Heart Health Archive

Some older adults feel cold frequently. This may result from age-related physical changes or an underlying condition. Examples of underlying conditions that might make a person feel cold include anemia, an underactive thyroid, diabetic neuropathy, peripheral artery disease, or Raynaud's phenomenon. People who experience coldness that interferes with their daily activities or sleep should talk to a doctor about it.

Approximately 88 million Americans—more than one in three—have prediabetes, a condition in which the average amount of sugar in the blood (glucose) is high but not high enough to be diagnosed as diabetes. Among people who develop prediabetes, older ones are less likely than younger ones to eventually develop full-blown diabetes. Still, they should have their glucose levels checked, as prediabetes can put them at high risk for heart attack and stroke.

Silent heart attacks often go unnoticed because they don't produce any symptoms or only mild symptoms that are mistaken for something else, such as heartburn or muscle pain. They are thought to make up from 20% to 60% of heart attacks and can raise risk of a future heart attack or related problem. Both women and men are at substantial risk. Making lifestyle changes and being proactive about managing risk factors for heart disease can help prevent future heart-related problems.

A buildup of fat inside the liver, known as nonalcoholic fatty liver disease (NAFLD) affects about 25% of adults. This under-recognized condition is closely linked to obesity (especially excess weight around the middle of the body), type 2 diabetes, and cardiovascular disease. People with NAFLD can slow or even reverse the condition with the same lifestyle strategies that improve cardiovascular health: losing weight, adopting a healthy diet, and exercising regularly.

American adults consume an average of 77 grams (almost 20 teaspoons) of sugar per day. A little extra sugar may seem harmless, but the amounts can add up and, over time, contribute to a variety of health issues, like obesity, diabetes, and heart disease. Avoiding high-sugar foods by reading labels and cutting out sugar-sweetened beverages are the best ways to lower intake of added sugar.

The typical American diet isn't very healthy, and dietary shortfalls are more pronounced among people living in lower-income neighborhoods. A study analyzing data from produce prescription programs suggests that improving access to fresh vegetables and fruits may improve heart health.

The increase in obesity and type 2 diabetes among Americans has led to an increase in fatty liver disease. Weight loss and exercise are the mainstays of treatment.

For people who have risk factors for heart disease, it's important to make lifestyle changes like losing weight, getting more exercise, and eating a healthier diet. Longstanding habits are hard to change, but managing the challenge of healthy eating is easier if people have a partner who is supportive and involved in making food choices.