Abnormal meal times can have deadly consequences for patients with heart attacks



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HA healthier diet can help limit the progression of heart disease, but nutrition is essential for people who already have heart problems. According to a study published in the European Journal of Preventive Cardiology, when we eat can be just as important as what we eat – especially for people recovering from a heart attack.

Most people do not think this could be harmful. "

A research letter published Thursday by Marcos Ferreira Minicucci, Ph.D. of the Department of Clinical Medicine at Sao Paulo State University shows that the timing of meals can make a huge difference for patients recovering from a heart attack. Those who dined late and skipped breakfast the next day were four to five times more likely to die than those who stuck to regular eating habits.

"We think that today, because time flies so fast, we do not have time to take our meals, usually during the day we eat snacks," said Minicucci. Reverse. "In addition, we skip meals or have meals as quickly as possible. Most people do not think this could be harmful. "

weight loss of breakfast
Late meals and skipped breakfasts increase the risk of death in convalescent patients.

For the group of 113 heart attack patients that Minicucci assessed, irregular eating habits made harm – or at least were associated with much higher risk of death. Considering that heart disease is responsible for one in four deaths in the United States, this trend is powerful and could impact many lives.

As part of this study, "skipping breakfast" meant "do not eat anything before lunch" (there is no idle time in the newspaper). For example, patients who drank coffee in the morning, for example, were still in the skipped breakfast category. Dinner late, he added, meant dinner in the two hours before bedtime.

While Minicucci observed his patients with a heart attack during their stay in the hospital and for the first 30 days after discharge, he noted that 40.7% of these patients reported having dined less than two hours after bedtime, then skipped breakfast the next day. When adjusted for other factors that may also be associated with higher risk of death, such as smoking status or cholesterol, eating late and avoiding breakfast were always associated with risks of death. higher deaths.

The document does not go as far as explaining what might have been hidden behind this schema – it's just an observational study, so there are still some outstanding issues. For example, Minicucci did not analyze the types of foods that these patients ate and that could have increased their risk. And especially 73% of his patients were men, so these results might not be true for women.

Overall, his findings seem strangely specific, but they have their place in a field of research increasingly concerned about the importance of meal planning, both for heart attack patients and for population in general.

We use this type of study to formulate a hypothesis. "

For example, a 2014 study in Scientist 60,800 Japanese adults showed that the likelihood of developing a metabolic syndrome was 17% higher among people who ate their dinners later and skipped breakfast, which increased their risk of heart disease. These data add some credibility to this article, but they do not explain what could lead to the relationship between heart health and the late dinner-without-lunch combination.

One idea is that we should really focus on the forgotten breakfast side of the equation.

In the month following a heart attack, patients seem particularly sensitive to the diet. It's not entirely clear why eating a late dinner and skipping breakfast are so harmful, though.
In the month following a heart attack, patients seem particularly sensitive to the diet. It's not entirely clear why eating a late dinner and skipping breakfast are so harmful, though.

A magazine published in circulation in 2017, we advance the idea that late – night meals are actually one of the biggest predictors of sauteed breakfasts. Minicucci also notes: "People who work late may be particularly likely to dine late and not be hungry in the morning," he said Thursday. The question is what happens when people skip breakfast because they are too full when they go to bed.

Some research suggests that skipping breakfast is not good news. For example, an article published in Stroke in 2016, heart disease rates were 14% higher among men who skipped breakfast than those who did not skip it, highlighting the potential impact of breakfast on metabolic health. However, when it comes to weight loss, other studies suggest that breakfast is not a quick fix, even though it is considered "the most important meal of the day".

With respect to the general population, it is still difficult to establish a causal relationship between mealtimes and heart health – perhaps because there are a multitude of different factors that determine what and, which is crucial, when someone eats. But for patients with a heart attack studied by Minicucci, it seems that the timing of meals really changes their path towards recovery, although he adds that this will have to be resumed in other studies to come .

"This is the first article that evaluates these habits in patients after myocardial infarction," he adds. "We use this type of study to formulate a hypothesis."

If a simple change of meal schedule can offset the risks that survivors of a heart attack face daily, it is worth looking into the matter.

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