Cardiovascular disease is the leading cause of death in Japan, accounting for nearly 40% of all deaths each year. Risk factors for developing cardiovascular diseases include high blood pressure, high cholesterol levels, smoking, obesity, lack of physical activity and poor diet. Age-related issues such as diabetes mellitus or metabolic syndrome can also increase risk. Prevention strategies involve making lifestyle changes such as quitting smoking, exercising regularly, eating a balanced diet low in saturated fats and sodium while increasing intake of fruits and vegetables. Medications may also be prescribed if lifestyle changes alone do not help enough. If you already have cardiovascular disease it is important to follow your doctor’s orders regarding medications and lifestyle changes.