HT City

Protect your heart in the 20s for a healthy life

Kick the butt, exercise regularly, eat healthy and don’t stress — follow these simple steps to have a sound heart

- Dr Santosh Kumar Dora

You reap what you sow — this remains true for heart health as well. Coronary artery disease usually manifests at your 50s and 60s or later — most of the time this is due to the years of negligence towards heart health.

To have a healthy heart in your 50s, you should start putting efforts in your 20s only .

Coronary artery disease is a result of numerous risk factors present for several years and decades. These risk factors include diabetes, hypertensi­on, history of smoking, dyslipidem­ia, obesity, lack of physical exercise, environmen­tal pollution, stress, increasing age and family history of heart disease.

While most of these risk factors are preventabl­e, years of exposure to these risk factors leads to gradual build up of cholestero­l plaques in the coronary artery.

The severity can get to a level where chest pain starts initially during exertion and subsequent­ly even at rest.

In some cases, the plaque may burst, and the artery gets blocked suddenly due to developmen­t of clot on the denuded plaque leading to heart attack. That’s precisely why you need to monitor a few lifestyle habits in your 20s. Refrain from smoking from the very beginning. Smoking is a major risk factor and has the strongest associatio­n with coronary artery disease. It increases the risk of coronary artery disease by two to four times compared to age matched non-smokers.

Cessation of smoking has shown to decrease the risk of coronary artery disease.

And it’s never too late to get benefits from quitting smoking. One year after quitting smoking, the risk of heart disease comes down by 50%. Five years after quitting smoking, the risk of heart disease is equal to that of non-smokers.

Ditch the junk right away and switch to exercise mode

Regular physical exercise and eating healthy takes care of several cardiac risk factors like dyslipidem­ia, obesity, hypertensi­on and diabetes.

The American Heart Associatio­n recommends 150 minutes per week of moderate intensity aerobic exercise or 75 minutes per week of vigorous aerobic

exercise or a combinatio­n of both. Preferably the exercise program should spread out evenly throughout the week. One should practise moderate to vigorous muscle strengthen­ing or resistance exercise at least two days a week.

Eating healthy involves right proportion of carbohydra­tes, protein, fat, vitamins and minerals. A healthy eating plan emphasises on fruits, vegetables, whole grains, fat-free or low-fat milk and milk products. It includes lean meats, poultry, fish, beans, eggs and nuts. Healthy food is low on saturated fats, trans-fats, cholestero­l, salt and added sugars.

Despite regular physical exercise and healthy dietary practice, if you develop hypertensi­on, diabetes or dyslipidem­ia due to genetic factors, then the condition should be controlled by proper medication.

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PHOTO: SHUTTERSTO­CK

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