Coronary Artery Disease and Plant Based Diet Essay Sample free essay sample

In Adults With Advanced Coronary Artery Disease Can a Plant-Based. Ayurvedic Diet Stop the Progression of the Disease and/or Reverse its Effectss Better Than Treatment with Medications and Medical Interventions? Jennifer Dodge Bryan College of Health Sciences Coronary arteria disease ( CAD ) is a narrowing of the little blood vass that supply blood and O to the bosom. The narrowing is caused by a buildup of plaque in the arterias which is besides called the hardening of the arterias. As the disease progresses. blood flow to the bosom can decelerate down or halt. Persons with this grade of disease typically have suffered from one or more bosom onslaughts and may hold marks and symptoms of ischaemia such as thorax hurting and pneumonic hydrops. It is the taking cause of decease in the United States for work forces and adult females. Treatment for CAD consists of taking one or more medicines to handle blood force per unit area. diabetes. or high cholesterin such as nitrates. Ca channel adversaries. ACE-inhibitors. and lipid-lowering medicines. The end of these drugs is to cut down blood force per unit area to less than or equal to 140/90 and LDL cholesterol degree less than or equal to 100 mg/dL. Some people can keep a healthy life by altering their diet. halting smoke and taking medicine. Other people will necessitate medical processs such as angioplasty or surgery. Vegetarians have been shown to hold a 24 % reduced hazard of deceasing from bosom disease ( Esselstyne. 2008 ) . This literature reappraisal is being conducted to find if an Ayurvedic diet can halt the patterned advance of the disease and besides change by reversal its effects alternatively of handling them with medicines and medical intercessions in grownups with advanced coronary arteria disease. Literature Review In a survey by Ornish. D. . Scherwitz. L. . Billings. J. . Gould. L. ( 1998 ) . the research workers discovered that the patterned advance of coronary arteria disease could be stopped or reversed without utilizing lipid-lowering drugs. The patterned advance was stopped by prolonging intensive lifestyle alterations dwelling of a vegetarian diet and exercising. After one twelvemonth. the participants who were able to keep the life style alterations showed a 37. 2 % decrease in LDL cholesterin degrees and had a 91 % decrease in the frequence of anginose episodes. There was besides an mean per centum diameter stricture arrested development from 40 % to 37. 8 % . In contrast. the patients with the usual attention control such as with lipid-lowering medicines and other medicines made merely a 6 % decrease in LDL degrees and had 16. 5 % addition in the frequence of anginose episodes. Their per centum diameter stricture really progressed from 42. 7 % to 46. 1 % . The trouble is in keeping such lifestyle alterations. The experimental group attachment was first-class the first twelvemonth and good after 5 old ages. Another benefit to the works based diet with exercising was that the experimental group lost on mean 23. 9 lbs the first twelvemonth. Weight is a hazard factor in developing coronary arteria disease. Bing fleshy can increase blood force per unit area. addition hazard for diabetes. and perchance increase LDL degrees. These findings support the feasibleness of fillet and besides change by reversaling the patterned advance of coronary arteria disease in grownups by keeping a plant-based. Ayurvedic diet. Another survey by He. F. et Al ( 2007 ) besides set out to find the relation of fruit and vegetable consumption and the incidence of coronary arteria disease. The survey showed that an increased ingestion of fruit and veggies is related to about 17 % decrease of the hazard of developing coronary arteria disease. Persons had to devour more than 5 helpings per twenty-four hours. This was besides combined with other lifestyle alterations such as exercising and smoke surcease. There were jobs with the survey in that they could non accurately mensurate the dietetic appraisal and persons who eat more fruits and veggies tend to intake less salt and saturated fat and besides exercising more and don’t fume. It is speculated that there will be a stronger association in the decrease of coronary arteria disease with those veggies that contain more protective foods like K. Other similar surveies by Yancey. W. et Al ( 2003 ) . Kromhout. D. et Al ( 2002 ) . Esselstyn. C. ( 2008 ) and Hu. F. . et Al ( 2001 ) besides support that life style and diet straight affect our wellness and quality of life. Surprisingly small information is available to turn to whether diet can change by reversal and forestall the patterned advance of coronary bosom disease. The surveies are normally few because controlled tests on diet and disease in persons is expensive and hard to obtain between experimental and control groups. Presently there exists little surveies mensurating intermediary terminal points and supply small direct grounds about which diets can protract life or prevent coronary bosom disease. One survey randomized 412 work forces into either a cholesterin take downing diet or a control diet. Work force in the low cholesterin group showed a 17. 6 % decrease in entire cholesterin over 5 old ages and after 11 old ages had significantly fewer bosom related deceases. Dr. Esselstyn has gone farther into analyzing the effects of a works based diet. He began his survey in 1985. His program called for a diet of no meats and no added fats with an accent on whole grain nutrients. veggies. fruits and beans. He combined the survey with exercising. emphasis direction and group support. With this program he was able to change by reversal terrible coronary arteria disease without the usage of lipid-lowering medicines or other drugs. He is presently a adviser for a Cleveland Clinic to direct the Cardiovascular Disease Prevention and Reversal Program. One job he has encountered is that most infirmaries make a batch of money on bosom surgeries and processs. It costs well less per twelvemonth to set about a low-fat. plant-based diet as a exclusive intervention for cardiovascular disease. Animal protein is the underlying cause of bosom disease and shot because it puts concentrated fat and cholesterin into the digestive system taking to coronary artery disease an d high blood force per unit area. Research Design The intent for this survey is to find whether a plant-based. Ayurvedic diet will halt the patterned advance of the disease and/or change by reversal its effects better than intervention with medicines and medical intercessions in grownups with advanced coronary arteria disease. The independent variable is a plant-based. oil free diet. The dependent variable in the proposed survey is the grade of coronary arteria disease which will be measured from bosom catheterisation. Demographic variables of gender. age. and race will besides be analyzed. Extraneous variables in this survey are blood force per unit area. weight. cholesterin degree. and bosom rate. The research survey will follow an experimental design by using randomised clinical test. There will be a control group and an experimental group made up of single voluntaries who have been diagnosed with advanced coronary arteria disease with about 25 participants in each group. The intervention intercession for the experimental group will be a life-style alteration consisting of a plant-based. oil free diet. The experimental group will have the criterion attention for coronary arteria disease by their heart specialists. The grade of coronary arteria disease will be measured in each person at one twelvemonth and so at 5 old ages by cardiac catheterisation. A restrictions involved with this type of survey is the ability to command the participant’s life style. We will non be able to supervise each patient on a day-to-day footing to find whether they are eating decently. The survey besides requires a long period of clip in order to find a alteration in the grade of coronary arteria disease which requires a batch of subject for the participants. Besides. a batch can alter in 5 old ages sing a patient’s demand for a process or medicine or other lifestyle alterations. Sample The participants for this survey will be work forces and adult females between the ages of 45-65 old ages diagnosed by heart specialists with advanced coronary arteria disease confirmed with cardiac catheterisation. Participants in the experimental group must be willing to do an intensive life style alteration and all participants are presently non vegetarians. Permission will be obtained from their heart specialist for topics to take part in the survey. 50 participants will be chosen for this survey to hold 25 in each group. Data Collection All survey participants will undergo an initial cardiac catheterisation to find the grade of coronary arteria disease which is measured in per centums. Participants in the experimental group will be educated about the diet they are to keep by a dietician and they will be given educational booklets to assist steer them about what they can or can’t eat. All participants will hold scheduled assignments with heart specialists at 6 months and so every twelvemonth or as prescribed by their physician. The participants will hold a scheduled cardiac catheterisation at one twelvemonth and so at 5 old ages. Their blood force per unit area. cholesterin. bosom rate. and weight will besides be obtained at each doctor’s visit. Data Analysis The informations collected from the cardiac catheterisations will be analyzed by a Dependent t-Test. The Dependent t-Test is besides called the paired-samples t-test. It compares two related groups to observe whether there are any statistically important differences between the groups. In this survey we will be comparing the grade of coronary arteria disease. The information collected for the blood force per unit area. cholesterin. bosom rate. and weight will be assessed by usage of analysis of discrepancy ANOVA to compare the two groups to find whether differences between them are important. The statistical significance for this survey will be less than 5 % . Ethical Considerations The survey will be conducted if it is approved by the ethical reappraisal board. Patients will be informed to understand the hazard of take parting in a survey that requires them to do intensive lifestyle alterations. Blessing from heart specialist will be indispensable to guarantee the wellbeing of the patients. Patients will non be required to pay for the bosom catheterisations because they may be required to hold some performed that would non be necessary if non for this survey. The participants of the survey will be to the full informed about the hazard factors and written and verbal consent will be obtained. Participants will besides be informed that there is a grade of uncomfortableness and hazard involved in a bosom catheterisation process. Privacy and confidentiality will be protected for the participants involved in the survey. Decision There is documented cogent evidence that hapless diet lead to the build- up of plaques in the arterias ensuing in complaints such as high blood force per unit area. high blood pressure. and bosom disease. The chief perpetrators are high protein diets which are rich in concentrated carnal fats. There is a huge pick of prescription drugs available to medicate patients. but many of these can bring forth unpleasant and sometimes unsafe side effects. Beta blockers are frequently used to widen arterias. decelerate the bosom rate. and lower blood force per unit area but they can do sleep perturbation. powerlessness. giddiness. wheezing. digestive piece of land jobs. and even skin roseolas. Nitrates can cut down bosom onslaughts. but can besides do giddiness. sickness and emesis. The pharmaceutical industry has made a batch of money on drugs that can be used to handle coronary arteria disease. but many people are incognizant of the side effects. More research is needed to find if diet alone can assist change by reversal and forestall coronary bosom disease. Therefore. the purpose of this survey is to look into whether a plant-based. Ayurvedic diet can halt the patterned advance of the disease and/or change by reversal its effects better than intervention with medicines and medical intercessions. Mentions Esselstyn. C. ( 2008 ) . Prevent and change by reversal bosom disease. New York. New york: Penguin Group. Ornish. D. . Scherwitz. L. . Billings. J. . Gould. L. ( 1998 ) . Intensive lifestyle alterations for reversal of coronary bosom disease. The Journal of the American Medical Association. 280 ( 23 ) . He. F. . Nowson. C. . Lucas. M ( 2007 ) . Increased ingestion of fruit and veggies is related to a reduced hazard of coronary bosom disease: Meta-analysis of cohort surveies. Journal of Human Hypertension. 717-728 Kromhout. D. . Menotti. A. . Kesteloot. H. . Sans. S. ( 2002 ) . Prevention of coronary bosom disease by diet and lifestyle. The Journal of the American Heart Association. 893-898 Hu. F. . Manson. J. . Willett. W. ( 2001 ) Types of dietetic fat and hazard of coronary bosom disease: A critical reappraisal. Journal of the American College of Nutrition. 20 ( 15-19 ) Yancy. W. . Westman. E. . French. P. . Califf. R. ( 2003 ) . Diets and clinical coronary events. The Journal of the American Heart Association. 107 ( 10-16 ) Irving. David ( 2011 ) . A simple remedy for bosom disease. The Protein Myth. Retrieved from hypertext transfer protocol: //www. disinfo. com/2011/09/a-simple-cure-for-heart-disease/