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- <text id=91TT2625>
- <title>
- Nov. 25, 1991: Short Road to Heart Attacks
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1991
- Nov. 25, 1991 10 Ways to Cure The Health Care Mess
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- MEDICINE, Page 81
- Short Road to Heart Attacks
- </hdr><body>
- <p>Small people are at risk, especially if they are hostile,
- potbellied, chain-smoking couch potatoes
- </p>
- <p> Good luck to anyone who tries to keep up with the research on
- heart disease. Rarely does a month go by without new
- revelations of environmental, physical and even psychological
- factors that are supposedly linked to an increased risk of heart
- attack. Among the suspected culprits: feeling hostile or
- stressed; drinking too much coffee; living with a smoker; being
- exposed to car exhaust; having high levels of the kidney protein
- renin; being bald; and having a body shape that puts excess
- weight around the belly rather than the hips and thighs.
- </p>
- <p> Now researchers have added another item to the list: being
- short. Men who are 5 ft. 7 in. and under appear to be up to 70%
- more likely to have a heart attack than those who stand 6 ft.
- 1 in. and above, according to a report by Boston scientists at
- a meeting of the American Heart Association last week. The
- taller the man, the less the risk, they found. For every inch
- above 5 ft. 7 in., chances dropped by about 3%. The findings are
- drawn from an ongoing study at Brigham and Women's Hospital on
- the health of 20,000 male physicians. The results are similar
- to those from a previous study that found a higher risk of heart
- attacks in shorter women than in taller ones. Researchers
- speculate that smaller people have smaller coronary vessels that
- are more vulnerable to blockage.
- </p>
- <p> How upset should anyone be by the entire jumble of
- findings concerning heart attacks? Not very. Yes, innumerable
- factors can influence cardiovascular disease, and many of them
- are hereditary and, taken by themselves, are beyond a person's
- control. But the bewildering research has not undermined the
- essential facts: by far the most important risk factors remain
- smoking, high cholesterol and high blood pressure. These can be
- offset by changes in diet and behavior.
- </p>
- <p> Americans are still best advised to stop smoking, cut
- their consumption of foods high in cholesterol and fats,
- especially the saturated kind, and start exercising. "I wouldn't
- want to see an overweight, short, bald smoker with high
- cholesterol saying, `Well, I'm short and bald. I guess I'll just
- have to accept that I'm at risk,'" says Dr. Charles Hennekens
- of Harvard Medical School, co-author of last week's report
- regarding the impact of height. "And a man who is 6 ft. 1 in.
- and smokes has a far greater risk of heart attack than someone
- who is short." All people, regardless of their height or other
- factors, should be making the recommended life-style changes.
- When it comes to heart attacks, that's the long and short of it.
- </p>
- <p>By Anastasia Toufexis. Reported by Hannah Bloch/New York.
- </p>
-
- </body></article>
- </text>
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