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When the National Heart, Lung, and Blood Institute (NHLBI), started The Heart Truth movement in 2002, 1 in 3 women died of heart disease, according to Dr. Elizabeth Nabel, director of the NHLBI.

After analyzing the most recent data available, we are pleased to report that this has changed to 1 in 4 — a decrease of nearly 17,000 deaths, Nabel said. The number of deaths has gone down in each year from 2000 to 2004, a consecutive yearly decline that has not occurred before. In addition, "we are happy to report that more women are aware that heart disease is their leading cause of death, up from 34 percent of women in 2000 to 55 percent of women in 2005," she said. Even with this great news, it is important to recognize that many challenges still remain.

In fact, one-third of women underestimate their own risk for heart disease. Most women fail to make the connection between risk factors and their personal risk for developing heart disease. Yet an astonishing 80 percent of midlife women (ages 40 to 60) have one or more risk factors for heart disease.

The Heart Truth campaign continues to lead the nation in a landmark heart health movement to educate women about the seriousness of heart disease. Our goal for 2007 is to achieve even greater awareness and heart health for women. Together, we can ensure that all women know The Heart Truth, and take action to lower their risk for heart disease.

Heart Disease Risk Factors

Risk factors are habits or conditions that increase the chance of developing a disease. Some risk factors, such as age (55 or older for women) and family history of early heart disease, can't be changed. The modifiable risk factors for heart disease include the following:

• High blood pressure (hypertension)
• High blood cholesterol
• Diabetes
• Smoking
• Being overweight or obese
• Being physically inactive

Women should talk to a healthcare professional about their risks and what they can do to lower them, especially if they have multiple risk factors for heart disease.

The "Multiplier Effect"

Many women don't realize that their risk for heart disease significantly increases based on thenumber of risk factors they have. In fact, having just one risk factor can increase a woman's chance of developing heart disease twofold. Having two risk factors increases the chance fourfold, and having three or more risk factors increases a woman's chance of developing heart disease more than tenfold.

Multiple Risk Factors At A Glance

• 33 percent of midlife women have one modifiable risk factor for heart disease
• 31 percent of midlife women have two modifiable risk factors for heart disease
• 17 percent of midlife women have three or more modifiable risk factors for heart disease

African American and Hispanic Women have higher rates of some risk factors and are disproportionately affected by heart disease.

Managing Risk Factors

Although heart disease is not curable, it is never too late to take action to prevent it. Often, modifying risk factors is all that's needed to significantly reduce one's risk. Americans can lower their risk by as much as 82 percent just by leading a healthy lifestyle.

Tips for Heart Health

Don't smoke, and if you do, quit.

Women who smoke are two to six times more likely to suffer a heart attack than nonsmoking women. Smoking also boosts the risk of stroke and cancer.

Aim for a healthy weight.

It's important for a long, vigorous life. Overweight and obesity cause many preventable deaths.

Get moving.

Make a commitment to be more physically active. Aim for 30 minutes of moderate-intensity activity on most, preferably all, days of the week.

Eat for heart health.

Choose a diet low in saturated fat, trans fat, and cholesterol, and moderate in total fat.

Know your numbers.

Ask your doctor to check your blood pressure, cholesterol, and blood glucose. Work with your doctor to improve any numbers that are not normal.

Wellness managers looking for resources including health professional resources and fact sheets can visit: www.nhlbi.nih.gov/health/hearttruth/professional/index.htm