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Preventing Cardiovascular Disease
It has been noted that an ounce of prevention
is worth a pound of cure. But in the case of cardiovascular disease,
an ounce of prevention might just be worth a ton of cure. How so?
As the number one cause of death in the United States, cardiovascular
disease is a scourge without parallel in American history. But happily,
for many people, the destruction wrought by this dreaded epidemic
can be prevented. By taking small steps that eventually lead to
major lifestyle changes, you can help eradicate this all-too-common
tragedy and increase your chances for a long, healthy life. Here's
how:
Exercise
Researchers have found that exercise can give your body's systems
the capacity to work as well as someone 20 years younger. So it
is not surprising that physically active people-regardless of their
biological ages-have lower rates of heart disease and are less vulnerable
to strokes. Exercise is so important that cardiologists often prescribe
(not just recommend or suggest) exercise for patients with heart
disease, observes Alan Rozanski, M.D., director of nuclear cardiology
and cardiac stress testing at St. Luke's Hospital in New York City.
In one study, researchers followed 68 patients who were on a waiting
list for heart transplants and who also participated in an exercise
program of graded walking. After three to six months, the hearts
of 30 patients had improved to the point that they no longer needed
new hearts. Two years later, their hearts were still going strong.
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Diet
When he wasn't acting or directing classic films like Citizen Kane,
Orson Welles ate. Reportedly, it wasn't uncommon for him to eat
four to five large portions of caviar a day, and three huge steaks
and mounds of rich desserts for dinner. His lifetime of gluttony
weakened his heart and dangerously elevated his blood pressure.
Welles died at age 70 of a massive heart attack. "To my mind, Orson
Welles's health was the antithesis of what you want to experience
as you get older," says Michael Klaper, M.D., director of the Institute
of Nutrition Education and Research in Manhattan Beach, California.
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Nutrition
For at least a decade, doctors have known that the most important
ways to prevent a heart attack are to avoid tobacco smoke, eat a
low-cholesterol diet, keep dietary fat to a minimum, sweat through
at least three workouts a week and reduce stress across the board.
But today doctors are also beginning to realize that specific nutrients-particularly
vitamin C, vitamin E and beta-carotene-may be just as important.
Nobody knows whether a lack of these nutrients can actually lead
to heart disease, but it's certainly starting to look that way.
In the ongoing Nurses' Health Study, being conducted at Harvard
Medical School and Brigham and Women's Hospital in Boston, researchers
compared the diets of more than 73,000 nurses and found that a diet
rich in vitamin E reduced heart attack risk by 52 percent, a diet
rich in vitamin C reduced risk by 43 percent, and a diet rich in
beta-carotene, one of the nutrients that give orange and yellow
vegetables their color, reduced risk by 38 percent. What's more,
nurses who got a rich supply of all three nutrients were 63 percent
less likely to have heart attacks than those who did not. Read
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Positivity
As with the fabled Fountain of Youth and mythical Atlantis, the
search for the connection between mind and body has been an elusive
one. But researchers are discovering that the link between positive
feelings and health is neither a fable nor a myth. Compelling research
is beginning to show that a positive outlook on life can magnify
the health-protecting powers of diet and exercise and can help dampen
a multitude of ailments, including heart disease, stroke, and cancer.
Even if you develop one of these three diseases, experts say joy,
hope, and optimism can improve the quality of your life and enhance
your chances of recovery. "Most illnesses have a lot of psychological
underpinnings. A person's lifestyle, character, and the way they
cope with life have a big influence on what diseases they get, how
long they live, and how they survive in their older years," says
Roger Thies, Ph.D., professor of physiology at the University of
Oklahoma Health Sciences Center in Oklahoma City. Read
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Reducing Stress
You wake up late, dive into the shower, scramble into your clothes,
grab a stale muffin from the kitchen, dash out to the car, roar
out of the driveway and drive smack into the middle of a massive
traffic jam. At the office, your boss and two impatient clients
wait for you. Welcome to the world of stress, an inescapable reality
of modern life that has been linked to many disorders ranging from
allergies to asthma, from stomach problems to heart disease. In
fact, some physicians estimate that at least 80 percent of their
patients have stress-related symptoms. Read
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Quitting Smoking
Ponder these facts: Within 8 hours of quitting smoking, your pulse
rate and blood pressure drop, and oxygen levels in your body rise.
Within 24 hours your risk of a heart attack dips. At around a month
your circulation improves, your energy levels surge, and your lung
function expands by up to 30 percent. By 1 year your risk of heart
disease is half that of someone who continues to smoke. In 5 years,
your stroke risk begins to slide; and in 10 years, your chances
of getting lung cancer are the same as that of someone who has never
smoked. "I've had 75-year-old patients tell me that the day they
quit smoking, in their thirties and forties, was the greatest day
of their lives. The feeling of finding something that you had thought
you had lost-your health-is better than if you had never lost it
at all. And to know that your risk of sudden death from smoking-related
heart disease has dramatically decreased-is tremendous," says Alan
Blum, M.D., assistant professor of family medicine at Baylor College
of Medicine in Houston. Read
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