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

Commentary – Learning From Dog Culture

  • Kyle's dog, Lucy, playing on a tennis court. (Photo by Patrick Sweeney)

For most people – meeting a stranger on the street isn’t something that conjures up the warm fuzzies, but if the stranger happens to be a cute dog that’s a little different. Great Lakes Radio Consortium commentator and new dog owner Kyle Norris wonders why this is:

Transcript

For most people – meeting a stranger on the street isn’t something that
conjures up the warm fuzzies, but if the stranger happens to be a cute dog
that’s a little different. The Great Lakes Radio Consortium’s commentator
and new dog owner Kyle Norris wonders why this is:


At age 30, I’m new to dog culture. Growing up my dad was pretty much
allergic to everything with fur. My childhood pets were goldfish, Lizzy the
lizard, and a tiny turtle we found in a neighbor’s pond. Lucy’s the first real
pet I’ve ever owned.


Lucy is 100-percent mutt. When I first saw her last year, my heart melted
into a puddle. She was this trembling little fur-ball with deep-brown,
gumdrop eyes. In the past year, she’s grown into a sweet, skinny, medium-
sized pup.


The thing that struck me the most as a new dog-owner was the way
strangers responded to her.


This summer I was walking Lucy through a campground with my girlfriend. We passed a
man in a lawn-chair, clutching a cold one. He looked up, “That’s a good-
looking dog you got there, lady.”


Compliments like that are small potatoes for Lucy. Another time, my
girlfriend and I were walking the pup downtown. We passed a fancy
restaurant with sidewalk tables. Suddenly this glamorous-looking woman
cried out-loud. “Well hell-o gorgeous!” It caught me off-guard. I thought
she was talking to me. For that frozen moment of time, I felt slick, and then I
watched her bend down and nuzzle Lucy’s face.


People pour their love on Lucy like butter. “Love” might not be the right
word. Maybe it’s adoration or a combination of warm gooey feelings.
Whatever it is, these people open a floodgate inside themselves, and they
do it in a way that they’d never do with human strangers.


Maybe it’s easier to open-up to creatures. The dog on the street wants very
little from us, and that is refreshing.


Sometimes the dog-walker can use this point to their advantage. On
weekends, my sister used to borrow Lucy with the hope of meeting guys.
They would walk into the heart of downtown, where things were buzzing
with foot traffic. They’d loop the main drag and then hit the smaller side
streets.


It didn’t take long until my sister became frustrated. Potential boyfriends
didn’t even notice the pup. Instead, sorority girls, couples, and families
threw themselves at Lucy—not exactly the crowd she was going for.


My sister has this theory about why people open-up to animals and not each
other. She says, “Animals are free love tied to the end of a string.”


At first, I felt funny when people gave Lucy their “love-fests.” I was on
the receiving end of their attention but I wasn’t really the recipient. Now I
appreciate their interactions for what they are—good intentions released
into the world.


I know the ability to open our hearts in us. I experience it through Lucy
every day. I just wonder why we can’t be this open and generous with one-
another. Or maybe we could. If we were cuter, fuzzier, and didn’t talk so
much.


Host Tag: Kyle Norris is a freelance writer, who lives with her puppy in Ann Arbor,
Michigan.