Heart disease strikes Indians at a younger age. The average age of a heart attack in a Western man is 63 years old; meanwhile, the average age of a heart attack in an Indian adult is 53 years old. Furthermore, 25% of all heart attacks occur in those under the age of 40. Heart disease is genetically prone in Indians. Barker (hypothesis) proposed that this was due to maternal starvation, which resulted in low birth weight and decreased organs at delivery. When these people are subjected to a high-calorie diet and an urban lifestyle, their organs are unable to cope. The metabolism of glucose, sodium, and cholesterol is disrupted. Heart disease develops as a result of a changed metabolic environment (common soil hypothesis).

A significant tendency exists if a male first degree relative is 55 years old and a female first degree relative is 65 years old. Apart from genetic predisposition, smoking and non-smoking tobacco use, high cholesterol, diabetes, high blood pressure, high caloric diet, overweight (BMI 23m/kg2) or obesity, low intake of fruits and vegetables, lack of physical activity, short sleep duration (>6 hours), poor sleep quality, low vitamin D3, stress, type A personality (time urgency, perfectionist), type D personality (non-perfectionist), type C personality (non-perfectionist), and type D personality (non-perfect).

Aside from genetic predisposition, smoking and non-smoking tobacco use, high cholesterol, diabetes, high blood pressure, high caloric diet, overweight (BMI 23m/kg2) or obesity, low intake of fruits and vegetables, lack of physical activity, short sleep duration (6 hours), poor sleep quality and low vitamin D3.

This includes nutrition, physical and mental activity, and, in certain circumstances, mediation. Heart disease can be avoided by living a rhythmic lifestyle. Alcohol has a detrimental effect on the heart.

 

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