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PREVENTING HEART DISEASE

There is a person we know that we will call Frank. When Frank was young he assumed he was invulnerable. He knew intellectually that he would someday die; sooner or later everyone does. But that was not a reality Frank had internalized. In fact, he acted as though he was impervious to the effects of his health decisions. He smoked cigarettes; rarely exercised; took on too much work, thereby "stressing himself out"; and did not eat well by often choosing fatty meals at fast-food restaurants.
Frank eventually paid the price for his health-related choices. By the time he reached his 50th year, he had a cough diagnosed as lung cancer, and had blocked arteries that threatened a heart attack. Contributing to his heart condition was the amount of stress to which he subjected himself, the cigarettes he smoked, and his lack of regular exercise. Frank's early years may have been carefree but his later adult life was fraught with discomfort and fear. He realized he would not live as long as he might have. Unfortunately, Frank's situation, extreme though it may sound, is not all that unusual.
Too many people have experienced the death of a loved one from heart disease. If you have not experienced any heart disease yourself, you almost certainly know others who have—parents, grandparents, relatives, friends. This is not surprising since heart disease and cancer account for 57 percent of all deaths that occur in the United States each year. When you add stroke, which is also a developmental disease associated with an unhealthy lifestyle, and you have accounted for almost two-thirds of the deaths that occur in this country every year.
In this chapter, we will define heart disease and discuss its causes. More importantly, we describe how to prevent its occurrence or at least how to delay its arrival. Much of that latter discussion pertains to lifestyle decisions that include physical fitness and wellness considerations.
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