The Causes of the Causes

Dear Reader,
The post below is a google translation of a post on the  Spanish language blog  Dueño de Mi Salud.
The text was original in Spanish but the graphics were in English.
This is excellent and I can only hope that Dueno de Mi Salud will continue to post material as good as this.

I am quite sure that the vast majority most of you recognize what the major cardiovascular risk factors (though: there are over 100).

Congratulations! But now we begin to pull the rope, what are the causes of these “risk factors” (not causes)?

Well, the lifestyle. So far we agree. But what are the determinants that we make certain habits and not others?



Recoiling our steps we find the source of all problems: the causes of the causes of the causes of cardiovascular disease do not fall in hypercholesterolemia and hypertension.

If Ramiro, who lives in a suburb with little playground, a couple of minutes walk from a factory spewing nitrogen and benzene vapor 24 hours a day, which has limited financial resources and therefore less access to food ” Heart-which has an expectation of working life very unsatisfactory, and so on. etc. If Ramirez does not have a healthy lifestyle is because their lives, their natural environment, social, family and staff are not as favorable as he wanted. Does it make sense then that thousands of Ramiros take statins for primary preventionor dedicate these resources to try to improve the lives of these people?

Now, I propose another year. Imagine that hipercolesteromemia treat with statins, and that everything else remains the same. According to data from meta-analysis in primary prevention, statins to prevent achieved after five years of treatment the death of a person as Ramiro we treat 60 to 300 people . Imagine that our friend is one of them, and getting rid of dying from heart attack, but still having a miserable life. Probably end up dying of something else, and quite possibly something related to the causes of their causes (maybe a tumor? A knife in a fight?). Therefore, we can not outwit death, alone, in any case, prolonging lives and change the cause of death …

He explains Iona Heath, British family doctor and president of the Royal College of General Practitioner, in the book “Innovation around the clinical prevention” (partly reflected in this article ):

By Providing Treatment Designed to Prevent particular diseases.Selecting we May Be Another cause of death for unkowningly, and Certainly Without the patient’s informed consent.

Therefore, before rushing into a titanic effort to prevent disease pastillazos effort should be made ​​in each person, try to identify the causes of the causes of their causes, and not to create false hopes that the medicine gets reduced to zero risk of disease, or that prevention is able to outwit death itself .

Idea, reviews and charts from Rafa Cofiño .

Diez-Roux, AV. Residential Environments and Cardiovascular Risk. J Urban Health 2003, 80:569-89 .]

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  1. There’s growing realization that heart disease is not so much a plumbing problem as an inflammatory one. And crucial to a proper understanding of heart disease is an understanding of how the body responds to various sorts of fats.

    Saturated fats have long been blamed for clogged arteries. But that’s changing. Regarding the saturated fat controversy Dr. James Beckerman said this in a recent article published on WebMD entitled The Low-Fat Diet – The Trojan Horse of Heart Disease?[2]

    “…a growing number of journalists and scientists began to question the saturated fat-heart disease hypothesis with increasing justification. In recent weeks, a study [1] published in the American Journal of Clinical Nutrition tried to solve the controversy once and for all. Pooled data from twenty-plus studies and nearly 350,000 participants and found no difference in the risk of heart disease between people with the lowest and highest intake of saturated fat.

    This is huge. It’s like telling people that bicycle helmets don’t protect them from head injuries or seatbelts don’t save lives. Sure, it’s not a perfect study. Some of the research relies on people’s recollections of what they ate, and it’s hard to draw any conclusions about whether there may be some benefit to a low-saturated fat diet in older or higher risk populations. But we can’t ignore such a clear challenge to our way of thinking and hope that it just goes away. We need more research, more data and more open minds.”

    Mostly we need more open minds. There’s plenty of data linking excessive omega-6 intake to heart disease and other chronic inflammatory conditions. Psychiatrist Emily Deans recently write an article entitled Your Brain on Omega 3 that neatly summarizes the omega-6 hazard.[3]

    References
    1. http://www.ajcn.org/content/91/3/535.abstract
    2. http://blogs.webmd.com/heart-disease/2010/03/low-fat-diet-trojan-horse-of-heart.html
    3. http://www.psychologytoday.com/blog/evolutionary-psychiatry/201103/your-brain-omega-3




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