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• 40% of people between 40 and 60 yrs have heart disease and by the time we reach
60 to 80yrs, more than 70% suffer from heart diseases. Of these numbers, 60%
suffer from 2 or more co-morbidities (AHA Heart Dis & Stroke, 2010)
• By age 60, nearly 60% of people have high blood cholesterol and fat (triglycerides)
levels. Increasing the risk of disease and death (Center for Disease Control, 2010
FastStats Heart Report) Elevated triglyceride levels leads to faster onset and
complications of diabetes and increases levels of inflammation of the body and
further increasing the risk of other compromised health conditions including a 40%
higher risk for cognitive impairment and Alzheimer’s.
The Heart of the
Matter
These are Preventable Chronic Diseases that can be Managed with
Therapeutic Nutrition
•Diabetes and Obesity are two independent risk factors of/for heart disease with 15% of
those 55yr plus and 20% of those 65 yrs plus being diabetic – of these, 80% have heart
disease issues - 65% of diabetics die from some form of heart disease (Circulation 2010;121:e1-
e170; AHA Journals; MMWR 2010 Natl Vital Statistics)
•65% over age 55 are overweight & obese. Another 40% of those over 45 yrs are pre-
diabetic and not yet diagnosed. (Am.HeartAssoc. 2010 Statistical Fact Sheet).
•Heart Disease, Diabetes and Obesity (sometimes also described as the “metabolic
syndrome’) are chronic diseases with a basis in diet and inactivity. Therapeutic Nutrition &
Exercise is an important way to manage heart and diabetic health needs along with a
healthy body weight (NHANES, 2005-2006)
Body Composition
• While loss of muscle mass in aging decreases survival rates by 20%, Heart Disease
accelerates this rate by up to 30% more (Lancet, 1997; Obesity Research 2004)
• Maintaining lean muscle mass and function helps maintain ideal body weight with
less fat mass and BMI’s of between 23 and 29 (Obesity Res.2004;12:913; Obesity Res. 2004;
12:1995; JAGS,1999;48:1409)
• Active Nutrients like leucine work directly on lean mass and are more important
than calories in general to maintain body weight and are critical to a successful
weight control/reduction program (British Med J.2008;337:92-95)
Reducing the Risk
• Lowering triglycerides and cholesterol reduces the risk of heart disease and provides better
management of Diabetes (Science 2003;300:1140)
• Control of Post-Meal Glucose & Triglycerides decreases co-morbidities and mortality rates
(Eur.J.Clin.Nut 2004;Diab.Metab.2002;28:20
• Nearly 60% of those age 60yrs and above report little to no activity or exercise during
leisure time. This results in a decrease of lean muscle mass, an increase in fat mass and a
decrease in heart health with high risk of diabetes or complications of diabetes (AHA 2010
Statistical Fact Sheets Physical Inactivity and Diabetes; J.Geront A Biol Sci.MedSci, 2008)
• Moderate Activity combined with High Leucine Essential Amino Acid Supplement can help
increase and maintain muscle mass and avoid increase of fat mass thus maintaining energy
levels, supporting normal blood glucose and blood lipid levels (Clin. Nutrition,2008)
Reducing the Risk
Maintaining Lean Muscle Mass with moderate activity and Nutritional Support is
a Critical Health Management Objective for Healthy Aging Outcomes
35
Protein Synthesis/Gram Supplement
Proprietary Blends of Protein with high levels of essential amino acids and
Leucine help manage the risks of heart disease and diabetes.
TG concentration at baseline (mg/dl)
50-99 100-149 >150
0 8 16
Week
16 weeks of intake of essential amino acid/high leucine intake resulted in up to a 50% reduction of
serum (left) and liver (right) triglyceride levels and thus reduces the complications of the risk of heart
disease and that of insulin resistance and poor blood glucose control in managing Diabetes
Leucine and Muscle
Function
Specialized Protein blends high in Leucine and essential amino acids, overcome the
resistance of muscles to function and help improve daily activity levels as soon as 8
weeks of supplementation.
Triglyceride and
Insulin
Young Old
Elevated triglyceride levels in older subjects leads to insulin resistance as a result of higher fat
in the muscle, lower energy use by muscle cells and lower control of glucose metabolism
(Science 2003; 300:1186)
Lower Triglycerides
A Protein Blend of Essential Amino Acids High in Leucine is Effective at Lowering Serum
and Liver triglycerides as Compared to Changes seen with Prescription Medication
Fig 1
Fig 2
New research findings reveal that the essential amino acid blends work as well as prescription medications (fenofibrate) in
lowering serum triglycerides (Fig 1) and is more effective at lowering liver triglyceride (Fig 2) levels. These results were found
in a group of 12 subjects with impaired glucose tolerance (average age – 67.5 yrs). Changes in liver enzymes were elevated
only in the fenofibrate group.
Decreasing fat levels also parallel a measured improvement in insulin sensitivity and improved glucose tolerance over an 8
week period of nutrient supplementation.
Phytosterols
By Combining Natural Phytosterols with the High Leucine/Essential Amino Acid Protein Blend,
Significant reduction in total cholesterol and LDL is also observed over a 4 week period
(Am. J.Clin.Nut, 1999)
-8.3%
-8.3% -14.3%
The Heart of the
Matter
Natural Phytosterols help increase HDL levels while decreasing LDL levels and ratio of LDL:HDL;
Small improvement in blood pressure was observed helping to reduce to overall risk and complications
of heart disease
3.6 g/d Phytrol reduces Total Cholesterol, Modest numerical decrease in systolic pressure;
LDL-Cholesterol, and LDL:HDL ratio negligible decrease in diastolic pressure.
while maintaining HDL
Summary
• Elevated triglyceride and cholesterol levels not only complicate heart health but lead to
Diabetes and the need to manage insulin resistance and glucose
• By the time we reach 60 yrs and above, 20% will have Diabetes, 80% some type of heart
disease and 60% with elevated fat levels in the blood, liver and muscle.
• Specialized blends of High Leucine/Essential Amino Acid Proteins help lower serum
and liver triglyceride levels which helps control energy levels and glucose levels and thus
effectively helps manage heart health co-morbidities including Diabetes.
• Natural phytosterols in combination with the above will help lower total cholesterol and
LDL levels and reduce the risk of heart disease by up to 18%.
Comparisons of EAA’s Human experimental Dose and Optimal availability Superior stimulation
& Leucine vs... other J Clin Endocrinol Metabo combination use of protein synthesis
89:4351-4358, Sep 2004.
proteins and products
Relationship of Protein In Vivo and Human Omega-3 effect on Control of Protein and
Metabolism and experimental inflammation and inflammation Inflammatory control
Inflammatory Control J of Nutrition 2008; protein metabolism as synergistic benefit
138:954-963
Bed rest with EAA Human Control Supplementation Effective Specific Outcome
supplementation Clin Nutr 29:18-23, Feb ameliorates effect of supplementation stops improvements
2010
bed rest muscle loss
Healthy Aging