American Heart Association: Go Red For Women

finding work site a support groups she received her master's and specialist degrees from us in counselor education I'd like to welcome dr. a new college a sports certified cardiologist and director of women's heart clinic at the arrow in Jacksonville her research interests include women's heart disease peripheral artery disease and preventive cardiology children BA from the University of Virginia and also completed her medical residency in cardiovascular medicine and party has an imaging fellowship there laughs at not least please welcome sandy decrepit who is a registered dietician and co-owner of dietitians of Palm Valley which is a nutrition current practice in Ponte Vedra Beach and also the official dietitians of the Jacksonville Jaguars Sammy Ellis from Pittsburgh Pennsylvania she went to Penn State received her bachelor's in nutritional sciences and a minor in kinesiology she's worked as a registered dietician for over five years and specializes in nutrition counseling motivational interviewing corporate wellness grocery store tours and public speaking I'd like to start with dr. Pollock ask you if you have any tips no these questions come up alive about how we can improve our heart health as women and families in the community for ourselves and our families well grace that's a fantastic question I just wanted to start off by theme that I'm so thankful to be here because if you guys have done an amazing job and there's just such a special day so it's wonderful to be part of this you know you know I'm gonna get one of these great but it's improve leave your answer to your question the three tips would be to make one dietary change make one exercise change to know your numbers so just for the dietary change how do you know whether there's some heart of our diet that we want to do better right although that was too exhausting for me I know that I need to do it but with the flossing so everything with the dietary changes you know it chews one day lower salt or vegetables or less of these simple sugars the white breads pastas white rice choose one of those make that change today and let that change then grow for the exercise it's important is to be getting out there and doing some physical activity really every day and the best tip I have for that is if you have no time and everyone here is super busy I'll give you an example and when the patient service this week Hospital and I wanted to get up yesterday money to exercise and I did it this morning that we've got 20 minutes left it's not even a half an hour workout in and I said you know right and so I think we have to be flexible and understand it with ourselves so to have five or ten minutes get out there the use of that time and then the last part of it is knowing your numbers you are doing some in-house training it's so critical to know your blood pressure to know if you're at risk for stroke or heart attack knowing your cholesterol your blood sugar your weight on me – oh those are doing three tips thank you so much Sam obviously over being overweight and obesity are huge problems in our communities and that is affecting and impacting their children and teens and younger and younger ages in America I think it's three times the number now than it was in 1963 that is the wave of obesity how did parent balance teaching kids to eat healthy without creating in my healthy obsession with Wayne and image looking at that question I want to focus on the last part of it where it says without creating an obsessive behavior or a mood and body image how do you enjoy waiting to hear let's get a hand great all right perfect I'm definitely so I am a registered dietician I am NOT the food police and I think in a bar culture if a doctor says to you you need to be a healthy weight right you need to go and lose weight we get on Google at least I gotta lose weight and boy do we find some fun stuff on there and so when it comes to children I think we need to really shift that focus not wait but behavior genes right and so where do children learn their behaviors from their peers like dirt their bearings as well as teachers and kids in school as well but still if mom or dad he's their body talks about how much they hate their body restricts food groups said you can't have cookies cookies are bad where do children learn that right and so it all starts on creating a very positive relationship with food but also with their body and focusing on behavior change we never need to look at point at them and say you need to lose weight they have a ton of growing to do so really focusing on that behavior change similar to like dr. Pollock said let's focus on their hydration let's get them enough running around let's make sure they get breakfast in before they leave the house we do not need to become obsessed with that weight but more so look at it from a behavior to standpoint thank you Sam I'm going to talk about stress how many of you find yourselves to be too busy extreme stress so again I'm so grateful to be here and I love the knowing laughter that nobody in this room is stress we're talking about everybody outside of your you know just physiologically speaking when we have acute stress our bodies are so wonderful it's such a gift that we get to have our heart rate increase we get to have our digestion slowed there we get to have our breathing quicken to get out of Dodge right also either might work late that worked great when we were getting chased by bears back in the day but the problem is our bodies are almost and our minds are respond they were working among there's all day and under prolonged stress the problem is that with our adrenal glands secrete cortisol which is a primary source hormone it interferes in our sleep it messes with our concentration and our focus and under prolonged stress we oftentimes feel like our interviews just act so we become less physically active all of those things give rise to the opportunities to affect our heart to affect our blood pressure that's a statistic that's been around for probably the last two decades that 70 to 90 percent of all doctors visits are because of stress as far as you know we have it's important to recognize our our lifestyle behaviors as we do a lot of numbing behaviors and the problem with numbing our emotional distress is that we know that everything and this is Herbert a renowned for those familiar with her when she says you cannot select what emotion is known we end up numbering all of it so we're nothing our joy laughter as well Sam we have another question for you you know something that many of us deal with and work and sort of struggle with is this thing called yo-yo dieting right we die and lose weight we go up the diet and the way back in this sort of merry-go-round of weight how bad is that for your health can you say more for us on that Sam so first I know it we all say we don't like diving my real agreed on that how many of us have tried a diet afford right okay and how sustainable has that been right and so we've cycling what we were talking about a little bit of gaining losing than gaining more losing definitely not as detrimental effects on our health but I do we need to look at the root cause if diet is the problem it is not your body the word calorie was completed in the 1800 and had absolutely nothing to do with food it talked about the fuelling of machine and then someone said about our bodies like a machine we need to fuel our body and then it's stuck but yet that we're in a society that cuts calories some women aren't eating 1200 calorie day that is the average nutritional need for a two-year-old I want that to sink in I hope all of you you're probably over two years old if you're in this room hear me more than 1200 calories and I truly mean that so again coming back to yes we cycling is not good for our body but saying okay I'm going to ditch that diet mentality and learn how to feel my body and although I am a dietician I have an absolutely human and I always share my story shameless plug pull out your phones I'm going social media look up dieticians O'Malley but on there I do like to share that I've been in a much heavier body that I'm in right now so I understand we're not doctor Queens that you and so you need to lose weight you have this urgency and you want to do anything to see that number of you but it all comes back to focus on behavior to not focus on weight thank you thank you dr. paula the question for you as women we are supposed to have our first mammogram at 40 first colonoscopy in 50 that's not just women are there any baseline of heart test that we should have and how do you know what we do one that's a really good question I think that everybody men and women should have their cholesterol checked and that something may not miss a track with donek you may be exercising on a regular basis you may be eating a great diet maybe in the my body weight there may be a genetic reason for having high cholesterol so it's critical to know what that number is so that's an important test knowing what the blood pressure is as you spoke about because high blood pressure is called the silent killer because you don't know it's really affecting the body until either for such a long time or that such a high level that you're really acutely feeling poorly and then it was about their heart tenderly EKGs are stressed has it that early inches upon if you're having symptoms but I do think I'm prevented to approach with you going through your annual physical exam for blood pressure wave length sugar cholesterol making sure you're not smoking or working on active smoking association is all part of that routine preventative approach if your are the symptoms take this down another path completely thank you so when were a question for you about diets again you know you know is kind of a fad now obviously intermittent fasting low carb diets what's your take on them and how really are they affecting Americans and do you have a you kind of spoke to it already what do you think is the best and healthiest way to lose and maintain your weight so lipid I mean if I know I think you all really know my personal opinion on diets but enter any diet into the mix and it usually has restriction deprivation and cut something out right so let's use the keto diet as an example which is not the heart-healthy aesthetically become agreed on that I know the American Heart Association has put out some great research that's really shedding light on that he hasn't really been in existence long enough and people haven't been on it long enough to really know the harmful health effects it is having but we primarily on the keto diet will worship carbohydrate so I want you guys to think about a bow and arrow if we hold up a bow and arrow and we pulled up though that can we say no carbs no carbs no carbs no carbs we get to a breaking point where we say screw that I want some carbs and we let go and that arrow flies so much further than if we were allowed to eat carbohydrates you guys have a wonderful lunch that was prepped for you today that's had a nice hurtful tigre do you want we have chicken we have vegetables we have a great dessert too that includes fruit but then also some things speak for enjoyment we talk about diet the Mediterranean diets they go that the best diet or really what it is is eating everything and I can't I can't say that enough like people ask me all the time what do you eat everything I eat all the foods and it's it's a learning how to pull that all together and know that healthy relationship thank you I'd like to go back to the topic of anxiety and stress Michelle one of the topics that comes up a lot is the increased incidence of anxiety stress and related issues and disorders even with teens and also in Millennials can you tell us more about that and how we should manage that I think you know first of all the American Heart Association and I can think in 2013 to de study it was 25 years to 74 years older participants was 6,000 plus nationally-representative participants followed them for 22 years as a longitudinal study and what it showed is that people that had high anxiety in that group were more apt to use as I was saying before numbing activities like smoking possibly food alcohol drugs so all of that you know really gets in the way for us and I think we are so big right now into multitasking you know how many of you drive your car and if you're not looking at your phone you're almost bored I mean it's pretty scary that we feel like we need to be doing something else besides Charlie when we're driving so you know the idea of the unit actually the idea of us giving ourselves permission to slow down and to do one thing sometimes it seems so novel there's even mats you can check this out and I just came across my Etsy that says turn off your curling iron you know we do a lot of things multiple things when we're getting our house in the infirmary at work that we didn't do constantly so that's a brilliant little message events but I would say as far as tips though you know one of the things that we're all doing right now is we are breathing and being able to practice and incorporate you have five minutes a day one minute five times throughout the day to really focus under chance of taking some deep breaths is the most effective way that I know slowed-down arsenic nervous system and to get our cortisol back to these files so that we can take on whatever else and something will so being able to do that even in my practice being able to let people know to you know scale of 0 to 10 where are you audience where you feel it in your body even that connects us more to the present moment thank you so much Michelle I talk to Colin you know we we all know that women and exhibit heart attack symptoms that are different from how men do how do we distinguish between just being stressed to being really at risk of a heart attack that's such an important thing to be thinking about because fundamentally we've been talking about stress and how that's really an inherent part of our lives but I think in terms of those warning symptoms that really would prompt an evaluation here somebody who has never had chest pain or pressure some discomfort in the jaw back shoulder and it comes on and all of a sudden it is intense that should not be just considered a game sight you need to get that checked out make sure that's related to your heart or not you know sometimes it's breaking out into a cold sweat or even just this feeling up on the well that you know something is not right and I find that women like men often are really in tune with their bodies and so if I'm confused in the emergency room who said something does not elaborate inside and it really taken take attention to that so I think that the symptoms can be varied in addition to the Chesapeake and in fact when they've looked at women who are presenting with an actual heart attack 60% of the time women will complain of chest pain or pressure so the flipside of that is obviously 40% of the time when a woman is actually having a heart attack she will not have she will not have chest pressure so that's where it's so important to pay attention to some of those other symptoms I became the cardiologist in part because my grandmother had a heart attack the day I graduated from college and her septum was indigestion and she's been having that symptom for years and she was told by her doctor that she needed to cut down on spicy foods with some weight nexium but really that was her a general equivalent and we've come so the ORS at that time in knowledge that you know indigestion can be a sign of heart pain for women so you need to pay attention to the symptoms and then the last part I'll say is that there is this heart disease wrong broad umbrella term that people women can have symptoms related to their heart not due to a heart attack related to cholesterol buildup you can have a heart attack related to when to the air inside that coronary artery coronary artery dissection that happens in otherwise healthy young women who are very fit and you can have an irregular heart rhythm that causes chest pain or a weakening of the heart muscle so you have either a gradual change in how you're feeling or an abrupt change with new symptoms either one of those with fronted evaluation thank you before we close I'd love to ask each of you what one piece of advice you might have for folks in this audience as they leave here today Michelle we'll start with you they think you know going back to Sammy's first question about how to help our children to meet children are recorders for everything we don't want them to hear and because of that I think we can start by speaking with the utmost respect and kindness towards ourselves about ourselves and that's something you can do is suck it walk out of this room today I think I'm gonna bounce right off what you're saying when I work with clients on one on one one of the first things I'll talk to them about is things that you're saying in your head about your body would you ever say that to your daughter or your mother or your sister or your girlfriend probably not if the answer is no we shouldn't be saying it to ourselves so from a nutrition side yes of course there are some things we can do but mending a relationship with ourselves our own body and to also food just looking at food as people understanding that everything fits in moderation I think the stress reduction eating very healthy type and obviously your long term crave as for their risk and we know that windows – and you're under stress and you know that higher level of cortisol most of us so then that I want to create those sugary Sulli funny I don't like fried chicken but when I was in med school and I learned yeah maybe a chicken restaurant it looks like every day it was a little even under stress I always think under stress a healthy diet we're gonna be able to have that end-effector leading longer and healthier lives free of cardiovascular disease oh thank you all so much would you all enjoy [Applause]

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