The Natural Way to a Healthy Heart: Lessons from Alternative and Conventional Medicine

Dr. Stephen Holt offers a layperson's handbook on cardiovascular disease, with an emphasis on prevention and self-care.

Holt (The Soy Revolution) provides an overview of heart disease, focusing on the problems related to high cholesterol and the various available treatments. Citing medical studies, Holt stresses the need to lower cholesterol as part of a comprehensive program to alleviate other causes of heart problems, including obesity and diabetes. While he clearly advocates therapies that utilize natural remedies, he doesn't proselytize; in fact, he is quick to cite other "experts" including Dean Ornish and Larry Dossey. The book is organized by subject (vitamins and supplements; weight control; emotional and spiritual health), which makes it easier for readers to digest the information, and those unfamiliar with medical terminology will find the chapter explaining cholesterol especially helpful. The chapters on lifestyle and nutrition are also useful. (More controversial is the weight-control chapter in which Holt criticizes many popular diets.) The second half of the book discusses the many natural remedies, including soy, fish oils and supplements. While readers should consult with their own physicians before abandoning current treatments in favor of Holt's approach, the book provides an instructive overview of the many different therapies available to treat heart disease. (Dec.)
Copyright 1999 Reed Business Information, Inc.

"Natural" methods of controlling or preventing heart disease are exploding in the consumer health field, and these two books add their own unspectacular interpretations to the mix. Holt's (The Soy Revolution) objective is to assist the reader in lowering cholesterol, controlling body weight, improving general well-being, and adding to longevityAall through diet. Using the philosophy of Dr. Andrew Weil (e.g., Eight Weeks to Optimum Health), Holt explores the mind-body connection in terms of health and disease. His recommendations for exerting self-control and changing unhealthy behaviors such as smoking and substance abuse are good. But he dismisses most popular dietsAeven the American Dietetic Association's food pyramid, which he criticizes for its emphasis on breads and other carbohydrates made with refined flours and chemical additives. Also problematic is the book's high reading level. A better choice for libraries is still Seth J. Baum's The Total Guide to a Healthy Heart (LJ 7/99). DeFelice, an endocrinologist, introduces carnitine as a centerpiece of his "cardiac elixir" (which also includes vitamins B and E, folic acid, magnesium, and alcohol as supplements to healthy eating). His controversial statementsAsuch as the assertion that there is little clinical evidence that low-fat diets help prevent coronary artery disease and that all alcohol (not just red wine) protects against heart attacksAwill raise eyebrows. He also "discovers" a dubious "Fat Machine"Aa conspiracy on the part of the federal government, academic medicine, and the pharmaceutical and food industries to reveal only one side of the diet/heart disease connection. Not recommended.AJanet M. Schneider, James A. Haley Veterans' Hosp., Tampa, FL
Copyright 1999 Reed Business Information, Inc.