Lifestyle changes to reduce the risk of cardiovascular disease include adopting a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while reducing saturated fats, sugars, and sodium. Regular engagement in physical activity is essential, as it helps maintain a healthy weight and improves heart health. Other changes include managing stress through mindfulness or relaxation techniques, quitting smoking, and moderating alcohol consumption. Monitoring blood pressure and cholesterol levels can also aid in risk reduction.