Are you taking blood pressure medication if so read on …
Globally more than 10 million people die each year from conditions related to high blood pressure. In clinic we notice that high blood pressure medication is one of the most common medications that are clients take (outside the contraceptive pill).
The Hygia Chronotherapy trail, looked at 19,084 Caucasian Spanish men and women over a period of 6 years. Patients were split into two groups, with one asked to take their high blood pressure medication in the morning and one in the evening.
The patients that took their blood pressure medication before bedtime are 66% less likely to die from heart and circulatory conditions, according to the researchers.
Experts believe a person’s circadian rhythm or “body clock” can change the effect of the medication. The study found that blood pressure dipped lower at night in those who took the medication before bed compared to those who took it in the morning.
Researchers say that further studies looking at people of different ethnicities should take place before doctors change their advice to patients on when to take blood pressure medication.
Reference
https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehz754/5602478
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The Impact of Sitting All Day – Part 4
In part 1, I looked at the impact of sitting on your muscles, and in part 2 generally explored the impact on the rest of your body. In part 3 I focused on the impact of sitting on your circulatory system including your heart. In this article I will explore the impact of sedentary behaviour (sitting) and the link to cancer.
So how common is cancer? According to Cancer Research UKAnd here is the good news is more people survive cancer than die from it now.- Every two minutes someone in the UK is diagnosed with cancer.
- 1 in 2 people in the UK born after 1960 will be diagnosed with some form of cancer during their lifetime.
- Breast, lung, prostate and bowel cancers together account for over half of all new cancers each year.
- Overall cancer incidence rates in Great Britain have increased by more than a third since the mid-1970s, with almost this entire rise occurring before the late 1990s.
- 46% of men and 54% of women cancer patients diagnosed in 2010-2011 in England and Wales are predicted to survive 10 or more years.
- Cancer survival in the UK has doubled in the last 40 years.
Reflexology: Scientific Evidence of it’s effects physiological anxiety signs
Recently a scientific study (see details below) was published which evaluated the physiological anxiety signs and sedation needs of patients in intensive care units in a Turkish hospital.
Background It is an accepted medical fact that when it is necessary to mechanically ventilate patients in intensive care units of hospitals, the patients experience stress and anxiety. It is standard medical practice to relieve anxiety, pain, agitation with sedatives to ensure patient comfort. Sedatives however also have side effects causing high blood pressure, slow heart beat, coma, respiratory depression, muscle weakness and atrophy, increased risk of pneumonia, kidney problems and immunosuppression. It may also prolong the need for ventilation which in turn increases the risk of complications. Method 60 patients were split into two groups one of which was the control group. Sedation (Propofol) was reduced 30 min before treatment (or no treatment) which resulted in patients with mixed consciousness to which the outcome measure was administered. This was the American Association of critical care nurses sedation assessment scale (AACNSAS) and the vital signs recorded. Reflexology applied to ears, hands and feet bilaterally was given twice a day for a total of 30 minutes per day, over 5 days. The reflexology focussed on the brain, cortex, hypothalamus, hypophysis and subcortex; areas though to influence anxiety, agitation and stress response. No reflexology was given to the control group but the sedation was reduced and all the same measurements were taken. Results The physiological signs of anxiety and stress i.e. blood pressure, heart rate and respiratory rate were are reduced in the group that received reflexology on each of the 5 days. In addition there was a reduction in the requirement for sedatives in the group that received reflexology. Conclusions These findings ‘show that reflexology is an effective treatment in reducing the physiological signs of anxiety and stress in patients receiving mechanically ventilated support.’ This study provides scientific evidence to underpin the idea that reflexology has a beneficial effect on anxiety and stress.Title: Reflexology: It’s effects on Physiological Anxiety Signs and Sedation Needs Journal: Holistic Nursing Practioner Authors: E. Korhan, L. Khorshid, M Uyar Reference: 2014; 28 (1);6-23 Study Type: Randomised Controlled Trial - with control group receiving no treatment How to combat sitting all day
Sitting all day is a current health concern. While I know that sitting all day has been described as "the new smoking" until now this made me uncomfortable - as its not the same. You can get help to quit smoking. If you work in an office you are expected to sit and standing desks are rare, so you have no choice but to sit down. While I am aware that smoking is an addiction, I think it is still more within the individual's control than sitting if you work in an office. I am an optimistic person by nature, so I don't want to be the voice of doom for my readers about sitting. So I was very interested in some recent research which demonstrates how to limit the impact of sitting. Spending much of the day sitting around increases the risk for heart disease, type 2 diabetes, cancer and ultimately, death - with 50,000 people anually in the UK dying as a result, say researches from Queen's University in Belfast. Around 30% of adults spend at least six hours a day during the week sitting and this rises to 37% at weekends. Roughly one-thrid of people who are sedentary will have at least two major health conditions, such as heart disease and type 2 diabetes. Researchers from the American Cancer Society estimate that just 30 minutes of some physical activity would halve the death rates from chronic diseases such as heart disease and cancer. So 30 minutes of physical activity per day (like walking) is what researchers currently think is required to combat sitting all day. References Journal Epidemiol Community Health. 2019 Jul;73(7):625-629. doi:10.1136/jech-2018-211758 Americal Journal of Preventive Medicine, Mortality Risk Reductions for Replacing Sedentary Time with Physical Activities, Rees-Punia, Erika et al. Volume 56, Issue 5, 736-741
