A Good Night’s Sleep Increases the Cardiovascular Benefits of a Healthy Lifestyle

sleep

sleep (Photo credit: Sean MacEntee)

A good night’s sleep can increase the benefit of exercise, healthy diet, moderate alcohol consumption and non-smoking in their protection against cardiovascular disease (CVD), according to results of a large population follow-up study.(1) Results showed that the combination of the four traditional healthy lifestyle habits was associated with a 57% lower risk of cardiovascular disease (fatal and non-fatal) and a 67% lower risk of fatal events.(2) But, when “sufficient sleep” (defined as seven or more hours a night) was added to the other four lifestyle factors, the overall protective benefit was even further increased — and resulted in a 65% lower risk of composite CVD and a 83% lower risk of fatal events.

“If all participants adhered to all five healthy lifestyle factors, 36% of composite CVD and 57% of fatal CVD could theoretically be prevented or postponed,” the authors report. “The public health impact of sufficient sleep duration, in addition to the traditional healthy lifestyle factors, could be substantial.”

The study is published today in the European Journal of Preventive Cardiology, and is the first to investigate whether the addition of sleep duration to the four traditional healthy lifestyle factors contributes to an association with CVD.

The Monitoring Project on Risk Factors for Chronic Diseases (MORGEN) is a prospective cohort study in the Netherlands from which 6672 men and 7967 women aged 20-65 years and free of CVD at baseline were followed up for a mean time of 12 years. Details of physical activity, diet, alcohol consumption, smoking and sleep duration were recorded between 1993 and 1997, and the subjects followed-up through a cross-link to national hospital and mortality registers.

As expected, results showed that adherence to each of the four traditional lifestyle factors alone reduced the risk of CVD. Those at baseline who recorded sufficient physical activity, a healthy diet and moderate alcohol consumption reduced their risk of composite CVD from 12% for a healthy diet to 43% for not smoking; and risk reduction in fatal CVD ranged from 26% for being physically active to 43% for not smoking.

However, sufficient sleep duration alone also reduced the risk of composite CVD by about 22% (HR 0.78) and of fatal CVD by about 43% (HR 0.57) when compared with those having insufficient sleep. Thus, non-smoking and sufficient sleep duration were both strongly and similarly inversely associated with fatal CVD.

These benefits were even greater when all five lifestyle factors were observed, resulting in a in a 65% lower risk of composite CVD and an 83% lower risk of fatal CVD.

As background to the study, the investigators note that poor sleep duration has been proposed as an independent risk factor for CVD in two other (non-European) studies, but without adding the effect of sleep to other healthy lifestyle benefits. This study — in a large population — now suggests that sufficient sleep and adherence to all four traditional healthy lifestyle factors are associated with a lower CVD risk. When sufficient sleep duration is added to the traditional lifestyle factors, the risk of CVD is even further reduced.

As an explanation for the results, the investigators note that short sleep duration has been associated with a higher incidence of overweight, obesity and hypertension and with higher levels of blood pressure, total cholesterol, haemoglobin A, and triglycerides, effects which are “consistent with the hypothesis that short sleep duration is directly associated with CVD risk.”

The study’s principal investigator, Dr Monique Verschuren from the National Institute for Public Health and the Environment in the Netherlands, said that the importance of sufficient sleep “should now be mentioned as an additional way to reduce the risk of cardiovascular disease.” “It is always important to confirm results,” she added, “but the evidence is certainly growing that sleep should be added to our list of CVD risk factors.”

Dr Verschuren noted that seven hours is the average sleeping time that “is likely to be sufficient for most people.” An earlier study from her group in the Netherlands, which included information on sleep quality, found that those who slept less than seven hours and got up each morning not fully rested had a 63% higher risk of CVD than those sleeping sufficiently — although those who woke rested, even from less than seven hours’ sleep, did not have the increased risk.(3)

Story Source:

The above story is reprinted from materials provided byEuropean Society of Cardiology (ESC).

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. Hoevenaar-Blom M, Spijkerman AMW, Kromhout D, Verschuren WMM. Sufficient sleep duration contributes to lower cardiovascular disease risk in addition to four traditional lifestyle factors: the MORGEN studyEur J Prevent Cardiol, 2013 DOI: 10.1177/2047487313493057

Wednesday, Nine Weeks Post-Op

day-late

Running Late!  The Nine Week Anniversary was 2 days ago.  I got so tired singing  Holy Thursday, Good Friday and three Easter Services that I’ve just been resting up for a few days.

It also turned out that our son came home Thursday night, after rehab, after that service so my energy has been really sapped.

DH is still doing well, the rehab continues and he’s done 5 as of today.  We also signed up for our first patient meeting next Tuesday and a class on Cardiac Valve Surgery later this month.

So…we have rehab Wednesday and Thursday this week, Mended Hearts on Saturday, Monday rehab, Tuesday patient meeting, Wednesday and Thursday rehab…

Soon we’ll be experts!

Because DS was here, we ate some foods that I doubt are on the new diet.  I hope that there are no setbacks because of this.

Yesterday was one of those busy days.  A friend happened to call on Monday while we were driving back from rehab and DH took the call since I was driving.  As a result, DH, DS, my mom and I all went out with the friend in the afternoon.  In the morning, I had a staff meeting for work.  Our son decided that it was closer for him to take the train back to NYC from our friend’s, so we swung by the train station on the way home.

A tiring, but fun, day.  Our friend also has stairs up to her house, so it was one of the first times DH climbed a lot of them.

In church on Sunday, someone prayed for another who had had surgery before DH’s and wasn’t doing well yet.  It makes me very thankful for how well things are working out here.

 

 

 

7 Ways to Lower Your Blood Pressure Without Medication

Blood pressure check

Blood pressure check (Photo credit: Army Medicine)

Whether you’re among the 1 in 3 Americans with high blood pressure or have so far avoided this deadly disease, these tips will help prevent becoming a statistic.

Heart disease and stroke rank among the top five causes of death in the U.S. They’re also both commonly caused by one condition: hypertension.

One in three Americans suffer from this often symptom-less condition, also known as high blood pressure and the silent killer.

“You can have it for years without knowing it,” say the National Institutes of Health. “During this time, though, HBP can damage your heart, blood vessels, kidneys, and other parts of your body.”

The ideal blood pressure reading is generally 120/80, with higher readings considered pre-hypertension or, if over 140/90, hypertension.

If you don’t know what your blood pressure is, step one is finding out by checking with your doctor. In the long run, that visit will cost less than letting the problem remain undiagnosed – and uncontrolled. Even if you require medication, it’s cheaper than the long-term costs and complications of untreated high blood pressure.

In some cases, high BP can be managed or prevented by low-cost lifestyle changes alone. So in honor of Heart Month, we’ve rounded them up…

  • Pass the salt. Limiting sodium helps control high blood pressure in those who have it and helps prevent it in those who don’t. According to government dietary guidelines, adults should limit their daily sodium intake to 2,300 mg. But for people with hypertension, diabetes, or chronic liver disease; children; adults over age 50; and African-Americans – about half the U.S. – the limit is 1,500 mg. Beware especially of processed and packaged foods, fast foods, and canned foods – all common sources of excessive salt.
  • Eat enough potassium. This mineral helps lower blood pressure. The recommended daily intake for adults is 4,700 mg. Bananas average 451 mg – foods with even more include cantaloupe, avocados, dates, raisins, dried apricots, prune juice, baked potatoes (with the skins), yogurt, sardines, and flounder. Check out the University of Massachusetts Medical School’s downloadable list of Sources of Dietary Potassium for more.
  • Change your diet. The DASH diet, or Dietary Approaches to Stop Hypertension, helps fight high blood pressure by emphasizing fruits and vegetables, whole grains, and lean sources of protein. U.S. News & World Report also recently ranked it the No. 1 best diet overall, No. 1 best diet for healthy eating, and even the No. 1 best diabetes diet. Check out Dr. Oz’s recent segment about the diet to learn more.
  • Watch your weight. Blood pressure tends to increase as weight does. Last year, a University of Illinois study found that even among hearty college students, a weight gain of as little as 1.5 pounds was enough to raise BP. Fortunately, it’s also true that BP tends to drop as weight does.
  • Relax. The connection between stress and high blood pressure isn’t fully understood. But researchers do know that (1) stressful situations can cause temporary BP spikes and (2) stress management and stress-lowering activities can help lower BP, according to the Mayo Clinic. Getting enough sleep, deep breathing, meditation, yoga, and exercise can help reduce stress. Check out 7 Cheap Ways to Relieve Stress for more ideas.
  • Avoid alcohol. According to the Mayo Clinic, not only does too much alcohol raise blood pressure, repeated excess drinking can lead to long-term BP increases. Women should limit themselves to one drink, men to two.
  • Indulge in dark chocolate instead. An Australian study published last year found that a daily dose of dark chocolate or other cocoa products rich in natural compounds called “flavanols” helped to lower blood pressure. Just don’t overdo it and gain weight.

From MoneyTalksNews