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The Rural Voice, 1979-09, Page 9Opinionated Heart Disease and the farmer BY ADRIAN VOS When a farmer talks with a non -farmer about heart disease, almost invariably he hears his companion say: "Well, that is one thing a farmer doesn't have to be too much concerned about. All the exercise you get, and all this fresh air you breathe will keep you guys healthy." Then, suddenly, a neighbour gets a heart attack and the farmer is not so sure anymore, after all, the neighbour had the same exercise and the same fresh air that he himself got. When the farmer starts to think about it, he realizes too that he actually doesn't get all that much exercise. It used to be that a farmer walked all day behind the plow or other farm implement, while the horse did the pulling. But with the advent of the tractor, the farmer sits all day long. In addition, he inhales the occasional whiff of carbon dioxide from the exhaust. Both the lack of exercise and the inhaling of carbon dioxide are considered contributary causes of cardio vascular disease (CVD). Consider the barn work. The dairy farmer used to do his milking by pail. Even after the advent of the milking machine the farmer still had to carry the pails of milk to the cans and the cans to the cooler and from the cooler to the roadside. Today the milk is piped straight from the cow to the cooler where the trucker pumps it out. No more exercise except washing the cow's udder. We could go on with examples, but the fact is clear that today's farmer is doing little sustained exercise. No more than his city cousin in his office and possibly less than the tradesman who may have to climb ladders all day in the building trade or in painting a house. Since John Kennedy did his appeal to the office workers of America to begin jogging, many have settled into a routine of exercise. Gyms have sprung up for the public and companies have build special gyms for their personnel.lt is suspected that the average sedentary worker is more fit today than the average farmer. Look at today's farmer. He is 25 years old and his belly is protruding over his belt. Look at them. They are 25 years old and too tired to walk half a mile. They need a car. Just look at them and compare them with the many slim city people who do their exercises. That doesn't necessarily mean that exercise will prevent heart attacks. After all, medical men will tell you that the cause of heart attack is still not known. But they will also tell you that there are some things that can be done to limit the chance of getting the disease . Heart attacks are often accompanied by such symptoms as: A. High blood pressure. All the various heart associatons are agreed that everyone should have their blood pressure checked at least once a year. It can easily be kept in check with medication. B. Obesity. This can be kept in check by self discipline, unless it is caused by a disorder such as diabetes or other glandular malfunction. A doctor shows be consulted to prescribe medication for the disorders or a diet and exercise if there is no sign of aiscase. C. High blood cholesterol. ,Ctrs is a highly controversial issue. According to many researchers of world reknown, such as Dr. Michael deBakey, Dr. Raymond Reiser and Dr. George Mann and many more, high blood cholesterol can't be controlled by dieting. They recommend a simple medication program that is much more effective. Other doctors won't give up their old ideas and recommend a lower intake of animal fats. More new evidence supports the former view. We will come back to that. D. Lack of oxygen in the heart muscle. Dr. Kavanagh of Toronto gives recovering heart victims strenouous exercises. He even had them go for 40 km in the Boston Marathon with good results. The exercise makes the blood circulate faster through the lungs, thereby giving more oxygen to the muscles, including the heart muscles. the world famous neurologist E. Stress. Dr. Wilder Penfield, from Montreal, thought that stress was a major cause of heart disease. With the high investment that farmers have today in their farms, it is little wonder that a change in government policies here and abroad, a change in the weather or in the market, can have a profound effect on their concern about that investment. A farmer is much more likely to develop stress than his city friend with a nine to five job. It is sometimes called " managers • disease." High blood pressure is so dangerous because the victim may not know that he has it. There are no symptoms. The only way to find out is an annual check-up. A person who doesn't know how heavy is too heavy, can find charts in the doctor's office on the ideal weight of a man or a woman. It may vary somewhat with the bone structure. A rule of thumb for a man is that the number of centimeters of his length minus one hundred is the number of kilograms he should not exceed. (One inch is 2'h cm). Studies have shown that high blood cholesterol per se, does not cause clogging of the arteries. It needs a precondition. After all, the body itself produces the stuff. People with low blood cholesterol occasionally suffer also from a blockage of the arteries and a heart infarction . New studies by Dr. Kilmer McCully, of the Harvard Medical School, indicate that only when the walls of the arteries are damaged by a lack of vitamin B6, the cholesterol components are able to attach themselves to the walls and block the flow of blood to the heart. A balanced diet with a good supply of fresh vegetables appears to be very important. Fresh vegetables are loaded with Vitamin B6. Exercise doesn't necessarily have to be jogging. It can even be damaging to some aged feet and knees. Dr. Alan Levy, a noted American sports physician, says that a brisk three-mile walk is just as good as a three mile jog. Getting the needed oxygen to the heart is sometimes impeded by simply sitting on the running tractor and inhaling small amounts of exhaust fumes. Just as by smoking, when carbon dioxide replaces oxygen, it prevents oxygen from getting to the lungs and muscles. What to do about stress is different for each individual. It is so easy to say: "Put your worries away. It doesn't solve your problems anyway." But for a tense individual it will take a special effort. It may be that the dream of that big farm is just too much, and a more satisfying and longer life can be had by desiring a bit less. How many farmers have foregone a much needed holiday because they were too concerned about their investment? Or because they couldn't forget that huge operating loan for a oouple of weeks? It is becoming more and more evident that the farmer has been too complacent about his supposedly healthy life far too long. His life could well be, on the average, less healthy than that of his urban neighbour. Unless he changes his thinking and does as his city cousins do in exercising, thereby strengthening his muscles and inhaling fresh air at the same time, has his blood pressure checked, eats more fresh instead of canned vegetables, he will be more and more likely to have a heart attack. THE RURAL VOICE/SEPTEMBER 1979 PG. 7