World Heart Day, celebrated on September 29, aims to raise awareness about cardiovascular diseases (CVD), which are the leading cause of death globally, particularly in low and middle-income countries. A significant portion of CVD deaths are preventable by controlling risk factors like tobacco use, unhealthy diets, physical inactivity, and harmful alcohol consumption. The document advocates for a multi-level approach to address these issues, emphasizing the importance of individual choices, community support, and national policies to promote heart health.

1. WORLD HEART DAY
September 29,2014

2. For creating
Heart- Healthy Environments

3. Heart Choices
NOT
Hard Choices

4. 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.

5. 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.

6. When?
29th September every year.

7. How ?
Each year a different theme, reflecting key issues
and topics relating to heart health.

8. Non Communicable Diseases
• CVD,Diabetes,COPD,Cancer.
• 60% deaths worldwide.
• CVD deaths constitute half of them.
• African region (highest relative increase of 27%).

9. NCDs
• Major cause of poverty
• Barrier to economical development
• Neglected most often.
Overseas development aid for NCDs <1 %

10. 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.

12. 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.
2.5 million deaths from CVD in India in 2008,
two-thirds due to coronary artery disease and one-third to stroke.
WHF Annual Report ,2013

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

17. 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.

18. Tobacco Use
• 1.3 billion people use tobacco all over the world.
• >14,500 people die secondary to complications on use of
tobacco.

19. • Increase use in teenagers.
• Increase in proportion of women smokers
• Celebrity imitation.
• Increased sudden cardiac deaths,young MIs.

20. Tobacco use

21. 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’.

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

23. 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.

28. 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

32. 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.

35. Self satisfaction

36. 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.

39. Guidelines

41. 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.

45. Alcohol use
• Affects all organs.
Favourable effects upto certain limit.
Once habituated,they cant keep in limit.

47. 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.

48. 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).

49. • Combo offers.
• Combo meals
• Buffet lunches at a surprising low price.
• Sweets on occasions.(ladoo kao kushi mein,aur ek beta)
• Watching TV.

50. • 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.

51. Healthy Heart ends here

52. Whom to be blamed for rise in CVD
deaths?
Individual’s lifestyle choices for his/her CVD.

53. Solely individual only to be blamed?
• Environment has a major effect on ability of making the right
choices for heart health.

54. How to overcome it ?
1. At Home
2. In Community
3. At National level

55. 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.

56. Know your risk of CVD..
• Get BP
• Cholesterol
• Glucose levels
• Weight
• BMI
measured by Health professional.
Omnibus risk calculator.
Omnibus_Risk_Estimator.xls

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

58. Ahmedabad…First of its kind

59. 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.

60. 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.

61. Reduce Salt consumption
2.5 million people die annually (high salt consumption).

62. The perfect match..
all low but highly healthy

63. Mission 2025
• 30% relative reduction in mean population intake of salt.
• <5gms/day (approx. 2g sodium) by 2025.
• 25% relative reduction in high BP.

64. Speak Up for your Heart

65. I PLEDGE to make on this
HEART CHOICES, not HARD CHOICES

66. Do you ?

71. Thank You