Heart disease causes more than one in five male and one in six female deaths in the UK, and excess weight is a major factor that puts the heart at risk. Our arteries naturally start to harden and fur up as we get older – a process known as atherosclerosis – and this can be hastened by a number of factors, including an unhealthy diet, lack of exercise and smoking. In addition, heart disease is linked with conditions such as high blood pressure, raised cholesterol levels and diabetes – also related to being overweight. Atherosclerosis reduces the amount of oxygen-rich blood reaching your heart and can lead to heart pain (angina) or even a heart attack. But there are lifestyle changes you can make that reduce your risk. Becoming a healthy weight The risk of coronorary heart disease (CHD) is doubled in someone who is overweight and nearly quadrupled in someone who is obese. Getting down to a healthy weight range can reduce your risk of a heart attack, and losing just 10% of your body weight starts to bring fabulous health benefits and can significantly reduce blood pressure, blood cholesterol and risk of heart disease. Joining Slimming World is a wonderful first step towards achieving a healthy weight and reducing that risk. Eating for a healthier heart It is estimated that up to 30% of heart attacks from CHD are due to unhealthy diets, with too much fat and not enough starchy foods or fruit and vegetables. The average adult needs to reduce their fat intake, but this doesn’t mean cutting out all fats; some are actually beneficial to your heart and cholesterol level. Overall, fat needs to be reduced and saturated fat reduced by around one quarter in most of the population. Preparing food in the low-fat ways that Food Optimising recommends, and trimming fat off meat, ensures that you are naturally limiting your fat intake. Oily fish, such as fresh tuna, pilchards, sardines, salmon, kippers and mackerel, can thin the blood, lower blood pressure and reduce the risk of a fatal heart attack by one third – aim to eat 2 portions of fish a week, one of which should be oily. Oily fish is a Protein-rich Free Food that's packed with filling power, helping you stay fuller for longer. Fruit and vegetables Fruit and vegetables have important vitamins, minerals and antioxidants that reduce the risk of heart-disease. Because fresh and frozen fruit and vegetables are Free Food when Food Optimising, it’s easy to eat the recommended 5 portions a day and more! Fibre slows the absorption of fats so your body can handle them more easily. Fibre-rich foods include fruit and vegetables (some of these are Speed foods, too, so they have extra slimming power!)), wholemeal bread, crispbreads and whole grains (Healthy Extras ‘b’ choices). Eating foods rich in soluble fibre such as oats and pulses has been shown to lower harmful blood cholesterol levels. Keep alcohol intake within safe limits A moderate alcohol intake (1 or 2 drinks a day) seems to reduce the risk of heart disease in men above 40 and postmenopausal women. If you regularly drink alcohol in excess (men more than 4 units a day and women more than 3 units a day) you are at increased risk of developing cardiovascular disorders including increased blood pressure and stroke. Stop smoking Smokers are five times more likely to have a heart attack in their 30s and 40s than nonsmokers – and twice as likely to have one overall. Stopping smoking can reduce your risk of a heart attack by as much as 50-70% within five years. Take regular exercise The CHD risk factor associated with physical inactivity is at a level similar to that of smoking. People who exercise for 30 minutes at least 5 times a week are half as likely to have a heart attack as those who are physically inactive. Activities such as regular walking, gardening and dancing are just as effective as swimming or cycling for heart health. Regular physical activity also helps reduce the risk of high blood pressure and cholesterol levels. Many people with high blood pressure show no obvious symptoms, so it’s worth having regular routine checks. The good news is that if you do find that you have high blood pressure, making simple changes to your lifestyle can often reduce or even eliminate it. What is high blood pressure? Everyone needs a certain level of blood pressure to keep blood circulating around the body. Normal blood pressure varies naturally throughout the day and goes up and down in response to your emotions and level of activity. If you have high blood pressure (hypertension), it will remain high all the time, even at rest, as blood is forced through the body at a high pressure. This damages arteries, which can lead to serious problems: angina, a heart attack or heart failure, failing sight when blood vessels in the eyes are affected, kidney failure or a stroke. What causes it? High blood pressure occurs if the walls of the larger arteries lose their natural elasticity and become rigid, and the smaller vessels constrict and become narrower. This can be hereditary, but diet and lifestyle can be factors too. Increased blood pressure can be linked with an abnormally raised blood fat level, drinking too much alcohol, stress, lack of exercise, excessive salt intake, the side effects of some drugs and diseases such as kidney or hormone problems. Who’s at risk? Anyone can develop high blood pressure, especially if they’re overweight or if there’s a history of the condition in the family. Being overweight means the heart has to work harder to force blood through the larger body. Losing just 10% of your body weight can significantly reduce raised blood pressure. High blood pressure also becomes more common with old age. How do I know if I have high blood pressure? Most people with high blood pressure do not develop symptoms. Some may feel dizzy, under the weather or suffer pounding headaches, but most feel nothing at all. A routine health check is often the only way of discovering whether you have high blood pressure, so if you feel you may be at risk and have not had a check-up in the past year, consider making an appointment. Blood pressure is measured several times before anti-hypertensive drugs are prescribed by a doctor. This is to make sure the blood pressure remains consistently high and is not just as a result of visiting the surgery. Those who have high blood pressure are often advised to monitor their blood pressure at home with a digital wrist monitor. Will dietary changes help? Dietary changes such as following a low-fat diet, eating plenty of fruit and veg and avoiding an excessive alcohol intake can help – Food Optimising is ideal! Reducing salt intake can lower blood pressure by a modest amount. A diet rich in omega-3 fish oils, found in oily fish such as mackerel, herring, salmon and sardines (all Free Food on Food Optimising’s Extra Easy and Original choice), may also help. If you don’t like fish, omega-3 supplements are an option. Supplements such as garlic powder tablets, evening primrose oil, calcium, magnesium and co-enzyme Q10 may also have a beneficial effect on the circulation. Can lifestyle changes help? Yes. People with blood pressure problems are advised to exercise for at least 30 minutes five times a week (in fact, this is the ultimate goal for everyone), to avoid stressful situations and take time out to relax. Anyone with high blood pressure should consult a doctor prior to taking up an exercise regime. Those who smoke are also encouraged to stop as chemicals in cigarettes can damage artery linings and increase heart rate, which can raise blood pressure.