AGE
56 years and older
55 years and younger

GENDER
Male
Post Menopausal
Female

HEREDITY
Someone in your family (mother, father, sister or brother) had a heart attack, stroke or by pass surgery.
Occurred at or before age 59
Occurred at or after age 60
Never occurred or you do not know

MEDICAL HISTORY
You have had a heart attack
You have not had a heart attack, but have had a stroke, bypass surgery, angioplasty or blood vessel surgery.
You have never had any of the above.

CIGARETTE TOBACCO USE
Do you smoke?
Yes
No

DIABETES
Are you diabetic?
On insulin or pills
Controlling diabetes by diet
Not diabetic

CHOLESTEROL
Have you ever been told you have high cholesterol?
Yes
No

BLOOD PRESSURE
Have you ever been told you have high blood pressure? (A reading over 135/85 is considered high)
Yes
No

WEIGHT
Are you?
More than 25 pounds overweight
25 pounds overweight
10 to 24 pounds overweight
less than 10 pounds overweight/normal weight

STRESS
How well do the following words describe your personality? Competitive, bossy, easily angered, pressed for time.
Very well
Fairly well
Not at all

EXERCISE
Do you participate in any activities such as brisk walking, bicycling, swimming, dancing for 15 - 20 minutes?
Less than once a week
One to two times a week
More than three times per week

 

Healthy Foods for a Healthy Heart

The New Food Pyramid


Exercise

  • Adults should be physically
    active for at least 30 minutes
    most days of the week,
    children for 60 minutes.
  • Sixty to 90 minutes of daily
    physical activity may be
    needed to prevent weight gain
    or sustain weight loss.

Grains

  • Half of all grains consumed
    should be whole grains.
  • 6 OUNCES per day

Vegetables

  • Vary the types of vegetables
    you eat.
  • 2.5 cups per day

Fruits

  • Eat a variety of fruits. Go
    easy on juices.
  • 2 cups per day

Oils

  • Most fat should be from fish,
    nuts and vegetable oils.
  • Limit solid fats, such as
    butter, margarine, or lard.
  • Keep consumption of
    saturated fats, trans fats and
    sodium low.
  • Choose foods low in added
    sugar.

Milk

  • Eat low-fat or fat—free dairy
    products.
  • 3 cups per day.

Meat and beans

  • Eat lean cuts, seafood and
    beans. Avoid frying.
  • 5.5 ounces per day.