Participants: Don Mackintosh (Host), Dr. Neil Nedley
Series Code: HFAL
Program Code: HFAL00242A
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00:50 Welcome to "Health for a Lifetime"
00:51 I'm your host Don Mackintosh 00:53 We're glad that you're with us today 00:54 We have another very fascinating program 00:57 and we're talking with Dr. Nedley 01:00 Dr. Nedley, we're glad you're here 01:01 Thank you, good to be here 01:03 We're going to be talking about a very common problem 01:06 just starting out... 01:07 We're doing some medical updates, 01:09 and we're talking about OSTEOPOROSIS 01:12 Yes, osteoporosis... Major problem in America 01:16 and as America ages, it's going to become even a 01:19 more major problem. 01:20 People, after the age of 30, just start losing 01:23 bone mineral density, and some people start losing 01:25 it a whole lot faster than others. 01:28 So, the density of the minerals in the bones that make them hard 01:31 and make them firm and make them be able to support 01:32 your weight... they just start going somewhere 01:34 They start going somewhere... 01:36 Actually, the calcium starts going into the urine, 01:38 into the stool, and out of the bone often. 01:41 And this can occur from a diet that's high in sodium... 01:45 It can occur from a diet with too much protein, 01:48 particularly... animal protein. 01:50 It can occur from not enough vitamin D... 01:54 We can't absorb calcium, and be able to replace that bone 01:57 without vitamin D without calcium. 02:01 We actually like lower amounts of phosphorus 02:05 to be able to get more calcium involved in absorption 02:10 as well as in the bone itself. 02:12 And then, there are some other nutrients that have just 02:15 surfaced as being critically important as far as 02:18 osteoporosis is concerned. 02:20 Before we go to those other nutrients, 02:21 you said, "sodium" So high salt... 02:23 like potato chips... All those different things 02:26 Do you think that's related to the osteoporosis? 02:28 Yeah, absolutely it is! 02:30 It's been known for a while, but it's probably 02:33 the least publicized fact about osteoporosis... 02:38 Osteoporosis is a disease of sodium excess often 02:43 And, you know, some people are getting enough calcium 02:45 They're getting enough of the other nutrients 02:47 They may be even getting enough vitamin D, 02:48 but if they're on a too high salt diet, 02:51 they're going to start losing more bone mineral density 02:54 than they should. 02:55 So, what would be some other foods that are high in salt 02:58 like any CANNED food probably. 03:00 Yeah and, of course, your canned soups are going to be 03:03 high in it, sauerkraut is going to be high in it... 03:06 Meat is quite high in salt. 03:09 Dairy is moderately high in salt 03:11 And then the foods that are low in salt, as far as naturally, 03:16 are going to be fruits... 03:17 You know, a serving of fruit will have an average of 03:19 3 mg of sodium. 03:21 Whole grains, actually, have very little salt. 03:24 Shredded wheat... a serving of shredded wheat 03:27 1 mg of sodium, extremely low 03:30 Vegetables will have 15 to 20 mg of sodium 03:34 Nuts, actually, are a low-salt food if they're not salted. 03:39 And the same with seeds, you know, pumpkins seeds 03:42 without salt... very low in sodium. 03:45 What's the appeal with salt? 03:46 Why do people like to eat it so much? 03:48 Well it does enhance the flavor of foods, 03:51 and because of that, they tend to put even more salt on it 03:54 And then what happens is 03:56 their taste buds adjust to the higher salt flavor 03:59 You know, my grandfather who had suffered from a stroke, 04:04 was told to eat a low sodium diet. 04:06 He was actually told this before 04:07 because his blood pressure was high... 04:09 And he said, you know, "It's not going to be worth living 04:12 ...if food doesn't taste good. " 04:13 "You know, I'm not going to lower my salt intake. " 04:16 And so, he did end up with a stroke... 04:18 And at that point, it caught his attention, 04:20 and he decided that, yeah, he was going to use no salt 04:24 And, you know, the food at first tasted not very good, 04:29 but yet he was motivated because he didn't want to have 04:31 another stroke. 04:32 And then 2 months later, his wife, my grandmother 04:37 salted the vegetables by mistake and he ate that, 04:42 and he said... "Fern, this is TOO salty" 04:44 He said, "What happened?" "That doesn't even taste good" 04:48 And so, really, his taste buds had changed as a result 04:54 And if we can get on a low-salt diet, 04:57 at first, it's not as flavorful 04:59 but then, afterwards, our taste buds can adapt 05:02 to a lower sodium fare 05:04 and we can enjoy the food just as much 05:06 and enjoy it much more healthfully 05:08 So, low salt will help avoid osteoporosis 05:11 as well, which is what we're talking about? Correct 05:13 What about... you said, vitamin K 05:15 I didn't say vitamin K, but we talked about it 05:18 before the program. 05:20 New research is showing vitamin K is critical 05:23 for bone health... 05:24 It's also critical for connective tissue health. 05:28 For instance, it may help prevent osteoarthritis 05:31 We know it helps in gum disease... 05:33 For those that have receding gums, and they're having 05:36 gum problems, vitamin K can be very helpful. 05:40 Where do we get vitamin K? Is it in Special K? 05:41 Vitamin K is not in Special K in any appreciable amount. 05:45 There may be small amounts there. 05:47 It's going to be your green 05:48 leafy vegetables that are high in it. 05:51 The highest green leafy vegetable in vitamin K 05:54 ...you want to guess? 05:55 Kale... SPINACH! 05:57 Spinach... Popeye would be proud 05:59 Spinach... And you know, a lot of people say... 06:00 "Don't eat spinach if you have osteoporosis 06:02 because spinach is not really a great source of calcium, 06:05 and there is oxalate in there, 06:07 and so you don't absorb a lot of the calcium from spinach" 06:09 But actually... spinach is a critical food for osteoporosis 06:12 because of it's high vitamin K level. 06:15 And, in fact, if I have an osteoporosis patient, 06:17 if they don't have a heart condition called 06:19 "atrial fibrillation," with that condition, 06:22 you need to be on a vitamin K blocker called "Coumadin" 06:25 to thin the blood, but if they're not on that 06:28 Coumadin, or warfarin... 06:31 I actually recommend that they take vitamin K capsules 06:34 There is a vitamin K capsule called "vitamin K2" 06:37 3 capsules a day... 06:39 It can do dramatic things as far as bone health, 06:41 and other forms of health. 06:43 It even helps brain function. 06:44 Okay, so then... exercise and osteoporosis 06:48 EXERCISE... critically important 06:50 And this is going to be your weightbearing exercises 06:53 ...walking, even STANDING is helpful. 06:55 Studies show for those who have to stand at least 4 hours a day 06:59 that's one of the advantages I have in doing 07:01 endoscopic procedures... I STAND during those procedures 07:04 Not everyone does, by the way... 07:06 There are some endoscopists that sit. 07:08 I always stand for the procedure. 07:09 Standing over the course of many hours a day 07:13 actually helps bone health. 07:15 Walking will, running will 07:17 Bicycling, to some extent, will 07:19 Swimming obviously is not going to be as beneficial. 07:22 So weightbearing-type exercise 07:24 Weightbearing exercise that helps prevent osteoporosis. 07:27 You said... vitamin K which I hadn't heard about before 07:31 Are there any other chemicals? 07:32 Yes, a brand new study is on "boron" 07:35 Boron! Yes, boron is a micronutrient... 07:38 We don't need it in large amounts like we do calcium 07:41 where we recommend 1,000 mg a day 07:44 But with boron, we just need a few mg of boron a day 07:48 and, actually, up to 50 mg a day can be very beneficial 07:53 as far as preventing, as well as treating osteoporosis. 07:57 So, boron... you're probably going to show us some 08:00 foods that are rich in boron in a moment... 08:03 Yes, we do have a graphic actually, that shows the top 08:05 10 foods as far as boron density is concerned. 08:10 And so this is milligrams per 100 grams of food 08:14 And you can see #10 is at the top of the screen... 08:17 That's prunes. Even higher yet is red kidney beans 08:22 #8 would be walnuts at 1.63 mg/100 grams 08:28 Peanut butter 1.92 08:35 Avocado 2.06... guacamole, eh? 08:37 Yeah... guacamole! Actually good for the bones! 08:39 Apricots 2.11 Hazelnuts 2.77 08:46 Almonds are the #2 food in boron 2.82... Wow! 08:50 And highest actually is raisins... Raisins! 08:57 And, of course, grapes would have some boron in it as well 09:00 but raisins are dried, 09:01 and so that's why it's more concentrated there in the raisin 09:06 Can you build bones back up that have become osteoporotic? 09:10 You can! You can actually build the bones up... 09:14 We'll demonstrate this on bone density scans. 09:17 When I have a patient with osteoporosis, 09:20 of course, I do a bone density scan on them. 09:22 We'll do some changes such as making sure 09:24 they get enough vitamin D 09:25 Some of these lifestyle changes, low sodium... 09:28 Getting enough boron, vitamin K 09:30 And then we'll test them a year later 09:33 ...And we can actually see some increase in 09:36 bone mineral density. 09:38 Now some individuals might actually need medication as well 09:41 There are medicines that can also harden up the bones 09:44 Like what? Well, Fosamax, for instance, 09:47 is one of those medicines that can do it. 09:50 And it does it by actually fooling the bone 09:52 that it's calcium Fosamax instead of calcium phosphate 09:56 The cells chew up calcium phosphate. 09:59 They're always trying to turn the bone over. 10:01 When it's calcium Fosamax, it says... 10:04 "Wait a minute, this isn't something I'm used to" 10:06 "I'm just going to keep it there" 10:07 And so, it doesn't do the bony turnover and that's how it works 10:11 But we can actually do lifestyle measures that can come 10:13 pretty close to that without the risks. 10:16 So, there's some good news, and boron is the new study, 10:19 and vitamin K That's right! Okay. 10:22 Two important nutrients for bone health. 10:23 Well, let's just talk then, briefly, about another study... 10:26 ENHANCED DEPRESSION CARE advised for very ill diabetics 10:33 Yes, there's a link between diabetes and depression 10:36 Both ways, I've heard. That's right. 10:38 Exactly, diabetes tends to increase the risk of depression 10:41 and vice versa... 10:42 And these were diabetics who were significantly depressed 10:46 and they actually enrolled them in a program 10:49 called "Pathways" 10:51 It's actually not as comprehensive as our 10:53 depression recovery program... 10:55 But it does have some cognitive behavioral therapy, 10:58 some lifestyle issues like light therapy, etc. 11:01 The cost of the program is pretty significant... it's about 11:04 $4,000, and that's actually the price 11:08 of our comprehensive program around that, 11:12 even though it much more comprehensive. 11:14 What they found out, is that by enrolling these people 11:17 in the study, their medical costs, 11:19 over the course of 5 years did NOT go up. 11:24 Now you would think with a $4,000 expense 11:26 to the medical cost, if you factor that in over 5 years, 11:30 that's going to be significantly different from those who just 11:34 got the usual care. 11:35 And so they randomized them the usual care, 11:38 or depression recovery program. 11:40 And they found out the depression recovery program 11:42 actually SAVED medical costs over the course of 5 years 11:47 despite the fact that there was a $4,000 cost to the program 11:52 So, in other words, you get so much benefit out of it... 11:54 It lessens your medical bills, increases your wellbeing, 11:58 and it's worth every penny! 12:00 That's right... and, of course, the ones who went through 12:02 the program did better as far as outcome... 12:04 instead of just usual care. 12:06 Speaking about depression recovery, 12:07 you know, you do those programs as well, in Ardmore, but also 12:14 at Weimar... and that's a 10-day program, 12:19 and then you also have a 5-day peak mental performance program 12:22 That's right... 12:23 Actually we used to... you know, depression recovery 12:26 programs, we used to do longer, but we have found that 12:28 in 10 days, and this has been dramatic for me, 12:31 because I didn't anticipate this 12:33 I thought I needed at least 3 weeks for depressed patients. 12:37 And, yes, they'll get better in a 3-week program too, 12:39 or an 18-day program 12:40 But most depressed patients, over 95% of them, 12:45 will improve significantly in just 10 days 12:50 using a comprehensive program like a 12:53 depression recovery program. 12:55 You have a website, drnedley. com 12:58 that has some of this information. 12:59 You archive all these different studies, 13:01 and people can get on your mailing list, 13:03 and the doctor can come visit them via email, what... 13:06 once a month, once a week How often is it? 13:09 Yes, it's about every 2 weeks, at least once a month... 13:12 they'll be getting the "Nedley Health Report" 13:14 We're talking with Dr. Neil Nedley 13:17 We're talking about, well, osteoporosis... 13:19 We've got some real good tips about what to do, 13:22 what NOT to do, and some new information. 13:25 Some new things you can eat to strengthen your bones... 13:27 talked about depression. 13:28 When we come back from the break, 13:30 we're going to look at a whole bunch of new studies 13:31 You won't want to miss it! 13:33 You'll be up-to-date, and you will feel great! 13:35 So join us when we come back. |
Revised 2014-12-17