You know it's bad for you. But is it even worth stopping at this point? According to Teresa Caulin-Glaser, MD, FACC, FAACVPR, director of McConnell Heart Health Center in Columbus, Ohio, the answer is an unqualified "yes." She says, "The good news is that, if you stop smoking, your risk for heart disease will decrease to that of a woman who has never smoked in two to three years after you stop."
Your risk of dying from a heart attack is 10 times greater if you have hypertension. But even if you are postmenopausal, have a family history, or are 60 or older -- which makes you particularly vulnerable -- you can reduce your blood pressure significantly through improving your diet, losing weight and getting more exercise.
Your heart is a muscle, and like other muscles, will weaken and shrink if not worked out. According to the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure, you can reduce your blood pressure by 13/9 mm/Hg just by exercising 30 to 45 minutes most days of the week. Exercise also stimulates the production of feel-good chemicals in your brain, reducing the stress that is yet another risk factor.
Caulin-Glaser points out that diabetes poses a higher risk to cardiovascular health in women than in men. But Type 2 diabetes -- even in the face of a family history -- is now regarded as largely preventable. How? Through eating well (see item #5), regular exercise and getting down to a healthy weight.
As it turns out, Mom might not have been right about diet -- but your great great grandmother probably was because she lived closer to nature, where the best food for you comes from. A heart-healthy menu includes lots of fruits, vegetables, whole grains, lean meats, fish, nuts... and very little in the way of "the white stuff" (sugars and refined white flours) and processed foods. Eat the good fats (in olive oil and fish, for example) but limit your intake of animal fats.
Ever heard of "broken heart phenomenon"? Don't laugh; it's a reality and it kills, says Caulin-Glaser, "Women's hearts are more susceptible to stress, which triggers heart attack symptoms after emotional trauma in post-menopausal women with clean arteries." Exercise is a great stress-buster. Nancy Byrd Radding, fitness director at The Oaks at Ojai, an award-winning spa in California, advises four hours of cardio work and three hours of strength training per week, with flexibility training daily, as a great way to relieve stress.
Abdominal fat is particularly dangerous, says Caulin-Glaser. "In women, a waist measurement greater than 35 inches increases the risk to the heart. Your doctor should measure your waist during your physical evaluations." Excess weight in general is enmeshed with other risk factors like hypertension and diabetes, so losing your extra weight may mitigate these risks, as well -- plus, it can improve cholesterol levels and reduce inflammation. And when you feel great about yourself, you experience less stress.
Get lean, get moving and get happy to get heart healthy!
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