 Hello, I am Dr. Varshan. I am a Euro andrologist practicing at Manipal Hospital's Bangalore. When you say risk factor for vascular aging, it is just abuse of the body. We presume that there is always this notion that nothing can go wrong with me. And that is the fundamental concept we all believe in because I was healthy, when I was 20 I was able to do a lot of things and my body will support me, whatever I do. So we insult the body. What are the insults? We put on weight, lack of exercise, smoking, alcohol, bad eating habits, stress. And along with that we develop comorbidities like diabetes, hypertension, triglycerides. And we don't go for regular checkups. We don't manage the diabetes. We believe that I can control it. I can manage. Nothing will go wrong with the body. So what happens? The body, we all know that age will catch up with us eventually, whatever we do. So on top of that if we also insult the body by these mechanisms, we become more prone. So all this leads to and the first thing that gets affected is elastic structure of the body changes. Because we are loading the body or we are loading the vascularity with unnecessary insults. And what starts off as a smooth balloon, I'm giving you a analogy or a comparison. We make it a rough balloon. So and we expect it to perform the same way as a smooth balloon. It will never do. So vascular aging is a consequence of both our own insults, which we give to the body as well as what we develop along the way because of our genetic makeup, because of disease, poor disease management or our life and work style stresses and added to that the environment insults. All this gives you a bad blood vessel, which gives you a bad heart. And consequently that is why men in India are more prone for what is called sudden cardiac death syndrome. We hear a lot of our colleagues who come and tell us nothing was wrong with him. He was perfectly alright. Yesterday I saw him, but today morning he dropped it. So consequently you can't recognize these insults unless you are active and you take care of your body.