ahs13 grayson wheatley - what is optimal health? complexity science, chaos theory and its impact on...

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What is Optimal Health? Complexity Science, Chaos Theory and its Impact on Ancestral Health Grayson H. Wheatley, MD Phoenix, Arizona

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An ancestral lifestyle relies on alignment of nutrition, physical activity and sleep for achieving optimal health and well-being. New research in complexity science - a rapidly evolving body of work that studies dynamic networking systems - has cast doubt on the effectiveness of how we measure expected outcomes in health and medicine. Complex systems may better explain human health by focusing not on single data elements as “cause-and-effect” but on the interactions among complex biological systems. The implications of complexity science and chaos theory on leading an ancestral lifestyle and achieving optimal health will be discussed.

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Page 1: AHS13 Grayson Wheatley - What is Optimal Health? Complexity Science, Chaos Theory and Its Impact on Ancestral Health

What is Optimal Health?

Complexity Science, Chaos Theory and its Impact on Ancestral Health

Grayson H. Wheatley, MDPhoenix, Arizona

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Disclaimer

The comments and statements in this presentation are solely my own and in no way

represent my employer.

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“Typical Day”

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Why Am I Here?

AHS 2012

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Heart Disease Prevention and the Ancestral Diet

Decrease inflammation (biomarkers)

Prevent/slow heart disease

Ancestral Diet

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Optimal Health

What is “Optimal Health”?

Do we know it when we see it?

How do we measure it?

How do we achieve it?

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Ancestral Health

Diet

ExerciseSleep

nutrientdense

absenceof

processed foods

duration

quality

intensity

functional

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AncestralHealth

ChaosTheory?

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“Alongside relativity and quantum mechanics, it is being

hailed as the twentieth century's third revolution.”

The Butterfly Effect: This effect grants the power to cause a

hurricane in China to a butterfly flapping its wings in

New Mexico.

Small changes in the initial conditions….lead to drastic

changes in the results1988

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www.artdevanyonline.com

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Foundational Principles“The human mind has a

trusty device for simplifying a complex world: reduce to

averages and identify trends.”

“… our culture encodes a strong bias either to neglect or ignore

variation. We tend to focus instead on measures of central

tendency, and as a result we make some terrible mistakes,

often with considerable practical import.”

1996

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Variation is the NATURE of Life

www.fractalsciencekit.com

Fractal

- iterative pattern of nesting

sequences.

“self-similarity”

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Fractal Anatomy

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Heart Rate

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Heart Rate Variability

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Heart Rate Variability

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“A Healthy Complexity”

A. Goldberger. Nature 1999; 399:461

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Heart Rate Variability (HRV)

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Age related entropy in HRV

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Do we need to re-design pacemakers?

www.heart-valve-surgery.com

www.pbs.org

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HRV as a tool to monitor overtraining

myithelte.com

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http://www.bioforcehrv.com/

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Esko HyvärinenTampere University of Technology,,Ragnar Granit Institute

Sensatex, Inc

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Corventis

npr.org

“Smart Band-aids”

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Diet

ExerciseSleep

HRV and Ancestral Health

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Diet

ExerciseSleep

HRV and Ancestral Health

?

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Omega-3 polyunsaturated fatty acids (PUFA) may modulate autonomic control of the heart.

Omega-3 PUFA is abundant in the brain and other nervous tissue as well as incardiac tissue.

Studies have demonstrated a positive association between cellular content of omega-3 PUFA and HRV

Supplementation with omega-3 PUFA seems to increase HRV

Could be a possible explanation for decreased risk of arrhythmic events and sudden cardiac death sometimes observed after omega-3 PUFA supplementation.

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Diet

ExerciseSleep

HRV and Ancestral Health

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Diet

ExerciseSleep?

HRV and Ancestral Health

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HRV and Ancestral Health

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Diet

ExerciseSleep

HRV and Ancestral Health

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“Anticipatory Medicine”

signal complexity health

Heart beatsSleep apneaBrain wavesGait pattern

“We’re developing and refining computational tools to pull useful information out of extremely complex data sets.” – Ary Goldberger, MD, Wyss Institute, Boston, MA

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AncestralHealth

ChaosTheory

Heart rate variability

Modifying factors

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“Fractal Physiology”

Fractal breathingFractal gaitFractal temperatureFractal neurons

Where Medicine Went Wrong. Bruce J. West. World Scientific 2006

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www.gastropatienteducation.com www.pcsd.k12.ny.us

Fractal Gut

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www.pcsd.k12.ny.us

Fractal Gut

en.wikipedia.org

www.theglutenfreefoodslist.com

Loss of villi secondary to gluten sensitivity.

LOSS OF FRACTAL ARCHITECTURE

Sign of disease

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Claude Bernard (1813-1878)

www.nndb.com

“Constancy of internal mileu is the essential condition to a free life.”

-Introduction to Experimental Medicine (1865)

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Homeostasis-Greek words “same” and “steady”-Resistance to change-General property of all highly complex systems

hajbio.wordpress.com

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Regulation of Calcium

bio1152.nicerweb.com

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Law of Frequency of Errors

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Normal distribution is not compatible with complexity science and chaos

Vital Signs

Heart rate 89 beats per minuteRespiratory rate 18 breaths per minuteTemperature 98.9 degress FBlood pressure 128/78 mmHg

Does not capture or reflect variability in the system.

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Circulation 2009; 120: 118-125

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Chris Masterjohn – AHS 2012

Framingham Heart Study

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Inverse Power-Law Distribution

Inverse power-law

“Simple Systems”

“Complex Systems”

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Pareto Principle (80/20 rule)

Inverse power –law distribution

Ubiquitous in the real world

Ubiquitous in Medicine

Differences between physical sciences and life sciences

“The few are important and determine the properties of complex systems and the many are irrelevant and readily replaceable.” – Bruce J. West

www.managerwise.com

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HRV – Inverse Power-Law

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Optimal Health

Measures of health (i.e. laboratory values, vital signs) fail to capture intrinsic variability in our health

A certain level of random variation is an essential part of health

Loss of randomness to biologic functions reflects disease and ageing

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Ancestral Health + Chaos

Diet

ExerciseSleep

DietPromote and support variability

Intermittent calorie intake

Intermittent supplement intakeDoses and frequency

Diversified nutrients

Avoid anti-nutrients

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Ancestral Health

Diet

ExerciseSleep

Exercise

Robert Dos Remedios

www.pponline.o.uk

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Ancestral Health

Diet

ExerciseSleep

Sleep

Quality and duration

VariabilityBedtimeWaking-upDuration

Measurements

Attention to sleep cycle

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Wheatley AHS2012 56

Thank you!