“There has been a 50 per cent reduction in heart related deaths, but we can do better,” he says.Instead of looking only at body mass index, he wants doctors to focus on waist measurements and fat percentage as well.”A man is obese or high risk when his waist circumference is 40 inches (101.6 cm) when measured just above the hip.”For women it is 35 inches (89 cm).”Many lives could be saved with a more scientific method of testing blood pressure, says Dr Houston, professor of medicine at Vanderbilt University Medical School in Nashville.Any patient with an elevated blood pressure should be loaned a device to monitor themselves over a 24 hour period, as is becoming common in the UK.”It’s not enough to measure blood pressure at a single point in time.”Blood pressure during the night when you are sleeping is the most important driver of cardiovascular risks such as stroke, heart attack and heart failure.”Doctors might change medications, dose and timing based on the test results.”Just by doing that one test would bring an enormous saving in lives and money,” says Dr Houston.The basic cholesterol test is also not enough, says Dr Houston.”Patients should be given advanced lipid tests, which gives them and their doctors a much better understanding of their risk levels.”Dr Houston also wants a re think of blood sugar measurements.”The risk for cardiovascular disease and heart attack starts at a fasting blood sugar of about 80 mg/dL (milligrams per litre of blood), but most labs still use 99 mg/dL as the upper limit. At that stage a patient already has a 19 per cent increased risk for a heart attack.” , meizitong slimming A healthy diet should always be the first step of any weight loss program. However, dieting does not have to be a chore. The easiest way to begin losing weight is to increase your metabolism. In order to do so, you should start eating more often, but in smaller portions. Try to eat six to eight small meals a day. An example of a small meal is half a turkey sandwich, or a banana and a light yogurt. You should never feel full immediately after a meal, but you should not be extremely hungry either. Try to eat every hour and a half to two hours and maintain a feeling of slight hunger. This will force your body to constantly burn off what you are eating, but give it enough time to not store calories as fat. As a result, you will be speeding up your metabolism. Furthermore, the meals should be healthy. Most people can figure out what is good for you and what is not. Although you should not eat only lettuce or force yourself to eat things you hate, do try to eliminate foods with saturated or trans fats and lower your intake of sugar. Start by cutting out soda and switching to water. Finally, do not let a diet take over your life or depress you. Allow yourself one small meal a week to give in to a craving. This will make it easier to maintain your diet the rest of the week.
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