NEW GUIDELINES FOR

EXERCISE RISK FACTORS

Risk Factors for Coronary Heart Disease

The following factors associated with CHD are adapted from Expert Panel on Detection, Evaluation, and treatment of High Blood Cholesterol in Adults. Summary of the second report on the national Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult treatment Panel II) JAMA 1993; 269:3015-3023.

Professional opinions will vary. Heart disease remains the leading cause of death in the United States, accounting for nearly one half of all deaths. Approximately 980,000 deaths from heart disease occur each year, with the majority due to coronary artery disease. This has produced a rate of heart attack in the United States of one every 33 seconds. Treatable risk factors include cigarette smoking, hypertension, hyperlipidemia, a low-fiber diet, obesity and a sedentary lifestyle. The following chart is an adaptation of available information, modified to present new parameters in CAD protection.

Positive Factors	Defining Criteria	Risks	Recommendations	Supplements	Dietary Adaptations
Family History	Any male family member who has suffered a heart attack before 55 years of age or 65 years in any family female.	CHD Death	Exercise Monitor BP quarterly Monitor cholesterol quarterly Watch diet	Multi-vitamin Antioxidants  Co-enzyme Q-10 if over 40. Vitamin E	Increase fiber Increase fruits and vegetables Decrease dietary fat.
Smoking	Current cigarette smoker or smoker who has quit within last six months	Cancer Stroke CHD COPD	Quit	Smokease Daily 24 Patch Programs	Increase fruits and vegetables
Hypertension	Systolic BP =140mm/Hg or diastolic BP=90 mmHg, confirmed by measurement on at least two separate visits	Stroke CHD	CV exercise 3xweek 20-30 minutes at 5-6 on a 0-10 scale	Cellular Essentials	Fiber Fruits/Vegetables Decrease dietary fat Decrease body fat
Hypercholesterolemia	Total cholesterol >200 mg/dl or HDL <35 mg/dL or if patient is on lipid lowering medication.	CHD Stroke	CV exercise 3 x week 20-30 minutes at a 5-6 on a 0-10 scale	Bios Life 2	Fiber Fruits/Vegetables Decrease body fat Decrease meat consumption
Impaired fasting glucose		Diabetes	CV exercise	Bios Life 2
Obesity	Waist girth greater than 100 cm (40 inches)	CHD, diabetes, cancer, stroke	Increase LTM and add CV exercise
Inactive Lifestyle		CHD, premature death	Exercise
Low Fiber Intake	< 15 grams per day	Colon cancer, heart disease, high cholesterol and BP	25-30 grams per day will reduce CHD risk 41%	Bios Life 2 Fiber supplements	Fiber Fruits/Vegetables
Factors that protect
High HDL cholesterol	>60 mg/dL		CV exercise	Bios Life 2	Fiber

Note: All individuals who have been sedentary for 12 or more months who are above 45 years of age should be recommended a physical and medical approval prior to exercise.