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PHOTO: CLEVELAND CLINIC
People who skip breakfast and dine late or near bedtime may be more susceptible to heart attacks and post-heart attack effects, a new study said.
The researchers found that people with both eating habits had a risk of death, another heart attack or angina (chest pain) four to five times higher within 30 days of leaving the hospital following a heart attack. The study, published in the European Journal of Preventive Cardiology, is the first to evaluate these unhealthy behaviors in patients with acute coronary syndromes.
Skip breakfast was observed in 58% of the cases, the late dinner was consumed in 51% of cases and the two behaviors in 41% of cases. Hindustan Times. The study included patients with a particularly serious form of heart attack called ST-segment elevation myocardial infarction (STEMI).
PHOTO: AFP
"One in ten patients with STEMI die within one year and nutrition is a relatively inexpensive and easy way to improve the prognosis," said Marcos Minicucci, of Sao Paolo State University, Brazil.
Minicucci recommended a minimum interval of two hours between dinner and bedtime. "A good breakfast is usually made up of dairy products, a carbohydrate and whole fruits," he said in a statement. "It should have 15% to 35% of our total daily caloric intake."
The study included 113 patients with an average age of 60 years. About 73% of them were men. They were asked about eating behaviors when they were admitted to a coronary intensive care unit. Skip breakfast was defined as nothing before lunch, excluding drinks such as coffee and water, at least three times a week. Late-night dinner was defined as a meal less than two hours before bedtime, at least three times a week.
Minicucci noted that dinner late at night was defined by the two-hour interval between dinner and bedtime, rather than eating late at night. However, almost all participants with this habit ate late.
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Previous studies have shown that people who miss breakfast and have a late dinner are more likely to indulge in other unhealthy habits, such as smoking and staying idle. "Our research shows that both eating behaviors are independently linked to poor outcomes after a heart attack, but having a group of bad habits will only make the situation worse," said Minicucci.
He added: "People who work late may be particularly likely to eat late and not be hungry in the morning. We also believe that inflammatory response, oxidative stress and endothelial function could be involved in the badociation between unhealthy eating behaviors and cardiovascular consequences. "
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