Risk Factors of Heart Disease

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Here are some ways you can reduce your risk of heart disease:

Quit smoking. Smokers have more than twice the risk for heart attack as nonsmokers and are much more likely to die if they suffer a heart attack. If you smoke, quit. Better yet, never start smoking at all. Nonsmokers who are exposed to constant smoke also have an increased risk.

Improve cholesterol levels. The risk for heart disease increases as your total amount of cholesterol increases. Total cholesterol goal should be less than 200 mg/dl; HDL, the good cholesterol, higher than 40 mg/dl (the higher the better); and LDL should be less than 130 mg/dl in healthy adults. For those with heart disease, LDL goal should be less than 100 mg/dl (or less than 70 mg/dl if you are very high risk) Interpretation and treatment of cholesterol values must be individualized, taking into account all of your risk factors for heart disease. A diet low in cholesterol and saturated and trans fat will lower cholesterol levels and reduce your risk for heart disease. Often, medications are needed to reach cholesterol goals.

Control high blood pressure. More than 50 million people in the U.S. have hypertension, or high blood pressure, making it the most common heart disease risk factor. One in four adults has systolic blood pressure (the upper number) over 140, and/or diastolic blood pressure (the lower number) over 90, which is the definition of hypertension. The goal is to reach a blood pressure of 120/80 or lower. Like cholesterol, blood pressure treatment should be individualized, taking into account your entire risk profile. Control blood pressure through diet, exercise, weight management, and if needed, medications

Control diabetes. If not properly controlled, diabetes can lead to significant heart damage including heart attacks and death. Control diabetes through a healthy diet, exercise, maintaining a healthy weight, and taking medications as prescribed by your doctor.

Get active. Many of us lead sedentary lives, exercising infrequently or not at all. People who don't exercise have higher rates of death and heart disease compared to people who perform even mild to moderate amounts of physical activity. Even leisure-time activities like gardening or walking can lower your risk of heart disease. Most people should exercise 30 minutes a day, at moderate intensity, on most days. More vigorous activities are associated with more benefits. Exercise should be aerobic, involving the large muscle groups. Aerobic activities include brisk walking, cycling, swimming, jumping rope and jogging. If walking is your exercise of choice, use the pedometer goal of 10,000 steps a day. Consult your doctor before starting any exercise program.

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Last Updated: 4/13/2009

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