Life’s Simple Seven. Does it really work? How? December 14, 2017

In 2010, based on data such as these, the American Heart Association aimed to define a new model of “ideal cardiovascular health.”⁹ The factors in this formulation have been referred to as Life’s Simple Seven and, although they may seem simple, these factors are apparently not easy to attain. They are (1) no smoking or stop smoking; (2) fasting blood glucose level below 100 mg/dL; (3) total cholesterol level of less than 200 mg/dL; (4) blood pressure below 120/80 mm Hg; (5) body mass index (calculated as weight in kilograms divided by height in meters squared) in the normal range (18.5-25); (6) exercise at least 150 minutes at moderate intensity or 75 minutes of intense exercise per week; and (7) eat a diet that includes fruit, vegetables, whole grains, low-fat dairy products, poultry, fish, and nuts and limits red meats and sugar.
  Cardiovascular Guideline Skepticism vs Lifestyle Realism?
by Philip Greenland, MD
 http://ift.tt/2kttbM8

OK, let take a look at these Magnificent Seven.
1.Stop Smoking.
          I never smoked. I simple cannot do it because of my problems with Asthma and other breathing problems,  so I never smoked.
2. Fasting blood glucose level below 100mg/dl. 
         Interesting I would like to say. If today my fasting sugar was 55 mg/dl, was it good and healthy? If so then why I do not feel so good today, all day long?BTW sugar can be 40mg/dl, or even below 38 mg/dl. Is this really healthy for my heart? My glucose meter sees it differently. It insists I have to see a doctor, it is dangerously low level of sugar.
       I am diabetic type 2. I need more then 200 units of insulin to live. Now say me how can I keep blood sugar under 100 mg/dl if treatment for diabetics type 2 Diet and Intensive work out? I need insulin. The cost of monthly treatment for me more then $2000. Each month, only insulin. What if there is no health insurance? Really just mystery how do we survive with this life style recommendations without insulin.
3. Total cholesterol level less than 200 mg/dl. 
       It is all the time pretended that our cholesterol level depend on diet, the meal we eat. If so then why when it is CVD the cholesterol is all the time high, especially TG? Because of cholesterol does not depend on diet but depend how healthy we are. Not vice versa.
4. blood pressure below 120/80 mm Hg.
     Great. Looks like it is my choice to take BP as high or as low as I wish. The reality is different. It hit at any time when it want, and regardless what I want it or not. At the same time I wish to say, we really do not eat at this time. Vomiting too severe. And to work out when iron band around head, thank you so much.
5. Body mass index (calculated as weight in kilograms divided by height in meters squared) in the normal range (18.5-25)
         Well, is this really true that those who has right body mass does not have Migraine, diabetes, or heart attacks? Not really, yes? 
6. Exercise at least 150 minutes at moderate intensity or 75 minutes of intense exercise per week
       I love it! It is all the time presented that we do have sedative life style, really? Does someone saw human with high BMI on working place? If so then how these people different from those who are not obese? Why those people presented as living wrongly style, and those who are healthy live right style? Really? Look at the those who come to service with substance abuse. They are fit, but do they really live right life style? How many of them? They are fit. They did not do it for themselves.
      It is not the case that I try to say they do not need treatment or public help. I am not said that. What I said, it is not the business of anyone to abuse me or bull me or pretend that I am diabetic type 2 because of behavior misconduct. I live very healthy life. I love music. Use to go to museum when I could. And every Summer I go to camp. It was time when I went to hike. Now to go to restroom is too long hike for me. I simple cannot walk anymore.
7. Eat a diet that includes fruit, vegetables, whole grains, low-fat dairy products, poultry, fish, and nuts and limits red meats and sugar.
         Great choice I wish to say. I am happy when there is food in my ref and it does not matter if it healthy or not I take it when I am hungry.

To be clear, the new guidelines for cholesterol and blood pressure did not define what is unhealthy, others have done that, and it is based on observational and clinical trial evidence that is consistent and extensive.

       If I got it right the guidance for BP  is 120/80-140/90. At least it was. Really high if 140/90 considered to be 'normal'. How this 'normal' ranger was defined? Of cause, if it is 'normal' then there is no need for treatment. Ill people come to clinic and go away. At home BP go up. and up. and up. Finally it is stroke. or heart attack. Patient would survive or die. 

So, is the problem fundamentally with the guidelines or with the US lifestyle? Both the cholesterol and blood pressure guidelines prominently emphasize prevention and lifestyle habits. Some who have raised concern about the guidelines have often overlooked this emphasis and have focused on overmedicating patients. However, the data and the guidelines are clear: too many individuals in the United States and around the world are overweight or obese, eat unhealthy diets, fail to get recommended amounts of weekly exercise, or smoke. As a consequence, too many patients have high blood pressure: above the ideal level of 120/80 mm Hg. Too many have unhealthy blood glucose levels: above the ideal level of 100 mg/dL fasting. Too many have high blood cholesterol level: above the ideal of 200 mg/dL. The problem is not the result of rigorously developed guidelines, but rather is inherent in the high prevalence of unfavorable cardiovascular risk factors. Patients and clinicians need to focus attention where it belongs: on promotion of healthy lifestyles; prevention of the risk factors in the first place; and only when needed, use drugs to reduce cardiovascular risk, following evidence-based recommendations.      

So lovely and effective. Just one point. BMI formula was developed back to 1850. At that time people were underweight. They die because of Consumption. Today we do not die because of Consumption,  named TB in present time. So, what is the reason so worry about overweight? Just follow guidance and develop medicine to reduce high blood pressure, high blood sugar, and so so on. Well, why MD needs it? The Blue Dream for MD that patient enter into clinic and MD educate victim how to eat fish and work out 75 min every week. Still, in present time regardless what patient eat fish or full grains, he or she returns back to clinic with high blood sugar and high blood pressure.
      Our MD all the time bull us that we live unhealthy life style. Do they live healthy? Look at them What BMI they do have?
   A little bit about overmedicating. What does it mean? When it is over medicaded and when it is under medicaded? How MD got this point? Personally I take a lot of medicine, and it is all the time said to me that it is too much. But I do feel I need it. Without this medicine I cannot live properly. So, when it is too much? When it is too little?
      BTW, does not MD see thet we are too overeducated with lifestyle? It is too bore really. There is no benefits but depression, abuse, bulling, and discrimination. Maybe it is time to stop to overeducate us and start to provide medicine we need rather then life style bulling?

via Ravenvoron