Tag Archives: Guest Blog

Physician Profile: Robert Ostfeld, M.D., MSc.

This physician profile is republished from the Spring 2015 edition of Good Medicine. Dr. Ostfeld will be presenting on a panel at our upcoming conference on the topic of nutrition in clinical practice. To learn more or register for the International Conference on Nutrition in Medicine: Cardiovascular Disease, visit www.ICNM15.org.

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Robert Ostfeld, M.D., MSc., director of the Cardiac Wellness Program at Montefiore Medical Center in Bronx, N.Y., and associate professor of clinical medicine at the Albert Einstein College of Medicine, will be among the leading physicians and researchers speaking at the Physicians Committee’s International Conference on Nutrition in Medicine: Cardiovascular Disease on July 31 to Aug. 1, 2015, in Washington, D.C.

In this Good Medicine exclusive, Dr. Ostfeld answers questions about the state of heart disease and tips for preventing it.

What is the one thing someone can do today to improve their heart health?

When you go to the supermarket, I suggest you walk straight to the produce aisle. Select whole foods from the sea of green, red, yellow and orange. In my 11-plus years as a practicing cardiologist, outside of emergency surgery for a life threatening problem, I have never seen anything come close to providing the breadth and depth of benefits that eating a whole-food, plant-based diet does. When you eat this way, you bathe your body in nutrients. It is good for your heart, and it may prevent or improve dozens of other medical problems and make you healthier, every second of every day. Give your body the proper fuel and watch it flourish.

If there were a single pill that could improve heart disease, your complexion, erectile function, diabetes, high cholesterol, high blood pressure, obesity, cancer, inflammatory diseases and other problems, would you be interested? It appears that it already exists, in your produce aisle.

What do you think is the No. 1 cause of the escalating heart disease epidemic?

I believe the No. 1 cause of the escalating heart disease epidemic is our toxic Western diet. Across the globe, populations that eat more of a plant-based diet have better health; whereas those that eat more of an animal-based diet do not.1 Accordingly, pathology studies have demonstrated that 65 percent of teenagers in the United States have early signs of cholesterol disease in the blood vessels that feed their hearts with blood.2 And it only gets worse. Heart and blood vessel disease is the No. 1 cause of death for both adult men and women in the United States.3

When we are born, our bodies are turbo engines. A bunch of animal products and processed foods later, we turn our bodies into clunkers. The good news, however, is that it is never too early to live more healthfully, and it is never too late. I have multiple patients in their 70s and beyond who have switched to a whole-food, plant-based diet and have seen profound improvements in their health. You can too!

  1. Esselstyn CB. Is the present therapy for coronary artery disease the radical mastectomy of the twenty-first century? Am J Cardiol. 2010;106:902-904.
  2. Stary HC. Evolution and progression of atherosclerotic lesions in coronary arteries of children and young adults.Arteriosclerosis. 1989;9(1 Suppl):I19-32.
  3. Murphy SL, Xu J, Kochanek KD. Deaths: Deaths: final data for 2010. Natl Vital Stat Rep. 2013;61:1-117.

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Physician Profile: Kim Williams, M.D.

This physician profile is republished from the Winter 2015 edition of Good Medicine. Dr. Williams will be speaking at our upcoming conference on the topic of a plant-based diet for cardiovascular disease. To learn more or register for the International Conference on Nutrition in Medicine: Cardiovascular Disease, visit PCRM.org/Conference.

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Kim Williams, M.D., president of the American College of Cardiology, will be among the world’s leading physicians and researchers speaking at the Physicians Committee’s International Conference on Nutrition in Medicine: Cardiovascular Disease on July 31 to Aug. 1, 2015, in Washington, D.C.

In this Good Medicine exclusive, Dr. Williams, who began following a vegan diet in 2003, answers questions about the state of heart disease and tips for preventing it.

Describe nutrition or lifestyle recommendations that you discuss with your patients.

Everyone who is able should exercise for at least 45 minutes most days of the week. But food quality and content are also important. High fat and high sugar content increases mortality. Plant-based diets lead to better outcomes, reduce health risks, and have a much more favorable effect on obesity, compared with the standard American diet.

What is the one thing someone can do today to improve their heart health?

Everyone needs to know their critical numbers, such as blood pressure, fasting blood sugar, cholesterol levels, body mass index, and waist circumference. They say knowledge is power. In this case, being aware of risk factors helps motivate people to make a difference.

What do you think is the No. 1 cause of the heart disease epidemic?

I’m happy to say that there is not an escalating epidemic in the United States. We have reduced cardiovascular mortality about 50 percent over the last few decades. However, internationally the numbers are climbing as people and low and middle income countries adopt a more sedentary lifestyle with less healthy foods.

ENRICH Physician Education to Improve Patient Health

This is a guest post from Angela Eakin, M.D.

As a doctor in my final year of family medicine residency, the issue of nutrition education for medical school students is particularly significant to me. The influx of chronic disease in America is linked to what we’re eating. This is why the ENRICH Act, which will expand the nutrition curriculum offered at medical schools, is so important.

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During my daily rounds, I see nutrition-related diseases in my patients. I’m not just talking about diabetes, high blood pressure, heart attacks, or strokes. Acne, migraines, chronic pain, inflammatory conditions, and many other ailments may all be amendable with dietary changes. Many of the chronic disease states in America stem from or contribute to systemic inflammation throughout the body. Inflammation is multifactorial, but what we put in our mouths or choose to keep out of our mouths can have a significant impact on the level of inflammation in the body.

The great part about this is that individuals can take control of their health through their dietary choices. The hard part about this is that there is so much conflicting information about nutrition and what is considered a “healthy” diet.

Although practicing medicine had always been my goal, I took a different path to medical school than most premed students. Instead of obtaining the common biology or chemistry degree, I completed a Bachelor of Science in nutrition and dietetics, followed by a Master of Science in nutrition science. I was excited to apply and expand my strong base of nutrition knowledge in medical school. However, I quickly learned that nutrition is not emphasized in the core curriculum—despite the fact that many of our country’s health problems stem from dietary choices.

My peers and I wanted to promote health in our future patients, but received very little education about how lifestyle choices, including diet, can directly impact disease risk and outcome.

Throughout my years of training one large realization has really stuck with me: Even the health care industry is nutritionally under-served. 

Misleading headlines and conflicting data can confuse providers just as much as the general public. However, through this confusion, physicians still aim to provide patients with optimal dietary advice. But how does a provider know what is the optimal advice? Even if a provider feels they know the optimal advice, do they feel confident enough to counsel patients?

These are questions that require attention if we want to help the millions of Americans who suffer from dietary related chronic diseases. Although there has been some support in the past, a renewed effort to help medical students learn and apply basic nutrition knowledge is desperately needed. The ENRICH act will educate future health care leaders about the importance of nutrition, arming them with tools to help reverse the rising chronic disease epidemics.

If we can help someone delay starting a medication, come off a medication, or reverse a chronic disease, then we’ve succeeded.

For more information about the ENRICH Act and to ask your members of Congress to co-sponsor this bill, go to www.ENRICHYourHealth.org.

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