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23.11.2015, admin  
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Low vitamin D blood levels are linked to greater risk of heart disease in whites and Chinese, but not in blacks and Hispanics, according to a study appearing this week in JAMA, the Journal of the American Medical Association. Growing evidence has suggested that low blood levels of 25-hydroxyvitamin are associated with higher risk of developing coronary heart disease among whites.
Vitamin D levels tend to be lower among people from other racial and ethnic minority groups, and some of these populations have higher rates of heart disease. Robinson-Cohen is an affiliate instructor in epidemiology at the UW School of Public Health and a researcher at the Kidney Research Institute, where her team explores the genetic, metabolic and epidemiological factors related to heart and kidney disease. She noted that the findings in their recent JAMA paper came from an observational study, not a randomized clinical trial, and could not guarantee cause and effect.
Her team plans to look for variations in genes known to mediate vitamin D activation and metabolism.
The report published this week was from one of the projects within the Multi-Ethnic Study of Atherosclerosis. All participants were free of any known cardiovascular diseases at the time they enrolled, and had their blood levels of V25-hydroxyvitamin D measured.
Robinson-Cohen believes the strengths of the study are its size, duration,  the use of several statistical analyses, the rigorous definition of heart disease events, and the efforts made to control for many confounding risk factors, such as age, gender, smoking, diabetes, blood pressure, cholesterol levels, physical activity, kidney disease,C-reactive protein concentrations, educational attainment, income  and so on.  A main weakness of the study, she said, is that it is observational, and therefore can’t be ascertain cause and effect.
Robinson-Cohen pointed out, that beyond these specific results, the nature of the findings show the importance of designing medical research that includes a diverse ethnic and racial makeup of participants. The study, “Racial Differences in the Association of Serum 25-hydroxyvitamin D Concentration with Coronary Heart Disease Events” was supported with grants and contracts N01-HC-95159  and N01-HC-95169 from the National Heart Lung and Blood Institute and  R01DK088762 from the National Institute of Diabetes and Digestive and Kidney Diseases.
If you're used to eating chicken Parmesan, use thin slices of eggplant instead of the chicken. If you're looking for something closer to the texture of a real hamburger, try a veggie burger. Because they are lower in or free of animal products, vegetarian diets are low in total and saturated fat and cholesterol.
Make sure you're getting enough iron, vitamin B12, zinc, calcium, and vitamin D, especially if you're on a vegan diet.
If you eat milk, cheese, or yogurt, you probably get enough calcium to keep your bones strong.
Although zinc is found in many vegetarian foods, it is not as well absorbed as meat-based zinc.

Omega-3 fatty acids are good fats that may help lower blood pressure, improve heart health, and stave off age-related dementia. However, after correcting for other risk factors for heart disease in their large, multi-ethnic study group, the researchers did not find an association between low vitamin D and cardiovascular events in their black and Hispanic study participants.
The senior author is Ian deBoer, University of Washington assistant professor of medicine, Division of Nephrology.
She said these genes have been identified, but at present scientists haven’t determined how gene variation influences susceptibility to the adverse effects of low vitamin D. MESA is a major, long-term medical research effort supported by the National Heart Lung and Blood Institute, part of the National Institutes of Health. The mean age of participants at the start of the study was 62 (range 45 to 84 years) and slightly more than half were women.
Such multi-ethnic studies would help prevent cases where findings from one group are incorrectly applied to other groups. Just make sure you're getting enough calories from a wide variety of nuts, seeds, legumes, and grains. Many studies have shown that vegetarians  are less likely to get certain diseases such as heart disease and type 2 diabetes. But if you decide to go vegan -- you don't any animal products -- you'll need other sources of calcium.
You can also get iron from leafy green vegetables, cooked dry beans, tofu, and fortified cereals or grains. This vitamin is found only in some fortified foods and in foods made from animals, such as meats, eggs, and milk products. Doing it 1 or 2 days a week can help you cut back on saturated fats and cholesterol, and give you more fruits and vegetables. It is intended for general informational purposes only and does not address individual circumstances.
More than 6,800 men and women from six regions across the United States are participating in MESA. The researchers used several statistical risk analyses to check to see if links between blood vitamin D levels and coronary heart disease differed among white, black, Chinese and Hispanic populations. If it's a vegan meal, you'll skip anything that comes from animals, including milk, cheese, and eggs.

These are often made with a blend of vegetables, soy, and grains, providing protein and fiber.
A vegetarian that is filled with fruits and vegetables benefits from antioxidants like lutein in broccoli and lycopene in tomatoes, which may help protect against cancer. These include fortified soy and almond milk and orange juice, with small amounts of calcium in seeds, nuts, and some green vegetables.
Good sources include milk, cheese, whole-grain breads, nuts, soy foods, and legumes, such as chickpeas. Most of the health benefits are linked to docosahexaenioc acid (DHA), found mainly in fatty fish, as well as fortified foods like eggs.
So if you eat a vegan diet, you need to either eat foods fortified with vitamin B12 or take supplements. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
The diverse study group that was 38 percent white, 28 percent black, 22 percent Hispanic, and 12 percent Chinese.
You can make it work for you, whether you choose to eat this way all the time or to include some vegetarian meals in your week.
The solution is to eat iron-rich foods regularly and in combination with foods that have vitamin C, which helps your body absorb iron. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Robinson-Cohen and her team studied 6,436 MESA participants who enrolled between July 2000 and September 2002. Non-meat sources of vitamin D include fortified foods such as orange juice, cereals, and tofu made with calcium sulfate, and fortified milk alternatives like soy and almond milk. Pumpkin seeds, flaxseeds, walnuts, and canola oil are all good sources of alpha-linolenic acid (ALA), an omega-3 fatty acid beneficial for heart health.

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