinic in the 60′s, the technique they taught people was “autogenic training.” It essentially is a technique developed by a combination of positive thinking and self-hypnosis; the participant goes through a series of [...]

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Warm Thoughts…. Warm Images… Warm Hands…

by Dr. Stephen Parker (Article selection and Commentary) on October 19, 2010

Yesterday’s post suggested that if you warm your hands by holding a cup of hot coffee, you will have “warmer” thoughts about the people you meet. Even more importantly, you can train your hands (and other parts of your body) to become warm and/or relaxed through a number of mental and physical techniques. Over the [...]

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Warm Hands, Warm Thoughts

by Dr. Stephen Parker (Article selection and Commentary) on October 18, 2010

Continuing on the theme that it is healthy for your heart to warm your hands… In an experiment, college students experiencing physical warmth perceived emotional warmth in strangers. Talk about getting in touch with your feelings. NPR Dan Charles October 23, 2008 If you’re going out on a date anytime soon, you may find this [...]

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Warm Hands, Healthy Heart

by Dr. Stephen Parker (Article selection and Commentary) on October 17, 2010

Relaxation techniques — including Yoga, meditation, mindfulness and prayer — all have in common that the reduce the flight-fight response and increases the “relaxation response” of the body. Research clearly has shown that chronic stress suppresses the immune system. Much of the original research has its origins in some serendipitous findings and events at the [...]

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Mindfulness, the Immune System and Antibodies (and Jacuzzis and Music)

by Dr. Stephen Parker (Article selection and Commentary) on October 16, 2010

One of the earlier and frequently cited studies on mind-body interactions is a 2003 article in psychosomatic medicine: Psychosomatic Medicine 65:564-570 (2003) © 2003 American Psychosomatic Society Alterations in Brain and Immune Function Produced by Mindfulness Meditation Richard J. Davidson, PhD, Jon Kabat-Zinn, PhD, Jessica Schumacher, MS, Melissa Rosenkranz, BA, Daniel Muller, MD, PhD, Saki [...]

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Meditation and Cardiovascular Disease: 30% Mortality Reduction

by Dr. Stephen Parker (Article selection and Commentary) on October 15, 2010

Yesterday’s post suggested that as one takes pills, it is a good idea to breathe deeply, relax, and visualize the expected effects of the medication/supplement/vitamin. This suggestion is based on the “placebo effect” — which is another way of describing how powerfully the mind can effect the body. As far as I know, no research [...]

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Taking Your Meds Like an Astronaut

by Dr. Stephen Parker (Article selection and Commentary) on October 14, 2010

in the Wikipedia article on the placebo effect it starts out by defining the placebo effect as a “sham”: A placebo… is a sham or simulated medical intervention that can produce a (perceived or actual) improvement, called a placebo effect. Wrong. Very wrong. Very very wrong. Calling the effect a “sham” epitomizes the current emphasis [...]

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Placebos Are Getting More Effective…

by Dr. Stephen Parker (Article selection and Commentary) on October 14, 2010

The “placebo effect” is essentially a measure of how powerful the mind is in changing the chemistry of the body. It is more powerful than medication, yet we look for pills to cure us… How about we start understanding and using more placebos…

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Statins: Odds Are 198 to 1 That the Drug Won’t Help

by Dr. Stephen Parker (Article selection and Commentary) on October 13, 2010

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More on “Numbers Needed to Treat”

by Dr. Stephen Parker (Article selection and Commentary) on October 13, 2010

Big Pharma is not known for its interest in objectively reporting the effectiveness of a drug. The “Numbers Needed to Treat” is one of the better measures that should be standard information. This is an explanation of “NNT” from Wikipedia — often one of the better resources to turn to in this complicated times… Number [...]

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Not Lying With Statistics: Numbers Needed to Treat

by Dr. Stephen Parker (Article selection and Commentary) on October 13, 2010

In trying to sort out what the statistics about the alleged effects of different drugs mean, this was one of the better articles… Treat Me? The crucial health stat you’ve never heard of. Slate Magazine By Darshak Sanghavi Sept. 26, 2006, If anything is supposed to be certain in medicine, it’s that people with high [...]

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Lies, Damn Lies, and Drug Statistics

by Dr. Stephen Parker (Article selection and Commentary) on October 13, 2010

Figures often beguile me, particularly when I have the arranging of them myself; in which case the remark attributed to Disraeli would often apply with justice and force: “There are three kinds of lies: lies, damned lies and statistics.“ – Mark Twain’s Own Autobiography: The Chapters from the North American Review In my quest to [...]

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Risk Factor Increase for Heart Attack: Weight Gain

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

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Risk Increase for Heart Disease 2x: Cholesterol > 240

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

National Institute of Health Why Blood Cholesterol Matters Blood cholesterol plays an important part in deciding a person’s chance or risk of getting coronary heart disease (CHD). The higher your blood cholesterol level, the greater your risk. That’s why high blood cholesterol is called a risk factor for heart disease. Did you know that heart [...]

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Risk Increase for Heart Disease 2x-4x: Diabetes

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Data from the 2007 National Diabetes Fact Sheet (the most recent year for which data is available) Heart disease and stroke • In 2004, heart disease was noted on 68% of diabetes-related death certificates among people aged 65 years or older. • In 2004, stroke was noted on 16% of diabetes-related death certificates among people [...]

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Risk Reduction for Heart Disease 11%: Green Tea

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Green tea Botanical evidence indicates that India and China were among the first countries to cultivate tea. Today, tea is the most widely consumed beverage in the world, second only to water. Hundreds of millions of people drink tea around the world, and studies suggest that green tea (Camellia sinesis) in particular has many health [...]

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Risk Reduction for Heart Disease 30%: Walking

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

I suspect that walking and exercise is much more beneficial than this study would indicate; this article would suggest that it is less effective than moderate drinking, the same as owning a cat, and not as effective as eating Peking Duck. Miracle Cure Found March 20, 2008 About.com What if there was a miracle pill [...]

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Risk Reduction for Heart Disease 9%: Optimism

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Do Optimists Live Longer? Study: Negative Outlook Appears to Raise Risk of Heart Disease, Death By Salynn Boyles WebMD Health News Aug. 10, 2009 — Whether you believe the metaphorical glass is half full or half empty may not only affect how you see the world, it may also affect your heart. New research suggests [...]

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Risk Increase for Heart Disease: Hostility

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

J Epidemiol Community Health 2006;60:456 HOSTILITY AND HEART DISEASE Hostile men, but not women, are more than twice as likely to suffer from recurrent coronary heart disease (CHD). Researchers used data from the Nova Scotia Health Survey 1995 to identify participants with CHD at baseline, whose outcomes were compared against their hostility data (also taken [...]

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Risk Reduction for Heart Disease 30%-50%: Alcohol Consumption

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Alcohol May Reduce Men’s Heart Risk Study Shows Moderate Drinking Cuts Risk of Heart Disease in Men by 51% By Kathleen Doheny WebMD Health News Reviewed By Louise Chang, MD Nov. 18, 2009 — Regular consumption of alcohol — beer, wine, or hard liquor — reduces the risk of heart disease in men by a [...]

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Risk Increase for Heart Disease 30%: Sleep Apnea

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Science Daily May 21, 2007 The nighttime breathing disorder known as obstructive sleep apnea increases a person’s risk of having a heart attack or dying by 30% over a period of four to five years, according to a new study. The more severe the sleep apnea at the beginning of the study, the greater the [...]

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Risk Reduction for Heart Disease 47%: Meditate

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

ScienceDaily Nov. 17, 2009 Patients with coronary heart disease who practiced the stress-reducing Transcendental Meditation® technique had nearly 50 percent lower rates of heart attack, stroke, and death compared to nonmeditating controls, according to the results of a first-ever study presented during the annual meeting of the American Heart Association in Orlando, Fla., on Nov.16, [...]

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Risk Reduction for Heart Disease 30%: Take a Vacation

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Psychology Today July 10, 2010 The famous Framingham Heart Study followed approximately 12,000 men ages 35 – 57 at risk of heart disease, for nine years. Researchers wanted to know if there were ways to improve the men’s longevity. The participants were asked about a number of lifestyle topics, including vacation. “The more frequent the [...]

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Risk Reduction for Heart Disease: Black Tea

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

American Heart Association Black tea tames artery disease A new study finds a strong link between drinking black tea and arterial health in people who have heart disease. “The study demonstrated that drinking black tea reverses endothelial dysfunction. Endothelial dysfunction is believed to contribute importantly to the development of cardiovascular disease,” said Joseph Vita, M.D., [...]

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Risk Reduction for Heart Disease: Cocoa

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Circulation. 2009;119:1433-1441.) Cocoa and Cardiovascular Health Epidemiological data demonstrate that regular dietary intake of plant-derived foods and beverages reduces the risk of coronary heart disease and stroke. Among many ingredients, cocoa might be an important mediator. Indeed, recent research demonstrates a beneficial effect of cocoa on blood pressure, insulin resistance, and vascular and platelet function. [...]

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Risk Reduction 40%: High Fiber Diet

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

Fiber is one of those nutrients that many of us know is important but that remains a bit of a mystery. Exactly what is it? What are the best sources of fiber? And what are its health benefits? Here we try to answer these and other questions. Vegetables and Fruits: Get Plenty Every Day: How [...]

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(Alleged) Risk Reduction for Heart Disease: Sex Twice a Week

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

(Note that correlation is not cause and effect – just because a low frequency of sexual activity is associated with a higher risk of cardiovascular disease does not mean that this is the cause of it.) More Sex Could Mean Less Heart Risk Study Shows Men Who Have Sex Twice a Week Have Less Risk [...]

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Risk Reduction 45%: Red Yeast Rice

by Dr. Stephen Parker (Article selection and Commentary) on October 12, 2010

(This blog is not to be mistaken for medical advice; it provides information so that you can make informed choices when you talk with your physician) Update on Red Yeast Rice Desperately seeking red yeast rice? Consider generic statins. Richard N. Fogoros, M.D. June 18, 2008 Results from a large randomized trial conducted in China, [...]

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