NewsMakers
Tai chi lifts spirits of people with heart disease
Heart patients who feel gloomy should try tai chi, according to research published today in the European Journal of Cardiovascular Nursing, a journal of the European Society of Cardiology (ESC).1 The mind-body exercise was linked with a boost in both mood and quality of life.
“If you’ve had a heart attack or stroke, or are affected by another heart condition, I would strongly recommend adding tai chi to your recovery and rehabilitation,” said study author Dr. Ruth Taylor-Piliae of the University of Arizona. “There are physical benefits like improved balance and it’s good for mental health too.”
Cardiovascular diseases are lifelong chronic illnesses. After a heart attack, for example, people live with coronary heart disease or heart failure for the rest of their lives. Many patients experience unpleasant feelings or emotions that affect their ability to live life to the full – the medical term is “psychological distress” and includes depression, anxiety, and stress.
Depressive symptoms, for instance, affect approximately 20% of patients with coronary heart disease, 20% of patients with heart failure, 27% of those with high blood pressure, and more than one-third (35%) of stroke survivors.
Tai chi combines a series of set movements, such as “wave hands like clouds”, with relaxation and breathing. It’s a mind-body exercise because it requires concentration on posture, relaxation and breathing.
Studies of this activity in patients with cardiovascular disease have generally been small. This is the first combined analysis of clinical trials from the past decade examining the effect of tai chi on psychological wellbeing in adults with coronary heart disease, heart failure, hypertension, and stroke. A total of 1,853 patients from 15 clinical trials were included in the analysis. The average age of participants was 66 and 44% were women.
Tai chi was linked with less psychological distress as a whole. It was also associated with a reduction in depression. The connection with anxiety was not statistically significant, possibly due to insufficient numbers of patients (depression was more frequently studied).
Patients with cardiovascular disease often have poor quality of life due to unpleasant symptoms (for example shortness of breath) or disability. The study found that tai chi was also associated with better quality of life. This included mental health quality of life (how they felt, ability to go out and socialise, etc.) and physical health quality of life (walking, ability to do daily activities, etc.).
There were differences according to the type of diagnosis – notably, tai chi did not have a significant impact on wellbeing in stroke survivors. Dr. Taylor-Piliae said: “This is because there were very few studies on psychological wellbeing or quality of life variables in this group. There is a lot of research on tai chi in stroke survivors but nearly all of them looked at physical function such as balance and gait.”
More research is needed on how this mind-body activity exerts its mental health benefits. But Dr. Taylor-Piliae said: “I think it’s the synergy between postures and breathing. During tai chi you have good body posture, and research has shown that this enhances mood. We also know that holding your breath can cause stress and anxiety.”
She cautioned against learning the movements from scratch online, since incorrect foot placements could cause knee pain. “During the COVID lockdown, you could search for where there are some group-based tai chi classes so you’re ready to enrol when they restart,” she said.
Dr. Taylor-Piliae concluded: “Tai chi is well suited for people of any age or exercise ability and can be safely adapted for anybody. People with low tolerance to exercise or breathing problems can do it in a chair. Group classes for others with cardiovascular disease are a positive place for social support and camaraderie – there is no judgement; you just do what you can.”
NewsMakers
The look and feel of your neighborhood may affect your sleep
Those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape.
Your neighborhood’s “streetscape”—the physical environment of your street—is something that you have probably never consciously thought about, despite seeing it every day. But what if the streetscape was affecting you on a subconscious level and disrupting your sleep?
This intriguing question is posed by the findings of a study led by Professor Daisuke Matsushita of the Graduate School of Human Life and Ecology at Osaka Metropolitan University. The research team used AI to analyze more than 200,000 Google Street View images to identify visual neighborhood characteristics. They then linked these characteristics to the self-reported sleep of 1,089 working adults living on the lower floors of apartments in Tokyo, who were most likely to be affected by the streetscape.
They found that those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape. Generally, people slept longer in areas with lots of greenery, such as leafy trees, on the street. Similarly, high “enclosure”—meaning many tall vertical buildings and few wide-open spaces—was also associated with longer sleep and fewer insomnia symptoms.
However, the study also made a surprising finding. The researchers found that highly walkable streetscapes, such as those with more sidewalks and traffic signs, were associated with a lowered sense of safety and shortened sleep duration.
This suggests that walkability does not always represent a reassuring environment. Instead, a possible explanation is that streets with extensive pedestrian infrastructure are often busier, more crowded, and used by more strangers, which may be perceived as less safe or less relaxing than quieter residential streets.
“This study demonstrates the potential for evaluating streetscape characteristics across large geographic areas in a cost-effective manner,” Dr. Matsushita said. “Based on the technique used in this study, cities could potentially measure perceived safety, beauty, liveliness, and enclosure as well as pollution and noise.”
“We hope that opening up this new perspective creates further possibilities for designing healthier neighborhoods,” he concludes.
The findings were published in Building and Environment.
NewsMakers
Workout or nap? Either can help your sleepless brain, study finds
People who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither.
A short workout or a nap can help protect memory after a sleepless night, a McGill University-led study has found.
Researchers found people who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither. The findings, published in Proceedings of the National Academy of Sciences (PNAS), point to practical ways to counter the effects of sleep deprivation.
“Sleep loss affects nearly every aspect of how we think and function, but many people can’t simply stop what they’re doing and get more sleep,” said senior author Marc Roig, Professor in McGill’s School of Physical and Occupational Therapy. “Our findings show that even a brief bout of exercise may help preserve one of our most important cognitive abilities.”
The study involved 54 healthy young adults who stayed awake for 30 consecutive hours under lab supervision. Participants were then assigned to one of three groups: a 20-minute cycling session, a 90-minute nap or a control condition. Three days later, researchers tested their memory for images they had viewed immediately after the intervention. Those who exercised or napped remembered significantly more images than participants who did neither.
Same result, different pathways
While the memory benefits were nearly identical, brain recordings revealed that exercise and napping helped in different ways.
Napping appeared to help the brain recharge, making it easier to take in and remember new information. Exercise, by contrast, helped the brain use its remaining resources more efficiently, without making participants feel more tired.
The findings could eventually inform fatigue-management strategies in workplaces where sleep loss is common and mistakes can have serious consequences, such as health care, transportation and emergency response.
“A nap isn’t always possible in the middle of a shift,” said first author Madhura Lotlikar, a doctoral candidate in McGill’s Department of Neurology and Neurosurgery. “Exercise is accessible, inexpensive and easy to implement. That makes it a promising tool to help people stay cognitively sharp when sleep is limited.”
The researchers emphasize that exercise cannot replace sleep, but it may help people function better when getting enough rest isn’t possible.
About the study
“Protecting episodic memory after sleep loss: Similar benefits of exercise and naps via distinct neural contributions” by Madhura Lotlikar and Marc Roig et al., was published in Proceedings of the National Academy of Sciences of the United States of America.
NewsMakers
Study links coffee consumption to metabolic health and sex hormones
Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.
Coffee is one of the world’s most widely consumed beverages, and previous research has linked its consumption to a lower risk of conditions such as type 2 diabetes and cardiovascular disease. However, the biological mechanisms behind these benefits remain unclear. A new Finnish study links habitual coffee consumption to healthier body composition and metabolic markers, while revealing distinct associations with sex hormones in men and women.
The study, conducted at the University of Oulu, analysed data from 2,264 participants aged 46 in the Northern Finland Birth Cohort 1966. Researchers examined how habitual coffee consumption was associated with circulating metabolites, cardiometabolic risk markers and sex hormones.
Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.
In both men and women, higher coffee consumption was correlated with lower circulating levels of branched-chain amino acids, biomarkers that have previously been linked to insulin resistance and an increased risk of type 2 diabetes when chronically elevated.
The strongest sex-specific associations were observed in men. Higher coffee consumption was linked to a more favourable glucose–insulin profile, higher concentrations of total and bioavailable testosterone, and increased levels of sex hormone-binding globulin (SHBG). At the same time, free testosterone and the free androgen index were modestly lower. In women, hormonal associations were more limited and were primarily characterised by higher SHBG and lower measures of free androgens.
“Coffee is consumed by millions of people every day, yet we still know surprisingly little about how it relates to our metabolism and hormones. What stood out in our findings was a distinct hormonal signature that didn’t disappear even after we took into account BMI and lifestyle factors, with several of these associations differing between men and women,” says Luca Verroest, lead author of the study and Doctoral Researcher at the University of Oulu.
The results suggest that hormonal pathways may partly explain the relationship between coffee consumption and metabolic health. However, as this was an observational study, the findings demonstrate associations rather than cause-and-effect relationships.
The study is particularly relevant in Finland, one of the world’s highest coffee-consuming countries, where annual consumption averages around 11.8 kilograms per person.
The researchers say the findings provide a foundation for future studies aimed at determining whether coffee itself drives these biological changes and identifying the compounds responsible. These questions are currently being investigated in animal models, with the long-term goal of progressing to human intervention studies. Further research will be needed before the findings could inform dietary recommendations.
The study, Associations of habitual coffee intake with testosterone and cardiometabolic markers: the Northern Finland Birth Cohort 1966 study, has been published in the European Journal of Nutrition.
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