W E N D Y W R A Y R N B S C N M S C N
D I R E C T O R M U H C W O M E N ' S
H E A L T H Y H E A R T I N I T I A T I V E
F E B R U A R Y 2 0 1 6

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Blood pressure
Cholesterol
Diabetes
BMI; Alcohol
Age; Family History ; Smoking
Waist circumference
Physical Activity

 Normal values- 140/80; 130/70
 High Blood pressure risks- stroke, heart failure
 “Silent killer”
 Accurate measurement challenging
 Lifestyle- salt, physical activity, alcohol, weight loss
 SPRINT study- 2015- 120/80- stay tuned

 Total cholesterol ( TC): calculated using the following equation: HDL + LDL + 20 percent of your triglyceride level.
5.1 mmol/l -desirable 6.2 high
 Triglycerides ( TG): the most common type of fat in the body.
< 1.50 desirable >1.50 elevated
 High Density Lipoprotein (HDL) good chol.-higher levels are better; HDL removes excess cholesterol from cells Genetic factors, type 2 diabetes, smoking, being overweight and being sedentary can all result in lower HDL cholesterol.
<1.03mmol/l major risk 1.5 or > protective

 Low density Lipoprotein (LDL-C) bad chol.-low LDL cholesterol level is considered good for your heart health; a diet high in saturated and trans fats raises LDL cholesterol.
2.5mmol/l optimal 4.1 -4.8 high
 apoA: is the main protein component in HDL.
1.20-2.28 g/l
 apoB : is the main protein constituent of lipoproteins such as very low-density lipoprotein (VLDL) and lowdensity lipoprotein (LDL) .
0.80-1.20 g/l >1.20 high

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Random sugar- 3.9-11.0
AC sugar
PC sugar
HGBA1C- normal is 6.0 or less: Diabetes- 6.5+
50% higher risk of heart disease
Worse in women
Type 11- diet and physical activity

 60 y.o .woman
 Non-smoker, diabetic, BMI- 27; no family history
 TC- 6.2; TG- 0.50;HDL- 2.00;LDL-C- 3.6;apoB-1.10

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Body Mass Index- weight in kg. x height M2
Normal- 18.5-24.9; overweight- 25-29.9
 obesity- >30
Muscle versus fat
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Alcohol- empty calories; sugar women- 1 ½, men- 2

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50 years of age- heart disease develops over time
Prevention requires earlier start- proactive prevention vs reactive disease oriented approach
 Premature Family History- women- <60; men- 50’s
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Smoking- Zero- more potent risk in women
Vaping- long term effects; stepping stone to quitting

 Normal: men- 40” ; women- 35”
 Tape measure
 Abdominal obesity- adipose tissue, visceral fat
 Secretes hormones – acts like a organ

 150 minutes per week or more; personal preference
 Aerobic, muscle strengthening and resistance combo
 Sitting is the new smoking – move at least hourly
 Any physical activity is better than no physical activity

 Creating new behaviors is a process
 6 months to create a new habit
 Cheating is probably part of success- realistic expectations- 80/20
 The Art of Negotiation

 Become more engaged in your heart knowledge –
Numbers Count!!
 AHA 2016- “women are underdiagnosed and undertreated.
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Heart disease is largely a preventive disease.
 Be a friend- Tell a friend !

 www.whhionline.ca
- Facebook
 Wear Red Day- February
 HeartBeat event 2017
 Red Dress Campaign- Heart and Stroke Foundation