Host: Deanna Minich, PhD, CNS, FACN, IFMCP Guest: Mark Houston, MD, MS, FAHA, FASH, DABC Drs. Mark Houston and Deanna Minich delve into the science and proper clinical use of omega-3 fatty acids for the prevention and treatment of heart-related conditions. Dr. Houston vets the methodology and validity of 3 major meta-analyses related to omega-3s and heart health outcomes,1-3 helping to demystify the seemingly complex science and conflicting conclusions, so you can understand the data. Drs. Houston and Minich also discuss food…

by Ashley Jordan Ferira, PhD, RDN   Heart disease is killer Cardiovascular disease is the #1 cause of mortality globally (17.9 million deaths annually),1 so it makes sense that researchers, clinicians, and health policymakers want to hunt down the culprit(s) of the heart disease epidemic. Recognized risk factors for heart disease include overweight and obesity, hypertension, dyslipidemia, excessive alcohol consumption, physical inactivity, and smoking.2 With the exception of smoking and physical activity habits, one’s nutrition choices (i.e., diet) can mitigate…

by Lewis Chang, PhD Intermittent Energy Restriction (IER) vs. Continuous Energy Restriction (CER) Excess energy intake over time contributes to weight gain and the obesity epidemic; therefore, restricting food intake is essential in weight management. Although cutting calories daily can be successful for short-term weight loss, the majority of individuals regain their lost weight in the long term as a result of compensatory physiological adaptations. For example, resting energy expenditure (REE)—the minimum energy needed to maintain vital physiological functions such…

by Bianca Garilli, ND Physical inactivity prevalence among adolescents aged 11-17 years was estimated to be 81% globally in 2010, where insufficient physical activity (PA) was measured as < 60 minutes of moderate-to-vigorous-intensity PA daily per WHO guidelines.1 As part of the 60 minute/day exercise recommendation, the US Department of Health and Human Services recommends that aerobic activity should be incorporated at least 3 days/week, muscle-strengthening at least 3 days/week, and bone-strengthening activities at least 3 days/week.2 It is well…

by Christopher Moulton, PhD Depression is one of the most common mood disorders in the US and worldwide. In 2016 an estimated 16.2 million adults, or 6.7% of US adults, suffered at least one major depressive episode,1 while globally more than 300 million are afflicted.2 Further, depression is comorbid with numerous chronic disease states including cardiovascular disease,3 type 2 diabetes,4 inflammatory bowel disease,5 and cognitive decline.6 Current frontline therapies such as psychotherapy and antidepressant medications present challenges related to treatment…

by Whitney Crouch, RDN, CLT The overweight and obesity epidemic in America Worldwide, obesity rates have tripled since 1975. In 2016, more than 1.9 billion adults 18 years and older were overweight. Of these, over 650 million were obese.1 The National Health and Nutrition Examination Survey (NHANES) is a cross-sectional survey that represents the civilian, noninstitutionalized population.2 NHANES studies are crucial for looking at many aspects of community health in the US, like the worsening epidemic of overweight and obesity.…

by Christopher Keroack, MD, IFMCP Excess adiposity remains one of the leading healthcare concerns in America. Two-thirds of our nation is overweight and one-third is obese.1 As a healthcare force, we recognize that lifestyle factors like nutrition and physical activity are major contributors to this epidemic. Because of this, novel approaches to nutrition have come about in the last decade to address this epidemic…some helpful, others not so much. Along with Hippocrates, the father of healthcare who said, “There are…

Host: Deanna Minich, PhD, CNS, FACN, IFMCP Guest: Christopher Keroack, MD, IFMCP You may have heard about the ketogenic diet. This high-fat, low-carbohydrate, moderate-protein dietary pattern has experienced a revival of sorts in the mainstream media and dieting world. But, before “keto” was a contemporary fad, how was it used? In fact, there is ~100 years of science supporting the ketogenic diet. To shed light on its history of use and elucidate practical areas of clinical application, Drs. Deanna Minich and Christopher…

by Annalouise O’Connor, PhD, RD Dyslipidemia is defined as an abnormal level of lipids in the blood and is often described most simplistically as greater levels of total or low-density lipoprotein (LDL), the “bad” cholesterol or particle number, or lower levels of high-density lipoprotein (HDL), the “good” cholesterol. Dyslipidemia is linked with cardiovascular risk and is highly prevalent: The minority of adults (46.6%) in the US have on-target total cholesterol levels (<200mg/dL).1 With cardiovascular disease (CVD) responsible for one in every…

by Bianca Garilli, ND Body mass index (BMI) is frequently utilized in clinical practice to assess for risk of cardiometabolic disease (CMD). High BMI measurements are associated with insulin resistance along with other markers of CMD such as elevated blood glucose and triglycerides, low HDL cholesterol, and elevated blood pressure.1 By way of review, a BMI > 30 indicates obesity, which is linked to increased risk of chronic illness, particularly CMD; a BMI 25-29 is considered overweight, and a BMI…