Breaking news: One quarter of Americans reading this article should be on a cholesterol-lowering statin medicine per new guidelines put out last month by the American Heart Association and the American College of Cardiology.
You are one of them if you have:
The updated recommendations estimate that 30 million Americans fall into the above categories and should consider a statin medication to lower their cholesterol.
So should you run out to your doctor to get a prescription? Perhaps, but the new recommendations have their flaws:
Overlooked by most recent media reports, and perhaps most important for those who wish to pursue a proactive, holistic lifestyle: The recommendations state that just because the new risk calculator suggests some people would benefit from statins doesn’t mean they absolutely have to take them.
Instead, it is intended that the risk calculator should prompt a conversation between doctor and patient about whether there is a need to take statins or undertake other lifestyle changes to lower cholesterol.
Case in point: A 60-year-old African American woman who smokes and has high blood pressure with a low LDL level is recommended to qualify for a statin under the new guidelines, as she is calculated at a 16 percent 10-year risk for developing heart disease.
However, practical wisdom suggests that perhaps she should stop smoking and control her blood pressure first.
It is important to note that the new statin guidelines are only one part of a package of recommendations to reduce the risk of heart attack and stroke that includes moderate exercise and a healthy diet.
In a much less publicized companion article in the Journal Circulation, simultaneous recommendations were made for diet and exercise in patients with high risk of coronary artery disease.
For patients with high cholesterol, there is strong research that shows efficacy in changing diet in reducing cholesterol levels. The recommendation is to eat fruits, vegetables, whole grains, low-fat dairy, poultry, fish, legumes, non-tropical vegetable oils and nuts and limit intake of sweets, sugar-sweetened beverages and red meats.
The exercise prescription recommended for high cholesterol includes aerobic physical activity three to four times a week lasting an average of 40 minutes a session, plus some moderate to vigorous physical activity.
So what do we recommend for a healthy holiday season and a vibrant beginning to a new year? Be empowered to take ownership of your health; you have a lot of control over modifying your risk for coronary artery disease.
Eat right – stop the processed and sugary foods – move your body at least four days a week, stop smoking and lose weight.
You may be able to pull yourself out of the ranks of the Americans who need to be on a statin.
To calculate your personal risk of heart disease based on the new guidelines, go to the American Heart Association’s website at www.heart.org.