Stress Archive

Ask the doctors

Q. I've heard a lot recently about inflammation being a health risk, but I'm not sure I really understand what it is. Can you explain?

A. When people talk about inflammation, they're actually talking about your immune system's response to a perceived injury or infection. When you're injured, this inflammation is actually a good thing. The area you injured will become red and swell as an army of beneficial white blood cells flow in to fight infection and help you heal. The same response occurs in other parts of your body when you encounter a virus or infection. But sometimes this immune response occurs when it shouldn't. It can be triggered, for example, when you are exposed to toxins, and by other causes such as chronic stress, obesity, and autoimmune disorders. In these cases, instead of moving in, healing the problem, and then returning to normal, the inflammation persists over time. It's thought that this chronic state of inflammation can lead to numerous health problems, including heart disease, arthritis, depression, Alzheimer's disease, and even cancer.

Research we're watching

A long work week may raise your blood pressure, according to a study published online Dec. 19, 2019, by Hypertension. Researchers found that among more than 3,500 Canadian workers, those who worked 49 hours a week or more were more likely to have high blood pressure than workers who were on the job fewer than 35 hours a week. Blood pressure was measured at the start and end of the five-year study as well as once midway through. Readings were taken by both a trained technician and a wearable monitoring device. Even after adjusting for other factors, the 49-hour-plus workers were 70% more likely to have a type of high blood pressure called masked hypertension (normal blood pressure readings at doctor visits but high outside of that setting) and 66% more likely to have sustained hypertension (defined as consistently high blood pressure readings both in and outside of the doctor's office). People who worked 41 to 48 hours a week also had higher blood pressure than those who worked fewer than 35 hours a week.

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Research we're watching

Long-term exposure to traffic noise has been linked to a greater risk of heart disease. New research reveals additional clues about this connection.

Researchers studied nearly 500 adults over a five-year period and gathered traffic and aircraft noise data for each person's home address. After adjusting for other factors that contribute to cardiovascular risk (including air pollution), they found that every 5-decibel increase in the average 24-hour noise level was associated with a 34% increase in heart attacks, strokes, and other serious heart-related problems.

Dopamine is a neurotransmitter involved in the body’s system for reward and pleasure. A recent trend has people avoiding stimulating activities in the belief that doing so allows the body to reset from being overstimulated, but the original idea has been misunderstood and wrongly applied.

Changing your mindset doesn't mean taking a Pollyanna view of the world. The key isn't to deny stress, but to recognize and acknowledge it—and then to find the upside, because a full-throttle fight-or-flight response is not the only possible reaction to stress (at least when the stress does not involve a potentially life-threatening situation).

In people with a more stress-hardy mindset, the stress response is often tempered by the challenge response, which accounts for the so-called excite-and-delight experience that some people have in stressful situations, such as skydiving. Like the typical stress response, the challenge response also affects the cardiovascular system, but instead of constricting blood vessels and ramping up inflammation in anticipation of wounds, it allows for maximum blood flow, much like exercise.

Chronic stress is associated with an increased risk of heart disease, heart attacks, and strokes. These strategies can help you manage it.

People often complain about stress, but it's actually a natural reaction with an essential purpose.

When the body senses danger, it starts its fight-or-flight response. Your nervous system releases hormones like adrenaline and cortisol, which jolt the body into a protective mode. Your heart pounds faster, muscles tighten, blood pressure rises, breathing quickens, and your senses sharpen.

Ask the doctors

Q. I have a very stressful job, and recently my blood pressure readings started going up. Could my job stress be the reason why?

A. Yes, chronic stress can affect blood pressure. Several hormones affect your heart's rhythm, including epinephrine and norepinephrine. When these hormone levels rise, your heart starts to work harder. Stress hormones can also constrict your blood vessels, causing temporary blood pressure spikes.

In the journals

Over-the-counter pain medicines that contain caffeine can be effective at stopping some headaches. But drinking a large amount of caffeinated beverages might actually trigger a headache for some people with migraines, according to a study published in the August 2019 issue of The American Journal of Medicine.

Researchers recruited almost 100 people with migraines who suffered from fewer than 15 headaches per month. For six weeks, they recorded the timing and characteristics of each migraine and their intake of caffeinated beverages.

Your money might be better spent on something else.

During the winter months, you've likely seen ads for products that claim to give your immune system a boost to help you ward off colds and the flu. But can something in a bottle, whether a vitamin formulation or probiotic, really rev up your immune system to help you stay healthy?

"Unfortunately, the reality is that those kinds of products aren't really offering you any benefit," says Michael Starnbach, a professor of microbiology at Harvard Medical School. "There's no evidence that they help in fighting disease."

Research we're watching

Having a dog often means taking daily walks, a habit that helps stave off heart disease. But that might not be the only reason dog owners have healthier hearts, according to a new study.

The nearly 1,800 participants had no history of heart disease in 2013 when the study began. Researchers scored them based on the American Heart Association's "Life's Simple 7" factors: body mass index, diet, physical activity, smoking status, blood pressure, blood sugar, and total cholesterol. Then they compared the scores of people who owned any pet to those who did not own pets, as well as the scores of dog owners with owners of any pet or no pet.