Heart Health and Family Environment

  • Debbie Joy, a participant in the University of Ottawa Heart Institute's prevention program for family members. (Photo by Karen Kelly)

Every year, more than one million
Americans have a heart attack.
The majority survive, thanks
in part to advances in modern
medicine. But Karen Kelly reports
on a program that’s shifting
its focus from miraculous cures
to persuasion – getting the family
of patients with heart disease
to change the ways they live:

Transcript

Every year, more than one million
Americans have a heart attack.
The majority survive, thanks
in part to advances in modern
medicine. But Karen Kelly reports
on a program that’s shifting
its focus from miraculous cures
to persuasion – getting the family
of patients with heart disease
to change the ways they live:

(sound of aerobics class)

It’s a frigid January night in Ottawa, Canada. Most people are curled up on the couch. Debbie Joy is doing push-ups, lifting weights, even hula-hooping.

“After long day – I get up at 5:30, I get to the office at 7:30, I don’t leave there until 4:30, quarter to five. It takes a lot for me to go out and exercise. You just have to be motivated and do it.”

A couple of years ago, Joy didn’t have that motivation. But she did worry.
Both of her parents had died young of heart disease and, in the back of her mind, she knew what she should be doing to take care of herself.

Then she saw an article about a study at the University of Ottawa Heart Institute for the family members of current and former patients.
Bob Reid is directing the study.

He says research has found that family members of patients have a 30 percent chance of contracting heart disease themselves within 10 years.
But there’s been very little focus on this group.
Reid says he and his colleagues realized that if they wanted to focus on prevention, they had a major high-risk group already coming through the door.

“I think anybody who’s practiced in a hospital for any length of time recognizes that sometimes our patients of tomorrow are the family members of our patients today. Families tend to have very similar smoking habits, very similar eating habits, very similar activity habits. This really is a group that can benefit from fairly close attention.”

Close attention is the key to the heart institute’s program.
Family members work with a dietician, a nurse, and personal trainers to set up a new lifestyle. Then, they keep working with them.
Participants keep close track of exercise and their diet. The professionals track blood lipids, weight, and cholesterol levels.

Debbie Joy says it worked.

“The fact that you were watched, you were called every week, it made you follow the program. Then they got you into a routine. So they called you every week for 6 months, then it was dropped to once a month. At that point, you were in a routine and it was easier to follow.”


After three months, Joy’s weight and cholesterol levels dropped – and stayed there. One year later, she’s still exercising four days a week and eating well. It’s a part of her life now – she’s made friends at the gym and her family has adjusted to her new cooking methods.

The ultimate goal for the heart institute is to demonstrate that this works, and to justify funding the family prevention programs full-time.

The ultimate goal for Debbie Joy is quite simply, to live longer.

“You know, I have two kids and I want to be around for my grandchildren. So, it’s never too late.”

For The Environment Report, I’m Karen Kelly.

Related Links