A 62 year old man comes to the ER complaining of severe pain located in his mid abdominal area. He does have a history of smoking and his past medical history includes hypertension for which he takes metoprolol, hydrochlorothiazide and hyperlipidemia for which he takes vytorin. He states that the pain came on suddenly, is excruciating and travels to his back. His vitals at this time are BP 90/50, HR 115, R 24, Temp 99. On physical exam, he is found to have a pulsating, tender mass in the middle of his abdomen. All of the following are risk factors for this condition, except
