Tag: Cholesterol Causes Heart Attacks

  • Here’s how much you should exercise for a healthy heart

    Here’s how much you should exercise for a healthy heart

    Fitness experts reveal the recommended guidelines for physical activity and the various factors that determine the optimal exercise regimen for a healthy heart.

    Maintaining a healthy heart is essential for overall well-being as the heart is a vital organ responsible for pumping oxygenated blood throughout the body and regular exercise plays a significant role in keeping the heart strong and reducing the risk of cardiovascular diseases. However, one may wonder, “How much exercise is required for a healthy heart?” so, we got a few health experts on board to explore the recommended guidelines for physical activity and delve into the various factors that determine the optimal exercise regimen for a healthy heart.

    Understanding the benefits of exercise for the heart

    In an interview with HT Lifestyle, Dr Mohit Tandon, Consultant Non-Invasive Cardiologist at Fortis Escorts Hospital in New Delhi’s Okhla, shared, “Regular exercise offers numerous benefits for cardiovascular health. It helps strengthen the heart muscle, improves blood circulation, lowers blood pressure, reduces cholesterol levels, manages weight, and enhances overall cardiovascular fitness. Engaging in physical activity also promotes better mental health, reduces stress levels, and boosts energy levels, leading to a better quality of life.”

    Sanjay Bhat, Senior Consultant, Interventional Cardiology at Aster CMI Hospital, asserted, “When it comes to exercising and getting fit, cardio is the most preferred routine for everyone. From improving heart health to losing weight, cardiovascular exercises have several health benefits and help in keeping your heart, lungs and circulatory system healthy. Despite its numerous benefits, cardiovascular exercises have several myths associated with them which often demotivate many people and reduce the effectiveness of the workout.”

    Pointing out that many people only consider cardio exercises for weight loss, he said, “Apart from cardiovascular exercises, strength training exercises such as weight lifting are also equally important to effectively shed excess kilos. By performing strength training, you not only build lean muscles but are also able to burn fat at a fast pace. Lifting weight twice a week for 45 to 60 minutes will give you an afterburn that will ensure that you burn calories even while resting and will also help you increase your metabolism. Whether you run for an hour or do a high-intensity training for 10-20 minutes, you will burn calories. However, many people today believe that they can reduce weight only with high- intensity interval training. This is nothing but a myth because even if you consistently do cardio exercises at your own pace, you are bound to lose weight and can keep you heart health intact.”

    Recommended guidelines for exercise

    The American Heart Association (AHA) and other reputable health organisations provide guidelines on the recommended amount and intensity of exercise for maintaining a healthy heart. These guidelines aim to encourage individuals to engage in a balanced and sustainable exercise routine. According to Dr Mohit Tandon, here are the key recommendations –

    1. Aerobic Exercise: Aim for at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week. Examples of moderate-intensity activities include brisk walking, cycling, swimming or dancing. Vigorous-intensity activities may include running, high-intensity interval training (HIIT) or playing sports like basketball or soccer.

    2. Strength Training: Include strength training exercises at least two days per week. Focus on working major muscle groups such as the legs, arms, back, and core. Strength training can involve weightlifting, resistance band workouts, bodyweight exercises or Yoga.

    3. Flexibility and Balance: Incorporate flexibility and balance exercises into your routine to enhance joint mobility and stability. Activities such as stretching, yoga, tai chi or Pilates can help improve flexibility and balance, reducing the risk of falls and injuries.

    4. Factors Influencing Exercise Recommendations: The optimal exercise regimen for a healthy heart can vary based on several factors, including age, overall health status, fitness level and personal goals. It is advisable to consult a healthcare professional before starting a new exercise program, especially if you have any pre-existing medical conditions or concerns.

    5. Progression and Safety: It’s important to start any exercise routine gradually and progressively increase the duration, intensity, and frequency of workouts. This approach allows your body to adapt and reduces the risk of injuries. Additionally, listening to your body, staying hydrated, wearing appropriate gear and using proper form during exercises are crucial for maintaining safety.

    6. Finding Motivation and Staying Consistent: Staying motivated and consistent with your exercise routine is key to reaping the long-term benefits for your heart health. Consider these strategies –

    • Set realistic goals: Establish achievable short-term and long-term goals to keep yourself motivated.
    • Find activities you enjoy: Engage in exercises that you find enjoyable, as it increases the likelihood of sticking to your routine.
    • Mix it up: Vary your workouts to keep them interesting and prevent boredom. Try different activities and explore new fitness classes or sports.
    • Get support: Exercise with friends, join group classes, or seek support from a workout buddy to stay motivated and accountable.

    Dr Mohit Tandon concluded, “Regular exercise is a vital component of maintaining a healthy heart and reducing the risk of cardiovascular diseases. By adhering to the recommended guidelines, incorporating various types of exercises and considering individual factors, you can develop a well-rounded exercise routine that suits your needs and goals. Remember, even small increments of physical activity can make a significant difference in your heart health. So lace up your sneakers, prioritise your cardiovascular fitness.”

  • Rising Heart Attacks In Youth: Expert Explains The Reason Behind It

    Rising Heart Attacks In Youth: Expert Explains The Reason Behind It

    Have you noticed that heart attacks are on the rise among the younger population? Read on to learn what the expert has to say about this.

    As we navigate the complexities of modern life, there is a disconcerting trend that has captured our attention: a steady rise in heart attacks among the young. The Indian Heart Association (IHA) reports that 50% of heart attacks in Indian men occur before the age of 50, with 25% occurring before the age of 40. We spoke to Dr Mohit Tandon, Consultant Non-Invasive Cardiologist, Fortis Escorts Hospital, Okhla, New Delhi, to understand the reason for the rising heart attacks among the youth.

    According to the National Crime Records Bureau (NCRB), there has been a 54% increase in the rate of death related to heart attacks in the last 10 years in India. In 2021, 70% of heart attack deaths occurred in the 30-60 year age group.

    Dr Tandon said that previously, it was thought that heart attacks were more common in people under the age of 40; however, one out of every five heart attacks now occur in people under this age. Between 2000 and 2016, heart attack rates climbed by 2% per year for persons aged 20-30.

    Reasons For Heart Attack In Younger Population

    Dr Tandon said that high rates of heart attacks in the young pose an economic burden for society as this is the most productive and functional age group. The primary drivers for increasing heart attacks are as follows:

    Increasing Incidence of Diabetes

    Dr Tandon informed that India ranks second only to China in the number of diabetic patients. There has been an increasing incidence of young diabetics in India, especially in urban populations. He added that diabetes increases the risk of heart attacks by 2-4 times. In general, diabetes is linked to obesity, hypertension, and abnormal lipid levels, all of which significantly raise the risk of heart attacks.

    Overweight and Obesity

    According to the World Obesity Federation, by 2030, 10.8% of children aged 5 to 10 years would be obese, while the prevalence rate in adults ranges from 12 to 30%. Dr Tandon said that the majority of Indian obese have central obesity, which is strongly linked to diabetes, hypertension and coronary artery diseases.

    Hypertension

    Dr Tandon highlighted that the incidence of hypertension in the younger population is also on the rise. Hypertension leads to the thickening of your arteries and increased load on the heart, which in the long term increases the risk of heart attacks. According to a survey by the National Library of Medicine in Kerala, the prevalence of hypertension in those less than 30 years of age was found to be 11.2%.

    Also Read: Primary Vs Secondary Hypertension: Doctor Explains The Difference

    Smoking and Vaping

    Dr Tandon added that smoking cigarettes is one of the major risk factors raising the incidence of heart attacks in young people. The risk is directly related to the number of cigarettes smoked; if you smoke one pack per day, your risk of having a heart attack can be more than double.

    Dr Tandon highlighted, “If you believe Vaping to be less dangerous, you may be shocked to learn that vaping can raise the risk of heart attacks by 34%. Nicotine found in e-cigarettes increases blood pressure and heart rate.”

    Unhealthy Lifestyle

    One of the most overlooked factors contributing to the increasing trend of heart attacks and their risk factors is an unhealthy lifestyle. Stress, insufficient sleep, erratic eating habits consisting of fast and junk foods, a sedentary lifestyle with prolonged sitting (in front of electronic devices), and lack of regular exercise, are all examples of an unhealthy lifestyle. All these increase your risk of developing risk factors like obesity, high cholesterol, hypertension and diabetes, significantly increasing your risk of having a heart attack at an earlier age.

    Substance Abuse

    Youngsters engaged in the abuse of drugs like cocaine, LSD (Lysergic Acid Diethylamide), or amphetamines are also at increased risk of heart-related deaths either due to decreased blood supply to the heart or arrhythmias.

    Bottomline

    Dr Tandon concluded, “These are some of the key factors contributing to an increase in the number of young people dying from heart disease. Making conscious efforts to recognise risk factors, adjust unhealthy behaviours, and seek early professional guidance will help you live a healthy and long life.”

    Disclaimer

    This article contains information provided by an expert. However, we recommend you consult with your expert if you have risk factors for heart attacks or for a diagnosis based on your body type and medical history.

  • WARNING! High cholesterol can lead to stroke, heart attack

    WARNING! High cholesterol can lead to stroke, heart attack

    As the doctor points out, A fat-like waxy substance made by your liver and partly absorbed from food, cholesterol is required for making cell membranes, insulation of your nerves, and for making hormones and vitamins. However when bad cholesterol builds up and clogs arteries, it can be fatal and can lead to stroke and heart attack.

    Cardiovascular diseases are responsible for 18.6 million deaths annually, says Dr Mohit Tandon, Consultant Non-Invasive Cardiologist, Fortis Escorts Hospital, Okhla – New-Delhi, adding that it is the cause of 75% of deaths in low- and middle-income countries, including India. While there are several risk factors, high cholesterol is an important one. Let’s find out what’s cholesterol, how it impacts heart health and steps that should be taken to keep cholesterol levels in check.

    What is Cholesterol?

    A fat-like waxy substance made by your body (liver) and partly absorbed from food, cholesterol is required for making cell membranes, insulation of your nerves, and for making hormones and vitamins, says Dr Tandon. However, when it’s in excess – bad cholesterol or LDL (low-density lipoprotein) can get deposited in your arteries causing heart attacks and strokes.

    How cholesterol affects the heart

    Cholesterol consists primarily of HDL (high-density lipoprotein), which is considered good cholesterol, and LDL (low-density lipoprotein) which is considered bad cholesterol. HDL helps to keep your arteries clear of the cholesterol buildup process called atherosclerosis. Meanwhile, LDL or bad cholesterol builds up in the walls of your arteries, making them hard and narrow. These arteries are connected to your heart and brain, and an interrupted blood supply can cause heart attacks and strokes, points out Dr Tandon. The buildup happens slowly over a period and therefore screening by blood test becomes important, he adds. The test used to detect cholesterol is known as Lipid profile.

    What should be your ideal cholesterol level?

    Dr Tandon points out:

    Total cholesterol < 200 is desirable

    HDL > 60 is desirable and protective

    LDL < 100 is optimal

    Triglycerides < 150 is optimal

    In some people with genetic disorders and very high levels of cholesterol, cholesterol deposition can occur over joint areas and skin, around the eyes.

    What affects cholesterol levels and how to keep your heart healthy

    Dr Mohit Tandon tells us the different factors that affect cholesterol levels in the blood and steps to take to keep one’s heart healthy:

    Diet: Foods that are deep-fried, prepared in hydrogenated or solid oils, non-veg foods consisting of fats, and processed carbohydrates, all tend to increase LDL and triglycerides. While green leafy vegetables, whole grains, and a fruit-filled diet decrease LDL.

    Exercise: Regular exercise at least 5 days a week – either 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise – helps increase HDL and decrease LDL, thereby decreasing your risk of heart diseases. Do not be a couch potato.

    Weight: In obese people, losing weight helps optimise their cholesterol levels and also cuts the risk of having future heart diseases and diabetes.

    Age and Gender: As we age, our cholesterol levels tend to rise with a decline in HDL; in women, especially post menopause, the difference is evident, and therefore living a healthy lifestyle, eating clean, and undergoing health checkups as we age becomes more important.

    Heredity: Sometimes high cholesterol may run in families and it may be responsible for an early heart attack or family history of heart attacks and may be detected on screening or testing of cholesterol levels. Such persons should seek medical care as they need to be started on cholesterol-lowering drugs.

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