WELLNESS

Preventing heart disease

Where do you stand when it comes to risk for heart disease? And what can you do to lessen your risk?

The major risk factors for heart disease are broken down into two groups: inherited and acquired. Inherited, or genetic risk factors, are those you are born with. Acquired risk factors are those that occur because of lifestyle and habits. Below is a list of known risk factors:

Inherited

* Family history of heart disease before age 55

* Diabetes mellitus

* Inherited hypertension (high blood pressure)

* Inherited low levels of HDL (the "good" cholesterol), or high levels of LDL (the "bad" cholesterol)

* Aging

Acquired

*Cigarette smoking or use of other tobacco products

* Obesity

* Dietary-induced low levels of HDL, or high levels of LDL

* Chronic stress

* Sedentary lifestyles

* Excessive alcohol intake

Once you determine that you fall into one of these risk factor categories, it is important to realize you can reduce your risk by taking charge of your life and your health. This means taking your prescribed medications and modifying your lifestyle.

Although it's not as easy as taking a pill, changing your lifestyle can have many positive effects on the quality of your life, and may even lengthen it. However, you shouldn't expect to change all of your habits at once. Small changes over time become building blocks for further successes.

Here are several steps you can take to modify your behavior:

Get motivated

Whether your goal is to exercise more, to adopt healthier eating patterns or to stop smoking, it takes more than a well-intentioned resolution to achieve lasting change. To help you stay motivated, make a list of all the benefits that can result from improving a particular behavior.

Understand your habits

Before you can change a habit, you have to understand it. Keeping a log of the behaviors you want to change can help you identify when they most often occur and what factors trigger them.

Set goals and reward yourself

Setting short-term goals that are specific, attainable and a little forgiving will help keep you on track. All-or-nothing goals can lead to backsliding. Be sure to celebrate the achievement of each goal with a reward.

Get help from those around you

Although you are ultimately responsible for your own behaviors, it helps to have encouragement and support from people around you. Sharing your goals with a close friend or family member can help you strengthen your resolve and remind you that you're not fighting the battle alone.

Get back on the wagon

Expect to slip now and then, but don't let that discourage you from reaching your long-term goal. Instead of viewing a relapse as a failure, view it as a learning experience, making note of what triggered it, as well as what additional support you need. Then, pick yourself up and start where you left off.

Nancy Anderson is coordinator of Emory's HeartWise Program. This column has been adapted from the Emory HeartWise Guide for Healthy Lifestyles. This comprehensive guide to heart-healthy living will be available in March. For a free copy, call the Emory Health Connection at 778-7744. The publication of the Wellness column is coordinated through the Seretean Center for Health Promotion.