Navigation Links
Optimism About Heart Risk Pays Off
Date:7/14/2008

Study finds lower death rate for men with upbeat outlook, but same did not hold true for women

MONDAY, July 14 (HealthDay News) -- Men who thought they had a lower risk of dying from heart disease turned out to be right over the next 15 years, no matter what their conventional risk factors showed.

The death rate for men who had the optimistic point of view was only one-third that of those who listed themselves as being at average risk, said the report in the July/August issue of the Annals of Family Medicine.

But the happy result of an upbeat outlook was not seen among the women in the study. The cardiovascular death rate was the same for women who listed themselves as having below-average risk as for those who said they were at average risk.

The lesson of the study isn't that men can cheerfully ignore what their doctors tell them about risk factors such as cholesterol, smoking and obesity, said Dr. Robert Gramling, who led the study while at Brown University. He now is assistant professor of family medicine at the University of Rochester, in New York.

It does say that physicians could do a better job of describing risk factors and what to do about them, Gramling said.

"In medical systems, we often have a pessimistic bias," he said. "We use normative language, telling people their risk might be high. Using the Framingham Heart Score places a fair amount of people into the categories of high or very high risk. After the age of 40, 80 percent might be viewed as at high risk."

That is how a physician would see it, but it is a question "of how we communicate uncertainty to patients about different aspects of medical care," he said.

A high-risk classification often strikes fear, "and I would suggest that fear-based prevention, meaning making changes based on fear, is not as helpful as holding an optimistic view," Gramling said. "We should focus on helping make changes easy to do, rather than on making people more fearful."

The failure to see a similar effect in women can be explained by the era in which the study was started -- the early 1990s, when the focus was entirely on the risk of cardiovascular disease for men, he said.

Today, it is widely known that cardiovascular disease is the leading cause of death for American women as well as men, Gramling said. "So, in men, you got more of a fear response," he said. "In women, being at higher risk was not as threatening. That might not be true any more."

Gramling is working along the same lines at Rochester. "The next step is to test under what conditions holding an optimistic view is most helpful and under what conditions it is not helpful," he said.

Meanwhile, there is no harm in feeling cheerful about cardiovascular health, as long as you follow the advice about the value of a good diet, exercise, blood pressure control and the like, Gramling said.

Another report in the same issue of the journal described a helpful outcome of combined treatment for high blood pressure and depression. A study of 64 adults found that those who had drug therapy for both conditions simultaneously achieved lower blood pressure level and were more likely to take their antidepressant drugs on schedule, according to physicians at the University of Pennsylvania.

More information

A scale for determining your individual cardiovascular risk is provided by the National Cholesterol Education Program.



SOURCES: Robert Gramling, M.D., assistant professor, family medicine, University of Rochester, N.Y.; July/August 2008, Annals of Family Medicine


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Expenses Overshadow Optimism for Kidney Failure Patients
2. Cautious Optimism for New Alzheimers Medications, Reports the Harvard Mental Health Letter
3. Donate Life America Dispels Myths About Organ & Tissue Donation Among Hispanics During National Hispanic Heritage Month
4. Researchers estimate about 9 percent of US children age 8 to 15 meet criteria for having ADHD
5. New Survey Shows Americans are Still Concerned About Food Safety, Yet Still Not Smart About What They Like to Eat
6. The Philadelphia Walk Now for Autism Expected to Draw 10,000 Walkers and Raise $1 Million to Help Find Answers About the Nations Fastest-Growing Developmental Disorder
7. One of the Largest Post-WHI Physician Surveys Shows More Education is Needed: Patient Misinformation About Hormone Therapy Remains High
8. Middle School Marks Most Critical Time to Start Ongoing Conversations About Drug and Alcohol Use With Kids
9. The 7 Key Questions About the Schwarzenegger/Nunez Health Care Compromise
10. Blue Cross Blue Shield of Michigan Corrects News Story about Drug Coverage Announcement
11. Hospitals Agree to Pay Fees in Exchange for More Income, but Consumers in the Dark About What Theyll be Charged Under Nunez Plan
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Optimism About Heart Risk Pays Off
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and ... explains one of the most popular and least understood books in the Holy Scriptures, ... puzzling descriptions that have baffled scholars for centuries. Many have tossed it off as ...
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare Compliance (FHC), ... will showcase a range of technology and learning solutions at the 68th Annual ... Expo to be held October 14–18, 2017 at the Mandalay Bay Resort in ...
(Date:10/12/2017)... ... , ... The American College of Medical Informatics (ACMI) will present the 2017 ... Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium is ... pioneer in the field of medical informatics, this prestigious award is presented to an ...
(Date:10/12/2017)... ... 12, 2017 , ... Leading pediatric oncology experts at Children’s National Health ... Congress of the International Society of Paediatric Oncology (SIOP) Oct. 12-15. Chaired ... Cancer and Blood Disorders at Children’s National, and Stephen P. Hunger, M.D., Chief ...
(Date:10/12/2017)... ... 2017 , ... Vohra Chief Medical Officer Dr. Shark Bird, ... nursing facility medical directors and other clinicians at various events in October. His ... many of these conferences we get to educate other physicians, facility nurses, corporate ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... , Oct. 10, 2017  NDS received FDA 510(k) clearance ... a medical-grade battery-powered display stand specifically designed for endoscopy environments. An ... technology into a clinical solution to support the improvement of patient ... Innovative Design ... Wireless Solution ...
(Date:10/5/2017)...  In response to the nationwide opioid epidemic, ... (AAOMS) released prescribing recommendations that urge ibuprofen – ... a first-line therapy to manage a patient,s acute ... Recognizing the value and importance of the ... Acute and Postoperative Pain Management" stresses that practitioners ...
(Date:10/4/2017)... 4, 2017 OBP Medical , ... medical devices, today announced regulatory approval from ... (or Agência Nacional de Vigilância Sanitária (ANVISA)) to ... surgical retractor with integrated LED light source and ... and exposure of a tissue pocket or cavity ...
Breaking Medicine Technology: