Latest / Hardiness with Dr Paul Taylor / Wisdom Wednesdays: A Simple Blood Test That Predicts Your Cardiovascular Risk And Longevity, And Is Easy To Influence
Transcript
- 0:09Speaker 1: Hey, everybody, Welcome to another edition of Wisdom Wednesdays. Today,
- 0:13Speaker 1: I want to talk about a very simple blood marker
- 0:18Speaker 1: that can predict your risk of cardiovascular disease and how
- 0:23Speaker 1: long you're going to live to a certain extent. And
- 0:26Speaker 1: the very cool thing about this blood marker, unlike many
- 0:29Speaker 1: other blood markers, is it's very easy to change. So
- 0:34Speaker 1: I want to talk about something called the Amiga three
- 0:37Speaker 1: index that was created back in two thousand and four
- 0:41Speaker 1: by doctor Bill Harris and doctor Vaughan Shacky. They published
- 0:45Speaker 1: an article that basically announced the creation of the Amiga
- 0:50Speaker 1: three index, and it's now been used in quite a
- 0:52Speaker 1: few research studies. And there's a particular one of interest
- 0:56Speaker 1: that I want to discuss that was actually pub least
- 1:00Speaker 1: in the American Journal of Clinical Nutrition in late twenty
- 1:04Speaker 1: and twenty one, and the title of the paper is
- 1:08Speaker 1: using an aritzocyte fatty acid fingerprint to predict risk of
- 1:12Speaker 1: all cause mortality the Framingham Offspring cohort.
- 1:17Speaker 2: So a little bit of background for this. We have
- 1:19Speaker 2: known for a while that red.
- 1:21Speaker 1: Blood cell and long chain Amiga three fatty acid percentages
- 1:27Speaker 1: are being associated with lower risk for total mortality, but
- 1:32Speaker 1: it's been unknown to this point if looking at a
- 1:35Speaker 1: whole heap of fatty acids could actually improve risk prediction.
- 1:39Speaker 1: And so the objective of this study was to compare
- 1:42Speaker 1: a combination of red blood cell fatty apid acid levels
- 1:45Speaker 1: with standard risk factors for cardiovascular disease in predicting risk
- 1:50Speaker 1: of all cause mortality. So in order to do this,
- 1:53Speaker 1: and they used a cohort called the Framingham Offspring cord.
- 1:57Speaker 1: You may have heard of the Framingham Study before. That's
- 2:00Speaker 1: where we got a lot of the early indications about
- 2:04Speaker 1: risk factors for cardiovascuar disease.
- 2:06Speaker 2: They've been followed up for many, many years.
- 2:08Speaker 1: And it took up a bunch of these people who
- 2:11Speaker 1: didn't have cardiovascular disease but did have red blood cell
- 2:15Speaker 1: fatty acid measurements and a number of basic clinical measures
- 2:20Speaker 1: at the start, and then they followed them for eleven
- 2:24Speaker 1: years and they basically evaluated the association of eight standard
- 2:29Speaker 1: risk factors things that are typically used for cardiovascuar disease. Age, sex,
- 2:35Speaker 1: total cholesterol hits, the ESK hits, the L cholesterol, whether
- 2:39Speaker 1: or not you were on medication for hypertension, your systolic
- 2:43Speaker 1: blood pressure, you're smoking status, and whether or not you
- 2:46Speaker 1: had diabetes. And then they compared that with twenty e
- 2:50Speaker 1: at fatty acid measures and looked at the associations with
- 2:54Speaker 1: all cause mortality, and what they actually find was that
- 2:59Speaker 1: this Amiga three index that was created years ago by
- 3:02Speaker 1: Bill Harris was actually as good a predictor of all
- 3:08Speaker 1: cause mortality as the standard traditional ones that we've done
- 3:12Speaker 1: that I just listed. But really interestingly, and this study
- 3:16Speaker 1: found that the people who had a high Amiga three index,
- 3:19Speaker 1: which was a score of eight percent or greater, had
- 3:24Speaker 1: a whopping ninety percent reduced risk of sudden cardiac death
- 3:30Speaker 1: compared to those who had an Amiga three index of
- 3:33Speaker 1: less than four percent or four percent or less. I
- 3:36Speaker 1: should say, now just take a moment to clarify what
- 3:40Speaker 1: this Amiga three index is. As I said, it measures
- 3:44Speaker 1: the amount of Mega three in your red blood celled membranes. Now,
- 3:49Speaker 1: the reason that this is important a lot of traditional
- 3:53Speaker 1: measures of Amiga three fatty acid status have been done
- 3:56Speaker 1: in your plasma pospholippets. And this is end of the
- 4:00Speaker 1: CM as a measuring blood glucose versus HbA one C.
- 4:05Speaker 1: So some people may know this already. Your blood glucose
- 4:09Speaker 1: is very heavily influenced by what you recently et as
- 4:13Speaker 1: is your plasmo phosphol lipid measure of a mega three
- 4:16Speaker 1: fairy acid. So it really is reflective of whether or
- 4:19Speaker 1: not you've had any Amiga threes, fish or other sources
- 4:22Speaker 1: of mega threes in the last twenty four hours before
- 4:24Speaker 1: you've done the test.
- 4:25Speaker 2: Whereas, because red.
- 4:27Speaker 1: Blood sales take one hundred and twenty days to turn over,
- 4:31Speaker 1: and you're actually getting a measure of the last four months,
- 4:35Speaker 1: just like HbA one C is a much more stable
- 4:39Speaker 1: measure than your blood glucose. So, and as I said,
- 4:42Speaker 1: those with the high a mega three index have had
- 4:45Speaker 1: ninety percent reduced risk of sudden cardiac death compared to
- 4:48Speaker 1: those who had four percent or less. But interestingly, in
- 4:52Speaker 1: this cohort, and the people who had eight percent or
- 4:57Speaker 1: more so a high Amiga three index had a five
- 5:01Speaker 1: year approximately increased life expectancy compared to the people who
- 5:06Speaker 1: had an Amiga three index of five percent or less. Now,
- 5:10Speaker 1: very interestingly, in the United States, the average Amiga three
- 5:15Speaker 1: index is around five percent, it's just below five percent.
- 5:18Speaker 1: And in Japan, because they eat a lot of fish,
- 5:22Speaker 1: and their Amiga three index of the population on average
- 5:26Speaker 1: is eight percent, and we know that the Japanese live
- 5:29Speaker 1: five years longer on average than the Americans. So that
- 5:33Speaker 1: is a very very interesting correlation that in this study
- 5:38Speaker 1: they found that people within eight percent and a Mega
- 5:41Speaker 1: three index that lived five years longer than people with
- 5:44Speaker 1: five percent of Mega three indecks are less and we
- 5:46Speaker 1: see exactly the same thing reflected in the population the
- 5:51Speaker 1: United States versus Japan. But it's interesting to do a
- 5:55Speaker 1: little bit of a deeper dive in the study because
- 5:57Speaker 1: they had a table in there that really caught and
- 6:01Speaker 1: what they looked at in this table, or what they
- 6:04Speaker 1: represented in this table were what's known as the Kaplan
- 6:09Speaker 1: Meyer survival curves of a bunch of different people. So
- 6:13Speaker 1: what they did was looked at the percentage chance of
- 6:17Speaker 1: them surviving and to certain ages, and they had four
- 6:21Speaker 1: different categories. They had those who had a high a
- 6:24Speaker 1: Mega three index and were non smokers. Then they had
- 6:27Speaker 1: those who had a high a Mega three index who
- 6:29Speaker 1: were smokers. Then they had those who had a lower
- 6:32Speaker 1: Mega three index non smokers and low a Mega three
- 6:35Speaker 1: index and smokers. Now you won't be surprised to hear
- 6:39Speaker 1: that the people who had the least chance of survival
- 6:43Speaker 1: to the age of seventy five with those of the
- 6:46Speaker 1: lowest Amiga three index who were smokers, and they had
- 6:49Speaker 1: just over a fifty probably fifty five percent chance of
- 6:54Speaker 1: survival to the age of I think it was about
- 6:56Speaker 1: seventy six m in this study then, and very interestingly,
- 7:01Speaker 1: those who had the high Amiga three index but were
- 7:04Speaker 1: non smokers, and they had over eighty probably eighty five
- 7:09Speaker 1: to ninety I'm just kind of reading it off the graph,
- 7:12Speaker 1: a percentage of survival to the age of around seventy six.
- 7:18Speaker 1: But the really interesting thing was somewhere in the middle
- 7:21Speaker 1: were both those who were smokers with the high Amga
- 7:25Speaker 1: three index and those who were non smokers with a
- 7:28Speaker 1: low Amiga three index, right, so, and they were pretty
- 7:32Speaker 1: much inseparable. So what this was basically saying was having
- 7:37Speaker 1: a low Amiga three index is akin to being a smoker,
- 7:43Speaker 1: or if you're a smoker, you might want to hear
- 7:45Speaker 1: it presented this way. If you're a smoker and you
- 7:48Speaker 1: have an Amiga three index of eight or greater, it
- 7:52Speaker 1: pretty much nullifies the impact of smoking and compared to
- 7:57Speaker 1: people who have a low.
- 7:58Speaker 2: Amiga three index.
- 8:00Speaker 1: So I think these two things taken together, are pretty
- 8:05Speaker 1: strong evidence that we need to have a high Amiga
- 8:08Speaker 1: three index.
- 8:09Speaker 2: So how do we do that? The best way to
- 8:11Speaker 2: do that is eat lots of fish.
- 8:13Speaker 1: If they don't like to eat a lot of fish,
- 8:15Speaker 1: we know that supplementing for greater then two grams or
- 8:21Speaker 1: two grams are greater. A day of really high quality
- 8:24Speaker 1: fish oil over a number of months will get you
- 8:27Speaker 1: up to that level. And if you're a vegetarian or vegan,
- 8:32Speaker 1: you will not get to that level just by eating
- 8:34Speaker 1: things like flax seeds because they're pretty poorly converted. You're
- 8:39Speaker 1: going to need to take a supplement, ideally one of
- 8:43Speaker 1: the really good quality micro algae supplements, which is the
- 8:48Speaker 1: stuff that the fish actually eat. So that's really what
- 8:51Speaker 1: you want to be looking at, rather than trying to
- 8:53Speaker 1: get it from flax seeds and linseed oil and that
- 8:55Speaker 1: sort of stuff. Now, the other big question is how
- 8:58Speaker 1: do I know what my Mega three level is? Well,
- 9:01Speaker 1: you can go to Amiga quant that's O M E
- 9:05Speaker 1: G A q U A n T dot com and
- 9:09Speaker 1: you can actually order the test and it's pretty damn
- 9:11Speaker 1: cheap and they just send it out to you and
- 9:14Speaker 1: you do a fingerprick and off you go. I have
- 9:16Speaker 1: got no financial ties to these guys whatsoever. I just
- 9:20Speaker 1: think it's an absolutely awesome product, and we should all
- 9:24Speaker 1: be getting our Amiga three Index above it.
- 9:27Speaker 2: At least. That's it for this week. Catch you next time.