by Mary C. Tierney
You are what you eat, right? Oh so true.
In searching out statistics on baby boomers, just as one example, I found that 58
percent of men and 47 percent of women ages 38 to 46 are overweight (body mass index 25
and higher), according to the American Heart Association. An estimated 17 percent of men
in that age group are obese (BMI of 30 or higher), while a quarter of the women are
considered obese. In 47 to 57 year olds, 65.5 percent of men are overweight, and 52.7
percent of women. Obesity affects 23 percent of men and 27 percent of women in that group.
So whats the link? Cardiovascular disease. While February has been proclaimed
National Heart Month by the president since 1963, I think of things cardiac notably in
March when the American College of Cardiology meets annually and when Medical
Imaging focuses our special section on cardiology.
Its no secret that weight and cardiovascular health are closely tied. Poor
nutrition, physical inactivity, elevated cholesterol and obesity (as well as tobacco use)
dramatically increase the risk of heart disease and stroke in every age group. Truth is,
pathological data have shown that atherosclerosis begins in childhood. Yet, baby boomers
are young enough and often motivated to change their course. Springtime, too, brings a
great excuse to get in shape and start eating right.
What should we be eating? Topping the list are grains, including whole grains, with six
or more servings daily, AHA recommends. Five or more servings of fruits and vegetables
should also fill our plates. Fish should be on the menu twice a week. Fat-free and low-fat
milk products, beans, skinless poultry and lean meats are essential staples.
The fats and oils we add to our meals should have 2 or fewer grams of saturated fat per
tablespoon. Calories should be balanced with the number we expend each day, often easier
said than done. (To calculate daily caloric intake, multiply your weight by 15 if
youre active, or by 13 if youre more sedentary.) Exercise is key to good
health and recommendations are for at least 30 minutes, 4 to 5 days a week.
We know we should limit saturated fats, trans-fat and cholesterol in our diets
(full-fat milk products, fatty meats, tropical oils, partially hydrogenated vegetable oils
and egg yolks). Cholesterol intake should be less than 300 mg per day (less if your
cholesterol is already high). Our total fat should be 30 percent of total calories or
less. When we get shaking, we should limit our salt to 6 grams (a teaspoon) a day. And
alcohol should be limited to one drink a day, if you female, and two if youre male.
If you already have heart disease or at high risk, check out the National Heart, Lung
and Blood Institutes Therapeutic Lifestyle Changes at
www.nhlbi.nih.gov/chd/lifestyles.htm.
Cardiovascular disease cost the U.S. an estimated $330 billion in medical expenses and
lost productivity in 2002, the American Heart Association claims. And with the more than
half a million deaths from heart disease annually, the human cost is high as well.
Fact: Among adults dying of coronary artery disease, more than one third have a total
cholesterol level of more than 240 mg/dL, a level at which the rate of CAD is twice that
when total cholesterol is less than 200 mg/dL, according to Circulation. So if nothing
else, maybe well think next time we raise the fork.