People who have suffered a heart attack and who are used to skip breakfast and eat dinner before bedtime are four to five times more likely to have another heart attack or angina within 30 days after discharge.
A study published in the European Journal of Preventive Cardiology showed that patients with these two eating habits have a worse prognosis of life.
People who work late may be particularly sensitive to late dinner, and not to be hungry in the morning, said Marcus Minicchi from the State University of Sao Paulo, Brazil and author of the study.
The analysis included 113 patients with an average age of 60 years and 73% men. They were asked about eating behaviors when entering a coronary intensive care unit.
Breakfast skipping was defined as lunch, except drinks, such as coffee and water, at least three times a week. A last-minute dinner was set up as a meal within two hours of bedtime at least three times a week.
For the first time, these unhealthy behaviors were assessed in patients with severe coronary symptoms and 58% were skipped breakfast, 51% ate very late, and 41% showed behaviors.
Patients with a particularly severe form of heart attack called myocardial infarction with ST-segment segment (STEMI) participated, of which one in 10 died in one year.
The study showed that two dietary behaviors are independently linked with poorer results after a heart attack, but after a series of bad habits only worsen the situation.
Researchers believe that inflammatory response, oxidative stress and endothelial function can participate in the association between unhealthy eating behavior and cardiovascular outcomes.
The expert recommended a minimum interval of two hours between dinner and bed, and recalled that the best way to live is "breakfast like a king."
A good breakfast usually consists of dairy products (low-fat or low-fat milk, yogurt and cheese), carbohydrates (whole grain bread, bagels, cereals) and whole fruits. It should cover between 15 and 35 percent of your daily calorie intake.
Previous studies have found that people who do not eat breakfast and eat later are more likely to have other unhealthy habits such as smoking and low levels of exercise, according to the new analysis.
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