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Get him a decent treadmill or bike or something. A digital kitchen scale would be nice too. A years supply of walnuts or other heart healthy food could be helpful for him in terms of proactive everyday help maybe also.
I had my heart attack at 42, and it was sedentary lifestyle, smoking (for about 30 yrs straight) and family history as the primary culprits according to my doctors. Diet was not great, but also not terrible. The other things have way more impact since you either do them or you dont! Getting off my ass and walking for 30 minutes a day and quitting smoking was so much harder for me, and still is quite honestly! But food changes were super simple.
If he likes potato chips, he should eat rice cakes or popcorn. If he likes ice cream, tell him to buy applesauce and frozen blueberries. They're great together as a snack. As I said walnuts, and mix with fat free pudding is damn good and all you need is 42 grams of walnuts to get a dose of omega 3.
Anyway, good luck to him. All you can do is give positive encouragement and maybe make a gift of something proactively good for him.
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