A simple change each day can cut heart disease risk by 92%
Did you know that more than 41 million women in America have heart 
disease? And that more women than men will die from it? In fact, 
it's the leading health problem that kills women (not cancer—a 
common myth). 
But the good news is that just five lifestyle guidelines—moderate 
alcohol, a healthy diet, daily exercise, normal body weight, and 
not smoking—can cut your heart attack risk by a whopping 92%, 
according to a Swedish study of more than 24,000 women. Incorporating 
just the first two into your routine cuts your risk by more than half. 
The 28 tips that follow are designed to help you get started. Try 
one a day for a month, and then stick with as many as you can for 
the long haul. 
Day 1: Drink Green Tea
This potent beverage contains several powerful antioxidants that 
reduce cholesterol and may even lower blood pressure. To make a 
day's supply, bring 20 ounces of water to a boil, drop in three 
decaffeinated green tea bags, cover, and steep for 10 minutes. 
Remove the tea bags, and refrigerate the tea. When cool, pour 
the tea into a container, add ice if you like, and sip throughout 
the day.
Day 2: Scan Food Labels for Unhealthy Fat
Adults who read food labels and nutrition facts slash twice as many 
calories from fat as those who don't give them a look, according to 
one study. When it comes to heart health, that's important: Don't 
let fat exceed 30% percent of your calories. And more important, 
make most of your fat the healthy monounsaturated (from olive oil,
nuts, dark chocolate, avocado) and polyunsaturated (from salmon,
flaxseed, walnuts) kinds. 
Limit saturated fat intake to 7% of your total calories (for a 
1,600-calorie diet, that's about 12 g a day). And avoid trans 
fats whenever possible; they should comprise 1% of your daily 
calories, or less than 2 g a day. (Look for "hydrogenated" on 
ingredient lists; trans fats are most often found in cookies, 
crackers, baked goods, and other processed foods.) Both of these 
fats raise levels of artery-clogging LDL cholesterol.
Day 3: Cook Like an Italian
Use MUFA-rich olive oil in your food prep whenever possible. The 
heart-healthy fat lowers "bad" LDL cholesterol and raises "good" 
HDL cholesterol. Bonus: Olive oil is also rich in antioxidants, 
which may help reduce the risk of cancer and other chronic diseases, 
like Alzheimer's. 
Substitute olive oil for butter or margarine at the dinner table, 
drizzle it on salads, and use it to replace vegetable oils in baking 
wherever possible. Buy only cold-pressed, extra-virgin oil; it retains
 more of the olive's heart-healthy antioxidants than other forms.
Day 4: Carve Out Time for Sleep
Every extra hour of sleep middle-aged adults can add to their nightly 
average reduces their risk of coronary artery calcification, a cause 
of heart disease, by 33%, according to a study reported in the Journal 
of the American Medical Association. When you're even a little sleep 
deprived, your body releases stress hormones that constrict arteries 
and cause inflammation. 
If you routinely wake up feeling tired or need an afternoon nap, then 
you're probably sleep deprived. Most adults need 7 to 8 hours a night 
to function well.
Day 5: Fiber Up Your Diet
Studies show that the more fiber you eat, the less likely you are to 
have a heart attack. Load up on whole grain breads and cereals that 
contain whole wheat, wheat bran, and oats. Toss beans into casseroles, 
soups, and salads. Aim for at least 25 to 35 g of fiber a day. 
Day 6: Feast on Fish
Meat's saturated fat will clog your arteries. On the other hand, fish
 such as salmon and anchovies are loaded with the omega-3 fatty acids 
that will help your heart maintain a steady rhythm. Having even one 
serving of fish high in omega-3s a week could reduce your risk of death 
from a heart attack by 52%!
Day 7: Start Your Morning with Juice
Orange juice contains folic acid that helps lower your levels of 
homocysteine, an amino acid linked to a higher heart attack risk. 
Grape juice is loaded with flavonoids and resveratrol, both potent 
antioxidants that may discourage red blood cells from clumping 
together and forming an artery-blocking clot. Choose 100% fruit 
juices to limit excess sugar.
Day 8: Make Room for Veggies
To get the 2½ cups that nutritionists recommend you eat daily, aim 
to make veggies 50% of your meals. Extra points for picking 
cruciferous vegetables such as kale, brussels sprouts, broccoli, 
and cabbage, which are a gold mine of antioxidants and other 
heart-saving phytochemicals.
Day 9: Make Nuts Your Go-To Snack 
Studies have found that those who eat more than 5 ounces of nuts a 
week are one-third less likely to have either heart disease or a 
heart attack. Just don't overdo it—nuts are high in fat and calories, 
which can pack on pounds if you inhale them by the fistful.
Day 10: Walk for 20 Minutes a Day
Just 2.5 hours of exercise a week (that's a little more than 
20 minutes a day) could reduce heart attacks by one-third, prevent 
285,000 deaths from heart disease in the United States alone, and 
practically eliminate type 2 diabetes. Wow!
Day 11: Change Your Bread Spread
Olive oil is ideal for dunking your bread, but if you must use a 
spread, pick one with cholesterol-lowering sterols. Adding 2 g of 
these plant compounds to your daily diet can help lower your total 
cholesterol by about 10%—often within 2 weeks, according to numerous 
studies published in both American and European medical journals. That 
may not sound like a substantial reduction, but it could translate to 
a 20% lower risk of heart disease.
Day 12: Stir in Flaxseed
Flaxseed is one of the most potent sources of heart-healthy omega-3 
fats. Studies indicate that adding flaxseed to your diet can reduce 
the development of heart disease by 46%, while helping to keep red 
blood cells from clumping together and forming clots that can block 
arteries. Sprinkle 2 tablespoons of flaxseed a day on your yogurt, 
oatmeal, cereal, or salad. Buy it preground, and keep it refrigerated.
Day 13: Start or End Your Day with Stretching
Flexibility may be key to heart health: Adults over age 40 who were 
the most limber had 30% less stiffness in the arteries than less-bendy
participants in a recent Japanese study. Stretching for 10 to 15 minutes
 a day may keep arteries pliable; they may be affected by the elasticity 
of the muscles and tissue that surround them. Try some gentle yoga moves 
to improve your flexibility.
Day 14: Unwind with a Little Wine
You've probably heard that imbibing is good for you. Research 
overwhelmingly shows that 1 to 3 ounces of alcohol a day significantly 
reduces your risk of a heart attack. Unless you have a problem with 
alcohol, high blood pressure, or risk factors for breast or other 
cancer, you can safely have one alcoholic drink a day. 
Indulge with dinner so you sip slowly. And remember that a full pour 
in a large wine glass can easily double what's considered a healthy 
serving. 
Day 15: Swap in Soy
These plant proteins can help lower cholesterol when you eat them in 
place of less healthy foods. (Think tofu instead of beef stir-fry or 
edamame in lieu of dumplings). 
It's best, however, to limit processed soy (from chips and patties) 
and avoid soy supplements. The problem with these is that we do not 
always know the amount of phytoestrogens (plant chemicals in soy 
that function in ways similar to the hormone estrogen) in them. 
This can make its effects on the human body unpredictable. And 
exposure to high concentrations of phytoestrogens could stimulate 
the growth of cells that are responsive to estrogen, which include 
many breast cancers.
Day 16: Cook with Garlic
Just one clove a day—or 300 mg 3 times daily—reduces the risk of a 
heart attack at least three ways: It discourages red blood cells 
from sticking together and blocking your arteries, it reduces 
arterial damage, and it discourages cholesterol from lining those 
arteries and making them so narrow that blockages are likely.
Day 17: Spice Up Your Workout
The best exercise is one that you'll continue to do. So every day, 
in addition to your regular workout, try something new just for 
fun—hitting a tennis ball against the house, shooting hoops with 
your kids, or dancing around your bedroom after work. If you find 
something that you like, incorporate it into your daily workout. 
Research shows that people who are active in little ways the entire 
day burn more calories and are generally healthier than those who 
exercise for 30 to 60 minutes and then sit at a computer, says 
cardiologist and Prevention advisor Arthur Agatston, MD.
Day 18: Stop Faking It
One of the biggest causes of stress is trying to live in a way that's 
not consistent with who you are. Ask yourself: Am I doing what I want 
to do? Am I getting my needs met? Every day, run a reality check on 
what you've done. When it says that your actions aren't true to the 
kind of person you are, make sure you listen. 
Spend time with people and on activities that make you feel happy 
and challenged in a healthy way—not drained or burned out.
Day 19: Meditate for 5 Minutes
Practicing a form of meditation in which you focus awareness on the 
present moment can reduce the effects of daily stressors. Ride out a 
stress storm by simply closing your eyes and quietly focusing on your 
breathing for 5 to 10 minutes.
Day 20: Get in Touch with Your Spiritual Side 
Studies indicate that those with regular spiritual practices who meet 
with a faith community—attending church or temple, for example—live 
longer and better and are far less likely to have a heart attack. You 
can still reap the benefits even if you can't attend regularly; just 
getting involved socially, like volunteering at a food drive, can help.
Day 21: Stay Connected 
Strong ties to family, friends, and community reduce anxiety and 
fight depression—two factors that increase your risk of a heart 
attack. Make a lunch date with a friend you've been playing phone 
tag with, dedicate at least 1 night a week for a sit-down family 
dinner, or plan to visit your place of worship. Resolve to do one 
of these things every day (yes, jetting off a quick thinking-of-you 
e-mail counts).
Day 22: Take Vitamin D and Fish Oil
While research on multivitamins for preventing heart disease is mixed, 
science does stand behind these two supplements. "The only dietary 
supplement consistently shown in randomized clinical trials to work 
against cardiac death is fish oil," says Dariush Mozaffarian, MD, DrPH,
 an assistant professor medicine at Harvard Medical School. Omega-3 fatty 
acids stabilize the heart's electrical system, lower blood pressure and
triglycerides, slow arterial plaque buildup, and ease systemic 
inflammation. Fish oil was more successful than statins at preventing 
death in heart failure patients, according to a recent Italian study.
"D" boasts a wide range of health benefits, heart health among them. 
Recent studies show that too-little amounts can raise the risk of 
peripheral arterial disease by 80% and increase the odds of developing 
diabetes (a known heart disease risk factor).
Day 23: Do Something Sweet For Your Partner
There's a lot of proof that marriage buffers you against heart disease, 
but that may be true only if you're happily coupled, says Agatston. One 
study in the Annals of Behavioral Medicine found that spouses who reported 
a lot of negative encounters with their partner had blood pressure that 
was, on average, 5 points higher than that of single people. The emotional
stress of a difficult marriage typically causes adrenaline levels in the 
blood to spike, raising blood pressure; it can also cause blood vessels to spasm.
To make sure your marriage doesn't go on autopilot, forge little ways 
to stay connected all the time. If you do something nice today (like 
paying an unexpected compliment or taking on a chore he normally 
handles) chances are he'll reciprocate soon, which helps bolster 
your bond. 
Day 24: Indulge with Dark Chocolate
Cap off your day with a nibble of this healthy treat. Dark varieties 
contain flavonoids, antioxidants that make blood vessels more elastic. 
In one study, 18% of patients who ate it every day saw blood pressure 
dip. Have 1/2 ounce (at least 70% cocoa) daily.
Day 25: Steer Clear of Secondhand Smoke
Got friends or coworkers who smoke socially? Stay away when they light 
up and your heart will thank you. The effects on the cardiovascular 
system due to passive smoking are, on average, 80 to 90% as great as 
those due to active smoking, research shows. Even brief (minutes or 
hours) exposure to secondhand smoke can have cardiovascular effects 
nearly as great as long-term active smoking.
Day 26: Go Bananas
To lower your blood pressure, don't just eat less sodium. You should 
also increase your potassium intake, as it speeds up the body's sodium
excretion, say researchers at the Hypertension Institute of Nashville. 
Lead author Mark Houston, MD, says most Americans consume more sodium 
than potassium, but it should be the other way around. Some popular
potassium-rich foods to help fix this: baked potatoes, tomato paste, 
lima beans, yogurt, cantaloupe, and bananas.
Day 27: Cut Back on Sugar 
People who consume more than 74 g of added fructose a day (that's two 
to three sweetened soft drinks) are 87% more likely to have severely 
elevated blood pressure than those who get less, according to a recent 
study. Researchers believe excess fructose may reduce the production of 
nitric oxide, a gas that helps blood vessels relax and dilate.
To cut your intake, watch out for the worst offenders: drinks and baked 
goods. Drink seltzer in place of soda, or eat oatmeal with raisins and 
cinnamon instead of an oatmeal raisin cookie.
Day 28: Laugh at Yourself
When researchers from the University of Maryland Medical Center in 
Baltimore tested the "humor quotient" of 300 people, they found that 
those with heart disease were 40% less likely to laugh at the gaffes, 
mix-ups, and irritations of everyday life than those without 
cardiovascular problems.
"Laughter is no substitute for eating properly, exercising, and 
controlling blood pressure and cholesterol levels with medication 
if need be," says study author Michael Miller, MD, director of the
university's Center for Preventive Cardiology. "But enjoying a few 
laughs every day couldn't hurt, and our research suggests that it
might help your heart health."
From: www.prevention.com 
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