Lowering Heart Disease Risk Is More Than Just Lowering Your Cholesterol Numberby Brian P. Randall, MD and Marjorie Montemayor-Quellenberg, MA
Cholesterol receives a lot of attention for being a risk factor for CAD. You may think that if you lower your cholesterol numbers, you will reduce your overall heart disease risk. But focusing only on your cholesterol numbers is a small part of achieving the real goal—lowering your risk of CAD. Beyond the numbers, there are other risk factors that you need to be aware of. What Are Your Risk Factors for Heart Disease?There are two main types of risk factors for heart disease. There are those that you can change (modifiable) and those that you cannot change (non-modifiable). For example, age is a non-modifiable risk factor. Being older puts you at greater risk for developing CAD, but you cannot prevent aging. Smoking also puts you at higher risk for developing heart disease. But this risk factor is modifiable because you can quit smoking and lower your risk. Here are more examples of the two types: Non-Modifiable
Modifiable
Cholesterol: One Piece of the PuzzleSince it is not always possible to see heart disease developing, measuring cholesterol levels is a way for you and your doctor to get an idea of whether heart disease is more likely. But keep in mind that maintaining or achieving ideal cholesterol levels does not mean that you no longer have to worry about a heart attack, stroke, or heart disease. For instance, a 65-year-old man who is overweight, smokes, and has a family history of heart disease is still at risk of having a heart attack, even if his cholesterol levels are ideal. Take ActionThe great thing about working on all of your modifiable risk factors is that many are connected. For example, if you are physically active, not only does the activity lower your risk for heart disease, but it can also lower your weight, cholesterol, and blood pressure. Here are some things you can do to lower your risk of heart disease: ExerciseAim for at least 30 minutes of moderate exercise a day. Some good choices include walking, cycling, jogging, and swimming. Eat a Heart-healthy DietTry to include plenty of fruits and vegetables, nuts, and whole grains in your diet. A healthy diet should include foods that are low in saturated fat, cholesterol, trans fat, sugar, and salt. Also, limiting your total calories to a reasonable amount is important. Maintain a Healthy WeightEveryone’s body is different. A healthy weight for one person may not be healthy for another person. One thing is certain: too much weight can increase your risk of heart disease. Eating healthy and exercising can remove obesity as a risk factor. Do Not SmokeDo not smoke. If you do smoke, quit. Smoking is one of the biggest risk factors for heart death. Non-smokers should also avoid second-hand smoke. Limit Your AlcoholLimit your alcohol to a moderate level. This means two or fewer drinks per day for men and one or fewer drinks for women and older adults. One drink equals a 12-ounce bottle of beer, a five-ounce glass of wine, or 1.5 ounces of liquor. Keep Cholesterol LowIf you have high cholesterol, do not just try to lower the number. Instead, focus on lowering your risk for heart disease. Exercising and eating healthy not only lower your cholesterol numbers, they also make you healthier overall. Medicines may be needed for some people. Statins are one type of drug that not only lower cholesterol, but also lower heart disease risk in some people. Statins should be used along with healthy lifestyle habits. If you are prescribed a statin and your cholesterol numbers improve, this does not mean that you should be sedentary and eat whatever you want. You will still need to focus on other modifiable risk factors. Keep Blood Pressure Under ControlIf you have high blood pressure, work to get it under control. Eating a healthy diet, exercising, and not drinking alcohol are just some ways to help control your blood pressure. Some people will also need to take medicines. Manage DiabetesIf you have diabetes, it is important to keep it under control. Eating well, exercising, and taking medicines can help with this. If you do not have diabetes, keeping your weight at a reasonable amount will help lower your chance of developing diabetes. The Total PictureDecreasing your risk for heart disease means more than just achieving normal cholesterol levels—it means addressing all modifiable risk factors. Practicing a healthy lifestyle is key to reducing many of the risk factors for heart disease. Work with your doctor to develop a plan that is right for you. This will ensure that you are doing all you can to keep your heart healthy. American Heart Association National Heart, Lung, and Blood Institute Canadian Cardiovascular Society Heart and Stroke Foundation of Canada Carson-Dewitt R. Coronary artery disease. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated September 20, 2010. Accessed November 15, 2010. Coronary artery disease risk factors. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/heart/prevention/riskfactors.aspx. Accessed November 11, 2010. FAQ. The National Association of College & University Food Services website. Available at: http://www.nacufs.org/i4a/pages/index.cfm?pageid=4666. Accessed November 15, 2010. Heart disease fact sheet. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/dhdsp/library/fs_heart_disease.htm. Updated May 12, 2010. Accessed November 10, 2010. Perry C. Cholesterol and your heart: where do we stand? EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated July 7, 2010. Accessed November 11, 2010. Rosenblum L. Atherosclerosis. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated September 20, 2010. Accessed November 15, 2010. Why lower cholesterol levels. National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/chd/why.htm. Accessed November 10, 2010. Wood D. Alcohol and alcoholism. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated September 20, 2010. Accessed November 11, 2010. Last reviewed November 2010 by Brian S. Alper, MD, MSPH |
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