From the Doctor’s Desk

Dr. Obinna Nwobi                 

Vascular & Interventional Pavilion

April 2, 2015

Celebrate Foot Health Awareness Month with a Brisk Walk Suggests Dr. Nwobi

Tampa, Florida - A walk in the fresh April air is an ideal way to participate in the national American Podiatric Medical Association’s Foot Health Awareness Month. 

“Walking is great exercise for the feet,” said Obinna Nwobi, MD, of Vascular and Interventional Pavilion. Both podiatrists and vascular surgeons agree that good blood flow is essential for foot health. A brisk 30-minute walk every day is just what the doctor ordered.
Simple steps for daily foot care include:   

• Improve circulation by walking, bicycling, dancing, and swimming  
• Inspect feet for the cuts, sores, blisters, redness, warm spots, or swelling. Wash feet in warm water. Moisturize for soft skin. Cut toenails straight across  
• Wear socks and proper fitting shoes
• Protect feet from heat and cold
• Wiggle toes. Flex feet and ankles for five minutes two to three times each day to maintain blood flow 

“Feet are our foundation,” said Dr. Michael King, president of the American Podiatric Association. “Healthy feet are fundamental to the quality of our daily lives. We need to take care of them every day, and see a medical professional if they begin to hurt.” Vascular surgeons and podiatrists work closely to access and treat patients with severe foot problems. 

Symptoms that require care by a podiatrist:    

• Hair loss on toes may be a sign of poor circulation
• Blue thread veins and very white skin is common among lifelong smokers and may indicate vascular disease 
• A swollen foot may indicate a blocked lymph node or deep vein thrombosis, a dangerous blot clot in the legs  
• Corns and blisters are important to treat promptly in those with diabetes. Sufferers may not feel the pain in their feet due to numbness, and left untreated, these conditions may lead to serious illness. 
• Dry, cracked heels may indicate a thyroid problem 
• Swollen feet may indicate heart or kidney problems 
• Any changes in the color, thickness, or loosening of the toenails should be evaluated

Additional foot care information is available at www.todays podiatrist.org, www.VascularWeb.org, and www.VascularPavilion.com or call (813)-922-3177.

If you have any questions regarding anything vascular feel free to call our offices at 813-922-3177 or visit our website at www.VascularPavilion.com, or www.PremierVeins.com

Dr. Obinna Nwobi                 

Vascular & Interventional Pavilion
March 20, 2015

It’s March Madness a.k.a. Couch Potato Time Advises Dr. Nwobi

Tampa, Florida - From March 15 (Selection Sunday) to April 6 (National Championship), March Madness consumes America. Arm chair hoopsters stare at their flat screens with tournament brackets in hand.  

“Instead of simply cheering, try some fancy footwork,” said Obinna Nwobi, M.D., a member of the Society for Vascular Surgery®. “Participate in March Madness by shooting a few hoops.” 

For a 150-lb. person, 30 minutes of basketball can burn off: 

• 153 calories shooting hoops solo
• 204 calories during an informal game 
• 272 calories during a five-on-five game of basketball*
Source: www.livestrong.com

“Your vascular system will have a great work out,” said Dr. Nwobi.  “Vigorous exercise such as basketball pumps your blood and lowers your blood pressure. This helps to keep your weight down. These are all positive health benefits.” 

For the slam-dunk of vascular health: 

• participate in 30 minutes of exercise daily. This may reduce the risk of stroke, the fourth leading cause of death in America according to the United States Center for Disease Control and Prevention’s 2010 National Vital Statistics Report. In 2010, 137,000 Americans died of stroke. 
• eat healthy,
• don’t smoke, 
• maintain a healthy body weight.

The lack of regular physical activity results in 250,000 deaths annually according to a 2003 report in the medical journal, Circulation.  Least physically fit persons have a mortality risk 4.5 times higher than physically fit persons.

Non-invasive vascular disease screening tests and medications are available. For vascular health information, visit: www.PremierVeins.com, www.VascularPavilion.com, or VascularWeb.org. 

If you have any questions regarding anything vascular feel free to call our offices at 813-922-3177 or visit our website at www.VascularPavilion.com, or www.PremierVeins.com

Article Content Back

Preventing Diabetes with the Mediterranean Diet

By Beth Fontenot, MS, RD, LDN

If you are among the people of a certain age and a certain (over)weight, you will be grateful for the following news. Eating a Mediterranean diet is so beneficial that it appears to keep the risk of developing diabetes at bay.

The reduced risk was seen even in people who did not engage in more traditional diabetes prevention methods such as counting calories, exercising, or losing weight.

Does that person sound like you?

People who had at least three risk factors for cardiovascular disease, but were still free of diabetes, were randomly assigned to follow one of three diets: a Mediterranean diet supplemented with extra virgin olive oil; a Mediterranean diet supplemented with mixed nuts; or a low-fat diet. The diets were not calorie-restricted.

After four years the people who ate the Mediterranean diet supplemented with olive oil were less likely to develop type 2 diabetes compared to those who ate the low-fat diet. Those who followed the Mediterranean diet supplemented with nuts also saw a reduced risk of type 2 diabetes, but not to the point of being considered statistically significant.

When data from both Mediterranean diet groups were merged, there was a 30 percent reduction in the risk for diabetes.

The low-fat diet group had the most new cases of diabetes. More people in this group dropped out of the study, as well. The study, by Spanish researchers, examined data collected from over 3,500 people aged 55 to 80 years.

The Mediterranean diet is heavy on fruits and vegetables, high-fiber grains, legumes, fish, and foods high in unsaturated fats like olive oil and nuts. Red meat and high-fat dairy foods, which are high in saturated fat, are generally limited or avoided.

The diet is also an excellent source of two types of beneficial fats — monounsaturated fats and omega-3 fatty acids. These fats help stabilize blood sugar levels and provide satiety, so people generally eat less.

The foods included in the diet also tend to be lower calorie foods so weight loss may occur over time, but without the rigors of counting calories.

It is impossible to overstate the seriousness of diabetes as a public health issue. It is the leading cause of kidney failure, lower-limb amputations, and new cases of blindness among adults in the US. It is a major cause of heart disease and stroke, and the seventh leading cause of death.

Diabetes affects 25.8 million people or 8.3% of the United States population. As of 2010, 10.9 million, or 26.9 percent, of US residents aged 65 years and older had diabetes, according to the Centers for Disease Control.

Type 2 diabetes is typically seen in people over the age of 45 who are overweight and have a family history of the disease. It is the more common type of diabetes, affecting 90 to 95 percent of people who have diabetes.

Given these results, the hope is that people at risk for diabetes and who are not motivated to lose weight will find the Mediterranean diet and its focus on good food, rather than calorie-counting and weight loss, appealing.

The diet's protective effects could prove to have positive public health implications, reducing diabetes and the economic burden it brings.

Almost as important, this study showed that dietary changes are effective in an older population, demonstrating that it’s never too late to start eating right.

The study is published online in Annals of Internal Medicine.

January 9, 2014

Source: www.TheDoctorWillSeeYouNow.com


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