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Sent 02:00pm, July 14, 2006

personal trainingPrevious FitBit  |  Next FitBit  |  FitBits Archive

Urgent: Critically Important Update from the American Heart Association

By Jim Bell, PhD.c., President IFPA

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"The world is all gates, all opportunities,

strings of tension waiting to be struck."

-Ralph Waldo Emerson

Previous: “Healthy Dietary Pattern” Recommendations broadened to include important concept of: “Healthy Lifestyle Pattern!”

Please read and forward to all your clients, prospective and former clients, friends, family, associations, and anyone you want to live a long and healthy life! You should also forward this to all local state and federal representatives.  Many government agencies are considering legislation to remove soda and candy machines from our schools. Allowing our officials to read this will provide them the evidence they need to do the right thing, to protect our children…the next generation of Americans!

Jim Bell, PhD(c), president of the International Fitness Professionals Association (IFPA) was appointed by Governor Jeb Bush to the Governor’s Task Force for the Obesity Epidemic. Jim was asked by the Governor to bring his knowledge, experience and dedication for the health and fitness lifestyle to the Obesity Task Force in order to develop viable solutions to this growing epidemic.

Currently, nearly 70% of the American Population is overweight, obese or morbidly obese. Statistical analysis of the current Obesity Epidemic predicts that 70% of the American population will be obese by 2012. The Obesity Epidemic has lead to the Metabolic Syndrome that has created both an adult on set diabetes epidemic and a Cancer Epidemic, as well as a tremendous increase in other diseases: cardiovascular, cardio respiratory disease, hyper-tension, osteoporosis, etc. 

Many medical and health experts agree that 80% of all health care related expenses in the USA are directly related to the poor lifestyle choices that Americans make. If this trend continues the result will be for more devastating for society. 70% of populations obese will place an untenable burden on not only our health-care system, but on society as a whole. Couple this number with a recent report form New York City that 50% of New York’s school age children will be obese by 2012 and anyone that has even a modicum of understanding of developmental physiology can predict that 50% of our nation’s children will suffer debilitating diseases far to early in life, so early in fact, that they will never achieve their mental, emotional, physical, spiritual, artistic, or financial potential.

Because of the “ALARM BELLS” going off, all over the country the American Heart Association (AHA) revised their dietary and lifestyle recommendations aimed at preventing cardiovascular disease and published them in the June 19 Rapid Access issue of “Circulation”:

“The previous recommendations stressed a healthy dietary pattern; the new ones broaden that concept to include the importance of a healthy lifestyle pattern, lead author and Chairwoman of the AHA’s Nutrition Committee, Alice Lichtenstein, DSc, from Tufts University in Boston, said in a news release. “The two go together-they should be inseparable.” The highlights of the 2006 American Heart Association (AHA) recommendations for a healthy diet and lifestyle are:

The AHA recommends consumption of an overall healthy diet, aiming for a healthy body weight (body mass index between 18.5 and 24.9 kg/m2), a desirable lipid profile, a normal blood pressure (BP; defined as systolic BP < 120 mm Hg and diastolic BP < 80 mm Hg), a normal fasting blood glucose (defined as < 100 mg/dL), physical activity, and avoidance of tobacco products.

A healthy diet includes eating vegetables and fruits; selecting whole-grain, high-fiber foods; consuming fish at least twice a week; limiting intake of saturated fat to less than 7% of energy, trans fat to less than 1% of energy, and cholesterol to less than 300 mg/day; minimizing added sugars and salt; and consuming alcohol in moderation.

The AHA recommendations should be applied when eating inside and outside the home.

Guidelines for fat intake are more restrictive than the 2000 AHA guidelines. The goals can be achieved by choosing lean meats and vegetables, selecting fat-free (skim) or low-fat (1% fat) dairy products, and minimizing the use of hydrogenated fats used in commercial food preparation.

Fish consumption should include oily fish high in EPA and DHA, with caution for children and pregnant women to avoid fish with potential for mercury contamination (eg, shark, swordfish, and king mackerel).

Patients with CHD are advised to consume 1 g of EPA and DHA daily, and those with hypertriglyceridemia should consume 2 to 4 g daily as capsules under a clinician's care.

Alcohol consumption should be restricted to 2 drinks for men and 1 for women daily. 1 drink is defined as 12 oz of beer, 4 oz of wine, 1.5 oz of 80-proof distilled spirits, or 1 oz of 100-proof spirits.

Salt intake should be restricted to no more than 2300 mg daily for those without hypertension and 1500 mg daily for those at risk for hypertension.

Diets rich in potassium are recommended.

To maintain a healthy body weight, adults should engage in at least 30 minutes of physical activity to maintain weight.

Adults wishing to lose weight should engage in at least 1 hour of physical activity daily.

Physical activity may be accumulated through the day, and sedentary activities (such as watching TV and playing computer games) should be reduced.

Physical activity guidelines are updated from 2000 AHA recommendations.

The role of antioxidant supplements, such as vitamin E and beta carotene, in preventing cardiovascular disease is controversial, and supplements are not recommended, but plant-derived foods rich in antioxidant nutrients, such as fruits, vegetables, whole grains, and vegetable oils, are recommended.

Evidence for soy proteins and isoflavone supplements in CHD protection is minimal, and no meaningful demonstration of a benefit is evident. However, high consumption of soy protein-rich foods may indirectly reduce cardiovascular disease risk if they replace animal and dairy products.

The evidence is inadequate to recommend folate and other B vitamins in cardiovascular disease prevention.

Plant stanols/sterols lowered low-density lipoprotein cholesterol levels by up to 15%, and daily consumption in food, drinks, and capsule forms is recommended.

Children older than 2 years and older adults should be counseled according to the AHA 2006 guidelines.

Persons with metabolic syndrome characterized by abdominal obesity, dyslipidemia, increased BP, and insulin resistance should reduce cardiovascular disease risk with diet and lifestyle recommendations.

Persons with chronic renal disease should reduce salt intake, prevent fluid overload, and manage dyslipidemia.

Substantial changes to the environment are recommended to address the epidemic of obesity among children and adults.

If you have already completed the IFPA Sports Nutrition Certification Course, you may have noticed that these new AHA recommendations come much closer to the IFPA recommendation that the IFPA has maintained for 12 years. The IFPA will continue our recommendations that your consume no more than 5% of calorie from saturated fat and no level of trans fat is considered healthy. Simple sugars are only recommended post intense exercise when glucose stores are driven to near depletion. Lean sources of animal proteins remain highly recommended for intense training strength type athletes.

Reminder: Forward this article to everyone you know. Far too many members of our society are still unaware of the dangers they face with the poor lifestyle choices they make daily. This is an excellent opportunity to help them make the right choice… the healthy choice to begin and maintain a “Healthy Lifestyle Pattern!”           

James T. Bell, PhD.c. is the founder and president of the International Fitness Professionals Association, IFPA.

More Books from Jim Bell, PhD.c.

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