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Doctor insights on: Waist To Hip Ratio And Disease Risk

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If your waist to hip ratio is high, why is it a risk factor for heart disease?

If your waist to hip ratio is high, why is it a risk factor for heart disease?

It's unclear: Fat has recently been found to be a major source of hormones and inflammatory cytokines. These hormones may have an increased influence on the heart and other organs when the fat that produces them is distributed within the abdomen as what is called visceral adiposity. The waist/hip ratio measures the visceral adiposity associated with heart disease, diabetes, and high blood pressure/cholesterol. ...Read more

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Can immunodeficiency of IgG subclass 1 and 4 cause pcos and by proxy underdevelopment of the breasts/high waist to hip ratio?

Can immunodeficiency of IgG subclass 1 and 4 cause pcos and by proxy underdevelopment of the breasts/high waist to hip ratio?

PCOS immune disorder: Pcos is an independant condition to immune deficiency disorder physical characteristics of pcos does not include decreased brest development high waist to hip ratio can have ethnic and genetic basis and associated with pcos however keeping weight down is helpful. ...Read more

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Ldl cholesterol 140 HDL 46 total is 206. No other risk factors. Weight 170 height 5ft9in. 30yo femaLe.these levels bad and what should I lower themto?

Ldl cholesterol 140 HDL 46 total is 206. No other risk factors. Weight 170 height 5ft9in. 30yo femaLe.these levels bad and what should I lower themto?

Follow the following: Exercise most days of the week (aerobic work), eat fruits and vegetables liberally, limit saturated fats, increase fish and fish oil intake, have fiber with each meal, get six to nine hours of sleep nightly, keep your weight in check, don't sweat the small stuff, don't smoke or drink excessively (one or two drinks weekly). The lower the better on LDL and the higher the better on HDL. ...Read more

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Do runners with bilateral hip dysplasia have greater muscle hypertrophy down the legs from needing to stabilize body more?

Do runners with bilateral hip dysplasia have greater muscle hypertrophy down the legs from needing to stabilize body more?

Not necessarily: When any muscle is strengthened, or with increase use -- muscle hypertrophy does occur. But regarding your specific question, there is no clear correlation out there in the literature. Leg muscles (i'm assuming you are referring to either calf muscles vs. The anterior or lateral muscle compartments) are stabilizers of the hip joint. ...Read more

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Tc: 211 (>200) but hdl: 34(<40) only. Please suggest diet to increase HDL but lower total cholesterol for the ratio to be lower than 4. Thnx?

Tc: 211 (>200) but hdl: 34(<40) only. Please suggest diet to increase HDL but lower total cholesterol for the ratio to be lower than 4. Thnx?

Ways to raise HDL: I don't think a cholesterol of 211 is dangerous unless your LDL particles are small & dense (which requires further testing to determine) but it is wise to raise your hdl. See http://heartdisease.About.Com/cs/cholesterol/a/raisehdl.Htm , http://www.Sott.Net/article/242516-heart-surgeon-speaks-out-on-what-really-causes-heart-disease , and http://www.Spacedoc.Com/stephen_sinatra_1. ...Read more

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I had a test with total Cholesterol of 3.8, hdl 0.2 and ldl 3.2. I need assistance on how to improve the hdl and lower the ldl. Thank you?

I had a test with total Cholesterol of 3.8, hdl 0.2 and ldl 3.2. I need assistance on how to improve the hdl and lower the  ldl.

Thank you?

Exercise: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your total cholesterol and LDL are not a cause for concern. If you reported your hdl correctly at 0.2, that is lower than desired. Consult your doctor to start exercising and reduce intake of saturated fats. ...Read more

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Should i consider getting lpa tested if lipid panel is normal (total 94, LDL 34, HDL 47) even with strong family history of heart disease and stroke?

Should i consider getting lpa tested if lipid panel is normal (total 94, LDL 34, HDL 47) even with strong family history of heart disease and stroke?

Lp(a) lipoprotein: Is a marker for increase cardiovascular risk and can be lowered with agents such niacin. However, no outcome studies have showed efficacy in lowering cardiovascular events by lowering lp(a). Attempt lowering risk you can managed like smoking, diabetes, hypertension, obesity, physical inactivity, diet, alcohol consumption, psychosocial stressors. Good luck. Also i will recommend a stress test. ...Read more

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Is an ESR of 34 and joint pains with burning skin, high triglyceride, high cholesterol. After -ve testing, 14 months of possible HIV exposure related?

Is an ESR of 34 and joint pains with burning skin, high triglyceride, high cholesterol. After -ve testing, 14 months of possible HIV exposure related?

ESR, lipids and HIV: Patients with HIV may have elevations of esr, but ESR is just a marker of inflammation. Many different types of inflammation can elevate the esr. Hiv itself does not elevate cholesterol or triglycerides, but protease inhibitors, medications used to treat HIV can elevate them. Please see your doctor for a complete examination. If there is a risk of HIV exposure, please get tested. ...Read more

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What causes a higher 30mmgh difference between arm and ankle blood pressure? That would be approx 1.333 ratio for me. Ankle = higher.

What causes a higher 30mmgh difference between arm and ankle blood pressure? That would be approx 1.333 ratio for me. Ankle = higher.

Vessel issues: An ankle brachial index of greater than 1.3 is abnormal and suggests that either your blood vessels are hard(calcified) and noncompressible(squishy) or that the testing was suboptimally completed, as in the values may not be what they seem. For a 30 year old woman, significant calcification would be uncommon, so I might question those results. Hope this helps. ...Read more

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Is muscular exercising to strengthen arms and legs in someone with one kidney, creatinine 1.49 & eGFR 42 harmful because it may increase creat.level?

Is muscular exercising to strengthen arms and legs in someone with one kidney, creatinine 1.49 & eGFR 42 harmful because it may increase creat.level?

No: It's good for you. In fact, if you're working out and feeling okay at age 68 with a creatinine of 1.49, I seriously doubt you have anything wrong with your kidneys beyond a bit of age-related wear-and-tear, or any reason to be concerned. When I was lifting daily as a young doctor, my creatinine ran 1.6-1.7. Hit the gym and treasure the time there. ...Read more

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If my total cholest is 284 with HDL 100.9 and LDL 177 , trig 79, ratio 2.81. What is more important the levels or the ratio? What the ratio means?

If my total cholest is 284 with HDL 100.9 and LDL  177 , trig 79, ratio 2.81. What is more important the levels or the ratio? What the ratio means?

Individual Values: Cardiovascular (cvd) risk is related to the number of LDL particles (ldl-p) and the number of HDL particles (hdl-p). When ldl-p is high or hdl-p is low cvd risk is elevated. Ratios report an LDL number divided by hdl. However, cvd risk can vary by 40% a the same ratio value. This is because you can get the same ratio with different LDL or HDL values (e.g., 2000/50 or 1000/25 give the same ratio). ...Read more

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Risk factors for cardiovascular disease and what measures to reduce it?

Risk factors for cardiovascular disease and what measures to reduce it?

Multiple: Rf include: 1. Hypertension: control salt intake, exercise, and meds if needed. 2. Smoking: strong risk factor, avoid at all costs. 3. Diabetes: weight loss and diet, meds if needed. 4. Hyperlipidemia: diet and meds if needed. 5. Family history: this one cannot be avoided. ...Read more

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What waist size puts someone old at risk for diabetes?

What waist size puts someone old at risk for diabetes?

45" is official answ: A new vital sign when the cdc finally recognized overwt and the epidemic of obesity as a stand alone medical condition of high risk for future chronic dz is now waist measurement. For men, waist size>45"&women 40" puts you at risk for chronic dz.Excess fat causes an inflammatory state.Chronic inflammation=chronic disease.See a physician specializing in aggressive, safe lifestyle changes for health. ...Read more

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To what degree does type 1 diabetes increase the risk of chd and other cardiovascular health issues?

To what degree does type 1 diabetes increase the risk of chd and other cardiovascular health issues?

A lot: It's a major risk factor. If you have diabetes, don't smoke, exercise regularlly, keep lipids low (statins are advised by age 40, some would say by age 20), keep BP well controlled. Stay under the care of a good diabetic doctor. Have stress tests done annuallly after age 40. ...Read more

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How can you lower your risk of cardiovascular disease?

How can you lower your risk of cardiovascular disease?

PREVENTION: Diet and exercise. Watch your diet. Vegetarian being ideal, abstain from tobacco and alcohol. Get your vitamins from the grocery store in the form of fresh fruits, grains and vegetables. Stay away from the fatty foods and artificial sweetners, probably stay from artificial period. Try for at least 20 minutes of exercise out in the fresh air and sunshine if possible. ...Read more

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60 yr male with untreated bursitis left shoulder 3mos. Does delaying treatment run any risk other than the pain associated with the condition?

60 yr male with untreated bursitis left shoulder 3mos. Does delaying treatment run any risk other than the pain associated with the condition?

Let me ask you: How did reach of diagnosis of bursitis? One two ways, you diagnosis done by physical exam and followed by mri. If that what was done you could give some time. If you did not do the above how do you your shoulder diagnosis? My answer will be no. ...Read more

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What should I do to reduce risk of DVT or pe during very long flights? I have multiple risk factors including heart disease, diabetes, and venous insu

What should I do to reduce risk of DVT or pe during very long flights? I have multiple risk factors including heart disease, diabetes, and venous insu

Aspirin, movement: If you're able to take a baby aspirin, those are always great. Also, support/compression stockings might be helpful. Finally, and most important, move your legs! :) tap your toes, pump your legs, etc, at regular intervals. Movement is key. ...Read more

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