Every morning, Arjun began his day with a piping hot cup of chai loaded with sugar and a couple of buttery paranthas. At 38, he was juggling a high-pressure job in Mumbai’s financial sector. With client meetings, deadlines and late night takeaways, he hardly found time to exercise. His weekends were usually spent binge watching shows, snacking on chips, and pairing them down with cola or occasional beer. He often brushed off the mild chest discomfort and breathlessness, assuming it was just “stress.”
Until one day, he collapsed on the office floor. A heart attack. At just the age of 38.
Arjun’s story isn’t the only case like this, where one has developed heart disease because of lifestyle factors.
India is witnessing a disturbing trend of heart disease striking the younger population, and it is mostly tied to the way that we live and eat. According to the Indian Council of Medical Research (ICMR), cardiovascular diseases (CVDs) now account for almost 28% of all deaths in India, with the average age of onset decreasing every decade.
Let’s dive into some of the everyday food and lifestyle habits, many of which are considered “normal” but are silently raising your risk for heart disease.
“Breakfast like a king,” that most of us have heard and have been hearing for a long time. But many people in urban India grab only a cup of coffee and just walk out for work. Skipping breakfast regularly has been linked to a 21% higher risk of heart disease, according to a 2019 study in the Journal of the American College of Cardiology. 1
When one skip breakfast:
How to fix it:
Choose a high protein, high fiber Indian breakfast like moong dal chilla, oats upma or besan cheela with stuffed paneer. Add a handful of soaked nuts like almonds, walnuts for heart-healthy fats.
If you cannot manage these home-made food options, the protein requirements can be met through protein powders as well, like whey protein concentrate, whey protein isolate or vegan protein, as per your preference.
From sweetened beverages and store bought sauces to biscuits and mithai, sugar is everywhere. But consuming more than 20g of added sugar daily as per NIN, ICMR recommendations, can overload your cardiovascular system. 2.
A study published in JAMA Internal Medicine revealed that people who consumed more than 20% of their daily calories from sugar had a 30% higher risk of dying from heart disease. 3.
Popular sugar bombs you should watch out for:
How to fix it:
Start reading labels carefully. Try to switch to jaggery or dates occasionally, but don’t overdo them either. Natural sugars especially in fruits come with fiber and antioxidants, making them a better choice always.
That daily plate of white rice, white bread or noodles might seem harmless at the moment, but these refined carbs spike blood sugar levels, increase triglycerides and may contribute to insulin resistance too, all of this might damage your heart.
The 2021 PURE study (Prospective Urban Rural Epidemiology) concluded that high intake of refined grains (of over 350g per day) was associated with a 25% increased risk of heart disease and stroke. 4.
Stay away from ultra processed foods (UPFs) such as chips, instant noodles, cookies and processed meats, often contain:
These additives increase inflammation and oxidative stress in the body, both of which are bad for your arteries.
How to fix it:
Always opt for complex carbs like millets (ragi, bajra), brown rice and whole wheat chapatis. Have freshly cooked food as and when possible. If buying packaged foods, look for “100% whole grain” or “no added trans fats.”
Modern jobs have us glued to screens for 8-10 hours a day. Even if you hit the gym in the morning, the all day sitting schedule can cancel out the cardiovascular benefits of exercise.
Sitting for long hours can lead to
How to fix it:
Incorporating a 10 minute workout or stair climbing into your day can drastically reduce your risk of cardiovascular diseases.
Heart diseases are not just about cholesterol and diet, stress and sleep also play pivotal roles.
Long term stress increases cortisol levels, which:
Poor sleep, mostly less than 6 hours a night, is associated with 20% higher risk of heart attacks, according to Harvard Medical School. 5
How to fix it:
So if you are waking up tired, snoring loudly or feeling drowsy during the day, get screened for sleep apnea, a hidden risk factor for heart issues.
“Occasional smoking is fine” many of us believe that. But even one cigarette a day increases the risk of heart disease by almost 50%, according to a 2018 meta-analysis published in BMJ. 6.
India’s growing urban hookah lounges and vaping culture among youth aren’t helping. E-cigarettes, though marketed as “safer”, can damage the endothelium (inner lining of arteries) and elevate heart rate risk.
How to fix it:
There’s no safe limit for smoking, seek help like nicotine replacement therapy, counseling or mobile apps that can support your journey.
Whole chips and fries are the obvious culprits, most salt in the Indian diet comes from:
Excess sodium can cause water retention, strains your heart muscles, leading to hypertension, the leading risk factor for heart disease.
According to the National Institute of Nutrition, an average Indian consumes over 10g of salt daily, which is double than the WHO recommendation (5g/day).
How to fix it:
You may avoid alcohol during weekdays, but guzzling 4–5 drinks on Saturday night can be worse than moderate regular drinking.
Alcohol:
The INTERHEART study, which included Indian participants, showed that heavy episodic drinking significantly raised the risk of heart attacks. 7
How to fix it:
If you choose to drink, limit it to:
Recent research from the Cleveland Clinic highlights a surprising link between gut microbiota and heart health. A byproduct called TMAO (trimethylamine N-oxide), produced by gut bacteria when you consume red meat and eggs, can promote artery plaque formation. 8
Low-fiber diets can reduce beneficial gut bacteria, thus increasing inflammation and leading to poor lipid profiles.
How to fix it:
One of the most dangerous habits is believing “I’m too young to get heart disease.” Many people delay checkups until it’s too late.
Silent killers like:
often have no symptoms until a heart event occurs.
How to fix it:
Start annual checkups by age 30, especially if there’s a family history of heart disease or diabetes. Key markers to track include:
Heart disease is no longer just a “man’s problem.” Post-menopausal women lose the protective effect of estrogen, making them equally vulnerable.
But symptoms in women are often atypical:
Many women in India misdiagnose these signs as stress or acidity. The American Heart Association stresses the importance of gender-specific awareness and early detection.
Rethink Your Routine, Save Your Heart .
Arjun was lucky. He survived. Post-recovery, he began morning walks, shifted to home-cooked meals, limited sugar and salt, quit smoking, and added meditation to his life. A year later, he felt more energetic at 39 than he had at 29.
You don’t need a health scare to make a change.
Small steps like:
can cut your heart disease risk.
Along with making these certain lifestyle changes, one can also opt for Omega-3 supplements and other nutritional supplements as and when needed and prescribed by a healthcare professional to meet your nutritional requirements.
So today, pause. Reflect on your habits. What will you change to protect your heart?
Can young people get heart disease even if they look fit?
Yes. Genetics, stress, smoking, poor sleep, and undiagnosed metabolic issues can raise risks, even in lean, healthy-looking individuals under the age of 40.
Is Indian food bad for the heart?
Not inherently. Traditional Indian meals with dal, vegetables, whole grains, and spices are healthy. The problem lies in overcooking, frying, or excessive use of oil, salt, and sugar.
What is the best diet to prevent heart disease?
A diet rich in whole grains, vegetables, fruits, legumes, nuts, seeds, and omega-3 fats (like flaxseeds, walnuts, or fatty fish) is ideal. The DASH diet models are often recommended.
Is ghee bad for heart health?
In moderation (1–2 teaspoons/day), pure cow ghee can be heart-friendly due to CLA and butyric acid. However, balance and portion size control are key.
Are heart supplements like CoQ10 or Omega-3 helpful?
Yes, especially for those at high risk. Omega-3 fatty acids reduce triglycerides and inflammation. Consult a doctor before adding the supplement to your routine.
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