Heart disease is becoming a major health issue in India. More and more young people are suffering heart attacks, often with little warning. This alarming trend is driven by a mix of genetics, lifestyle choices, chronic stress, and environmental pollution.
Experts like Dr. Balbir Singh and Dr. Amit Kumar Malik, both prominent cardiologists, highlight that genetics play a significant role. Dr. Singh notes that South Asians are more likely to face heart disease early in life. This genetic predisposition is often coupled with specific metabolic issues that make matters worse. For instance, Indians usually have lower levels of protective HDL cholesterol and face higher rates of diabetes and abdominal obesity.
Obesity in India differs from that seen in the West. While many in Western countries experience generalized obesity, many Indians exhibit what is called central obesity. This means they might have a normal body mass index (BMI) but still carry excessive fat around their midsection. Central obesity has strong links to high triglyceride levels, lower HDL cholesterol, and early-onset diabetes. These factors are key contributors to heart issues.
Diet has also shifted dramatically in urban areas. Many are turning to fast food, fried items, and processed meals, which increase unhealthy fat and salt consumption. Dr. Singh emphasizes that trans fats are linked to higher rates of heart disease and strokes.
Today’s work culture often leads to a sedentary lifestyle. Dr. Malik points out that too much screen time and little physical activity can lead to obesity and related health problems. Stress is another silent killer. Long hours, job pressures, and competition elevate stress levels, impacting blood pressure and blood sugar.
Air pollution is another overlooked risk factor. Cities like Delhi and Mumbai rank among the most polluted globally. Exposure to poor air quality can damage blood vessels, raising the heart attack risk, especially for those already genetically at risk.
The good news is that early screening and preventive measures can make a difference. Experts recommend that individuals start monitoring their blood pressure and cholesterol by age 30, especially if they have a family history of heart disease. Regular exercise— around 150 minutes per week— along with a balanced diet rich in whole grains, fruits, and healthy fats can significantly improve heart health.
In summary, heart disease in India is on the rise among younger populations. It’s crucial to understand the risks and take preventive actions early on. By addressing lifestyle factors and being aware of genetic predispositions, many lives can be saved.
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heart disease, heart attacks, early prevention, genetic vulnerability, sedentary lifestyle, air pollution, obesity

