A pill that contains four different medicines and is designed to be taken daily could dramatically reduce the number of heart attacks and strokes, a new study has found. The polypill – which is the generic term used to describe a medication that contains multiple active pharmaceutical ingredients – contains aspirin, a cholesterol-lowering statin and two drugs to reduce blood pressure. For the study, researchers from Iran and the UK studied around 6,800 people from more than 100 villages in Iran. Half were given the polypill and advice on how to improve their health through lifestyle changes and the other half were just given the lifestyle changes advice. After five years, the group taking the polypill had experienced 202 cardiovascular events, while the group that had just been given the advice had experienced 301 cardiovascular events. In other words, the group taking the polypill had experienced around a third less cardiovascular events. The researchers say the pill costs just pennies a day, but could have a huge impact, especially in poorer countries where doctors have fewer options available to them. Stroke and coronary heart disease are the top two causes of death worldwide, killing more than 15 million people each year. Obesity, smoking and doing little exercise are all risk factors associated with an unhealthy heart. Based on the findings of the study, if 35 people were all given the polypill daily, it would prevent one of them developing a major heart problem within 5 years. “Given the polypill's affordability, there is considerable potential to improve cardiovascular health and to prevent the world's leading cause of death,” said Dr Nizal Sarrafzadegan, of Isfahan University of Medical Sciences, Iran. The findings of the research are published in The Lancet.
Postmenopausal women who have more fat on their legs and thighs have less risk of stroke or heart disease than their peers who carry fat around their stomach, a new study has found. As a result of the research, the findings of which appear in the European Heart Journal, scientists say women should aim to be more “pear-shaped” than “apple-shaped”. For the research, scientists followed 2,600 women with BMIs of between 187 and 25 for 18 years. The scientists found that the women who were apple-shaped i.e. had fat around their stomachs were more than three times more likely to develop cardiovascular disease than the women who were pear-shaped i.e. had fat on their legs and thighs. It’s already known that fat stored in the visceral region (around the abdominal organs) can increase a person’s chances of developing type-2 diabetes and cardiovascular problems, but the exact reasons why remain unknown. Further research is needed. The advice for women (and men) is to reduce the amount of fat they have stored around their stomachs. Speaking about the findings of the study, Dr Sonya Babu-Narayan, associate medical director at the British Heart Foundation, said: “This study uncovers an interesting link between where fat is stored and your risk of heart attack and stroke, but can't tell us why it exists. “Future research to uncover how the distribution of body fat is related to these diseases could reveal important new ways to prevent and treat the world's biggest killer.”
Do you take supplements containing omega-3 fish oil in the belief they are helping to protect your heart? A new study suggests you could be wasting your money. Researchers from Cochrane analysed trials involving more than 100,000 people and discovered little proof that omega-3 supplements prevented heart disease. In fact, they say the chance of getting any benefits from such supplements is one in 1,000. However, despite this, the researchers still maintain that eating oily fish as part of a healthy diet is beneficial. Indeed, NHS guidelines state that people should try to eat two portions of fish each week, one of which, ideally, should be oily fish such as mackerel, salmon or fresh tuna. This is so they get enough “good” fats. Speaking about the findings of the research, Prof Tim Chico, a cardiologist from Sheffield University, said: “There was a period where people who had suffered a heart attack were prescribed these on the NHS. This stopped some years ago. “Such supplements come with a significant cost, so my advice to anyone buying them in the hope that they reduce the risk of heart disease, I'd advise them to spend their money on vegetables instead.” Dr Lee Hooper, from the University of East Anglia, said: “The most trustworthy studies consistently showed little or no effect of long-chain omega-3 fats on cardiovascular health.” Nevertheless, Dr Carrie Ruxton from the UK’s Health and Food Supplements Information Service said supplements containing omega-3 can still play an important role for people who don’t eat oily fish – especially as omega-3 also benefits the brain, eyes and immune function.
More than 20 million people in Britain are physically inactive and increasing their risk of heart disease, according to a new report by the British Heart Foundation. The charity has warned that the lack of exercise by such a large proportion of the British population is costing the NHS a staggering £1.2bn each year. Women are 36% more likely than men to be physically inactive, which the report defines as not meeting the UK government's guidelines for physical activity - 150 minutes of moderate to vigorous intensity physical activity and strength exercises on two or more days a week. However, despite the report finding that 11.8 million women were physically inactive compared with 8.3 million men, it is actually men who sit down for longer (78 days a year compared to 74 for women). Furthermore, inactivity levels differ by region. For example, 47% (2.7 million) of people living in the North West of England were found to be inactive, whereas people in the South East had the lowest rate at 34%. Over five million deaths across the world each year are attributed to physical inactivity, making it one of the top 10 leading causes of death. In the UK, physical inactivity contributes to almost one in 10 premature deaths from coronary heart disease each year, as well as one in six deaths from any cause. Dr Mike Knapton, associate medical director at the British Heart Foundation, said: "Levels of physical inactivity and sedentary behaviour in the UK remain stubbornly high, and, combined, these two risk factors present a substantial threat to our cardiovascular health and risk of early death.
A Mediterranean-inspired meal with lashings of virgin olive oil may help to protect your heart, according to new research. Cholesterol is carried around the blood by two different types of molecules called lipoproteins: low-density lipoprotein (LDL) and high-density lipoprotein (HDL). You'll most likely know LDL as "bad cholesterol". That's because high levels of LDL can lead to plaque building up in arteries, which can result in heart disease and stroke. HDL, on the other hand, the so-called "good bacteria", actually absorbs cholesterol and carries it to the liver where it is flushed from the body. That's why having high levels of HDL can reduce your risk of heart disease and stroke. Previous research has shown that the Mediterranean diet can protect against the development of heart disease as it improves the lipid profile of HDLs. The new research - which was led by Montserrat Fitó, Ph.D., coordinator of the Cardiovascular Risk and Nutrition Research Group at the Hospital del Mar Medical Research Institute in Barcelona, Spain - aimed to determine whether eating a Mediterranean diet rich in virgin olive oil or nuts over a long period of time would improve the beneficial properties of HDL in humans. Fitó's team randomly selected a total of 296 people who already had a high risk of heart disease and were participating in a separate study. They had an average age of 66 and were assigned to one of three diets for a year. They found that the individuals on the Mediterranean diet enriched with virgin olive oil had improved HDL functions. "Following a Mediterranean diet rich in virgin olive oil could protect our cardiovascular health in several ways, including making our 'good cholesterol' work in a more complete way," said Fitó.
According to the World Health Organisation (WHO), 30% of total premature deaths around the world are the result of cardiovascular diseases – making them the leading cause of death today. However, a recent report by the French Directorate for Research, Studies and the Evaluation of Statistics (DREES) shows that France is ahead of its EU neighbours in terms of cardiovascular health. Deaths from strokes – one of the most common types of cardiovascular disease – fell by an incredible 30% in France between the year 2000 and 2010. With statistics like these in mind, is it not hard to think of anywhere else to go for surgery? But should it come as any surprise that French citizens are enjoying better cardiovascular health than the rest of Europe? After all, we’ve already told you about some revolutionary health-improving initiatives, such as the public smoking bans in Paris playgrounds and the more recent plans to ban older and more polluting vehicles from the nation’s capital. France is often considered as a country where individuals drink alcohol and smoke cigarettes almost out of habit. However, by 2009, France had fallen in the ‘who drinks the most alcohol stakes’ to fifth place. A similar trend has been witnessed when it comes to tobacco, with a sharp downturn being reported by French researchers between 2012 and 2013. So, if you’re considering a medical procedure abroad, France Surgery could be just the people you’ve been looking for.