Page 650 - fbkCardioDiabetes_2017

626 Lifestyle & Noncommunicable Diseases: My ‘Formula of 80’
To Live Up To 80 Years Without A Lifestyle Disease

One gram of food contains six calories on an average If you are a heart patient, consider 80 mg aspirin and
(9 g in fat, 4 each in carbohydrates and proteins). 80 mg atorvastatin a day.

Sodium intake should also be restricted given its ef- * Keep kidney and lung functions more than 80%.
fect on BP. The AHA/ACC guideline on lifestyle man- * Avoid exposure to PM 2.5 and PM 10 levels < 90

agement to reduce CV risk recommends consump- mcg/m .
3
tion of not more than 2,400 mg of sodium daily. In
prehypertension and HT, daily sodium intake should * Avoid exposure to >80 dB of noise.
be further lowered to 1,500 mg as it is associated * Take vitamin D through sunlight 80 days in a year.
with an even greater reduction in BP.
* Do 80 cycles of pranayama (parasympathetic
My Formula of 80 to live up to 80 years breathing) in a day with a speed of 4 per minute.
without a lifestyle disease * Spend 80 minutes with yourself every day (relax-

All the major lifestyle disorders or NCDs share com- ation, meditation, helping others etc).
mon lifestyle-related risk factors. References
Because these lifestyle diseases share modifiable 1. Global Status Report on noncommunicable diseases 2014. World Health
risk factors, patients should be advised a common Organization.
lifestyle, which will prevent all lifestyle disorders. In- 2. Assessing national capacity for the prevention and control of noncommu-
stead of advocating a lifestyle for individual disease, nicable diseases: report of the 2015 global survey. World Health Orga-
these lifestyle modifications should be such that they nization. 2016.
not only prevent heart diseases but also type 2 dia- 3. Noncommunicable diseases Fact sheet, World Health Organization
betes, hypertension, overweight and obesity, depres-
sion and cancer. 4. Updated June 2017.
5. Passi SJ, Akanksha J. Combating non-communicable diseases. Press Infor-
Keeping this in mind, I have devised a ‘Formula of mation Bureau, February 20, 2017.
80’, which I teach and recommend to all my patients. 6. Press Information Bureau, Government of India, Ministry of Health and
They are evidence-based and as most recommenda- Family Welfare. January 21, 2017.
tions are to keep the values below 90, I have chosen
the number 80 as common to all risk factors so that 7. Communicable and Non- Communicable Diseases. Press Information Bu-
reau, Government of India, Ministry of Health and Family Welfare, July
it is easy for patients to remember. 22, 2016.
8. Yusuf S, Hawken S, Ounpuu S, et al; INTERHEART Study Investigators.
Here is my Formula of 80 to live up to the age Effect of potentially modifiable risk factors associated with myocardial
of 80. infarction in 52 countries (the INTERHEART study): case-control study.
Lancet. 2004;364(9438):937-52.
* Keep lower BP, LDL ‘bad’ cholesterol levels, rest- 9. Joshi P, Islam S, Pais P, et al. Risk factors for early myocardial infarc-
ing heart rate, fasting sugar and abdominal girth lev- tion in South Asians compared with individuals in other countries.
els all less than 80. JAMA. 2007;297(3):286-94.

* Walk 80 minutes a day, brisk walk 80 min a week 10. Bilen O, Kamal A, Virani SS. Lipoprotein abnormalities in South Asians
with a speed of 80 steps (at least) per minute and its association with cardiovascular disease: Current state and future
directions. World J Cardiol. 2016;8(3):247-57.
* The less you eat, the more you live. Eat less and 11. Musunuru K. Atherogenic dyslipidemia: cardiovascular risk and dietary
not more than 80 gm or ml of caloric food each meal. intervention. Lipids. 2010;45(10):907-14.
Follow a healthy diet (high fiber, low saturated fat, 12. Manjunath CN, Rawal JR, Irani PM, et al. Atherogenic dyslipidemia. Indian
zero trans fat, low refined carbohydrate, low salt, high J Endocrinol Metab. 2013;17(6):969-76.
in fruits). Refined carbohydrates are white rice, white 13. Enas EA, Dharmarajan TS. The Lipid Association of India Expert Consensus
maida (refined flour) and white sugar. Statement 2016: A sea change for management of dyslipidemia in Indians.
J Clin Prev Cardiol 2016;5(2):62-6.
* Observe cereal fast 80 days in a year.
14. Semmler A, Moskau S, Grigull A, et al. Plasma folate levels are associ-
* Do not smoke or be ready to shell out Rs. 80,000/- ated with the lipoprotein profile: a retrospective database analysis. Nutr
for treatment. J. 2010;9:31.
* Do not drink alcohol; if you do, do not consume 15. Stone NJ, Robinson JG, Lichtenstein AH, et al; American College of Cardi-
ology/American Heart Association Task Force on Practice Guidelines2013
more than 80 ml per day for men (50% for women) or ACC/AHA guideline on the treatment of blood cholesterol to reduce ath-
80 grams per week. Ten grams of alcohol is present erosclerotic cardiovascular risk in adults: a report of the American College
in 30 ml or 1 oz of 80 proof liquor. of Cardiology/American Heart Association Task Force on Practice Guide-
lines. Circulation. 2014;129(25 Suppl 2):S1-45.

GCDC 2017