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Summary of Transcript:
The video discusses the root cause of many health issues, including obesity, connective tissue disease, diabetes, smoking, hypertension, and metabolic issues. The prevalence of coronary artery disease in South Asians is three times higher than the average person in the United States, and there is a problem with pre-diabetes and diabetes diagnosis. Pre-diabetes is when insulin levels are running high but sugars are still okay. However, hyperinsulinemia is hurting arteries, causing calcification and hardening of arteries. The high sugar only accounts for 20% of the issue, while the high insulin accounts for 80%. The video emphasizes the need to redefine diabetes because most Indians are either pre-diabetic or diabetic without knowing it. The biggest challenge today is diabetes, which is a pandemic caused by sugar.
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Summary of Description:
This lecture discusses the links between heart disease and diet, genetics, hormones, and gut bacteria, focusing on Coronary Artery Disease in South Asians. The lecture was hosted by Cardiovascular Interventions in partnership with the Indian American Business Association. The lecturer discusses the flaws in the methodology of measuring diabetes, the risks and prevalence of CAD, the impact of genetics and diet, and risk factors for South Asians. The lecture also discusses how to diagnose CAD and reduce the risk of CAD with diet and exercise. The lecture concludes with a Q&A session addressing topics such as fasting, oils, nuts, and vitamins. The information provided is for general information and education purposes only, and viewers should consult their physician before making any changes to their diet, nutrition, medication, or lifestyle.
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Understanding Coronary Artery Disease in South Asians
Coronary Artery Disease (CAD) is prevalent and a leading cause of mortality amongst South Asians, but it’s not just limited to this population. In a recent lecture hosted by the Indian American Business Association and Dr. Pradip Jamnadas of Cardiovascular Interventions, the links between diet, genetics, hormones, gut bacteria, and heart disease were discussed.
Why is the prevalence of CAD so high?
CAD is caused by the buildup of plaque in the arteries that supply blood to the heart muscles. Due to lifestyle changes, his study found that South Asians were more prone to CAD. They are also at a greater risk of developing complications from untreated diabetes. Dr. Jamnadas was surprised by the results of his study and stated that CAD is prevalent in all populations.
The flawed methodology in measuring diabetes
Dr. Jamnadas pointed out the flawed methodology in measuring diabetes, stating that the standard HbA1c test may not be the most accurate since this test may not see smaller particles of sugar found in South Asians. They could have the same HbA1c levels as their Caucasian counterparts but are more prone to complications.
Risks of CAD
CAD is a killer that presents little to no symptoms until it’s too late. Those at risk could also suffer complications from high blood pressure, high cholesterol levels, and diabetes. Lifestyle choices such as a diet high in processed foods, lack of exercise, and sleep deprivation all contribute to CAD.
How our genetics have not evolved to today’s diet
Humans have not evolved to the processed and fast food diet many consume today. The traditional diet of South Asians was more fiber-rich and nutrient-dense. Genetically, we are designed to process and break down fruits and vegetables, unlike processed and fried foods.
Risk Factors for South Asians
First-generation immigrants may be more prone to CAD due to increased stress from lifestyle changes such as a change in diet and adapting to a new culture. They may consume more processed foods and less fiber, which leads to an increased risk of CAD. Second-generation immigrants are slowly learning about the impact of their lifestyle and making better choices to prevent CAD.
How What we eat has changed
The food we consume today is less nutrient-dense than before. Our ancestors consumed home-cooked meals while processed and fast food has now become the norm. We can help prevent CAD and improve our health by consuming more nutrient-dense foods and reducing our processed food intake.
The increase in the use of vegetable oils
Dr. Jamnadas stressed the increased use of vegetable oils which are processed and contain harmful chemicals that could contribute to the development of CAD. It’s best to reduce their intake and replace them with healthy fats like avocado and extra virgin olive oil.
Diagnosing CAD
Calcium Scoring studies and Kraft tests are performed to diagnose and treat CAD. A Calcium Scoring study is a non-invasive test that measures the amount of calcium in the arteries, while a Kraft test is a glucose tolerance test that tests how your body processes sugar.
Reducing the risk of CAD with diet and exercise
Dr. Jamnadas recommends that individuals reduce their intake of processed foods, add more fruits and vegetables to their diet, reduce their intake of bad fats, and increase their physical activity to prevent CAD.
Questions and Answer Session
During the Q&A session, Dr. Jamnadas answered various questions about diet, vitamins, fasting, and more. He stressed the importance of consulting with a qualified physician before making any lifestyle changes.
Conclusion
CAD is a prevalent lifestyle disease that can lead to death. By making healthy lifestyle choices and consulting with a qualified physician, individuals can reduce their risk of developing CAD.
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Source Description
This lecture is centered around Coronary Artery Disease in South Asians, but most of this information applies to everyone. Understanding the links between heart disease and our diet, genetics, hormones, and gut bacteria is so important. It was great to partner with the Indian American Business Association with our first Heart Health Event together. We hosted it here at Cardiovascular Interventions and provided members with tours of our facility then ended the night with this lecture.
Learn more about the Indian American Business Association here:
Website: https://www.iabausa.com/
Facebook Page: https://www.facebook.com/IABAofUSA
My previous lectures I mention during the video that discuss the topics of diet and fasting in more detail:
“The Fat Lies” – https://youtu.be/Yo-IL-LH5FQ
“Fasting for Survival” – https://youtu.be/RuOvn4UqznU
“The Bittersweet Truth” – https://youtu.be/6zZBiTfIp4Q
More about the Calcium Scoring Study:
What is a Coronary Calcium Score? – https://youtu.be/NYkW2vxyioc
The Blood Test I mentioned:
What is a Kraft Test? – https://youtu.be/SxS2AayOHmo
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Timestamps:
0:50 – Why is the prevalence of Coronary Artery Disease (CAD) so high?
2:25 – our whole methodology in measuring diabetes is flawed
6:05 – Risks of CAD
8:28 – prevalence of CAD
9:45 – how our genetics have not evolved to today’s diet
13:59 – risk factors for south Asians
23:36 – How What we eat has changed
30:50 – The increase in use of vegetable oils
36:57 – How to diagnose CAD
41:37 – Why fast?
49:23 – Reducing risk of CAD with diet
52:53 – Reducing risk of CAD with exercising
Questions and Answer Session
1:01:21 – Many people say to eat every two hours. Should this be done?
1:03:19 – What about olive oil? Should it be fried?
1:05:24 – What is the best oil to use?
1:06:27 – Are there good nuts and bad nuts?
1:07:25 – What about smoothies?
1:08:33 – What about dairy products and coronary artery disease?
1:10:01 – Should I buy vegan products or regular products?
1:12:50 – Is yogurt healthy for you?
1:14:03 – What vitamins should I take? Should I take a multi vitamin?
1:15:27 – Are South Asians born with smaller arteries?
1:16:10 – How long should I fast?
1:18:28 – Is it true that Stem cells reproduce during a fast?
1:22:05 – What can I drink during a fast?
My other Videos:
Holiday food shopping playlist – https://youtube.com/playlist?list=PLN4uKfvSU2v1C93J2K5gKaIZS02bwd6cv
Why your Cardiac Examination is Incomplete – https://youtu.be/Rzb5r8FXpRU
Treat High Blood Pressure’s Root Cause – https://youtu.be/yaf1swrS1_c
What is a CT Angiogram (CTA) of the Heart? – https://youtu.be/uHpN1FQ-Hvo
What is Cardioversion? – https://youtu.be/yb-srtyEOuY
What is a Leadless Pacemaker? – https://youtu.be/2CYZbeYSvVE
What is Right Heart Catheterization? – https://youtu.be/2hy05-dM-lM
What is a Heart Attack? – https://youtu.be/lPzT62_b4Ko
Heart Attack Treatment – https://youtu.be/N0vFV3wOGPU
What is an Echocardiogram? – https://youtu.be/DZ3G8P0L_sM
Monitoring Heart Failure with CardioMEMS – https://youtu.be/A35IsJxs6mw
Introduction to Cardiac Catheterizations – https://youtu.be/k4UyUBGnojU
What is a Loop Recorder? – https://youtu.be/mXHAuV27bs8
External Counterpulsation (ECP) for Chest Pain and Coronary Calcium – https://youtu.be/4wd-3WyvlNQ
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About Dr. Pradip Jamnadas, MD, MBBS, FACC, FSCAI, FCCP, FACP
The founder and Chief Medical Officer of Cardiovascular Interventions, P.A. in Orlando Florida where, since 1990, he has been repeatedly recognized in local publications as a Top Doctor performing thousands of interventional procedures in hospital and out patient settings. As a consultant cardiologist with a large diversified inpatient and outpatient practice he is noted for his passions for teaching and illuminating prevention for cardiovascular disease . He is also a clinical assistant professor of medicine at The Florida State University and University of Central Florida.
Disclaimer: The information provided is for general information and education purposes only and is not a substitute for individualized medical care by a qualified physician. All viewers should consult their physician before making any diet, nutrition, medication, or lifestyle changes. Any action you take upon the information that you find within this content is strictly at your own risk. Nothing here should be interpreted to create a doctor patient relationship. Neither Dr. Pradip Jamnadas nor Cardiovascular Interventions, PA will be liable for any damages or losses in connection with the content on this YouTube Channel.
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