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American Heart
Association Journal Concludes Majority
of Coronary Events in Older Men May Be Preventable |
A
report published online in the journal
Circulation
on July 3, 2006
concluded that coronary events in older American men could be
prevented in large part by adopting just five healthy lifestyle
habits. The study is the first to examine the role of a healthy
lifestyle in heart disease prevention among middle aged and older
men.
Associate professor of epidemiology and nutrition Eric B. Rimm and
research fellow Stephanie Chiuve of Harvard School of Public Health,
and their colleagues conducted a 16 year follow-up of 42,847
participants in the Health Professionals Follow-Up Study, which
enrolled 51,529 male health professionals aged 40 to 75 in 1986.
Questionnaires administered every two years provided updated
information on medical conditions such as hypertension and elevated
cholesterol, medication use, and lifestyle factors. Healthy
lifestyle factors were defined as not smoking, daily moderate to
vigorous exercise, consuming alcohol in moderation, maintaining a
healthy weight, and consuming a healthy diet as based on the Harvard
School of Public Health Alternate Healthy Eating Index.
Over the follow-up period there were 2,183 cases of nonfatal heart
attack and fatal coronary heart disease. Participants whose
questionnaire responses concerning all five healthy lifestyle
practices placed them in the low risk category had an 87 percent
reduced risk of coronary heart disease compared to men who adhered
to none of the five factors. Adopting at least two factors lowered
risk by 27 percent.
The researchers estimated that 62 percent of the coronary events
that occurred could have been prevented by adherence to the five
lifestyle practices. Even men being treated for hypertension or
cholesterol with drugs for these conditions could have had 57
percent of coronary events prevented by these improvements.
“A healthy lifestyle can be an effective, nonpharmacological
approach to reducing coronary heart disease among men,” the authors
conclude. Dr Cuive commented, "It's never too late to make changes
to become healthier.”
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