National Black Nurses Association, Inc.38th Annual Institute and Conference

Fran Roberts, RN, PhDChair, American Heart Association’s 2010

“Go Red For Women” Campaign for Greater Phoenix

August 6, 2010

• In total, of the women who die each year, one in three die fromcardiovascular disease (CVD).

• Nearly half (49%) ofall non-Hispanic African American womenhave some form of heart disease, stroke, or CVD.

The Facts about Heart Disease and Women

• Heart disease is NOT just a man’s disease

• More women die of cardiovascular disease than the next five causes of death combined, including cancer

• Cardiovascular disease causes almost 460,000 female deaths a year – and approximately one death per minute

• 43 million American women are living with cardiovascular disease

• 64% of women who die suddenly from coronary heart disease have no previous symptoms of the disease

• Cardiovascular disease is largely preventable

• Women are reluctant to call 911!

African Americans and CVD - Statistics

African Americans and CVD - Statistics

Cardiovascular Disease (CVD) • Among non-Hispanic blacks age 20 and older, the following have CVD:

― 44.6 percent of men― 46.9 percent of women

• In 2006, CVD caused the deaths of― 47,956 black males― 50,798 black females

• The 2006 overall death rate from CVD was 262.5. Death rates for blacks were― 422.8 for males― 298.2 for females

Coronary Heart Disease (CHD) • Among non-Hispanic blacks age 20 and older, the following have CVD:

― 7.8 percent of men― 8.8 percent of women (NHANES [2003-06], NCHS and NHLBI)

Signs of a Heart Attack

• Not the same as the hallmark signs for men

• Chest discomfort

• Discomfort in upper body

• Shortness of breath

• Cold sweat

• Nausea

• Lightheadedness

• “Flu-like” symptoms

• Back or jaw pain

What have we Learned?

• Heart disease can strikewomen at any age.

• Factors leading to heartdisease originate in young women and develop over time.

• Lifestyle changes canprevent or at leastpostpone heart disease.

Am I at Risk?

Uncontrollable Risk Factors

• Increasing Age

• Heredity (family history)

• Race (members of some races, particularly African Americans, are at higher risks)

Controllable Risk Factors

• High Cholesterol

• High Blood Pressure

• Physical Inactivity

• Obesity and Overweight

• Type II Diabetes

• Smoking

If you have any of these risk factors, you are at risk for heart disease

CVD in African American and Hispanic Women

• Nearly half (49%) of all non-Hispanic African-American females have some form of heart disease, stroke or other cardio-vascular disease (CVD).

• Nearly one-third (32.2%) of all deaths in Hispanic females are caused by diseases of the heart and stroke.

Your Risk:High Blood Cholesterol

About 50% of women have a total cholesterol of 200 mg/dL

and above, which puts them at risk for heart disease.

Total Cholesterol Level

Desirable =

Less than 200

Borderline high =

200 to 239

High =

240 and above

Your Risk:High Blood Pressure

About 39 million women age 20 and older have high blood pressure. 28% of people with high blood pressure don’t

know they have it.

Normal Blood Pressure

Below 120/80

Pre-Hypertension

120-139/80-89

Hypertension

Above 140/90

Go Red Heart CheckUp

Inactive women:

Black females – 52%Hispanic females – 54%Asian females – 41%White females – 38%

All healthy adults ages 18-65 should be getting at least 30 minutes of moderate intensity activity five days a week.

Your Risk:Physical Inactivity

Your Risk:Obesity & Overweight

About 69 million women are overweight and 36.7 million are

obese, which greatly increases their risk for heart disease.

Excess Weight:• Strains your heart• Raises blood pressure

and cholesterol• Can lead to diabetes

Your Risk:Diabetes

People with diabetes are two to four times more likely to develop cardiovascular disease.

7.5 million women 20+ have been diagnosed with type 2 diabetes, 2.3 million go undiagnosed and 24.9 million are

pre-diabetic.

• Stroke, TIA• Blindness• Heart attack, angina• Kidney disease• High blood pressure• Erectile dysfunction• Loss of legs or feet• Nerve disease

Type 2 Diabetes Complications of Diabetes

Your Risk:Smoking

Benefits of Quitting

Within 1 to 2 years of quitting, your risk of coronary heart disease is substantially reduced.

Your sense of smell and taste come back. A smoker’s cough will go away. You breathe much easier. It is easier to be physically active. You are free of “needing” cigarettes.

20.7 million women age 18 and older smoke,increasing their risk for heart disease.

African Americans and Stroke - Statistics

African Americans and Stroke - Statistics

Stroke

• Among non-Hispanic blacks age 20 and older, the followinghave had a stroke:― 3.8 percent of men― 4.3 percent of women

• In 2006, stroke caused the deaths of― 7,424 black males― 9,621 black females

• The 2006 overall death rate from stroke was 43.6. Death ratesfor blacks were― 67.1 for males― 57.0 for females

(NHANES [2003-06], NCHS and NHLBI)

Take the Pledge

Join the movement to prevent and overcome stroke.

For yourself…

For your loved ones…

Call 1-888-4-STROKE or visit powertoendstroke.org

On Power SundayLearn about the increased risk for stroke

and take steps to reduce it. Join your fellow church members…Power Sunday is

What Can I Do To Prevent Heart Disease?

• Eat a healthy diet low in saturated fat, trans fat, cholesterol and sodium.

• Keep your weight under control.• Be physically active at least 30 minutes on most or all days

of the week.• Control your blood pressure and cholesterol levels. • Manage your blood sugar if you have diabetes.• Get regular medical check-ups. • Talk to your doctor about a prevention plan and medicines

that may be right for you.

• Don’t smoke, and avoid tobacco smoke.

Take ACTION to Lower Your Risk

Go Red Women Take Action!

A woman who Goes Red…… takes action to reduce her risk of heart disease.… exercises more frequently.… has lost weight.… has had her cholesterol checked.… modifies her diet to include healthy food.… encourages others to join Go Red For Women.… has taken the Go Red Heart CheckUp.

Join Go Red For Women at www.GoRedForWomen.org and get your free

red dress pin.

Go Red Heart CheckUp

Online tool to educatewomen about their hearthealth and encourage patient-physician dialogue

What else can I do?

• Sign up at GoRedForWomen.org

• Become a part of the Go Red Community

• Unite with over 800,000 women

Locally sponsored by…

26

National Wear Red Day – Local Activation

13,542 companies participated nationallyRaising over $1 million! American Heart Association National

Center

Hawk Electronics University of Houston United States Alliance

Mrs. Massachusetts at Bruins Game

Memorial Hermann Hospital Houston

Trinity Medical Center

Why did GCU sponsor?

In line with its values-based approach and philosophy of service to the

community, Grand Canyon University has agreed to a three-year

sponsorship with the American Heart Association’s

Go Red for Women campaign.

The power of GCU's reach through its campus students, faculty and staff, as well as its online student population,

will take the outreach well beyond the Valley's borders.

What is GCU doing?

• GCU students take the messageto the streets:see the You Tube video!

• GCU students take the messageto the streets:see the You Tube video!

• GCU Nursing Students provide health screenings at valley events

• GCU campus goes Red

What is GCU doing?

• GCU students take the messageto the streets:see the You Tube video!

• GCU Nursing Students provide health screenings at valley events

• GCU campus goes Red

• Hearts in the Arts competition – an art movement against heart disease

• Visit facebook.com/grandcanyonu to learn more about GCU’s stand against heart disease

What is GCU doing?

• GCU students take the messageto the streets:see the You Tube video!

• GCU Nursing Students provide health screenings at valley events

• GCU campus goes Red

• Hearts in the Arts competition – an art movement against heart disease

• Visit facebook.com/grandcanyonu to learn more about GCU’s stand against heart disease

• Speakers Bureau gives the community the latest information

What is GCU doing?

“The fight against heart disease is a perfect fit for Grand Canyon University’s

vision to improve the health of our community through the efforts of our students

and the Nursing and Health Sciences programs.”

Fran Roberts, RN, PhD, Vice PresidentStrategic Business AlliancesCollege of Nursing and Health Sciences