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ANGINA AND YOUR DIET: WHAT IS WRONG WITH OUR DIET? IS WHAT WE EAT IMPORTANT?
Many scientific studies have demonstrated the link between what we eat and the diseases we may suffer from, for example, Coronary Heart Disease (CHD) which is linked to eating too much fat, in particular, saturated fat (animal fat). A study was made by Ansel Keys1 in which he looked at men in Japan, Greece, Yugoslavia, Italy, the Netherlands, USA and Finland. The findings were that countries which have high levels of CHD such as the USA and Finland consume relatively large amounts of saturated fat and have high levels of cholesterol in their blood. Countries such as Japan and Greece which have relatively low levels of CHD consume much lower amounts of saturated fat and have lower levels of cholesterol in their blood. This research began to link CHD with diet and the amount of cholesterol in our blood.
A large research study in Framingham, Massachusetts, USA looked at what happens if you follow a group of middle-aged men for a period of several years and monitor their level of cholesterol and the rate of CHD. They found that the higher the level of cholesterol, the higher the rate of CHD, again demonstrating the link between cholesterol and heart disease.2
The question then asked was what happens if you lower a person’s blood cholesterol? Does this reduce their chance of developing CHD? It has been demonstrated in many studies, using both drugs and diet to reduce blood cholesterol, that in fact it does.
In the Los Angeles Veterans Administrative Study,3 846 male volunteers aged 55-89 received either a typical North American diet or a reduced fat diet, similar to the one explained in this chapter. The men were then followed for 8 years. It was found that cholesterol was reduced by 13 per cent, and deaths due to the furring up of arteries were very much reduced, in those who had been receiving the reduced fat diet.
How does all this help you if you are suffering from angina?
Further studies now show that reducing your level of cholesterol may halt the furring up of your blood vessels. For example, research in Helsinki, Finland4 looked at 36 men and 2 women with coronary artery disease, while on a special diet. They succeeded in reducing their cholesterol, and they were then monitored for a period of seven years. The results were then compared with a group of men and women, also with coronary artery disease, but who had not reduced their cholesterol level. The results demonstrated that the furring up of the arteries in those with reduced cholesterol levels progressed more slowly than those who had not reduced their cholesterol. So reducing your cholesterol by controlling your diet may prevent your heart disease from getting worse.
Do we know what we should eat?
Most of us know the Healthy Eating messages. We know that eating too much fat is bad for our hearts. We know that sugar and sweets will rot our teeth and may make us fat. We know that eating too much food and taking too little exercise is the reason we get overweight, so why do we do it? We know that we should eat more fibre, more bread, vegetables and fruit. We know that if we could only eat ‘Healthy Food’ we would be leaner, fitter and healthier, so why don’t we do it?
Why do people with angina find it hard to eat healthily?
There are many reasons:
We may not know how to cook healthily.
We may be worried that the shopping bills will rise.
We may be worried that the family will complain about ’strange food’.
The local shops may only have a limited selection of food.
We may be trying to eat less fat but are not sure which foods are low in fat.
We may be baffled by the food labels.
We may be unsure of what is healthy when so many things seem to be bad for us.
We may be just stuck in our ways!
We may feel that one of the big problems is that the experts are always changing their minds.
We seem to read a different story in the paper every week.
Write down/make a list of any problems you have experienced in trying to change to a healthier diet.
The next section explores the roots of some of your eating habits.
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