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Healthy lifestyle protects women's hearts

NEW YORK, Jul 05 (Reuters Health) - Good news for women who exercise, eat well and don't smoke: New study findings show that a healthy lifestyle can reduce the risk of heart disease in women by more than 80%. The bad news: Just 3% of over 84,000 women in the study met the researchers' definition of a healthy lifestyle.

Even though heart disease has been on the decline, it remains the number-one killer of both men and women in the United States. Many studies have found that lowering cholesterol and blood pressure with medication can reduce the risk of heart disease, but many of these drugs are expensive and have harmful side effects, according to Dr. Meir J. Stampfer and a team of researchers at Harvard Medical School in Boston, Massachusetts.

Previous studies have examined the effect of a single aspect of a healthy lifestyle, such as exercising or not smoking, but Stampfer's team evaluated an overall healthy lifestyle. They considered women to be at low risk if they did not smoke, were not overweight, drank at least half an alcoholic drink a day, spent at least 30 minutes a day exercising moderately or vigorously, and ate a high-fiber diet low in saturated fats.

Even after the investigators took into account factors that could influence the risk of heart disease--including age, high blood pressure, high cholesterol and a family history of heart disease--all aspects of a healthy lifestyle were linked to a lower risk of heart disease. In the study of 84,129 healthy female nurses who were followed for 14 years, those in the low-risk group were more than 80% less likely to have a heart attack or die from heart disease, according to the report in the July 6th issue of The New England Journal of Medicine. In fact, the researchers estimate that 82% of heart attacks and heart-related deaths could have been prevented if all of the women had adopted the low-risk lifestyle.

"Closer adherence to a more healthful lifestyle might reduce the risk of coronary heart disease still further," the authors write. Although the researchers do not dispute that drugs to lower cholesterol and high blood pressure can prevent heart disease, "adopting a more healthful lifestyle could prevent a substantial majority of coronary disease events in women," they conclude.


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