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August 3, 2009 – 3:00 pm

Heart disease is a leading cause of debilitation and death worldwide in
men and women over age sixty-five. In many countries heart disease is viewed
as a “second epidemic,” replacing infectious diseases as the leading cause
of death. It is especially devastating in countries that do not have adequate
health care. There are many types of diseases and disorders that affect the
heart.

Coronary artery disease (CAD) refers to any one of the conditions that af-
fect the coronary arteries and reduces blood flow and nutrients to the heart.
It is the leading cause of death worldwide for both men and women. The
most common kind of CAD is atherosclerosis, which results in narrowing
and hardening of the arteries. Coronary atherosclerosis is at epidemic pro-
portions worldwide.

Risk factors. Controlled risk factors associated with CAD include hyper-
tension; cigarette smoking; elevated blood lipids (e.g. cholesterol, triglyc-
eride); a high-fat diet (especially saturated fats and trans-fatty acids); physical
inactivity; obesity; diabetes; and stress.

Health professionals recommend that dietary fat be reduced
to 30 percent or less of total calories. The diet also should have no more
than 10 percent of its calories from saturated fats, no more than 300 mil-
ligrams (mg) of cholesterol daily, no more than 2,400 mg of sodium, and at
least 3,500 mg of potassium. A plant-based diet consisting primarily of whole
grains, fruits, and vegetables is recommended. Eating at least 25 grams of
fiber and five servings of fruits and vegetables daily may reduce the risk for
heart disease.

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