The Arizona Republic

Your Moves

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Wouldn’t you love to sail into old age with few or no serious health issues? It might sound like a pipe dream in a country where around 115 million adults have prediabete­s or diabetes, more than 162 million adults are overweight or obese, and fully 31 percent are living with more than one chronic condition. But you can do it.

A new study published in the journal Hypertensi­on found that you are likely to have the healthy blood vessels of a 30year-old well into your 70s if you stay lean, have a low body mass index and avoid diabetes. People who achieve six out of seven of the American Heart Associatio­n’s Life’s Simple 7 healthy heart goals (good blood pressure, controlled cholestero­l, lower blood glucose, staying active, eating a balanced diet, not being overweight and not smoking) are 10 times more likely to see healthy vascular aging than those who do none to only one of those measures.

The benefits of vascular health? It protects your cardiovasc­ular system, brain, skin (think no or fewer wrinkles), kidneys, eyes, sexual functionin­g and every other organ system. For the 28.4 million Americans who have diagnosed heart disease, we say, “You too can improve your heart health. In fact, all aspects of your health enormously with smart self-care.”

Next Steps

The health care profession and industry (and you) have to shift the present focus from treating preventabl­e diseases to pre-empting them.

According to the National Center for Chronic Disease Prevention and Health Promotion, 75 percent of our health care dollars are spent on preventabl­e chronic conditions, such as hypertensi­on, elevated LDL cholestero­l, diabetes, obesity, some forms of arthritis, gum disease and stroke. Treating these chronic/preventabl­e diseases cost around $2.4 trillion in 2015. Out-of-pocket expenditur­es were $338.1 billion. That takes a heavy toll on society and every individual who is spending hard-to-come-by money, especially during retirement.

The best way to power prevention is to enter into a joint health partnershi­p with your health care providers. You need to get involved and find doctors who are committed to joining you in your quest. They’re out there.

To prevent costly, life-shortening, chronic conditions tomorrow, just upgrade your lifestyle today. The first moves may seem small, but they’ll get you to the second level.

1. Add an additional serving of fruit or veggies to each meal, every day (1 apple, a tossed salad or 1/2 cup cooked broccoli). Level two: a total of 7 to 9 servings of produce daily.

2. Walk an extra 30 minutes every day: at lunchtime, after dinner or at the mall (no shopping.). Level two: 10,000 steps a day.

3. Get aerobic and build muscles. In your walking routine, alternate 2 minutes of fast walking with 5 minutes of normal pace. It’s interval training. Level two: In addition to your 10,000 daily steps, throw in twice-a-week sweaty aerobics for 30 minutes and two 20-minute, strength-building sessions a week. Alternate strength building with aerobic days, then it’s time to go shopping.

Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic.

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