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.