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Healthy living Take it to heart


Risk factors for cardiovascular disease, which causes around a third of all deaths globally, can be reduced through changes in diet. But the medical profession isn’t doing enough to address the nutritional challenges many people face. Ellys Earls speaks to Dr Tom Butler, a senior lecturer in Nutrition and Health at Edge Hill University and head of the British Association for Cardiovascular Prevention’s Diet Working Group, to fi nd out what needs to change and where to start.


D


r Tom Butler has been fascinated by the link between nutrition and cardiovascular health since his undergraduate degree in


human biology. His dissertation project looked at the effects of eating fat and sugar on the heart. He took this research further for his PhD, investigating what happens at the molecular level and how what you eat can regulate cell death and directly impact the disease process of conditions like hypertension. It’s well documented that the risk factors for cardiovascular disease (CVD) can be reduced through changes in diet and physical activity. A diet rich in fruit, vegetables, olive oil and nuts is widely recognised in clinical guidelines as being important in both primary and secondary prevention of heart conditions. You might expect that this knowledge – combined with the increasing prevalence of CVD and the deaths associated with it – would have led to nutrition becoming an important part of its


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treatment and prevention. However, cases of CVD doubled from 271 million in 1990 to 523 million in 2019, while the number of deaths from cardiovascular conditions increased from 12.1 million to 18.6 million in the same time frame, equating to around a third of all deaths globally. It’s no surprise then that Butler believes there is still a long way to go.


It was only at his insistence that nutrition was made a mandatory module for the master’s degree in cardiovascular health and rehabilitation at the University of Chester, where until recently he was programme lead for BSc Nutrition and Dietetics. “People aren’t having heart attacks because of a lack of exercise. It’s a contributing factor, but it’s also because of exposure to poor lifestyle choices over the last 20, 30, 40 years and we don’t do much to address some of these nutritional lifestyle challenges that people face,” he says.


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