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tocacco Tobacco is an annual or bi-annual growing 1-3 meters tall with large sticky leaves that contain nicotine. Native to the Americas, tobacco has a long history of use as a shamanic inebriant and stimulant. It is extremely popular and well-known for its addictive potential.

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tocacco Nicotiana rustica leaves. Nicotiana rustica leaves have a nicotine content as high as 9%, whereas Nicotiana tabacum (common tobacco) leaves contain about 1 to 3%

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tocacco Tobacco is an agricultural product processed from the fresh leaves of plants in the genus Nicotiana. It can be consumed, used as an organic pesticide, and in the form of nicotine tartrate it is used in some medicines. In consumption it may be in the form of cheap cigarettes smoking, snuffing, chewing, dipping tobacco, or snus.

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Britons ‘in denial’ over heart risk from obesity and smoking

Britons at high risk of heart attack are ‘in denial’ and ignoring doctors’ advice to change their lifestyle, says a new survey.

More than three-quarters are obese or overweight - with dangerously big stomachs - and most smokers have refused to give up.

More than half have out-of-control blood pressure and 40 per cent have high cholesterol levels.
Two out of three refuse to accept they are more at risk than other people their age - despite being given warnings by their GP and lots of prescription drugs.

The findings from a major European survey are published today in the European Journal of Cardiovascular Prevention and Rehabilitation.

Around one in three middle-aged Britons is at high risk of heart disease because of factors such as obesity, diabetes, family history, high cholesterol and blood pressure levels.
This means they have a one in five chance of suffering a fatal heart attack unless they change their lifestyle.

The new survey of 12 countries looked in detail at 381 high risk patients in the UK, who had been diagnosed as ‘high risk’ at least six months earlier by their GPs.

In many cases they were taking medication as a result.

Almost 80 per cent of those who were smokers at the time had not given up despite smoking being a major cause of heart disease.

Four out of five high risk patients were overweight or obese with dangerously large waists containing deposits of abdominal fat that raise the chances of diabetes and heart problems.

The EUROASPIRE survey showed two out of five patients said they did not take regular exercise and had no plans to do so.

Around half had diabetes, including seven per cent whose condition was detected when they were taking part in the survey and having various tests.

In total, 57 per cent of patients had raised blood pressure despite three-quarters of them being on antihypertensive drugs.

At least 40 per cent of patients had high blood cholesterol, even though the UK uses more statin drugs than any other European country except Italy.

But there was an alarming level of ignorance among British patients about their state of health.

Altogether two-thirds said they did not think their risk of heart disease was higher than a person in the general population of the same age and sex, including 16 per cent who thought it was lower.

Just 33 per cent believed it was higher - as their doctors had told them.

Professor David Wood, an expert in cardiovascular medicine at the National Heart and Lung Institute, Imperial College, London, said the survey raised concerns that many Britons were in denial about their heart health.

He said ‘These figures are quite shocking.

‘This is high risk population, diagnosed by their GPs and started on treatment. They should be managed much more rigorously and their lifestyle should be changing.’

‘Therapeutic control of their conditions is poorer compared with that achieved by specialists caring for patients with coronary disease,’ he added.

He said one in three people aged between 40 and 75 years were at higher risk of heart disease, although many had not been diagnosed.

He said European research showed that nurse-led programmes in GP surgeries were the best way to help high risk heart patients change their lifestyle - and that of their partners.

Four out of five families ate more fruit and vegetables when nurses got involved, and the number doing physical activity doubled, he said.

‘We have the evidence to back this and we must do better at helping people change their lifestyle and adhere to their medication’ he added.

The survey used trained technicians to question 381 patients who had been told they were at high risk of heart disease before developing any symptoms.

They were prescribed drugs or being treated with dietary advice.

The fact that so few smokers had quit goes against the national trend, with more people giving up since the ban on smoking in public.

However, many of these patients in their 40s, 50s and 60s will have been smokers for decades.

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