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Writre: Imran Abbas 5 healthy habits could reduce 80% of attacks Healthy eating, along with lifestyle of low-risk and absence of abdominal adiposity can prevent the vast majority of episodes of myocardial infarction in men. Food and lifestyle habits of low risk in the primary prevention of the myocardial infarction in men. The objective of this study was to analyze the benefit of feeding and healthy life habits on the incidence of the myocardial infarction (MI in men). It was a follow-up of 11 years to a cohort of 20721 men 45-79 years. Low-risk behaviors were: Healthy eating Moderate alcohol consumption Physical activity Absence of smoking Absence of abdominal adiposity. 1361 new cases of IM were checked during that time. The combination of healthy behaviors only present in 1% of men, could have prevented the 79% of episodes of IM. Introduction The incidence and mortality from coronary heart disease (EC) declined in many regions of the world, but the burden of disease is still large. Although drug treatments for lowering lipids and hypertension are effective in reducing coronary episodes, the observance of healthy lifestyle habits continues to have a significant impact. In contrast to pharmacological treatments, strategies to contribute to the prevention of the EC non-pharmacological do not have the risk of side effects. For the incidence of EC, up to 77% - 82% of the episodes were attributable to the failure to comply with low-risk lifestyle habits, which consist of 5 healthy choices for women. In men in the United States, the corresponding attributable risk was 62%, and 57% among those who received drugs for hypertension and hypercholesterolemia. In this work we studied the benefit of combining food and healthy lifestyle habits on the incidence of myocardial infarction (MI) in a large prospective cohort of healthy Swedish men. It was estimated the burden of EC which could have been avoided if all men had complied with a healthy diet, moderate alcohol consumption, physical activity, smoking suppression and would have avoided the abdominal adiposity. An analysis apart from men with hypertension and hypercholesterolemia was made. Methods In 1997, all men born between 1918 and 1952 residents in two provinces of central Sweden received a questionnaire which included 350 questions about diet and other habits of life (the response rate was 49%). This large cohort is representative of Swedish men from 45 to 79 years in terms of distribution by age, educational level and the prevalence of overweight. After the exclusion of those who had a history of diseases that could have caused changes in the diet and habits of life, were 20721 men for the study. An analysis apart from 7139 men with hypertension and hypercholesterolemia was made. Assessment of life habits-food factors The power was assessed using a semi-quantitative self-administered questionnaire, with questions about 96 food (Food frequency Questionnare). Healthy nutrition were identified according to the score of recommended food (pair) (Recommended Food Score), created in 2000 by Kant et to the. as a simple way to define the quality of the food separating the healthy food of the less healthy, on the basis of current knowledge and dietary recommendations. PAR is an excellent mortality prognostic factor and includes foods with favourable effect on cardiovascular health, such as fruits, vegetables, legumes, dried fruit, milk skim, whole grains and fish. He was assigned a score of 1 (up to a maximum of 25) to ≥ 1 serving per week of any of 3 low-fat dairy products, bread crispy and whole wheat bread, while for the remaining food consumption frequency was at least 1-3 times per month. It was considered that those with scores in the highest held by (score 23-25) had a varied healthy diet (low-risk power). In a post hoc analysis, only the top held by was associated with statistically significant decrease in the risk of IM. Not recommended food (Non-Recommended Food Score) score was based on 21 foods, including red meat processed, potato chips, solid fats, not low-fat cheese, white bread and refined cereals and various sweet foods. Low risk with respect to the alcohol group included men who consumed moderate amounts of alcohol (10-30 g/day). Smoking, physical activity and abdominal adiposity as three main low-risk non-food modifiable factors were considered. It was considered that low CV risk physical activity included both physical activity and walking and cycling journals and a weekly exercise more vigorous. In this way, the low-risk group was composed by men who don't smoke, walked or practiced cycling at least 40 min/day and made more vigorous exercise at least one hour per week and had an abdominal circumference Results During an average of 11 years, 1361 new cases of IM were checked. Overall, it was more likely that men with low-risk power had higher educational level, not to smoke and not to live alone. Each factor of life habits was associated inversely and, after mutual adjustment, for other items of low risk profile, regardless of the risk of coronary events. This reduction in risk was 18% for healthy food, 11% for moderate drinking, 36% for the absence of smoking, 3% for the fisicay activity to 12% for a normal abdominal circumference. In total, 8.7% of men combined the power of low risk with moderate alcohol consumption. The average daily consumption was 5 servings of vegetables and fruits, whole grains (or bran) 4 and 2.2 servings of fish weekly consumption. The median of alcohol consumption in this group was 17 g/day. In relation to the high-risk group, which did not meet the criteria of any of the 5 factors of feeding low-risk or habits of life, this food and moderate consumption behavior of was associated with a reduction in the risk of IM's 35%. Full final low-risk profile, with the 5 factors, fulfilled by 1% of the study population, partnered with 86% less risk of IM than the Group of high risk without low-risk factors. The population attributable risk estimated for the full profile of low risk in relation to the remaining men of the study population was 79%. This suggests that 4 of 5 coronary episodes could have been avoided if all men had been observed low-risk behaviors. Another analysis evaluated the association between low-risk behaviors and the risk of IM between 7139 men with hypertension and hypercholesterolemia at the beginning of the study with 765 new proven cases of IM. For age-standardized incidence rates and risk indices declined to add every low-risk factor. The absolute difference in rates between any factor of risk versus 5 factors of low risk was 778 cases per 100000 person-years, similar to men without high blood pressure or high cholesterol. Discussion In this prospective cohort study of healthy men, it was observed that power to low-risk together with moderate consumption of alcoholic beverages was associated with 35% reduction in the risk of primary IM in relation to men in the high-risk group (i.e., men who had none of the 5 factors of low-risk). Men who combined this low-risk power and moderate consumption of alcohol with lifestyle habits at risk (no smoking, physical activity and avoidance of abdominal fat) had a 86% lower risk. The favorable effect of combining food, life habits and a healthy body weight can prevent approximately up to 4 of 5 cases of IM in the healthy population. The decrease in risk with greater compliance with low-risk behaviors was also observed in men with hypertension and hypercholesterolemia. In this cohort of men without a history of cardiovascular disease (CVD), high blood pressure, high cholesterol or diabetes at the beginning of the study, the reduction observed in the incidence of IM associated with healthy eating along with moderate alcohol consumption was similar to the of a Spanish recent study that analyzed the Mediterranean diet, supplemented with olive oil or nuts. In 29% of patients without CVD, but with high cardiovascular risk, the combined Mediterranean diet significantly decreased CVD risk in connection with diet control. Instead of healthy foods, alcohol consumption cannot be recommended without reservations to reduce CVD. Though moderate consumption may protect the CVD, alcohol abuse is one of the 3 most important risk factors of the global burden of all illnesses. This definition included 4 (alcohol excluded) of 5 options of habits of low risk together with favorable figures for total cholesterol, glucose in fasting and blood pressure. Programs for men to increase the proportion of those who adopt low-risk behaviors could be great impact on the burden of disease. It is of great importance that these habits are modifiable and changes prospective habits from high-risk to low-risk were associated with a decrease of 27% of the incidence of CVD. It is however evident that a broad prevention can only be achieved by inhibiting the initiation and establishment of any high-risk behaviour and making sure that ideal low-risk behaviors are introduced early and continue throughout life. Conclusions This study suggests that a healthy diet, along with lifestyle of low-risk and absence of abdominal adiposity may prevent the vast majority of episodes of myocardial infarction in men. Regards: Healthmoor.com