WHAT IS YOUR RISK? What are your chances of suffering a heart attack? Here is a simple test, developed by the Michigan Heart Association (see illustration). The test, set up as a game, assesses the main risk factors associated with heart attacks. RISKO The purpose of this game is to give you an estimate of your chances of suffering a heart attack. The game is played making squares which - from left to right - represent an increase in your RISK FACTORS. These are medical conditions and habits associated with an increased danger of heart attack. Not all risk factors are measurable enough to be included in this game; see back of sheet for other RISK FACTORS. RULES: Study each RISK FACTOR and its row. Find the box applicable to you and circle the large number in it. For example, if you are 37, circle the number in the box labeled 31---40. After checking out all the rows, add the circled numbers. This total - your score - is an estimate of your risk. IF YOU SCORE: 6 -- 11 --- Risk well below average 25 - 31 --- Risk moderate 12 - 17 --- Risk below average 32 - 40 --- Risk at a dangerous level 18 - 24 --- Risk generally average 41 - 62 --- Danger urgent. See your Doctor now. HEREDITY: Count parents, grand -- parents, brothers, and sisters who have had heart attack and/or stroke. TOBACCO SMOKING: If you inhale deeply and smoke a cigarette way down, add one to your classification. Do NOT subtract because you think you do not inhale or smoke only a half inch on a cigarette. EXERCISE: Lower your score one point if you exercise regularly and frequently. CHOLESTEROL OR SATURATED FAT INTAKE LEVEL: A cholesterol blood level is best. If you can't get one from your doctor, then estimate honestly the percentage of solid fats you eat. These are usually of animal origin - lard, cream, butter, and beef and lamb fat. If you eat much of this, your cholesterol level probably will be high. The U.S. average, 40%, is too high for good health. BLOOD PRESSURE: If you have no recent reading but have passed insurance or industrial examination chances are you are 140 or less. SEX: This line takes into account the fact that men have from 6 to 10 times more heart attacks than women of child hearing age. RISKO is reprinted courtesy of Michigan Heart Association. WHAT IS YOUR RISK?

RISK FACTORS OVER WHICH PERSON HAS NO CONTROL Age 1 10 to 20 2 21 to 30 3 31 to 40 4 41 to 50 6 51 to 60 8 61 to 70 and over Sex 1 Female under 40 2 Female 40 to 50 4 Female after menopause 5 Male 18-44 6 Male 45-64 7 Male 65 and over Heredity 1 No Known History of heart diseases 2 1 relative with CV disease after 60 3 2 relatives with CV disease after 60 4 1 relative with CV disease before 60 6 2 relatives with CV disease before 60 7 3 relatives with CV disease before 60 RISK FACTORS WHICH CAN BE CONTROLLED Weight 0 More than 5lbs below standard weight 1 5lbs below to 5lbs above standard weight 2 6-20 lbs Overweight 3 21-35 lbs Overweight 5 36-50 lbs Overweight 7 51-65 lbs Overweight Tobacco 0 Non- user 1 Cigar and/or pipe 2 10 or less cigarettes daily 4 20 cigarettes daily 6 30 cigarettes daily 10 40 cigarettes daily Exercise 1 Intensive occupational & recreational exertion 2 Moderate occupational & recreational exertion 3 Sedentarywork & intense recreational exertion 5 Sedentary work & moderate recreational exertion 6 Sedentary work & light recreational exertion 8 Complete lack of all exercise Cholesterol or Fat % in Diet 1 Low blood cholesterol &/or diet excludes saturated fats & egg 2 Medium low cholesterol &/or diet excludes most saturated fats & egg 3 Borderline cholesterol &/or diet contains minimal saturated fats & eggs 4 Mild elevation cholesterol &/or contains moderate saturated fats & eggs 5 Marked elevation cholesterol and/or diet excessive in saturated fats &egg 7 Extreme elevation cholesterol and/ or diet excessive in saturated fats & eggs Blood Pressure 1 100 upper reading 2 120 upper reading 3 140 upper reading 4 160 upper reading 6 180 upper reading 8 200 & over upper reading 1. A) What are three risk factors for heart disease which cannot be changed? A.__________________________________________________ B.__________________________________________________ C.__________________________________________________ 1. B) What are four risk factors for heart disease which can be changed?

A. ____________________________________________ B. ____________________________________________ C. ____________________________________________ D. ____________________________________________ 2. Read the passage below and answer the questions using the RISKO sheet and the knowledge you have accumulated from this class so far. Ms. Jane Jay is a nineteen year old sophomore at John Jay College. Her father died of a heart attack at age 59 (No other relatives have had observable heart disease.). Her resting heart rate = 84, resting blood pressure = 136/90. Ms. Jay smokes two packs of cigarettes per day and has not exercised since junior high school. She eats bacon and egg on a roll and french fries with melted cheese five days each week. This has led to a diet of 45% fat, 40% carbohydrates, and 15% protein. Her percent body fat is 29% and she is 25 lbs. overweight. A. Calculate Ms. Jay's RISKO score ________________. B. If you were in the role of a peer counselor and Ms. Jay came to you for advice regarding her profile above, what changes in her lifestyle would you suggest she consider?