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regular exercise promotes a healthy weight, a reduction in blood pressure, an increase in HDL or "good cholesterol," and reduces the risk for the development of adult-onset diabetes (18- 21). Great strides have been made in the past 20 years developing better prescrip- tion drugs for the treatment of modifiable risk factors. As a result, if the medica- tion is taken as prescribed, an individual at risk for CHD or already having CHD can reduce their chance of experiencing a heart attack, requiring coronary bypass surgery, or even dying of cardiovascular disease. major dietary factors which contribute to high blood cholesterol (5).    They are a high intake of saturated fat and/or dietary choles- terol, and an imbalance between caloric intake and energy expenditure.  In order to meet appropriate dietary guidelines of this expert panel, two diet plans are suggested, with the Step I diet being less strin- gent and the Step II diet plan being more stringent. The Step I diet is a low fat diet with no more than 30% of total calories coming from fat.  Saturated fat such as animal fat can be no more than 8 to 10% of calories and dietary cholesterol is recommended at less than 300 mg.  If after 3 to 6 months, target cholesterol is not achieved, the Step II diet should be tried.  In this more stringent plan, saturated fat is kept to 7% of total calo- ries, and dietary cholesterol is held at 200 mg. Holistic approaches often serve best in addition to traditional medical treatment, NOT as a substitution for well-researched therapies.   “ If drugs are prescribed by a medical provider remain compliant with their use rec- ognizing that holistic approaches serve as an adjunct to treatment and not a substitution for well- researched, thoroughly-test- ed, FDA-approved thera- pies.  This is not to belittle the potential benefit of holis- tic approaches, but simply to acknowledge the role they play in CHD or any other medical condition. DIET Eating right may reduce your risk of a heart attack. Most of the dietary recom- mendations for reducing the risk of CHD relate to the reduction of cholesterol within the bloodstream.  As a result, they will not all be repeated here, but visit our sections on Cholesterol and Dietary Therapies under Conditions, as well as our Nutrition section under Therapies for more in-depth discussions. Lower fat intake. The National Cholesterol Education Program (NCEP), under the auspices of the National Institutes of Health (NIH) set-out to establish dietary guidelines for reduc- ing high cholesterol.  The second report of this expert panel, published in 1993, identifies three For every ” Heart Disease 1% reduction in total cholesterol, a 2% reduction in the risk of Coronary is realized.

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