Taking Your Heart Health To Heart
Courtney Carter
/ Categories: WELLNESS, 2024

Taking Your Heart Health To Heart

Only you can prevent heart disease

Image: The team at SVMC Cardiology celebrates Wear Red Day on February 7.

According to the American Heart Association (AHA), one in every five deaths in the U.S. is the result of heart disease. The AHA also notes that unless we change our habits, 60% of Americans will likely be affected by heart disease by 2050.

But the news isn’t all bad. According to the World Heart Federation, 80% of all cardiovascular disease is preventable. In fact, one study found that people who switched to favorable lifestyle habits, such as not smoking, not being obese, engaging in regular physical activity, and eating a healthy diet, lowered their heart disease risk by nearly 50%.

If you’re ready to take charge of your heart health, prioritize these lifestyle changes for the biggest impact:

Eat heart-healthy foods

A heart-healthy diet can help lower your risk of heart disease.  

Heart-healthy items include:

  • High-fiber foods, like whole grains, fruits, and vegetables

  • Foods with healthy unsaturated fats, like avocados, nuts, and fish (like salmon and sardines) 

Foods to avoid or limit include:

  • Saturated fats, including fatty meats (like beef), full-fat dairy products (like whole milk or cheese), and tropical oils (like coconut and palm oil)

  • Added sugars, like sweetened beverages, candy, cereals, and desserts 

  • Processed foods with a lot of sodium (salt), like deli meats and bacon, frozen dinners, and some canned foods

Drink alcohol only in moderation

Drinking too much alcohol can increase your risk of heart disease. If you choose to drink alcohol, drink only in moderation. That means 1 drink or less in a day for women and 2 drinks or less in a day for men.  

Aim for a healthy weight

People who are overweight or have obesity are at an increased risk for heart disease. Losing just 5 to 10 percent of your body weight can help lower your risk factors for heart disease, including high blood pressure, high blood cholesterol, and high blood glucose, which can lead to type 2 diabetes. 

Get active

Getting regular physical activity can help prevent heart disease. Aim for at least 150 minutes of moderate-intensity aerobic activity each week. If you’re new to exercise, begin with short walks and build up your strength and endurance before taking up more vigorous activities like biking, jogging, dancing, swimming, or pickleball.

Quit smoking  

Quitting smoking helps lower your risk of heart disease and heart attack. In fact, within 20 minutes of quitting your heart rate and blood pressure drop. After one year, your risk of heart disease is cut in half.

Manage stress

Stress can lead to health problems like high blood pressure, obesity, and heart disease. By getting stress under control, you can prevent serious health problems. Many things can be done to manage stress, including meditation, yoga, deep breathing, volunteering, spending time with loved ones, and doing something creative. The key is to find the activity that brings you joy and find ways to incorporate it into your daily routine

Get enough sleep

Most adults need seven to nine hours of sleep each night. Failing to get enough sleep or quality sleep can have a huge impact on your heart health. In fact, one study found that people who regularly get less than six hours of sleep had a 25% greater risk of having poor cardiovascular health. People who slept less than six hours and had sleep apnea experienced a more than 200% greater chance of poor heart health than those who slept longer. 

 

Scott Rogge, MD, FACC, is the Medical Director at Southwestern Vermont Medical Center Cardiology

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How to Become a Mask Wearer

Long before COVID-19, online chat groups for people with pulmonary fibrosis (PF) were filled with posts about how uncomfortable it is to wear a mask in public: not physically uncomfortable, a fact that was barely mentioned, but psychologically uncomfortable. For people with this condition or the lung transplant used to cure it, catching a cold or the flu could be deadly. They need to wear masks in public to help protect themselves from getting ill.

The participants discussed how awkward it is riding the bus in a mask, going to the grocery store in a mask, or boarding a plane while wearing one. They were mostly self-conscious that others would think they were ill or weak. Many would rather suffer the risk of getting fatally sick than put a mask on in a department store.

Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. This—along with distancing and handwashing—are crucial parts of returning to a more normal way of life. Suddenly, we are all feeling the psychological discomfort PF patients have felt for many years.

People usually have an interest in blending in. And, just like doing anything out of the ordinary, wearing a mask for the first time definitely feels like putting yourself out there. If we want to return to a somewhat normal way of life, masks are crucially important, along with frequent, thorough handwashing and keeping a distance from others.

Here are a few tips for making the leap from being someone nervous about wearing a mask to being a person who wears one regularly.

Do it for others. We know that people can spread COVID-19 as many as a few days before they get sick. Even if you feel fine, you could have COVID-19 right now without knowing it. At the same time, masks are far better at keeping sick people from spreading germs than they are at keeping people from getting sick. So wearing a mask isn't a sign of weakness; it's a sign of altruism. It's like saying, "I am not certain that I am not sick, so I want to pay those around me the consideration of limiting the likelihood I will infect them." Think of it as a badge of kindness.

Get a mask that fits. We know that masks are not completely comfortable physically. Getting the right fit makes a big difference in their "wearability." Cloth masks are readily available online and from local groups. The Green Mountain Mask Makers have excellent information and resources. If you can, purchase a few types in a few sizes to see which you like best. Buy enough of that type to allow washing between trips out in public.

Get a mask that you like. Once you have found a mask source and as long as you have a choice, pick one that you like. You can choose colors that match your wardrobe or that represent your interests, like camouflage. There are even masks that look like fashionable scarves when they hang around your neck. The sooner we start thinking of masks as part of our outfits, as essential and unremarkable as shoes or a belt, the healthier we will all be.

Try to quit caring about what others think. This one is hard. But one wise PF patient wrote, "I just don't give a darn!" Essentially, he shared that if people want to judge him for wearing a mask, so be it. Their opinions don't have a single thing to do with him. Many in the chat group applauded his confidence and vowed to adopt his attitude.

If we all do our best, soon the cultural scale will tip. Wearing a mask or not wearing one will cease to be a political statement. It will be normal. And thankfully, if wearing a mask in public, handwashing and sanitizing, and keeping our distance are all normal, going out into public again can be safe and normal too.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

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