Medical Specialists® Pharmacy offer 6 tips for a healthy heart for National Heart Month

With Valentine’s Day less than two weeks away, the second month of the year often causes pandemonium as couples all around the world, more than at any other time, use all the love in their heart’s to make that extra effort in showing their loved one how much they care.

There could be another reason to think about the heart this month though – for those unaware, February is National Heart Month. The month-long campaign is led by the British Heart Foundation as a way to urge the nation to think more about heart health, as well as to increase awareness about heart and circulatory diseases.

The campaign is one that is annually supported by Medical Specialists® Pharmacy as heart and circulatory diseases are the leading causes of death for adults in Britain. Heart disease comprises of conditions such as coronary heart disease, heart attack and heart failure. However, there are steps to take to help prevent heart problems.

. Cut down on alcohol intake

The NHS recommends that men should not drink more than 3-4 units of alcohol a day, whilst for women the figure stands at just 2-3 units a day at most, and consuming more than this can have a detrimental impact to your heart health. Excessive alcohol intake can raise the amount of triglycerides (a type of fat) in the blood and also lead to abnormal heart rhythms, high blood pressure, heart failure, stroke and obesity from the additional calories you are taking in.  Cutting down on alcohol can be made easier through the help of Medical Specialists® Pharmacy, who have recently began to supply the alcohol dependency treatment Selincro to suitable patients, after being inundated with requests for it.

. Cut down on salt intake

It is recommended that an adult should consume no more than 6g of salt per day – around one full teaspoon. As food labels sometimes only give the figure for sodium, people might be unsure how much they are getting but the following formula from the sodium figure listed, can help: Salt = sodium x 2.5. Therefore, adults should consume no more than 2.4g of sodium per day; equal to 6g of salt. Unfortunately, many of us in the UK consume far more than the 6g limit. On average, people in the UK eat about 8.1g of salt (3.2g sodium) a day. Too much salt can increase the volume of body fluids increases and raise blood pressure. High blood pressure (hypertension) can then result in serious problems such as heart disease or stroke.

.  Cut down on sugar intake

The majority of food and drink products that contain plenty of added sugars, also contain a high number of calories, often having very little nutritional value. Consuming plenty of sugary food and drink on a regular basis can result in weight gain and obesity, thus risking health conditions such as type 2 diabetes and heart disease. Added sugars should comprise of no more than 10% of the energy (calorie intake) obtained from food and drink each day, which works out at around 70g for men and 50g for women, but can vary according to age, size, and how active a person is. Food and drink to consider cutting down on include: sugary cereals, fizzy drinks, sugary squash, cakes, biscuits, chocolate, sweets, cereal bars, cakes, ice cream, puddings and yoghurt.

. Stop smoking

Smoking causes damage to the lining of the arteries, thereby reducing the space for blood to travel through, with the carbon monoxide contained in cigarettes also effecting the amount of oxygen that can reach the heart and other areas of the body, forcing the heart to work much harder to supply the body with the oxygen it requires. The dangers of smoking are further explained on the British Heart Foundation’s website, but smokers are at double the risk of suffering from a heart attack compared to people that have never smoked and smoking is the main cause of a multitude of cancers and lung disease. Smoking cessation treatments such as Champix can help people quit smoking for good though and reduce the risk of heart problems.

. Keep active

Extra weight is widely accepted to be linked to increase the risk of high blood pressure, high cholesterol and type 2 diabetes, and all of these conditions then make heart disease or stroke all the more likely. For those unsure if they are at a healthy weight, body mass index (BMI) is usually one of the first port of calls to check this. A BMI of 25 to 29.9 is considered overweight, whilst a BMI of 30 to 39.9 is considered to be obese. Exercise is a great way to shed the pounds but the simple fact remains that much of the nation lives a sedentary lifestyle. The NHS recommends that one step in treating obesity is to take up activities such as fast walking, jogging, swimming or tennis for 150-300 minutes a week, but obesity treatments like Xenical – in conjunction with a healthy diet – can help with weight loss too.

. Lower cholesterol

Adopting a healthy diet and regular exercise, as previously highlighted, can lower the level of cholesterol in the blood, or prevent cholesterol levels being too high to begin with. The higher the cholesterol level, the higher the risk of stroke or heart disease and therefore the overall risk of having a heart attack. Statin medication such as Atorvastatin or Pravastatin work to lower the LDL (‘bad’) cholesterol and raise the HDL (‘good’) cholesterol, and may be prescribed to certain people with risk factors for heart conditions, such as those with high cholesterol or high blood pressure, older patients, smokers, or those with family history of early heart disease.

The British Heart Foundation’s webpage has more information about heart diseases and advice on how to beat them.  Moreover, the charity are encouraging the nation to show their support on 6 February by wearing red and hosting an event to raise funds for their life-saving research. Anyone can get involved, whether it is at the workplace, school or with friends and family, and there are loads of great ideas for fundraising and essentials such as the sponsorship form and event poster.

Top tips for a healthy heart during National Heart Month

February is the time of year when we get to show our other half how much they mean to us, using all the love in our heart to go all out to impress and show we care.

However, in case you weren’t already aware, February is National Heart Month. It is a month-long campaign pioneered by the British Heart Foundation as a way to increase awareness about heart and circulatory diseases.

Although deaths from the two are falling, heart and circulatory disease is still one of the biggest killers in the UK and there are an estimated 2.6 million people living with Coronary Heart Disease (CHD) in the UK alone. We all have a heart, so we are all potentially at risk.

You can adhere to some basic lifestyle improvements though to improve your heart health and limit the risk of developing heart disease.

. Stop smoking

Smoking damages the lining of your arteries, meaning space for blood to pass through is decreased, and the carbon monoxide in cigarettes hinders the amount of oxygen that can travel to your heart and other areas of the body. Smokers are double the risk of suffering from a heart attack than non-smokers and smoking is the main cause of a multitude of cancers and lung disease.
. Stay active

Keeping fit and active is great for your waistline and general appearance, but exercise is great for the heart too. Unfortunately, statistics show that 7 out of 10 of us are not engaging in physical activity and thus are increasing their risk of heart disease. This doesn’t mean you need to rush to the local gym to sign up, but small changes can make a big difference. Keeping active helps to lower blood pressure; a risk factor for heart disease, boosts good HDL cholesterol responsible for moving fat away from arteries and back to the liver for processing and will help to improve circulation by stopping blood clots from forming which can cause a heart attack or stroke. A brisk walk for 30 to 40 minutes done three times per week should suffice to reduce your cardiovascular risk.

. Limit alcohol intake

Drinking more than the recommended units of alcohol per day (3-4 for men, 2-3 for women) can have a detrimental impact to your heart health. Excessive alcohol can raise the quantity of a type of fat in the blood called triglycerides and also lead to abnormal heart rhythms, high blood pressure, heart failure, stroke and obesity/diabetes from the additional calories you are taking in.

. Reduce your salt intake

If you, like so many others, have a diet that is high in sodium, this can lead to serious health problems. Sodium increases blood pressure as it causes the body to keep hold of excess fluid and blood volume increases, creating an added burden on the heart with increased pressure in the arteries. It is generally recommended that an adult should not consume more than 6g/1 teaspoon of salt each day. Certain foods are high in hidden salts and you should try to limit how much of them you eat. These include: baked beans, canned vegetables, cheese, crisps, pizzas and ready meals.

. Consider statins

Statins such as atorvastatin and pravastatin are tremendous for heart health because they target the metabolism of cholesterol in the body. Working in the liver, statins lower the bad LDL cholesterol in the bloodstream by between 20 and 60 per cent. High levels of bad cholesterol can cause fatty deposits to clog up your arteries and increase your risk of cardiovascular disease. Statins have been shown to lower the death rate from cardiovascular diseases without increasing the death rate from other causes. You may be prescribed statins even if you appear to be in good health, for example if you have a prominent family history of cardiovascular disease.

A Mediterranean diet can decrease heart attack risk

Researchers claim that by adhering to a healthy Mediterranean diet, this is almost as good for your heart as statins in reducing the risk of suffering from a heart attack or stroke. The news emerges coincidentally as we approach the end of the ‘Rock up in Red’ campaign for National Heart Month, of which Medical Specialists Pharmacy are proud supporters of.

Cholesterol-busting statins such as Crestor (Rosuvastatin) and Lipitor (Atorvastatin) are currently prescribed to nearly a tenth (7 million) of the UK population and function by raising good/protective cholesterol (HDL) and lowering bad cholesterol (LDL) and triglycerides. The higher your cholesterol level, the bigger risk there is of suffering from a heart attack and stroke due to your arteries being clogged up with the fat-like substance known as cholesterol.

However, Spanish researchers led by Prof Ramon Estruch, a professor of medicine at Barcelona University, believe that consuming a Mediterranean diet comprising of plenty lot of fruit, vegetables, fish and wine, and only small amounts of red meat or dairy products, can provide some degree of defence against heart problems.

Many have previously acknowledged the fact that people from Mediterranean countries are more inclined to have lower levels of heart disease though there has been uncertainty if this was due to hereditary factors, or linked to diet and lifestyle.

For the study, the Spanish academics tracked 7,447 people during the years of 2003 and 2009 – consisting of men aged 55 to 88 and women aged 60 to 80. None of the participants had any kind of cardiovascular disease at the beginning of the study. However, they were all at risk due to having type 2 diabetes or were at risk due to having three things from a list of health problems. These were: smoking, high blood pressure, high levels of bad cholesterol, low levels of healthy cholesterol, overweight or there being family history of coronary heart disease.

The participants were assigned into one of three groups; two of which were instructed to eat a Mediterranean diet – one supplemented with four table spoons of extra-virgin olive oil and the other with about one ounce of nuts (walnuts, almonds or hazelnuts). The third group were instead told to stick to a diet that included low-fat dairy products, grains and fruits and vegetables.

Following an average of 4.8 years assessment, 228 had either suffered a heart attack or stroke or died of heart-related problems. Of this total, 96 were in the olive oil group (3.4% of participants), 83 in the group eating plenty of nuts (3.4%) and 109 in the low-fat group (4.4%). This equates to a 30% decline in risk for those on the Mediterranean diets compared with the low fat diet.

Researchers say that important elements from the diets that boosted health included moderate consumption of ethanol – derived from the wine, low consumption of meat, and high intake of vegetables, fruit, nuts, legumes, fish and olive oil. In fact they were so impressed with their study findings that they began adopting a Mediterranean diet themselves.

The authors conclude: “The results of our trial might explain, in part, the lower cardiovascular mortality in Mediterranean countries than in northern Europe or the United States.”

Although not involved with the study, Dr Mike Knapton, associate medical director of the British Heart Foundation, commented on its findings, and advised against anybody deciding to forsake their prescribed statins in favour of merely a change in diet. He said: “This large long-term study shows that eating a Mediterranean diet is associated with heart health benefits, including reductions in heart attack, stroke and deaths from cardiovascular disease. While these findings aren’t new they add to our knowledge and confidence that a Mediterranean diet can help cut down your cardiovascular risk. A well-balanced diet low in salt, saturated fat and sugar is a vital part of a healthy lifestyle. That said, a Mediterranean diet should not replace your prescribed medication.”