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Heart Health Author: Jo-Ann Heslin, MA, RD, CDN, Food and Nutrition Columnist - HealthNewsDigest.com Last Updated: May 7, 2007 - 12:06:45 AM



What Is Your Risk for Heart Disease?
By Jo-Ann Heslin, MA, RD, CDN, Food and Nutrition Columnist - HealthNewsDigest.com
May 7, 2007 - 12:05:00 AM

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What Is Your Risk for Heart Disease?

(HealthNewsDigest.com) - The concept of risk factors related to disease is relatively new in medicine. We didnt even consider lifestyle as part of your risk for heart disease until the 1960s. But now we know that many things you do can increase your risks, which tend to cluster and build on each other creating an even more powerful negative effect. If you have 2 or more risk factors, your risk for heart disease is quadrupled. Three or more and your risk of heart disease is 8 to 20 times higher than if you had no risk factors at all. (Jo-Ann Heslin, MA, RD, CDN, Food and Nutrition Columnist - HealthNewsDigest.com)

Smoking

This is a risk factor you can reduce to zero. If you smoke, try to quit. If you dont, dont start. Heart disease is the cause of 35% to 40% of all smoking-related deaths. And, heart disease causes 8% of all deaths caused by exposure to secondhand smoke.
Dyslipidemias (problematic blood fats)

High total cholesterol, high LDL cholesterol, low HDL cholesterol, and high triglycerides all increase risk for heart disease. Exercising, losing weight, eating well, drinking moderate amounts of alcohol, and not smoking all help to bring blood fats into the normal range.

High Blood Pressure

One out of 3 adults in the U.S. has high blood pressure and the higher your blood pressure the more prone you are to heart disease. Blood pressure is measured by systolic (top) number over diastolic (bottom) number. For every 20 point rise in the top number or for every 10 point rise in the bottom number over 115/75 your risk for heart disease doubles. People with high blood pressure also frequently have high cholesterol. Lifestyle changes that lower blood fats will also lower high blood pressure.

Diabetes

Over 18 million American have diabetes and 75% of all deaths related to diabetes are caused by heart disease. Of course, the best way to lower this risk is to avoid getting diabetes. Second best is to keep the condition under control by managing blood sugar, blood pressure and blood fats. This can be done using lifestyle changes and medication.

Exercise

Few Americans are as active as they should be -- only 22% of adults do light exercise daily. Not exercising increases your risk of heart disease substantially, as much as smoking a pack of cigarettes every day. Exercising makes you feel good, helps you lose weight, and lowers blood pressure. Best advice, start moving.

Weight Loss

This one is the biggie no pun intended. Over 70% of adults weigh too much, and being overweight increases your chances of having high cholesterol, high triglycerides, high blood pressure, diabetes, and heart disease. An overweight 45-year-old man will, on average, die 6 years before his lean counterpart. An overweight 45-year-old woman will die almost 8.5 years before her lean counterpart.

Youre at even higher risk if you have the type of body that stores extra weight around the belly. Abdominal or belly fat has been linked to a higher risk for heart disease, diabetes and hypertension. Belly fat is active and works like a mini-factory producing triglycerides and C-reactive protein (CRP), both indicators of increased risk.

The good news: When you lose weight cholesterol goes down, triglycerides go down, high blood pressure goes down, and HDL cholesterol goes up. Your belly gets smaller and CRP levels drop. Losing as little as 5% to10% of your current weight reduces your risk for heart disease. Lose more and your risk profile gets even better.

Your Age and Your Relatives

You cant become younger or disown Uncle Sol or Aunt Bessie, no matter how hard you try. But it is important to know what diseases your close relatives currently have or what they died from: the information can help your doctor make judgments about your care. Brothers, sisters and parents count more heavily than second-generation relatives like aunts and cousins.

Alcohol

The question isnt -- Do you drink? Its -- How much? Studies have shown that 1 to 2 drinks a day can reduce the risk for heart disease by raising HDLs. But more than that -- 3 or more drinks a day and up -- increases the risk for high blood pressure and heart disease. Moderation is the key.

Stress

We once thought that driven people, type A personalities, were more prone to heart disease. But the evidence is inconclusive. Many ambitious, hard working, busy people are perfectly healthy. Still, it does appear that people who experience a good deal of anger may be at higher risk of developing heart disease.

While you cant do much about your relatives or your age, you can control other risks. Changing the way you live and eat can reduce your chances of developing heart disease, and simple changes can have surprisingly big effects.
NRH Nutrition Consultants, Inc.

Jo-Ann Heslin, MA, RD, CDN is a registered dietitian and the author of the nutrition counter series for Pocket Books with12 current titles and sales in excess of 5 million books. Look for The Cholesterol Counter, 6th ed., Pocket Books.
For more information on Jo-Ann and her books, go to www.TheNutritionExperts.com.

Today, Jo-Anns main focus is publishing a nutrition counter series for Pocket Books. The books are widely available at your local or on-line bookseller. Current titles include:

The Diabetes Carbohydrate and Calorie Counter, 3rd Ed., 2007
The Calorie Counter, 3rd Ed., 2007
The Most Compete Food Counter, 2nd Ed., 2006 -- trade paperback
The Complete Food, 2nd Ed., 2006
Coming in 2008
The Cholesterol Counter, 8th Ed.
The Wholesome Wholefoods Counter


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