WORLD HEART DAY

September 29,2014

For creating

Heart- Healthy Environments

Heart Choices

NOT

Hard Choices

Make

WORLD HEART FEDERATION

• Leading the global fight against Heart disease and Stroke.

• Focus on low and middle income countries via a united

community (>200 member organizations).

• Global commitment in addressing CV health.

• >100 countries.

What is the motto?

• To spread awareness in people around the globe, that Heart

disease and Stroke are the world’s leading cause of death.

• Most of the CV deaths are preventable.

Help people all over the world to lead longer and

better healthy lives.

When?

29th September every year.

How ?

Each year a different theme, reflecting key issues and

topics relating to heart health.

Non Communicable Diseases

• CVD,Diabetes,COPD,Cancer.

• 60% deaths worldwide.

• CVD deaths constitute half of them.

• African region (highest relative increase of 27%).

NCDs

• Major cause of poverty

• Barrier to economical development

• Neglected most often.

Overseas development aid for NCDs <1 %

Effect

• Globally, chronic diseases are estimated to account for

US$2 trillion in lost productivity each year, mainly in the

form of absenteeism.

• Chronic diseases are thought to contribute to 40 percent of

the total loss of productivity.

• In terms of healthcare costs, the WHO estimates that

chronic disease makes up approximately 75 percent

globally.

CardioVascular Disease

• World’s number one killer.

• 17.3 millions death per year.

• 82% occur in the developing world.

• By 2030, an expected rise is 23 million.

WHF Annual Report ,2013

2.5 million deaths from CVD in India in 2008, two-thirds due to coronary artery disease and one-third to stroke.

Need to priortize NonCommunicable Diseases including CVD as a Public Health Emergency, will positively effect the lives of millions of people around the world.

At least 80% premature deaths from cardiovascular

disease(CVD) could be avoided

if FOUR main risk factors –

tobacco use,

unhealthy diet,

physical inactivity

harmful use of alcohol

are controlled.

Tobacco Use

• 1.3 billion people use tobacco all over the world.

• >14,500 people die secondary to complications on use of

tobacco.

• Increase use in teenagers.

• Increase in proportion of women smokers

• Celebrity imitation.

• Increased sudden cardiac deaths,young MIs.

Tobacco use

Framework Convention on Tobacco Control (FCTC)

• The most significant and influential effort to strengthen tobacco control

worldwide.

• It took effect in 2005.

• Provides instruction for decisive action to reduce the demand and supply of

tobacco.

• Ratified by 180 parties covering 86% population.

• Recently described as ‘a global galvanizing force for the past decade,

serving, as its name implies, as a framework and roadmap for global

tobacco control efforts’.

Measures taken

• Banning tobacco advertising and sponsorship;• Protecting citizens from tobacco-smoke exposure; and• Mandating pictorial warnings on cigarette packs.

Unhealthy diet

Unhealthy food tastes good, Healthy food tastes bad.

• Most healthy foods not palatable.

Slow to serve, slow to eat, late to death.

Ready to serve ,ready to eat, early to death.

• Food with less fiber.

MED diet

Higher in • Fruits• Vegetables• Whole grains• Fatty fish

Lower in • Red meat• Substituted fat• Nuts• Margarine

DASH diet

• Grains and grain products (include at least 3 whole grain foods each day)

• Fruits• Vegetables• Low fat or non fat dairy foods• Lean meats, fish, poultry• Nuts, seeds, and legumes• Fats and sweets.• Low salt

Physical inactivity

• Electronic revolution.– Everything at your finger tips.

• Games• TV soaps.• Social media• Competitive world (imp. of numbers, rather than knowledge)• IT boom. (more work – high pay ,no activity).

• A reputed school does have teachers, but not a play ground.

Self satisfaction

What does really happen..?

• 75% turn out in the first two ,three months after starting a physical activity.(jogging,walking,gym)

• Lack of knowledge.• Body – exercise mismatch.• Overactivity – excess hungry – more food intake.

• Gradual reduction in the calories.

Guidelines

Work wellness programme

• Most employees spend more than half of their waking

hours at work, businesses ,can play an important role in

fighting heart disease and stroke.

• Studies have found that workplace-wellness programmes

can achieve a 25–30 percent reduction in medical and

absenteeism costs in an average period of about 3.6 years.

Alcohol use

• Affects all organs.

Favourable effects upto certain limit.

Once habituated,they cant keep in limit.

Hypertension

• HTN attributes to 13% global deaths.

• The Fourth contributor to premature death in developed countries

and seventh in developing countries.

• Nearly 1 billion adults (more than a quarter of the world’s

population) had hypertension in 2000, and this is predicted to

increase to 1.56 billion by 2025.High salt intake.Average consumption being 8-10 gms/day.Added salt on table dining.Smoking,Alcohol. WHS,2013.

High Cholesterol

• Palatable.• Highly saturated foods,less fruits.• Fast Food era.

“Pizza will be delivered faster than an ambulance arrival in an emergency”.

“High cholesterol does make you land in emergency”.

Fast Foods – Fast Fatty – Fast Flat (death).

• Combo offers.• Combo meals• Buffet lunches at a surprising low price.

• Sweets on occasions.(ladoo kao kushi mein,aur ek beta)• Watching TV.

• The Overseas Development Institute (ODI), a leading independent think tank, found that Indians form a massive chunk of the one in three adults now overweight or obese,

adding up to 1.46 billion across the world.  Jan,2014.

• In 2012, around 44 million (6.7%) of the world’s children aged less than 5 years were overweight or obese. This number and proportion has increased from around 31 million (5%) in 1990.

Healthy Heart ends here

Whom to be blamed for rise in CVD deaths?

Individual’s lifestyle choices for his/her CVD.

Solely individual only to be blamed?

• Environment has a major effect on ability of making the right

choices for heart health.

How to overcome it ?

1. At Home

2. In Community

3. At National level

At Home

Healthy food options Limit prepacked foods (high in sugar,fat,salt) Incorporate fresh fruits and vegetables in daily meals. Prepare healthy school or work lunches at home.

Ban smoking in your Home. Improves your health Children’s health Positive role model

Be active Limit TV watching at Home Do cycling,hiking,playing in garden.

Know your risk of CVD..

• Get BP • Cholesterol• Glucose levels• Weight• BMI

measured by Health professional.

Omnibus risk calculator.

Omnibus_Risk_Estimator.xls

In Community

Physical education in schools and child care facilities. Sidewalks,grounds Healthy,nutritous food at schools,workplaces,hospitals.

Ahmedabad…First of its kind

Right Now…

Smoking ban in your workplace.

Cycle or walk to school/work

Take the stairs or go for a walk.

Ask for healthy food at canteen/school.

At National level

Ban on Fast food advertising on TV and Radio.

Legislation to tax unhealthy foods.

Ban on tobacco.

Timely detection of CVD and cost effective treatment to

modify risk factors in high risk people.

Reduce Salt consumption

2.5 million people die annually (high salt consumption).

The perfect match..all low but highly healthy

Mission 2025

• 30% relative reduction in mean population intake of salt.

• <5gms/day (approx. 2g sodium) by 2025.

• 25% relative reduction in high BP.

Speak Up for your Heart

I PLEDGE to make on this

HEART CHOICES, not HARD CHOICES

Do you ?

Thank You