Thursday, February 8, 2024

National Bagel and Lox Day
Bagel Terminology and Nutrition Information


General Bagel Rules

*1 ounce of a bagel equals 80 calories (most bagels weigh about 3 ounces).
*Scooped, when the inside of the bagel is removed (Saves about 40 to 80 calories). 
*Smear equals about one to two tablespoons of cream cheese.



Joy Bauer, RD takes us through the bagel's history from its start in the royal palace of Poland, to the streets of Manhattan's Lower East Side to the plates of millions of Americans. Find out what's in a bagel and how you can enjoy the bagel without the guilt.









Meal Planning

Super Bowl Food Safety and Healthy Recipes



The U.S. Department of Agriculture recommends closely refereeing food safety violations so every party-goer returns home a winner.

Illegal Use of Hands. Unclean hands are one of the biggest offenders for spreading bacteria, and finger foods are especially susceptible. Chefs and guests should wash their hands with soap and warm water for 20 seconds before and after handling food. Be sure to clean surfaces often and wash platters before refilling them with fresh food. 

Offside. Prevent violations at all costs and keep uncooked and ready-to-eat foods in their own zone. The juices from raw meat may cross-contaminate other food if they contain harmful bacteria. Use one cutting board for raw meat and poultry and another for vegetables. If you use only one cutting board, wash it with hot soapy water after preparing each food item.

Time Out. Call a "time out" and use a food thermometer to be sure foods are cooked safely. Steaks should be cooked to 145 °F, ground beef to 160 °F, and all poultry to 165 °F.

Holding refers to never holding hot or cold foods for more than two hours at room temperature or between 40 °F and 140 °F. Refrigerate or freeze leftovers promptly to block offensive bacteria from multiplying. When in doubt, throw it out; do not eat it.

Instant Replay
There is no opportunity for an instant replay. To avoid these violations, make sure you understand the rules completely. Great resources are available before kickoff at the USDA's 
Selected Federal Agencies with a Role in Food Safety.





3. Kara Lydon, RD @karalydonRD  50 Plant-Based Super Bowl Snacks



Wednesday, February 7, 2024

National Girls and Women in Sports Day
Resources in Sports Nutrition and Dietetics





Thousands of sports educators, coaches, athletic directors, recreation directors, association members, sponsors, students, and parents across the country will show their support. 

The mission of the National Association of Girls and Women in Sport (NAGWS) is to develop and deliver equitable and quality sports opportunities for all girls and women. 


National Girls and Women in Sports Day (NGWSD) History
NGWSD is celebrated in all 50 states with community-based events, award ceremonies, and activities honoring the achievements of girls and women in sports and encouraging their participation.

NGWSD began in 1987 as a day to remember Olympic volleyball player Flo Hyman for her athletic achievements and her work to assure equality for women's sports. NGWSD has evolved into a day to acknowledge the past and recognize current sports achievements, the positive influence of sports participation, and the continuing struggle for equality and access for women in sports.

NGWSD is jointly organized by the National Girls and Women in Sports Coalition. The Coalition combines the experience and resources of four premiere girls- and women-serving organizations in the United States: Girls Incorporated,  the National Association for Girls and Women in Sport, and the Women's Sports Foundation





Significant Events in the Law
NAGWS has served girls and women in sports for more than a century. A  variety of programs have been initiated to prepare teachers and coaches to work with female students and to challenge individuals and institutions to look at how they do business each day. 

In January 2013, the Office for Civil Rights (OCR) issued a Dear Colleague Letter clarifying the school’s obligations under the Rehabilitation Act of 1973 (Rehab Act) to provide extracurricular athletic opportunities for students with disabilities. The OCR’s announcement underscores our belief that every student, regardless of sex, means, race, religion… and ability, should be able to reap the benefits of sports.

Specifically, the Dear Colleague Letter does the following for schools:
1. Clarifies when and how schools must include students with disabilities in mainstream athletic programs
2. Defines what true equal treatment of student-athletes with disabilities means
3. Encourages and provides a road map for schools to create adapted programs for students with disabilities
Title IX/gender equity issues have been a long-time focus of NAGWS programs through programs like the National Girls and Women in Sports Day (NGWSD). 


The Importance of
Nutrition in Sports Resources


Lisa Dorfman, RDN, was featured on NBC to discuss key ingredients to a successful sports nutrition eating plan.


Resources.
1. Sports, Cardiovascular and Wellness Nutrition – A Dietetic Practice Group of the Academy of Nutrition and Dietetics.
2. 
Collegiate & Professional Sports Dietitians Assn. (CPSDA), Facebook
3. 
Nancy Clark, MS, RD, CSSD, Sports Dietitian
4. 
Lisa Dorfman, MS, RD, CSSD, LMHC, aka The Running Nutritionist®




Tuesday, February 6, 2024

Feeding Tube Awareness Week
Meet People Leading Active Lives





The overall objective of Feeding Tube Awareness Week is to help raise awareness of enteral/tube feeding as a positive and often life-saving medical intervention for those who are unable to eat and drink enough on their own to sustain life and thrive (and in the case of children, grow and develop).

Moreover,
Feeding Tube Awareness Foundation hopes to break down the social stigma that is currently attached to tube feeding by:



  • Highlighting the positive outcomes associated with tube feeding
  • Giving more information about the reasons people require tube feeding
  • Countering stereotypes and misinformation about tube feeding

Feeding Tube Awareness Foundation is raising awareness of tube feeding through Feeding Tube Awareness Week


.

Tube Feeding Program at
 Medical Service Company


How Do G-Tubes Work?


National Fettuccine Alfredo Day





Fettuccine Alfredo
2 servings



Ingredients
¾ cup vegetable broth (see Tips for Two)
4 large cloves garlic, peeled
4 ounces of whole-wheat fettuccine
2 teaspoons cornstarch, mixed with 1 tablespoon water
2 tablespoons reduced-fat sour cream
⅛ teaspoon freshly ground pepper, or to taste
¾ cup freshly grated Parmesan cheese, divided
1 tablespoon chopped fresh parsley

Directions
1. Bring a large saucepan of water to a boil. Combine broth and garlic cloves in a small saucepan; boil over high heat. Cover, reduce heat to a simmer, and cook until the garlic cloves are soft, about 15 minutes.
2. After the garlic has simmered for about 10 minutes, cook fettuccine in the boiling water, often stirring, for 8 minutes. Cook until the fettuccine is just tender, about 1 minute more.
3. Meanwhile, transfer the garlic and broth to a blender. Process until the mixture is smooth, about 1 minute. (Use caution when blending hot liquids; see Tip.) Return the mixture to the pot and simmer over medium-high heat. Add cornstarch mixture; whisk it until slightly thickened, about 15 seconds. Remove from the heat and whisk in sour cream and pepper. Return the pot to very low heat to keep the sauce warm. (Do not boil.)
4. Drain the pasta and place in a large bowl. Add the sauce and ½ cup Parmesan; toss to coat well. Sprinkle with parsley and serve immediately, passing the remaining ¼ cup Parmesan separately.

Tips for Two: Leftover canned broth keeps up to 5 days in the refrigerator or up to 3 months in your freezer. The leftover broth in aseptic packages is kept in the refrigerator for up to 1 week. Add to soups, sauces, and stews; use for cooking rice and grains; add a little when reheating leftovers to prevent them from drying out.


Pureeing hot liquids: Hot liquids can splatter out of a blender when turned on. To avoid this, remove the center piece of the lid. Loosely cover the hole with a folded kitchen towel and turn the blender on. Better airflow will keep the contents from spewing all over the kitchen—and yourself.

February 6, National Frozen Yogurt Day




Ingredients
1/2 cup (102 g) Frozen Vanilla Greek Yogurt
Variety of Fresh Fruits. 1 Tablespoon of each: Orange, Strawberries, Blueberries, Kiwi, Raspberries, & Mango



Nutrition Information

How to Make Frozen Greek Yogurt




Nutrient Analysis Services
Ensure accurate and cost-effective nutrient analysis and food nutrition facts labels for your recipes and menus utilizing an extensive research database. A valuable service for the Recipe Blogger, Media, Cookbook Publishers, Writers, Chefs, and Recipe Websites. Your readers will enjoy and benefit from the Nutrition information and a Registered Dietitian.

For more information, visit Dietitians-Online Nutritional Analysis Services
contact: Sandra Frank, Ed.D, RDN, FAND

recipenews@gmail.com
954-294-6300






Monday, February 5, 2024

Happy Valentine's Day with the Healthy Heart Collection

Collection of heart-shaped and heart-healthy foods with a
special valentine messages for a heart-healthy life.







Wishing you love, laughter, health, and friendship.


Sunday, February 4, 2024

Homemade Soup Day - Southwest Black Bean and Vegetable Soup



Serves: 13

Serving Size: 3/4 cups

Ingredients.
1 onion, large, chopped
1 green pepper, medium, chopped
2 garlic cloves
1 (32 ounces) low sodium chicken broth
1 (15 ounces) can black beans, drained and rinsed
1 (15 ounces) can pinto beans, drained and rinsed
28 ounces diced tomatoes, unsalted
6 ounces chopped green chilies
1 (15 ounces) can corn, drained
1 1/2 teaspoons chili powder
1 teaspoon ground cumin

Directions.
1. In a large nonstick saucepan, sauté vegetables and
garlic until almost tender.
2. Stir in all ingredients and bring to a boil.
3. Simmer 20 minutes.
4. Soup freezes well.



Nutrition Information



Resources.
1. Wikipedia. Soups - History, Types, and Varieties
2. Food Network.  Healthy Soup Recipes
4. EatingWell. Healthy Winter Soup Recipes


Ensure accurate nutritional analysis for your recipes utilizing an extensive research database and over 30 years of experience. A valuable service for Recipe Bloggers, Media, Cookbook Publishers, Writers, Chefs, and Recipe Websites. Your readers will benefit from the Nutrition information and a Registered Dietitian. Contact: Dietitians-Online.com; Sandra Frank, Ed.D, RDN, FAND at recipenews@gmail.com  954-294-6300





Saturday, February 3, 2024

World Cancer Day

WHAT IS WORLD CANCER DAY?
World Cancer Day takes place every year on February 4 and is the singular initiative under which the entire world can unite together in the fight against the global cancer epidemic. 

World Cancer Day is an initiative of the Union for International Cancer Control (UICC), through which the aim is to help save millions of preventable deaths each year by raising awareness and education about cancer and pressing governments and individuals across the world to take action against the disease. 


World Cancer Day is a chance to improve general knowledge around cancer and dismissing misconceptions about the disease. From a global level, the message focuses on the following four myths.






Myth 1: Cancer is just a health issue.
Truth: Cancer is not just a health issue. It has wide-reaching social, economic, development, and human rights implications.

Myth 2: Cancer is a disease of the wealthy, elderly and developed countries.

Truth: Cancer is a global epidemic It affects all ages and socioeconomic groups, with developing countries bearing a disproportionate burden.

Myth 3: Cancer is a death sentence.

Truth: Many cancers that were once considered a death sentence can now be cured and for many more people, their cancer can now be treated effectively.

Myth 4: Cancer is my fate.

Truth: With the right strategies, a third of the most common cancers can be prevented.

World Cancer Day

A global event taking place every year on 4 February, World Cancer Day unites the world’s population in the fight against cancer. Taking place under the tagline ‘We Can. I Can.’, World Cancer Day 2016-2018 will explore how everyone – as a collective or as individuals – can do their part to reduce the global burden of cancer. Read more about World Cancer Day and how to get involved on www.worldcancerday.org.



A truly global event, World Cancer Day unites the world’s population in the fight against cancer.

Taking place under the tagline ‘We Can. I Can.’, World Cancer Day 2016-2018 will explore how everyone – as a collective or as individuals – can do their part to reduce the global burden of cancer.

Read more about World Cancer Day and how to get involved here.





Did you know that each year, over 12.7 million people receive a cancer diagnosis and 8.2 million people die from the disease? If no action is taken, the worldwide cancer burden is expected to reach 26 million new diagnoses and 17 million deaths by the year 2030, with the most rapid increases occurring in low- and middle-income countries. 

It’s not all bad news as 30-40% of cancers can be prevented, and one-third of cancers can be cured through early diagnosis and treatment. 
UICC aims to help people understand how to take steps to prevent cancer and live a healthier and longer life.

A Healthy Diet and Physical Activity
A healthy diet and regular adequate physical activity are of major importance to preventing cancer and maintaining good health throughout life.
*Be as lean as possible without becoming underweight.
*Be physically active for at least 30 minutes every day.
*Avoid sugary drinks. Limit consumption of energy-dense foods. (particularly processed foods high in added sugar, or low in fiber, or high in fat). 
*Eat more of a variety of vegetables, fruits, whole grains, and beans.
*Limit consumption of red meats (such as beef, pork and lamb) and avoid processed meats. 
*If consumed at all, limit alcoholic drinks to 2 for men and 1 for women a day. 
*Limit consumption of salty foods and foods processed with salt (sodium). 
*Don’t use supplements to protect against cancer.

Quit Tobacco 

Tobacco kills more than 5 million people a year, an average of one person every six seconds. You can prevent cancer when you stop smoking, chewing, and sniffing tobacco. Try to avoid exposure to passive smoke to further reduce your risk. 

Sun Exposure 

Excessive exposure to UV radiation (either from the sun or from artificial sources such as sun beds) is associated with accelerated skin aging and different types of skin cancer. Stop using sun beds and avoid excessive sun exposure. Remember to use sunscreens and protective clothing as an effective cancer prevention method.

For additional preventative measures, visit 
World Cancer Day – Union for International Cancer Control (UICC).

Friday, February 2, 2024

World Cerebral Palsy Day -
Feeding Challenges



Meet my son, Jake.



Written by Tracy S. Williams, BS, Nutrition Educator. 
Learn more about Tracy at Tracy's Plate


World Cerebral Palsy Day


Cerebral palsy (CP) is a broad term used to describe a group of chronic “palsies”- disorders that impair movement due to damage of the developing brain. CP usually develops by age 2 or 3 and is a non-progressive brain disorder, meaning the brain damage does not continue to worsen throughout life. However, the symptoms damage often changes over time- sometimes getting better and sometimes getting worse. CP is one of the most common causes of childhood disability.

About 10,000 infants are diagnosed with CP and up to 1,500 preschoolers in the U.S. are recognized as having CP each year. The United Cerebral Palsy Association estimates that more than 764,000 Americans have CP. Congenital cerebral palsy caused by a brain injury during a baby’s development in the womb is responsible in about 70% of the children who have the condition. It is present at birth, although it may not be detected for months. An additional 20% have congenital cerebral palsy due to a brain injury during the birthing process. In most cases, the cause of congenital cerebral palsy is unknown, however, some possible causes are:

An infection during pregnancy may damage a fetus’s developing nervous system. They include rubella (German measles), cytomegalovirus (a herpes-type virus), and toxoplasmosis (an infection caused by a parasite that can be carried in cat feces or inadequately cooked meat). Other undetected infections in pregnant women are being recognized as an important cause of developmental brain damage in the fetus.

· Severe jaundice in the infant. Jaundice is caused by excessive bilirubin in the blood. Normally, bilirubin is filtered out by the liver. Often, newborns’ livers need a few days to start doing this effectively, so it’s not uncommon for infants to have jaundice for a few days after birth. In most cases, light therapy clears up jaundice and there are no lasting health effects. In rare cases, severe cases of jaundice can damage brain cells.

· Rh incompatibility between mother and infant can be a cause of cerebral palsy. In this blood condition, the mother’s body produces antibodies that destroy the fetus’s blood cells. This leads to jaundice may cause brain damage in the newborn.

· The physical or metabolic trauma of birth can be a cause of cerebral palsy. This can produce brain damage in a fetus whose health has been threatened during development. Severe oxygen deprivation to the brain or significant trauma to the head during labor and delivery can be the cause of cerebral palsy.


Feeding Skills

Feeding skills have been cited as a contributing factor that can affect the life expectancy of those with CP. Managing these can positively affect the life span of an individual with cerebral palsy. When people with cerebral palsy have feeding and digestive challenges, a nutrition care program can be beneficial. Skilled registered dietitian nutritionists work with physicians to adjust diet, food intake and nutrition supplements to enhance overall health. Effective dietary therapy can be devised to meet the individual’s unique needs taking into account digestive challenges and the ability to properly chew, swallow and self-feed.

Nutrition practitioners can adjust textures and consistency of food by pureeing, chopping, and grinding foods for a smoother eating experience. Foods can be softened with broth, gravy, milk, or juices. Liquids can be thickened to improve swallowing. Self-feeding is a skill that significantly enhances the quality of life for someone with a disability, although caregivers, family or friends may still be needed. Speech therapists can teach patients, their friends, or caregivers about adaptive feeding tools that can accommodate different levels of ability. Appropriate techniques can include space between feedings, to allow for natural swallowing, or feeding smaller portions throughout the day. In the most severe cases, some people with cerebral palsy rely on a feeding tube for partial or total nutrition intake. It is important to adjust to allow sufficient time between bites and drinks for natural swallowing. Some meals should be scheduled around medication times to avoid stomach upset, curb appetites and address feelings of being tired.

If a person with cerebral palsy has trouble with asphyxiation, reflux, or pneumonia, he or she should avoid foods, such as nuts, seeds, and hard or stringy foods. Diets can be changed to provide more calories, better balance, compensate for deficiencies and enhance digestion. Vitamin, minerals, and food supplements may help with malabsorption or who tire when eating. High fiber choices can curb constipation while prune and apricot juices may provide natural laxative qualities. Some people with cerebral palsy need to control drooling and aspiration, in addition, use long-term anti-seizure medications can contribute to an increased risk of tooth decay, cavities, gum disease, and bacterial infections. Dietitians may advise substituting added sugars and carbonated drinks with fresh fruits and vegetables. Dentists will encourage proper dental hygiene like regular brushing, drinking fluorinated water and regular checkups

Many people fight stereotypes and those with disabilities are no exception. Barriers individuals with disabilities face begin with people’s attitudes that are often rooted in misinformation and misunderstandings of what it’s like to live with a disability. One misconception is that all people living with disabilities are brave and courageous, but people with disabilities just need to adapt to a currently different lifestyle. Sometimes wheelchairs are used as typical mobility devices rather than for people who are only ill or sickly. In past decades, segregating people with disabilities in separate schools and institutions reinforced the perception that people with disabilities could only interact with others who have disabilities. Any person who does not have a disability can offer assistance, but most people with disabilities prefer to take responsibility for their own care when physically possible both in the community, within all parts of society. It is okay for curious children to ask questions about disability. Discouraging curious children from asking questions teaches children that having a difference or disability is wrong or bad. Many people with a disability will not mind answering a child’s question. People with disabilities go to school, get married, have families, do laundry, grocery shop, laugh, cry, pay taxes, get angry, have prejudices, plan and dream about their future like everyone else. It is important to encourage participation from people with disabilities by providing accessible meeting and event sites. It is important for advocates to speak up when negative words or phrases are used for people with a variety of disabilities.

Cerebral palsy can affect someone who has it in a variety of ways. Some people with cerebral palsy can be impacted by having the limited verbal ability, limited cognitive ability, all four limbs affected or just their legs impacted. Some people use one cane or crutch; some people use a walker or two crutches. Some people use a manual wheelchair or motorized wheelchair. Some people may have some nutritional issues due to some difficulty feeding themselves or having digestive issues. You may have met one classmate, colleague or friend with cerebral palsy, but that does not mean even everyone is impacted in the same way by the same diagnosis. All people with disabilities deserve the same level of respect and it is important to help those with disabilities advocate against social misconceptions.


Thursday, February 1, 2024

Go Red for Women
Life's Simple 7

The Nutrition and Dietetic Professionals want you to
Tell 5 and Save Lives.
Keep your "Heart- Healthy." 
A message from the American Heart Association.





Go Red For Women
 In 2004, the American Heart Association (AHA) faced a challenge. Cardiovascular disease claimed the lives of nearly 500,000 American women each year, yet women were not paying attention. In fact, many even dismissed it as an “older man’s disease.” To dispel the myths and raise awareness of heart disease as the number one killer of women, the American Heart Association created Go Red For Women – a passionate, emotional, social initiative to empower women to take charge of their heart health.




Go Red For Women encourages awareness of the issue of women and heart disease and action to save more lives. The movement utilizes women's energy, commitment, and power to band together and collectively wipe out heart disease. It challenges them to know their risk for heart disease and take action to reduce their personal risk. It also gives them the tools they need to lead a heart-healthy life.

In 2010, the American Heart Association set a strategic goal of reducing death and disability from cardiovascular disease and strokes by 20% while improving the cardiovascular health of all Americans by 20% by 2020.

Go Red For Women targets women because only 55 percent of women realize heart disease is their No. 1 killer, and less than half know what are considered healthy levels for cardiovascular risk factors like blood pressure and cholesterol. The Go Red For Women movement works to make sure women know they are at risk so they can take action to protect their health.
 
Tell 5 and Save Lives
Tell five family members and friends how they can get heart-healthy. Heart disease is still the No. 1 killer of women, taking the life of 1 in 3 women each year. This means women like you - mothers, sisters, friends - are dying at the rate of one per minute because they don't know what you know: heart disease kills.

Just think: You could save lives by bringing your network to our network. And if your five tell five, your mission can eventually impact hundreds and thousands of women.

Life's Simple Seven


Get Active
Finding time in our busy lives for exercise is challenging for all Americans. But the benefits far outweigh the sacrifices it takes to create time. The facts are clear: By exercising for as little as 30 minutes each day you can reduce your risk of heart disease. Without regular physical activity, the body slowly loses its strength and ability to function well. Physical activity = living a longer, healthier life.

Regular Physical Activity helps: Lower blood pressure, increase HDL “good” cholesterol in your blood, control blood sugar by improving how your body uses insulin, reduce stress, control body weight, and make you feel good about yourself.



Control Cholesterol 
Cholesterol is a soft, fat-like, waxy substance in the bloodstream and all your body's cells. It's normal to have cholesterol. Cholesterol is important to a healthy body because it produces cell membranes and some hormones and serves other needed bodily functions. But too much cholesterol in the blood is a major risk for coronary heart disease (which leads to heart attack) and stroke.

Cholesterol comes from two sources: your body and food. Your liver and other cells make up about 75% of your blood cholesterol. The other 25% comes from the foods you eat.
LDL cholesterol is the “bad” cholesterol. Too much of it circulates in the blood and can clog arteries, increasing your risk of heart attack and stroke. LDL cholesterol is produced naturally by the body, but many people inherit genes that cause them to make too much. Eating saturated fat, trans fats, and dietary cholesterol also increases how much you have.

American Heart Association Recommendations:  Total blood cholesterol is the most common measurement of blood cholesterol. It's the number you receive as test results. Cholesterol is measured in milligrams per deciliter of blood (mg/dL). A cholesterol level of 200 mg/dL or higher puts you in a high-risk category and is cause to take action.


Eat Better
A healthy diet and lifestyle are your best weapons to fight cardiovascular disease. You may be eating plenty of food, but your body may not get the nutrients needed to be healthy. Nutrient-rich foods have vitamins, minerals, fiber, and other nutrients but are lower in calories. To get the nutrients you need, choose foods like vegetables, fruits, whole-grain products, and fat-free or low-fat dairy products most often. The American Heart Association recommends eating a wide variety of nutritious foods daily from each basic food group.

Recommended Food Choice Guidelines: Vegetables and fruits are high in vitamins, minerals, and fiber; and lower in calories. Eating various fruits and vegetables may help you control your weight and blood pressure. Unrefined whole-grain foods contain fiber that can help lower your blood cholesterol and help you feel full. Eat fish at least twice a week. Recent research shows that eating oily fish containing omega-3 fatty acids (salmon, trout, and herring) may help lower your risk of death from coronary artery disease. Choose lean meats and poultry without skin and prepare them without added saturated and trans fat. Select fat-free, 1 percent fat, and low-fat dairy products. Cut back on foods containing partially hydrogenated vegetable oils to reduce trans fat. Aim to eat less than 300 milligrams of cholesterol each day. Choose and prepare foods with little or no salt. Aim to eat less than 1500 milligrams of sodium per day.


Heart Healthy Red Foods


 
Manage Blood Pressure

Hypertension (also known as High Blood Pressure) is the single most significant risk factor for heart disease. Uncontrolled high blood pressure can injure or kill you. It's sometimes called "the silent killer" because it has no symptoms. One in three adults has high blood pressure, yet, about 21% don’t even know they have it. Of those with high blood pressure, 69% are receiving treatment, yet, only 45% have their blood pressure controlled.

By keeping your blood pressure in the healthy range, you are:
* Reducing your risk of your vascular walls becoming overstretched and injured,
* Reducing your risk of your heart having to pump harder to compensate for blockages,
* Protecting your entire body so that your tissue receives regular supplies of blood that is rich in the oxygen it needs.

American Heart Association Guidelines: High blood pressure is manageable. These changes may reduce your blood pressure without the use of prescription medications: eating a heart-healthy diet, which may include reducing salt; enjoying regular physical activity; maintaining a healthy weight; managing stress; limiting alcohol; avoiding tobacco smoke.

Maintain a Healthy Weight
Among Americans age 20 and older, 145 million are overweight or obese (BMI of 25.0 kg/m2 and higher). That’s 76.9 million men and 68.1 million women. Obesity is now recognized as a major, independent risk factor for heart disease. If you have too much fat — especially if a lot of it is at your waist - you are at higher risk for such health problems as high blood pressure, high blood cholesterol and diabetes.

If you're overweight or obese, you can reduce your risk for heart disease by successfully losing weight and keeping it off. When coming up with a fitness and nutrition plan to lose weight, it’s crucial to understand your recommended calorie intake. And then the amount of food calories you’re consuming verses the energy calories you’re burning off with different levels of physical activity. It’s balancing healthy eating (caloric energy) with the (molecular) energy that leaves your body through a healthy level of exercise.

Manage Blood Sugar
The American Heart Association considers diabetes one of the six major controllable risk factors for cardiovascular disease. Adults with diabetes are two to four times more likely to have heart disease or a stroke than adults without diabetes. Diabetes is treatable, but even when glucose levels are under control, it greatly increases the risk of heart disease and stroke. Most people with diabetes die of heart or blood vessel disease.
Pre-diabetes and subsequent type 2 diabetes usually result from insulin resistance. When insulin resistance or diabetes occurs with other CVD risk factors (such as obesity, high blood pressure, abnormal cholesterol, and high triglycerides), the risk of heart disease and stroke rises even more. Controlling glucose can slow the progression of long-term complications. Often, many small changes add up to surprising improvements in diabetes control, including less need for medication.

American Heart Association Guidelines:  When diabetes is detected, a doctor may prescribe changes in eating habits, weight control, exercise programs, and medication to keep it in check. It's critical for people with diabetes to have regular check-ups. Work closely with your healthcare provider to manage your diabetes and control any other risk factors. For example, blood pressure for people with diabetes should be lower than 130/80 mm Hg.

Stop Smoking
Smoking is the most important preventable cause of premature death in the United States. Smokers have a higher risk of developing many chronic disorders, including atherosclerosis - the buildup of fatty substances in the arteries - which can lead to coronary heart disease, heart attack (myocardial infarction), and stroke. Smoking by itself increases the risk of coronary heart disease. When it acts with the other factors, it greatly increases your risk from those factors, too. Smoking decreases your tolerance for physical activity and increases blood clot tendencies. It decreases HDL (good) cholesterol. Your risks increase greatly if you smoke and have a family history of heart disease. Smoking also creates a higher risk for peripheral artery disease and aortic aneurysms. It also increases the risk of recurrent coronary heart disease after bypass surgery.












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