Prof. Roel Tolentino is a surgical oncologist, wellness coach, and lay health educator in the Philippines. He discusses the importance of heart health and provides strategies for improvement. Some key points: - Cardiovascular disease is the leading cause of death in the Philippines. Risk factors include hypertension, diabetes, and obesity. - Lifestyle changes can help prevent heart disease, such as maintaining a healthy diet low in salt and saturated fat, exercising regularly, managing stress, quitting smoking, and achieving a healthy weight. - Specific recommendations include scheduling annual checkups, drinking water, controlling cholesterol, cutting salt, and finding ways to stay positive and reward healthy behaviors. Making

1. Prof. Roel Tolentino, MD, MBA,Prof. Roel Tolentino, MD, MBA, FPCS, FACS, FPSGS, FPSO, FMOSPFPCS, FACS, FPSGS, FPSO, FMOSP
Surgical OncologistSurgical Oncologist
Wellness CoachWellness Coach
TV, Radio and Lay Health EducatorTV, Radio and Lay Health Educator
Former President – Philippine Society of OncologyFormer President – Philippine Society of Oncology
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YourYour

2. Objective
• At the end of the lecture, the audience will be
informed on how to improve heart health!

3. Cardiovascular
Disease
is the No. 1 Killer in
the
Philippines!

4. KEY FACTS
• CVDs are the number 1 cause of death globally.
• 17.5 million people died from CVDs in 2012,
representing 31% of all global deaths.
- 7.4 million were due to coronary heart
disease
World Health Organization: Jan 2015

5. KEY FACTS
• Over 75% of CVD deaths take place in low-
and middle-income countries.
World Health Organization: Jan 2015

6. KEY FACTS
• Most cardiovascular diseases can be
prevented by addressing behavioral risk
factors such as:
tobacco use
unhealthy diet and obesity
physical inactivity
harmful use of alcohol
World Health Organization: Jan 2015

7. KEY FACTS
• People with
- hypertension
- diabetes
- hyperlipidemia
need early detection and management using
counseling and medicines, as appropriate.
World Health Organization: Jan 2015

8. Top 10 Causes of Death in the
Philippines
Top 1: Diseases of the Heart
Top 2: Diseases of the Vascular System
Top 3: Malignant Neoplasms
Top 4: Pneumonia
Top 5: Accidents
Top 6: Tuberculosis, all forms
Top 7: Chronic lower respiratory disease
Top 8: Diabetes Mellitus
Top 9: Nephritis, nephrotic syndrome and nephrosis
Top 10: Certain conditions originating in the perinatal period
Philippine Health Statistics 2009

9. In the Philippines…
• 1 out of 4 Filipinos are hypertensive.
• 1 out of 20 Filipinos have high fasting blood
sugar.
DOH data in 2009/Philippine Cancer Society, 2010 / World Health Organization, 2010,
Renzo Guinto, MD. consultant on migration health for the International Organization for Migration and Philippine
Department of Health

10. In the Philippines…
• one person die of stroke every nine minutes.
• 276 Filipinos die of heart disease every day.
DOH data in 2009/Philippine Cancer Society, 2010 / World Health Organization, 2010,
Renzo Guinto, MD. consultant on migration health for the International Organization for Migration and
Philippine Department of Health

11. In the Philippines…
• Nearly 40% of Filipinos are either overweight.

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15. Heart Disease
11/01/17 15
• Coronary artery disease (also known as coronary
heart disease and ischaemic heart disease)
• Cardiomyopathy - diseases of cardiac muscle
• Hypertensive heart disease - diseases of the heart
secondary to high blood pressure
• Heart failure

16. Antioxidants
• Water Soluble – Vit C and B (for blood)
• Fat Soluble – Vit. E and A (covering of cell)
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17. Antioxidants
• Water Soluble – Vit C and B (for blood)
• Fat Soluble – Vit. E and A (covering of cell)
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18. • Arteries—blood vessels that carry blood away
from the heart to the rest of the body
What Causes Heart
Disease/Stroke?

20. Plaque Starts to Build
Up
Tear in Artery
Wall
Tear in
Artery Wall

21. Plaque Can Grow and
Harden and Obstruct
the Artery
Tear in Artery
Wall
Tear in
Artery Wall
Atherosclerosi
s

22. Atherosclerosis
• an artery wall thickens as a result of the
accumulation of calcium and fatty materials such
as cholesterol and triglyceride.
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23. Heart Attack

24. 11/01/17 24

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26. Caring for your Heart

27. 10 Ways to Take Charge of Your Heart
Health
1. Schedule a Yearly Checkup
Your heart is in your hands.
Each year on your birthday, schedule a checkup
to have your blood pressure, cholesterol andblood pressure, cholesterol and
glucose levelsglucose levels checked, and ask your doctor to
help you reach or maintain a healthy weight.

28. 10 Ways to Take Charge of Your Heart
Health
2. Get Physical
Step, march or jog in place for
at least 15 minutes a day while
watching your favorite TV
shows.
Increase your activity by five
minutes each week until
you're getting a minimum of
30 minutes.

29. 10 Ways to Take Charge of Your Heart
Health
3. Drink More Water
Take a water bottle with
you wherever you go.
It'll keep you hydrated and
the bottle's weight will
strengthen your arms.

30. 10 Ways to Take Charge of Your Heart
Health
4. Eat Healthy
•Keep packages of
unhealthy food hidden.
Put raw veggies and fruits
in front in the refrigerator
and healthy snacks in the
front of the pantry.

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Vit B

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Vit B
Vit. BVit. B

33. • Choose lean meats
• Limit extra sugars
• Eat slowly
Ways to Reduce
Calories

34. • Learn to read food labels
Knowledge is power!
What should I look for?

35. Start Here
Limit These
Nutrients
Get Enough
of These
Nutrients
% DV=Percent Daily Value

36. • Eat breakfast
• Keep regular mealtimes
• Look for lower-fat alternatives
• Drink enough fluids (water)
• Focus on fruits and vegetables
Ways to Reduce
Calories

37. • Lower blood cholesterol, especially LDL
• Satiety
• Good for digestive system health
• Often associated with other beneficial
compounds
• Decreased risk for heart attack
Why Increase Fiber?

38. Fiber Sources?

39. 10 Ways to Take Charge of
Your Heart Health
5. Control Cholesterol
•Avoid saturated fat, trans fat
or cholesterol.

40. Types of Fat

41. 10 Ways to Take Charge of
Your Heart Health
5. Control Cholesterol
•Eat foods low in saturated
fat and trans fat, such as lean
chicken, fruits and veggies,
low-fat or fat-free dairy
products and whole grains.

42. • Trans fat increases your LDL and
decreases your HDL
• Trans fat forms when liquid oils are
made into solid fats, a process called
hydrogenation
Trans Fat vs Saturated
Fat

43. Trans fats are in:
• Packaged cookies
• Packaged baked goods
• Packaged crackers
• Commercially prepared fried foods
• Chips
• Doughnuts
• Some margarines
Trans Fat vs Saturated
Fat

44. • Choose low-fat and skim dairy products
• Eat lean meat (trim fat and remove skin)
• Bake, roast, broil, grill, or poach foods
• Avoid fried foods
Ways to Reduce Fat

45. • Watch for hidden fats in salad dressing,
gravy, and processed foods
• Read labels to avoid hydrogenated oils—
trans fats
• Limit oils
• Look for healthy fats
Ways to Reduce Fat

46. • Oils with a higher percentage of
monounsaturated fat:
– Canola oil
– Olive oil
• Omega-3 fatty acids
Where Do I Find
Healthy Fats?

47. • Recommendation: eat fish at least twice
a week:
– One serving is 5 ounces
– 3 oz is the size of a deck
of cards
Healthier Fats

48. 10 Ways to Take Charge of Your Heart
Health
6. Cut Down on Salt
•Watch your salt intake.
(It may be disguised in food labels
as sodium alginate, sodium
sulfite, sodium caseinate,
disodium phosphate, sodium
benzoate, sodium hydroxide,
monosodium glutamate (MSG),
or sodium citrate.)

49. • For a healthier blood pressure
Why Reduce Sodium?

50. • Do not add salt
• Use more fresh fruits, vegetables, and meats
• Season food with herbs
• Use lower-sodium products
• Watch out for condiments
• Avoid canned foods
Ways to Decrease
Sodium

51. 10 Ways to Take Charge of Your Heart
Health
7. Quit Smoking
Try this four-step way to kick your
habit:
•On Day 1, cut the number of
cigarettes you smoke by half
•On Day 3, cut the number of
cigarettes you smoke in half again
•And on Day 5, cut your smoking
in half again
•On your Quit Day... quit!

52. 10 Ways to Take Charge of Your Heart
Health
8. Maintain a Healthy Weight
•Excess weight increases your risk
of heart disease, stroke and
diabetes.

53. 10 Ways to Take Charge of Your Heart
Health
8. Maintain a Healthy Weight
•To achieve steady, painless
weight loss, take it easy.
•Each day, if you eat 200-300200-300
calories lesscalories less than you would
normally consume, and exercise atexercise at
least 30 minutesleast 30 minutes on most or all
days of the week, you'll get closer
to your goal.

54. • Blood pressure
• Cholesterol level
• Triglyceride level
• Blood sugar level
• Risk for developing type 2 diabetes
If overweight, take action to lose
weight to improve your overall health
and lower your:

55. Body Mass Index (BMI)
UnderweightUnderweight <18.5<18.5
Normal WeightNormal Weight 18.5-24.918.5-24.9
OverweightOverweight 25-29.925-29.9
ObesityObesity 30+30+

57. • Weight loss:
– Reduces risk for cardiovascular disease
– Lowers blood pressure
– Lowers blood sugar
– Improves lipid levels
Benefits of Weight
Loss

58. Calorie Calculator - Daily Calorie NeedsCalorie Calculator - Daily Calorie Needs

59. 10 Ways to Take Charge of Your Heart
Health
9. Stay Positive
•If you get off your exercise schedule, have a
cigarette, or eat a fattening meal, immediately
get back on track toward re-establishing a
healthy lifestyle.

60. 10 Ways to Take Charge of Your Heart
Health
10. Give Yourself Credit
•To maintain momentum with exercising, losing
weight, or quitting smoking, keep track of your
achievements and reward yourself by doing
something you enjoy.

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My Regimen
Vitamins, minerals, phytonutrients
Omega 3
Glucosamine

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My Regimen
CoQ10
Fiber
Saw Palmetto

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My Regimen
Protein powder/Meal replacement
Carb Blocker
Chromium

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My Regimen
Rhodiola (green tea extract)
Exercise – Dancing, Weight lifting

66. 10 Ways to Take Charge of Your Heart
Health
1. Schedule a Yearly Checkup
2. Get Physical
3. Drink More Water
4. Eat Healthy
5. Control Cholesterol

67. 10 Ways to Take Charge of Your Heart
Health
6. Cut Down on Salt
7. Quit Smoking
8. Maintain a Healthy Weight
9. Stay Positive
10. Give Yourself Credit

68. It is never too early to build a strong and
healthy heart!
Remember…

69. The Choice Is Yours

70. Questions

71. roel_tolentino@yahoo.com
11/01/17 71
http://www.thinkwellasia.org/