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What is Risk Factor Modification?

Modifiable risk factors for heart disease and stroke are those that can be changed or controlled, through diet, physical activity, and no tobacco use. These risk factors are in contrast to those that are unmodifiable or cannot be changed or controlled (e.g., age, gender, race, genetic traits). Having one or more unmodifiable risk factors does not mean a person will have a heart attack or stroke, however, with proper attention to those risk factors that are controllable, one may reduce the impact of those risk factors that cannot be changed.

Modifiable risk factors for heart disease or stroke include high blood pressure, high blood cholesterol, type 2 diabetes, and overweight/obesity.

The only risk factors that cannot be changed are age and your family history of illness or heart disease.

Age
Your risk of developing cardiovascular disease increases with age. Heart disease is the leading cause of death for women and men over age 55.

Family History
Family history can be an independent risk factor for heart disease. You have more of a risk factor if a first-degree relatives like your father, mother or siblings were diagnosed before age 65.

If your relative with heart disease was female and your family has a strong family history of heart disease, you should be evaluated yearly for early signs of heart disease. Inherited abnormality in cholesterol production related to environmental factors such as diet, smoking, or lack of exercise are usually the causes for heart disease.

Adopting healthy lifestyle habits, such as developing good eating habits, increasing physical activity, and abstaining from tobacco use, are effective steps in both preventing and controlling the modifiable risk factors described below:

High Blood Pressure
Get regular exercise. Eat a diet low in sodium, low in fat and high in fiber (fruits, vegetables, whole grains, beans).

Lipids (Cholesterol and Triglycerides)
Eat a diet low in saturated fat and high in fiber. Get regular physical activity.

Diabetes
Get regular exercise. Regular aerobic exercise may prevent the development of Type 2 diabetes. Eat at least three meals a day consisting of low fat and high fiber.

Stress
Incorporate stress management techniques such as yoga, deep breathing, meditation or visualization into your daily routine.

Physical Inactivity
If you are inactive, make a commitment to begin some physical activity everyday to establish a routine. Find activities you enjoy and have variety in your program. Monitor your heart rate and symptoms.

Overweight
Try to exercise daily for at least 30 minutes or more. You can divide it up if necessary. Include aerobic and resistance exercises. Eat a diet low in fat and high in fiber. Eat when you are hungry. Stop when you are full.

C-Reactive Protein
This is a measure of inflammation in your arteries. Modifying your other risk factors will lower it.

Homocysteine
Eat whole grains and beans daily. Take a multivitamin that includes 400 mcg folic acid, 2.4 mcg B-12 and 1.7 mg B-6.

If you would like to see if you have any potential risk factors for heart disease, The Medical Group of Saint Joseph's offers risk assessments.

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The Medical Group of Saint Joseph's
5669 Peachtree Dunwoody Road, N.E. • Suite 315• Atlanta, Georgia 30342