PREPARED BY:

HEALTH MINISTRIES DEPARTMENT

KONFERENS DKI JAKARTA & SEKITARNYA
2010
DIET & HEART DISEASE

Conquering the Number One Killer

Progression of Coronary Artery
Disease Coronary
Insufficiency
% of Artery Remaining Open (Angina Ischemic
100
Pectoris Cardio-
MI
70 myopathy
40

No Symptoms
20
10 Symptomatic
Congestive Heart Failure

AGE 10 20 40 60 70
Atherosclerotic Fatty Streak
Involvement of the Aorta
Development of an Atherosclerotic Plaque
Ulceration
Degenerating cells Fibrous cap
Smooth muscle cell
Fat
Artery Cholesterol crystals
wall
 Serum Cholesterol and
Mortality Risk
200 183

140
150
Mortality
80
Risk 100 58
55

50

0
200 200-219 220-239 240-259 260+
Cholesterol Level
Cholesterol Above 150 Increases
Risk of Death from Heart Disease
18
16
Death 14
Rate 12
per 1,000
10
Men
8
6
4
2

140 160 180 200 220 240 260 280 300

Serum Cholesterol
Sources of Dietary Cholesterol
Cholesterol is Fruits, vegetables,
found only in grains, and nuts contain
animal foods no cholesterol
 Cholesterol in Foods
Items (3 oz.) Chol. (mg) Items (3 oz.) Chol. (mg)
Fruits 0 Egg White 0
Grains 0 Mayonaise 8
Nuts 0 Ice Cream, 1/2c 29
Vegetables 0 Butter, 1 Tbs 31
Egg, 1 large 213
Milk, non-fat, 1c 4
Milk, 2%, 1c 18 Tuna 26
Milk, whole, 1c 33 Clams 57
Crab 64
 Cholesterol in Foods
Items (3 oz.) Chol. (mg) Items (3 oz.) Chol. (mg)
Chicken breast, 73 Shrimp 165
no skin Beef kidney 329
Pork 76 Beef liver 410
Beef, sirloin 80 Caviar 500
Chicken breast & 82 Beef brains 1697
skin
Oyster 84
Sardines 120
Vascular Damage from
Oxidized Cholesterol
Oxidized cholesterol fed to rabbits and monkeys
produced dramatic vascular damage within 24
hours.

Pure, non-oxidized cholesterol produced

no vascular damage.
 Foods Containing Harmful
Cholesterol By-Products
Sources of the most harmful cholesterol to monkey aortas are:

1. Custard mixes
2. Pancake mixes
3. Parmesan Cheese
4. Lard
Especially Harmful
Especially harmful are the custards
and puddings in which milk, eggs, and
sugar are the chief ingredients. The
free use of milk and sugar together
should be avoided.

Ellen G White. The Ministry of Healing. Pg. 301.

Nuts Reduce Heart Disease Risk
1.2 Nonfatal MI
1 1
1 Fatal MI
Relative 0.74 0.73
0.8
Risk of 0.52 0.62
0.6
Heart
0.4
Attack
0.2
0
Less than 1 to 4 times Over 5 times
once / week / week / week

Frequency of Eating Nuts

Almonds Preferable to Peanuts
With nuts may be combined grains, fruits, and some
roots, to make foods that are healthful and nourishing.
Care should be taken, however, not to use too large a
proportion of nuts.

...some nuts are not so wholesome as others. Almonds

are preferable to peanuts, but peanuts in limited
quantities, used in connection with grains, are
nourishing and digestible.

Ellen G White. The Ministry of Healing. Pg. 298.

Switch to Margarine?
Women who eat 4 or more teaspoons of
margarine a day have a 66 percent greater risk
of heart disease than women who have
margarine less than once a month.
The trans-fatty acid levels in margarine seem
to be the problem.
Vegetable oils should be used in their natural
state, said the lead researcher.
Dietary Fiber and Coronary
Heart Disease
1.2
Females
1 Males
0.8
Relative
0.6
Risk
0.4
0.2
0
Consuming less Consuming more
than 16 g/day than 16 g/day
Common Sources of Fiber
Serving is 1 cup or 1 piece unless indicated otherwise
Foods Fiber (g) Foods Fiber (g)
Apple, with skin 2.8 Eggs 0.0
Orange, fresh 3.1 Meat 0.0
Blackberries, raw 7.2 Milk 0.0
Pears, canned 7.7 Cheese 0.0
Raspberries 11.0
Common Sources of Fiber
Serving is 1 cup or 1 piece unless indicated otherwise
Foods Fiber (g) Foods Fiber (g)
Whole wheat bread 2.1 Cauliflower 4.6
Bagel, whole wheat 4.3 Broccoli 5.2
Pita bread, whole wheat 6.3 Peas 6.7
Brussels sprouts 7.0
Popcorn, (4 c) 5.2 Sweet potato, w/o skin 7.7
Oatmeal 4.1 Lentils 10.3
Spaghetti, whole wheat 4.5 Pinto beans 12.0
Navy beans 15.4
Shredded wheat, biscuits 2.2
Granola 6.6
Diseases Associated with a
Low-Fiber Diet

Constipation
Appendicitis
Diverticular disease Colon polyps
Hiatus hernia Heart disease
Varicose veins Strokes
Hemorrhoids Diabetes mellitus
Bowel cancer Gallbladder disease
High Blood Homocysteine Levels
Increase Heart Attack Risk
Homocysteine in the blood is raised by:
Drinking more than nine cups of coffee
per day
Heavy smoking combined with high
coffee consumption
Eating meat and eggs
Homocysteine Levels are
Reduced by Folate
Amount Food Item Folate (mcg)
5 ounces Sirloin steak, broiled, trimmed 16
cup Parsnips, raw slices 44
1 cup Pineapple juice, canned 58
1 cup Fresh orange juice 75
cup Spanish peanuts, raw 88
1 cup Mustard greens, raw 105
1 cup Spinach, raw 109
1 cup Navy beans 255
1 cup Okra pods, frozen 269
1 cup Lentils 831
1 cup Black-eyed cowpeas 1057
Sources of B6
Amount Food Item B6 (mg)
1 ounces Beef rump roast 0.15
1 cup Bell peppers, chopped 0.25
1 each Small sweet potato, baked 0.25
cup English walnut 0.28
1 cup Brussels sprouts, frozen 0.45
1 each Banana 0.66
1 cup Garbanzo beans/chickpeas 1.07
1 cup Sunflower seeds 1.08
1 cup Sesame seeds, whole 1.14
cup Rice bran 1.69
 High HDL Cholesterol Lowers
Coronary Heart Disease Risk
200

Male
Heart 150
Attack
Victims, 100
Rate
per 50
1000
0
75+ 74-65 64-55 64-45 44-35 34-25 <25

HDL Cholesterol (mg/dl)

 High HDL Cholesterol Lowers
Coronary Heart Disease Risk
200
Female
Heart 150
Attack
Victims, 100
Rate
per 50
1000
0
75+ 74-65 64-55 64-45 44-35 <25

HDL Cholesterol (mg/dl)

HDL Cholesterol Lowers Risk
Exercise
Running, jogging, brisk walking, biking, cross-
country skiing, swimming, cardiac rehabilitation
Drugs
Fibrate drugs, niacin, estrogen, dilantin,
gemfibrozil, alcohol
Foods
Lecithin, ginseng, garlic, onions, brewers yeast,
chromium, vitamins C & E
Cessation of smoking
Chlorinated pesticides
Garlics Effect on Cholesterol
and Triglycerides
Initial 4th Mo 8th mo
Serum Cholesterol 300 320 235
Serum Triglycerides 170 165 120
LDL + VLDL (% of total) 83% 84% 72%
HDL (% of total) 17% 16% 28%
Seven Steps to Lower
Triglycerides
Lose weight
Exercise
Eat less fat
Decrease stress
Stop smoking
Abstain from alcohol
Avoid sugar
Vitamin E Protects Against
Heart Disease
A total of 40,000 men were categorized
as to the amount of their daily vitamin E
intake.

Those who took 60 IU per day decrease

their risk of heart disease by 34 to 50
percent, regardless of other food they
consumed.
Stresses Increase Heart Attack
Risk
Deadlines, fights with the boss, other
pulse-raising situations
Important meetings, giving
presentations, being laid off
Emotionally meaningful interactions
with spouses, kids
Deaths in the family
Financial problems -- pay bills, bounced
checks, coming into a financial windfall
Effectiveness of Heart Attack
Preventive Measures
Preventive Measures Risk Reduction
Stop smoking 50 to 75% in 5 years

Reduce blood 2 to 3% with each 1%

cholesterol reduction

Exercise regularly 45%

(aerobic)
Effectiveness of Heart Attack
Preventive Measures
Preventive Measures Risk Reduction
Maintain ideal weight 35 to 55% lower risk
than if overweight
by 20% or more

Reduce blood pressure 2 to 3% for each 1mm

reduction in diastolic
pressure
Seventh-Day Adventist Diets and
Coronary Heart Disease Deaths
Males age 35 and over as percent of expected
in comparison with general population

Total Vegetarians 14%

Lacto-Ovo Vegetarians 39%

Non-Vegetarians 56%
The Superior Diet

Grains, fruits, nuts, and

vegetables constitute the diet
chosen for us by our Creator.
These foods, prepared in as
simple and natural a manner as
possible, are the most healthful
and nourishing.

Ministry of Healing 298

A Host of Benefits of the Total
Vegetarian Diet
Zero cholesterol
Low saturated fat
High fiber
Zero animal protein
Zero heme iron
Rich in antioxidants
Rich in folic acid and B6
Promotes weight control
Diderots Proverb
Doctors are always working to preserve
our health and cooks to destroy it. But the
latter are often the more successful.
Counsel on Diet and Foods 460
Let our people discard all unwholesome
recipes.
Let them learn how to live healthfully,
teaching to others what they have learned.
Let them impart this knowledge as they
would Bible instruction.
By precept and example make it plain that
the food which God gave Adam in his
sinless state is the best for man's use as he
seeks to regain that sinless state.
10 Commandments for
Prevention of Heart Attack
1. Stop Smoking. Smokers tend to eat more
poorly than non-smokers.
2. Keep your Blood Pressure Down. What
used to be described as borderline is now
called Stage 1 Hypertension.
3. Avoid eating animal products.
Dietary Cholesterol & Clogged
Arteries
Cholesterol Results
200 mg worse
100 mg 32% improved
12 mg 82% improved
10 Commandments for
Prevention of Heart Attack
4. Eat largely of preventive foodsfruits and
vegetables, nuts, whole grains.
Those who consume nuts had half the risk of heart
attack
Those who ate whole wheat bread had 40% lower
risk of heart attack than those on white bread
Homocysteinemia, which is an indicator of increased
heart attack risk, is due to lack of folic acid,
vitamin B6, and/or vitamin B12. Folic acid and
vitamin B6 are mainly found in vegetables,
legumes and other plant foods.
10 Commandments for
Prevention of Heart Attack
5. Exercise. Those who walk 2 or more
miles a day have half the mortality rate of
heart disease.
6. Reduce weight if overweight.
7. Keep your blood sugar down.
Atherosclerosis increases from a blood glucose of 85
and above.
10 Commandments for Prevention of
Heart Attack
8. Avoid alcohol.
9. Have a healthy mental outlook.
A merry heart doeth good like medicine.
Proverbs 17:22
10. Keep your immunity up.
Avoid bad habits
Get on a good exercise program
Get adequate rest.

The most important thing is to switch to a vegetarian

diet and get as much cholesterol out of your diet as
possible.