General fitness, health and nutrition · Public discussion

Endothelial dysfunction: what is it?

Started by Patrick Blanchard, M.D. · · Last activity · 4 posts · 642 views

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General fitness, health and nutrition
Published
31 October 2003
Last activity
3 November 2003
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Patrick Blanchard, M.D.
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  1. I just wanted to give you some information about endothelial dysfunction
    that you might interesting, since there are some threads about this and
    fish oil. enjoy! pb

    Volume 5, Number 6: November 2003 • Nutrition • pp. 506-513

    Assessing Endothelial Function As a Risk Factor for Cardiovascular Disease

    by Alan L. Hinderliter, MD and Melissa Caughey, BS

    The vascular endothelium plays a key role in the prevention of
    atherosclerosis. Endothelial dysfunction is an antecedent of clinical
    cardiovascular disease and can be viewed as the final pathway between
    coronary risk factors and the development of atherosclerosis. The
    development of a noninvasive method of assessing endothelial health (ie,
    measurement of flow-mediated dilation of the brachial artery) has enabled
    investigators to evaluate the effects of dietary patterns on vascular
    function. Emerging evidence indicates that dietary fats may acutely impair
    endothelial function, but this effect is dependent on the type of fat and
    on the other nutrients consumed. Although inconclusive, studies in cohorts
    of modest size suggest that antioxidants, L-arginine, and folic acid may
    modulate endothelial function. Additional research is needed to define the
    impact of complex, long-term dietary patterns on the vascular endothelium.

    --
    ~~~
    Patrick Blanchard, M.D., A.B.F.P.
    Board Certified in Family Practice

  2. Patrick Blanchard said:


    I just wanted to give you some information about endothelial dysfunction
    that you might interesting, since there are some threads about this and
    fish oil. enjoy! pb

    Volume 5, Number 6: November 2003 • Nutrition • pp. 506-513

    Assessing Endothelial Function As a Risk Factor for Cardiovascular Disease

    by Alan L. Hinderliter, MD and Melissa Caughey, BS

    The vascular endothelium plays a key role in the prevention of
    atherosclerosis. Endothelial dysfunction is an antecedent of clinical
    cardiovascular disease and can be viewed as the final pathway between
    coronary risk factors and the development of atherosclerosis. The
    development of a noninvasive method of assessing endothelial health (ie,
    measurement of flow-mediated dilation of the brachial artery) has enabled
    investigators to evaluate the effects of dietary patterns on vascular
    function. Emerging evidence indicates that dietary fats may acutely impair
    endothelial function, but this effect is dependent on the type of fat and
    on the other nutrients consumed. Although inconclusive, studies in cohorts
    of modest size suggest that antioxidants,

    An exception:
    "This large trial did not show that
    antioxidant vitamins were beneficial for
    preventing vascular events."

    Reference:
    http://www.cfpc.ca/cfp/2003/Jun/vol49-jun-critical-1.asp

    Quoted message said:

    L-arginine, and folic acid may
    modulate endothelial function. Additional research is needed to define the
    impact of complex, long-term dietary patterns on the vascular endothelium.

    --
    ~~~
    Patrick Blanchard, M.D., A.B.F.P.
    Board Certified in Family Practice

    What sentence structures can be used to
    spread rumours?
    Here are some examples:
    "... can be viewed as ..."
    "Emerging evidence indicates ..."
    "Although inconclusive,..."
    "... may ..."
    "Additional research is needed..."

    Fortunately, they are used only sparingly.

    Excessive use of these structures should
    raise a flag to the reader that there is very
    little substance in the paragraph and lots of
    speculation.

    Political parties and politicians also
    publish speculation.

    A.L.

  3. In article <[email hidden]>,

    Al. Lohse said:

    "This large trial did not show that
    antioxidant vitamins were beneficial for
    preventing vascular events."

    Reference:
    http://www.cfpc.ca/cfp/2003/Jun/vol49-jun-critical-1.asp

    In my opinion, the dosages - especially for vitamin C is much too low.
    Dr. Pauling put forth the idea that the levels should be more to the
    tune of 5-12 grams/day, not 250mg. I'd certainly like to see a study
    done at the levels he proposed.

  4. Owen Lowe said:


    In article <[email hidden]>,

    Al. Lohse said:

    "This large trial did not show that
    antioxidant vitamins were beneficial for
    preventing vascular events."

    Reference:
    http://www.cfpc.ca/cfp/2003/Jun/vol49-jun-critical-1.asp

    In my opinion, the dosages - especially for vitamin C is much too low.
    Dr. Pauling put forth the idea that the levels should be more to the
    tune of 5-12 grams/day, not 250mg. I'd certainly like to see a study
    done at the levels he proposed.

    You might be right, but:

    Dr. Pauling certainly had the stature, if not
    the resources, to direct research in that
    area.

    IMHO, antioxidants are overemphasized. The
    vitamins are essential, but there is a super
    antioxidant in Buckminsterfullerine, a
    molecule of many carbon atoms (C64?), which
    the proponents of vitamins C and E have
    apparently ignored.

    A.L.

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