Dec 29, 2024 09:46:43 AM

Dr Toomas Särev, Consultant Cardiologist, Coach, Mentor and Contrarian

Heart Strong 2025: Transform Your Cardiovascular Health with Powerful Habits

Let's stop for a moment and think about how to improve your heart health in 2025.

It starts with small, actionable changes driven by the right mindset. Resolutions often fail because they rely on motivation and willpower, both of which are fleeting and subject to daily fluctuations. Resolutions (for the next year!) are typically outcome-focused, aiming for a specific result without addressing the underlying behaviours or systems that drive sustainable change. Another reason for failure is that resolutions are often made in a rush without deeply connecting to the why behind the goal. If the goal lacks personal meaning, prioritising it becomes harder when life gets busy. Reflect on the values and motivations behind your resolution and ask: Why does this matter to me? What is the benefit?

When you start creating habits, routines, and rituals, you can build a supportive “system” that aligns with your goals and integrates seamlessly into daily life. These systems are process-oriented, automating healthy behaviours and making them consistent over time. When habits become part of your identity—like seeing yourself as an active person or someone who prioritises health—they no longer require constant effort, and success becomes a natural byproduct of the system you’ve built.

Let’s explore how to cultivate heart-healthy habits with motivation and purpose. 


Move More, Every Day

Build movement into your lifestyle instead of setting lofty fitness goals. Make walking after meals or scheduling a “step break” part of your day. Research shows that 7,000-9,000 steps daily reduce cardiovascular risks significantly (1).

Think of movement as a gift, not a chore. Start small—add 1,000 steps to your daily average. Habits form when tied to existing routines, like walking during phone calls. Visualise each step strengthening your heart, one day at a time.

Link walking to an existing habit, like taking a step counter on your coffee break. Use a tracker for motivation and aim for consistency over perfection. I have created a Google sheet for tracking my health-related habits - asking, "Did I do my best to stay healthy?" and giving myself a score every day. 0 means I did not do anything, 1 I made a little effort, 2 I did moderate effort and 3 means I did my best. If you wish to know more, send me a message!


Take Control of Your Blood Pressure—From the Comfort of Home

Blood pressure isn’t just a number; it’s a story about your heart’s health. The latest European Society of Cardiology (ESC) guidelines invite us to rewrite that story—on our terms. Forget the stress of clinical settings and “white-coat syndrome” skewing your results. Home blood pressure monitoring (HBPM) puts the power in your hands, offering a clearer, calmer picture of your everyday health.

Here’s the shift: the ESC now recommends validated, semi-automatic devices for at-home use. Why? Because when you measure your blood pressure consistently—seated, relaxed, at the same time each day—you don’t just get accurate readings; you get a routine. And routines build momentum. The goal? A reading under 135/85 mmHg—the gold standard for home measurements. That’s the kind of clarity that changes lives (2).

Moreover, HBPM isn’t just data; it’s a tool for ownership. Seeing your progress makes you engage with your health deeper, building confidence and control. The best part? You’re not reacting to your blood pressure but proactively shaping it.

Home monitoring isn’t just about saving lives; it’s about living better. The question isn’t whether you can control your blood pressure; it’s whether you’re ready to start today. A small action—a quick daily measurement—sets the tone for a stronger, healthier tomorrow.

Create a weekly routine by setting aside the same two mornings each week—before breakfast and any caffeine—to measure and document your blood pressure, weight, heart rate, and overall well-being on a 1-to-10 scale, using a simple journal or app to track trends and celebrate progress.


Balance Cholesterol Wisely

Don’t think “diet”; think evolution. Each week, introduce one new heart-friendly food into your routine—like oats, legumes, or whole grains—to naturally chip away at non-HDL cholesterol levels.

Imagine fibre as a quiet hero, mopping up bad cholesterol and escorting it out of your system. This isn’t about dramatic overhauls or bland sacrifices—it’s about small, joyful tweaks. Picture starting your morning with a warm, hearty bowl of something healthy (e.g. avocado, eggs or oatmeal) or spicing up your dinner with a handful of lentils. These aren’t chores; they’re choices that align with the life you’re creating (3).

The beauty of this approach? It’s not restrictive—it’s expansive. Every meal becomes an opportunity to nourish, energise, and invest in your health story. Keep a food diary to log your fibre-rich additions and celebrate the wins—big or small.


Keep Sugar in Check

Make blood sugar control part of your morning routine. Incorporate 10 minutes of physical activity—whether it’s strength training, stretching, or brisk walking—to stabilise blood sugar levels and improve metabolic health. Strength training twice a week is a powerful complement to aerobic exercise.

Imagine your metabolism as a finely tuned engine. When blood sugar levels are balanced, the engine runs smoothly, powering your heart and mind. But foods with a high glycaemic index (think sugary snacks and refined carbs) can flood your system with glucose, forcing your body to work overtime to process it. Add in excess energy intake—eating more calories than your body needs—and the strain on your metabolism increases, often leading to type 2 diabetes (4).

This metabolic overload also contributes to obesity, a condition with its own cascade of challenges. Excess weight can make everyday tasks exhausting, leaving you easily out of breath. Joint pain, particularly in the hips and knees, becomes a constant companion. Poor sleep, often due to sleep apnea, leaves you waking up tired and foggy. Over time, these issues compound, creating a downward spiral that impacts every aspect of life.

Taking control of your blood sugar isn’t just about avoiding disease; it’s about reclaiming energy, focus, and vitality. Picture your day starting with 10 minutes of strength exercises or a brisk walk, resetting your metabolism and setting a positive tone for the hours ahead. It’s a small act with powerful ripple effects.


Reframe Weight Loss as Wellness

Shift your focus from “losing weight” to “gaining wellness.” Break the journey into micro-goals, such as losing 0.5 kg every two weeks, which feels manageable and leads to sustainable progress. This gradual approach supports heart health and builds habits that last.

Weight loss isn’t about deprivation or restriction—it’s about empowerment. Imagine this as an investment in your body’s future. Every meal is an opportunity to nourish yourself with foods that energise, strengthen, and protect your heart. Celebrate the victories that don’t show on the scale: walking up stairs without feeling winded, having more energy to play with your kids, or sleeping better at night.

Reframe your inner dialogue: “I can’t have this” becomes “I choose what serves me.” The moment you shift from punishment to purpose, the process feels less like a chore and more like self-respect in action.

Some ideas to create new habits:

Tie meal planning to a Sunday ritual. Use that time to create a grocery list of heart-friendly options and map out balanced meals for the week ahead. Swap one sugary snack for fresh fruit or a vegetable-rich dish. These small decisions compound into meaningful change. Begin your day by affirming your choice to prioritise wellness: “I am fuelling my body for strength and vitality.” Keep a simple log of what you eat and how it makes you feel. Use this reflection to build awareness and celebrate progress (5).

The key is shifting your mindset from “fixing what’s wrong” to “building what’s right.” Wellness is a journey of consistent, intentional choices, and each step forward is a triumph worth celebrating. This isn’t about becoming smaller—it’s about growing into the healthiest, most vibrant version of yourself.


The Power of Mindset and Motivation

Attitude shapes actions. Think of this as a lifestyle shift, not a chore. Instead of thinking, “I have to,” say, “I get to.” A small, intentional mindset change can lead to habits that stick. Remember, it’s not about perfection but progress.

Start now—pick one habit and commit for the next 21 days. Visualise your healthier heart and let that inspire you every step of the way.


References:

  1. The association between daily step count and all-cause and cardiovascular mortality: a meta-analysis
  2. 2024 ESC Clinical Practice Guidelines for the Management of Elevated Blood Pressure and Hypertension
  3. British Dietetic Association (BDA) on Cholesterol 
  4. How does metabolic overload impact cardiovascular health?
  5. Resources about weight loss as wellness.

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