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Published on: April 22, 2022
Diet and lifestyle measures to protect the ageing heart
1British Nutrition Foundation, UK. s.stanner@nutrition.org.uk
Insights
Coronary heart disease (CHD) risk factors are similar in older adults and middle-aged individuals. Lifestyle changes, including a healthy diet and regular exercise, effectively reduce heart disease risk across all adult age groups.
Area of Science:
- Cardiology
- Public Health
- Gerontology
Background:
- Coronary heart disease (CHD) is a primary cause of death and illness in the UK, with risk escalating significantly with age.
- Over one-third of men and one-quarter of women aged 75+ in the UK have CHD.
- Risk factors for CHD in older adults mirror those in middle-aged populations.
Purpose of the Study:
- To examine the relevance of known CHD risk factors in older adults.
- To assess the efficacy of modifying these risk factors in elderly populations.
Main Methods:
- Review of epidemiologic studies identifying CHD risk factors.
- Analysis of clinical trial data on risk factor modification in older adults.
Main Results:
- Epidemiologic evidence confirms that CHD risk factors are consistent across age groups.
- Clinical trials demonstrate that risk factor modification is as effective in older adults as in middle-aged individuals.
Conclusions:
- Dietary changes (low fat, high carbohydrate, fruits, vegetables, fish, low salt) and lifestyle adjustments (physical activity, smoking cessation, moderate alcohol, healthy weight) significantly protect against heart disease.
- Adopting these healthy habits throughout life offers the greatest prevention benefits for cardiovascular disease in Western populations.
Abstract:
Coronary heart disease (CHD) is a leading cause of mortality and morbidity in the UK and risk increases substantially with age. It is estimated that more than 1 in 3 men and around 1 in 4 women aged 75 and over is currently living with the condition. Evidence from epidemiologic studies indicates that the same factors that are associated with increased risk of CHD in middle-aged people are relevant in older adults. Clinical trials have shown that changing these risk factors in older adults can reduce CHD risk as effectively as it does in middle-aged adults. A diet that is low in fat (particularly saturates), rich in carbohydrate (particularly whole-grains), contains plenty of fruits and vegetables, and a portion of oily fish each week and is not too high in salt can offer significant protection against heart disease. Such diets, together with regular physical activity, avoidance of smoking, sensible drinking habits and maintenance of a healthy body weight, may prevent the majority of cardiovascular disease in Western populations. The greatest benefit will be achieved by adopting these habits throughout the life-course.
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