SALT LAKE CITY, Utah – Every year, about 100 people die from a heart attack while shoveling snow. Thousands more end up in the emergency room from slip and fall injuries.

The combination of cold weather and physical exertion puts extra strain on the heart. So if you’re over 55 years old or you don’t exercise a lot, check with your doctor before you shovel snow.

Before you pick up that shovel and head outside, dress warmly and make sure you wear shoes with good traction.

Warm up your muscles with some light exercises.

Don’t eat a large meal or drink alcohol before or right after shoveling. That adds extra strain on the heart.

Make sure you push the snow; don’t lift it.

Pace yourself. This is not a race! Take breaks when you need to, and never work to exhaustion.

You wouldn’t start a heavy lifting program in freezing temperatures without any preparation, would you? So if you’re at high risk, it might be time to get someone to clear that snow for you, or get a snowblower.