The news of the recent heart surgery performed  on Chief Minister
Tarun Gogoi and sudden death of one my dear friends at the age of 47
due to heart attack( I received the news a few hours ago) prompted me
to write this piece to highlight the fact that heart disease
rates among Indians are very high which tends to be severe,making it
hard to treat with bypass surgery.Even when successfully carried
out,such procedures often serve only as temporary fixes.This means
that,despite surgeries,the blockages often return with a
vengeance,leading to premature death.Many cases are simply
inoperable.However,heart disease is highly preventable.

Space constraints prevent touching in detail on all aspects of
preventive strategies.Therefore,the role of physical activity,the most
important component of prevention, will be addressed briefly.Regular
exercises combined with healthy diet can  reduce one's risk of
coronary heart disease by 70%.

A  physical fitness program mainly consists of
cardiovascular exercises,also called aerobic exercises.This can
include walking,running,swimming,biking,tennis and other sports.There
are three aspects of aerobic exercise,often
abbreviated by the acronym FIT,which stands for frequency ( how
often),intensity ( how vigorously) and time ( how long).The first
priority to focus on is frequency.Compared with either the intensity
of exercise or the amount of time,the consistency with which one
stays physically active daily or almost daily,week in and week out,is
the most important factor in reducing one's risk of heart disease.One
should be physically active at least five and preferably seven days a
week.

The second part of the equation is intensity.How vigorous should one's
cardiovascular activities be?In order to prevent heart disease,all one
needs to do is to engage in moderately vigorous
activity.Overall,moderately vigorous activity
should make one feel the way one does when one walks briskly for
thirty minutes.One should be breathing hard through one's nose,but one
should not feel a great urge to have to breath through one's mouth.

The third important dimension of an effective cardiovascular activity
program is deciding how long one should exercise.The 2006 US
Government Dietary Guidelines recommend 30 to 90 minutes of exercise
per day,depending upon one's weight and age.Note that this time does
not include the warm-up and cool-down period.One should start out any
exercise by warming up for at least 5 minutes.

Do follow your physician's advice on physical activity.This is
particularly important for men over 40 and women over 50,especially if
they have been sedentary.
KJD

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