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collect, study, and analyze the information.Can Stress Cause Stomach Pain?
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Does Stress Really Cause Heart Disease?
Scottish Study Questions Link (5/23/02)
Researchers in Scotland followed a group of men for more than 20 years and found that those who reported the most stress actually died less often from heart attacks and had fewer objective signs of heart disease. Surprisingly, these men also tended to smoke more, drink more, and exercise less than other men in the study.
"We aren't saying that stress protects your heart, and we certainly aren't saying that smoking, drinking to excess, and taking no exercise are good for you," says lead author John Macleod, MD, of the University of Birmingham in England. "Of course, these things are bad for you. But we found that with regard to stress, other factors came into play."
Specifically, Macleod and colleagues found that men reporting more stress tended to be more socially and economically advantaged. These men reported more symptoms of heart disease, but they also experienced fewer heart attack deaths over the study period. This led the authors to conclude that the protective benefits of affluence, such as better access to medical care, help to offset an unhealthy lifestyle. The findings were reported in the May 25 issue of the British Medical Journal.
The researchers suggest that the link between stress and heart disease seen in past studies is largely due to reporting bias. In other words, the people most likely to report significant stress are also most likely to report symptoms of cardiovascular disease and seek treatment for it.
"There is no strong scientific evidence that stress is an independent risk factor for heart disease," Macleod tells WebMD. "I am sure that there will be people who disagree with our findings, and I hope this research prompts healthy debate."
Researcher Peter P. Vitaliano, PhD, of the University of Washington, contends that chronic stress is directly linked to heart disease risk, but that link is exacerbated by poor health habits.
Vitaliano and colleagues recently followed a group of older adults who were caring for spouses with Alzheimer's disease. At the start of the study, the caregivers had a prevalence of heart disease that was similar to that of age-matched adults who were not caring for spouses with Alzheimer's. But the incidence of heart disease among male caregivers was almost double that of non-caregivers two-and-a-half years later. The findings were reported in the May issue of the journal Psychosomatic Medicine.
"We found that the association between stress and heart disease is not simple. It is very complicated," Vitaliano tells WebMD. "There are many factors that come into play, but poor health habits are among the most important."
The researcher says male caregivers reporting poor eating and exercise habits were at the highest risk of developing heart disease.
"Psychological distress tends to promote poor health habits, and
this sets you up for heart disease," Vitaliano says. "But the other
side of this is that even someone who is under tremendous and
unavoidable stress can limit their health risks by adopting a healthy
lifestyle and maintaining a strong social support system."
Source: By Salynn Boyles, WebMD Medical News,
reviewed by Charlotte Grayson, MD my.webmd.com/condition_center_content/mhp/article/2950.1737
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Source: The Fox News Story: www.foxnews.com/story/0,2933,52784,00.html
You don't get ulcers from what you eat. You get them from what's eating you. - Vicki Baum
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