Your Disease Risk: Relative Risk Estimates Key:

Scoring

1= weak 2= mod 3= strong 4= v.strong

(-) decr risk RR 0.7- 25 cigarettes per day

4

2.0 1.2 1.9 0.5 1.4 1.5 1.5 2.0 3.3 0.7

COPD (Chronic Bronchitis & Emphysema) Risk Factor

RR

Current cigarette smoking 25 cig/day

2.0 5.0 10.0

Quit smoking 35 Men >40 in Currently smoking 1-14 cigarettes per day Currently smoking > 14 cigarettes per day Physical activity at least 30 minutes per day or 3 hours per week Cereal fiber/Whole grain ≥ 3 serving per day Refined grains > 3 serving per day Mono & polyunsaturated fat ≥ 4 servings per week Alcohol intake ≥ 1 serving per day

5

+2 +2 2.0 +2 +3 +4 +2 +3 +4 +3 +4 +1 +2 -2 -2 +1 -1 -2

Heart Disease Risk Factor

RR Score

Male Family history (immediate) BMI Women (< 60 yrs) 25-28.9 ≥29 Men (< 65 yrs) 25-29.9 ≥30 Waist size (inches) Women (≥ 60 yrs) >35in Men (≥ 65 yrs) >40 in Currently smoking 1-14 cigarettes per day Currently smoking 15- 25 cigarettes per day Currently smoking > 25 cigarettes per day Quit smoking for < 10 yrs Passive smoke, regularly exposed Hypertension (high blood pressure) Diabetes Total cholesterol Binary Told have high cholesterol Range (mg/dL) 160-199 200-239 240-279 ≥280 HDL cholesterol < 40 (mg/dL) Physical activity at least 30 minutes per day or 3 hours per week Fish ≥ 2 servings per week Fruit/Vegetables ≥ 5 servings per day Cereal fiber/Whole grain ≥ 3 servings per day Nuts ≥ 3 servings per week Saturated fat ≥ 2 servings per day Trans fats ≥ 4 servings per week Mono & polyunsaturated fat ≥ 4 servings per week Alcohol intake ≥ 1 serving per day Multivitamin/B complex supplement

6

+2 +2

+2 +3 +2 +3 +2 +4 +1 +2 +3 +1 +1 +2 +2

+2 +1 +2 +3 +4 +2 -2 -2 -2 -2 -1 +1 +1 -1 -2 -1

Osteoporosis Fracture Risk Factor

RR Score

African American Family history (immediate) hip fracture Family history (immediate) non-hip fracture Prior fracture after age 50* Female: Osteopenia on BMD test* Age 25 cigarettes per day Quit smoking for < 10 yrs Hypertension (high blood pressure)

+1 +2 +2

Diabetes Total cholesterol Binary Told have high cholesterol Range (mg/dL) ≥240 HDL cholesterol < 40 (mg/dL) Physical activity at least 30 minutes per day or 3 hours per week 7

+1 +2 +1 +2 +3 +1 +3 (RR 4.0) +2

+1 +1 +2 -2

Fruit/Vegetables ≥ 5 servings per day Cereal fiber/Whole grain ≥ 3 servings per day Alcohol ≥ 3 drinks per day

-1 -1 +2

8