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Scooped by Seth Bilazarian, MD
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Low-Risk Diet & Lifestyle Habits in the Prevention of Myocardial Infarction

Low-Risk Diet & Lifestyle Habits in the Prevention of Myocardial Infarction | Heart and Vascular Health | Scoop.it

Background  Adherence to a combination of healthy dietary and lifestyle practices may have an impressive impact on the primary prevention of myocardial infarction (MI).

Methods  The population of Swedish men comprised 45- to 79-year-old men who completed a detailed questionnaire on diet and lifestyle at baseline in 1997. In total, 20,721 men with no history of cancer, cardiovascular disease, diabetes, hypertension, or high cholesterol levels were followed through 2009. Low-risk behavior included 5 factors:

1.  healthy diet (top quintile of Recommended Food Score)

2.  moderate alcohol consumption (10 to 30 g/day)

3.  no smoking

4.  being physically active (walking/bicycling ≥40 min/day and exercising ≥1 h/week)

5.  no abdominal adiposity (waist circumference < 37 inches).

Results  During 11 years of follow-up, we ascertained 1,361 incident cases of MI. The low-risk dietary choice together with moderate alcohol consumption was associated with a relative risk of 0.65 compared with men having 0 of 5 low-risk factors. Men having all 5 low-risk factors compared with those with 0 low-risk factors had a relative risk of 0.14. This combination of healthy behaviors, present in 1% of the men, could prevent 79% (95% CI: 34% to 93%) of the MI events on the basis of the study population.

Conclusions  Almost 4 of 5 MIs in men may be preventable with a combined low-risk behavior.

Seth Bilazarian, MD's insight:

The greater the combination of heathy behaviors the greater the benefit in risk reduction for heart attack.  Choosing just two (diet and moderate alcohol) reduces the risk of heart attack by 35%.  Subscribing to all 5 has an impressive 80% reduction in heart attack.

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Scooped by Seth Bilazarian, MD
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Check-up your heart health at the pharmacy - a presentation at EuroPrevent 2012 in Dublin

My Comment for patients:  Doctors have been the primary risk assessment source for most patients.  Some patients have an unwillingness to seek medical attention (fear?, cost?).  A pharamcy based strategy that would raise awareness in the community at low cost & low risk might be valuable, if it motivates patients to pursue life style changes and advice and recommendations for cardiovascular prevention.  In this Swedish study patients were evalated for risk by 5 parameters called SCORE:

1.  Life style questionaire

2. Blood pressure

3.  Total cholesterol

4.  Waist circumference

5.  Counseling

 

" roughly a third said they would increase exercise and/or eat healthier as a result", and  "positive" changes occurred even though customers had to pay $63 for the assessment

 

See also comment from MedPage Today http://www.medpagetoday.com/article.cfm?tbid=32527#.T6fC40RrAsk.twitter

 

 

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