Study: Extra pounds may protect heart failure patients
Dr. Steven Garner explains
- Duration 5:18
- Date Jul 6, 2012
Dr. Steven Garner explains
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New information on how weighing a little bit more can actually help save some lives.
Researchers say heart failure patients who are carrying extra pounds have a lower risk of death.
Did then or normal weight patients they're calling this the obesity paradox.
Explaining his doctor Steven garner new York Methodist hospital and that you even brighter on -- doctor good to see today good to see you aren't so tell you we're talking about what kind of patients were.
Are we talking about from the patients -- had heart disease are ready not who have been a north as in the past there have heart failure are -- -- hard to short failure as.
The heart pumps blood that fills this chamber the left side of the -- and that gives the oxygen to the all the cells and make you feel good.
When it begins to -- to some muscle but stops pumping to properly begins to build up in -- -- to -- can breathe properly and give pains in the joints and did you feel sick.
So basically the heart as a pump if -- -- who -- us working to failure.
Typically the doctor would say or -- -- heart failure lose weight wrong.
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Okay so the patient who already has had heart failure if you got a little extra weight on you for some reason it doesn't seem like researchers know exactly why but let's talk about the fact that at having lots -- extra weight is not the same as having extra fat.
Tissue correct correct.
Extra fat stressful -- -- created equal.
So you have good trying to bit fat if you have good -- building up anybody this good sumo wrestlers who talk about this are in great shape get look at them and look but the so fat.
-- this could fat was your body to burn the other trying to rid of it.
And every year the rebound that's a good distribution fact you say there's public you're looking at fat in the midsection no extra weight and -- like an -- that's -- -- because that's -- -- that kills you missed the focus -- around the -- of the -- all the organs and that's number that's the source it would increase part of a okay so no Fat Albert but yes on -- -- Any time.
Okay any any suspicion on your part -- -- what the extra weight may do for these patients that somehow protecting them some -- fat contains anti inflammatory medication.
So acute inflammation down which is -- -- heart attacks and strokes.
By the way does not only film from heart failure but has been found for people of my heart attacks or strokes that they're less likely to get a second heart attack or stroke to keep the -- -- Also fat people -- have decreased adrenaline being secretive -- to move slower.
That adrenaline speeds up problems with the hearts or to have decreased you you gonna do better plus the fats that was nutrients to help prepare the body.
So that you know between me at one to use that as chemicals to inject and other people they're currently doing that in mice and shoring -- through b.'s we've been injection of this type of fat.
Okay you mentioned sumo wrestlers obviously they have from the outside looking at them and and and judging a book by its cover you would think that they're very heavy but in in that case in and this research.
Is it possible that there is muscle mass under -- accounts of some of the -- that actually is a benefit.
-- -- and BMI which is the body muscle mass index is is not correct in many is that the best way to a -- with the Fed probably is the waste.
Give a forty inch waist or more in your man is no good bit of a thirty things had 36 inch waist -- -- it's no good.
Probably better -- you don't get an accurate depiction of the muscle mass which is very important for healthy living and that helps the body work.
Yeah I would assume that at some point.
And here is a negative correlation I mean you can have a little extra weight do we know how how much is going to be too much we don't know how much is -- much but.
We found that when you tell people to lose weight no matter how how much they way they do worse.
-- -- little to do worse and actually some of the medications that we give them.
Quiz them to keep their weight or increased the -- not on purpose we didn't think you know.
Lot of -- -- -- relating you know you get some information trying to for your wife was still at a 100% short is this a of course an effect or is this coincidence that both Democrat -- but based upon the findings.
Do applaud -- you've you've had a heart attack or stroke.
I would think twice before going to -- -- All right so moving forward are there any other studies that may unlock some of these mysteries may be some studies on the horizon that would give us a little bit more information.
We're doing more because there -- -- women were affected the same in the study showed just that women are affected the same we've got to figure knows what about children as they get is a -- it to keep children.
What's the correct way and -- find -- immune system doesn't work as well would defend.
So you can be too -- and if you do that you may end of getting leukemia and other diseases so those are the studies I think to find out.
What the how we can harness the good effects of fat and not give -- -- information just as -- seems intuitive to -- someone -- to lose -- just as you look fat.
Aren't so we're talking about people who party had heart failure now if you haven't gotten to that point.
Is weight management more important proceeding getting to this absolutely sort of having gotten the heart attack for the united heart failure.
You wanna you wanna run you one exercise eat right.
And lose weight that that's a good time does but it switches and switches when you get the event that once you get the heart failure switches so when a -- people who are not sick.
It's good to be abused and stuffing are good to be your Beers.
But once you get to have the -- problems.
Then if they may not be that there.
It's -- -- right and thank you for telling us being -- coffee -- Point -- -- -- -- you know why because people assume things in the past without studying them and now we get evidence based medicine when she gets studies that documents a lot of missed that will be -- Doctor Gartner evidence that coffee's good.