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Breast cancer mammogram screenings should start at age 40 instead of 50, says health task force

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Breast cancer mammogram screenings should start at age 40 instead of 50, says health task force

Women should get mammograms every other year starting at age 40, according to updated recommendations from the U.S. Preventive Services Task Force (USPSTF).

This is a significant change from previous guidelines, which said women should begin biennial mammograms at age 50, but could opt to begin as young as 40.

The task force also noted that there is not sufficient evidence to “assess the balance of benefits and harms” of additional breast cancer screenings — including ultrasounds and MRIs — for women with dense breast tissue who have had an otherwise negative screening mammogram. 

SOME BREAST CANCER PATIENTS COULD BE AT RISK OF ANOTHER TYPE OF CANCER, STUDY REVEALS

The USPSTF previously released these recommendations in draft form in May 2023. 

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Tuesday’s announcement makes the guidance official.

Women should get mammograms every other year starting at age 40, according to updated recommendations from the U.S. Preventive Services Task Force. (iStock)

Other medical groups have already been recommending mammograms starting at younger ages.

The American College of Radiology recommends starting annual screenings at age 40 for women of average risk, with earlier screenings for high-risk patients.

The American Cancer Society states that women between 40 and 44 have the option to get annual mammograms, and officially recommends that women between 45 and 54 get them every year.

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The updated guidance is in response to cancer rates rising among young people and breast cancer rates rising in particular, experts say.

Between 1990 and 2019, cancer rates among people 50 and younger have risen by 79%, according to research published in BMJ Oncology.

Mammogram

The previous guidance stated women should begin biennial mammograms at age 50, but could opt to begin as young as 40. (iStock)

Cancer rates for people under 50 are projected to rise by 31% by the year 2030, data shows. 

Breast cancer is the second leading cause of cancer death in women, according to the American Cancer Society, with rates rising 2% each year since 2015.

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AN OVERVIEW OF BREAST CANCER, SYMPTOMS TO LOOK OUT FOR, WHEN TO START THINKING ABOUT ROUTINE SCREENINGS

One in eight women will develop breast cancer in their lifetime, and each woman has a one in 40 chance of dying from the disease.

The earlier screening recommendation could save 19% more lives, the USPSTS stated.

Woman at doctor's office

Breast cancer is the second leading cause of cancer death in women, according to the American Cancer Society. (iStock)

Reactions to the recommendation

Dr. Michelle Specht, a breast surgeon and co-director of the Avon Comprehensive Breast Evaluation Center at Mass General Cancer Center, said she is “thrilled” that the USPSTF has finalized its recommendations for earlier screenings.

“We have seen a rise in the incidence of breast cancer in women in their 40s over the last eight years and know that starting mammography at 40 will allow us to detect cancers at a smaller size and earlier stage,” she told Fox News Digital. 

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“Early detection not only leads to improved survival, but an improved quality of life. As a surgeon, I am able to do smaller surgeries — and my medical oncology colleagues can deescalate treatment — when cancers are detected early.”

Woman getting mammogram

One in eight women will develop breast cancer in their lifetime, and each woman has a one in 40 chance of dying from the disease. (iStock)

Dr. Karen Knudsen, CEO of the American Cancer Society in Virginia, said in a statement the decision is a “critical change concerning women’s health and the fight against breast cancer,” and that it sends “a strong message to referring physicians and women that breast cancer screening should begin earlier than age 50.”

“Mammography screening is the cornerstone of our strategy to find this potentially deadly disease early, when it’s easier to treat successfully,” she said in the statement.

gyno looks at mammogram

“Mammography screening is the cornerstone of our strategy to find this potentially deadly disease early, when it’s easier to treat successfully,” said the CEO of the American Cancer Society. (iStock)

“We are encouraged that among the reasons for the USPSTF changes in their breast cancer screening recommendations include eliminating health disparities, especially among Black women, who are 40% more likely to die of breast cancer compared with White women and have a higher risk of aggressive breast cancers at all ages,” Knudsen added.

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Dr. Nancy Chan, a medical oncologist at NYU Langone Perlmutter Cancer Center, shared her reaction to the updated guidelines.

“No significant difference was found in different screening methods, i.e., DBT (digital breast tomosynthesis) versus digital mammogram,” she told Fox News Digital. 

“In patients with dense breast tissue, the addition of MRI may reduce cancer risk and false positive recalls.”

Doctor with woman

If a woman has a family history of breast cancer, she should meet with her doctor to have a breast cancer risk analysis performed, a doctor said.  (iStock)

In clinical practice, Chan said the majority of patients undergo annual screenings with mammograms, instead of once every two years.

“Practically, in the urban setting, most patients are already and will continue to have screening with mammogram with tomosynthesis (3D mammography),” she added.

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“Each patient must consider the best screening method for their individual cancer risk, such as breast density and family history.”

If a woman has a family history of breast cancer, she should meet with her doctor to have a breast cancer risk analysis performed, Specht said. 

“This risk analysis will allow their physician to tailor breast cancer screening,” she noted. 

“A woman at high risk of developing breast cancer may begin prior to 40 and may do both mammograms every year, [along with] supplemental screening, such as a breast MRI.”

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Three women — ages 41, 55 and 64 — share their secrets to better health and longevity

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Three women — ages 41, 55 and 64 — share their secrets to better health and longevity

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For an increasing number of women over 40, age really is just a number.

It may not be possible to stop the passage of time — but certain healthy habits can help slow down biological age, experts say.

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“As we age, our abilities to perform certain physical and cognitive tasks decline, while our risks for disease and ultimately death increase,” Chris Mirabile, CEO and founder of NOVOS, a longevity supplements company in New York, told Fox News Digital.

“Although these changes are correlated with chronological age, biological age is a more accurate predictor, because it looks at individuals and how well – or poorly – they are aging.”

TO LIVE LONGER, DO THESE 5 THINGS EVERY DAY, SAYS A BRAIN HEALTH EXPERT

If a 40-year-old woman has a biological age of 35, it implies that she is biologically in the same place as an average 35-year-old, Mirabile said – which means a significant reduction in risk for disease and death, plus an increased capacity for activities associated with a high quality of life.

Left to right, Julie Gibson Clark, Amy Hardison and Lil Eskey shared the lifestyle habits that help them slow down biological aging. (James Lee; Amy Hardison; Lil Eskey)

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For Women’s Health Month, three mothers at three different stages of life shared how they are defying age through simple lifestyle practices and interventions.

The women all participated in a six-month-long trial of NOVOS Core and Boost, supplements that are designed to slow down the aging process. Over the course of the study, they took three epigenetic tests, which analyzed DNA via a small blood sample to measure their “pace of aging.”

Lil Eskey, 41 years old, still has young kids

Lil Eskey, 41, is a stay-at-home mom and former fitness instructor in Phoenix, Arizona.

Growing up, she frequently had allergies and a constant sore throat. 

“The way that my mom handled it was to put me on antibiotics so many times when I was a kid,” she told Fox News Digital. 

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Lil Eskey with son

Lil Eskey, 41, pictured with her son, is a stay-at-home mom and former fitness instructor in Phoenix, Arizona. Maintaining a more youthful energy level is important to Eskey, as she is still raising young children. (Lil Eskey)

“I also had gut issues most of my life, so my path into health and wellness stemmed from trying to figure out what was going on with my body.”

Prioritizing her sleep is the biggest thing Eskey does for her health, she told Fox News Digital. 

“Good sleep is so underrated,” she said.

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“Having a consistent bedtime and wake-up time is so important for overall wellness. Everything works so much better when you’re well-rested, including any stressors in your life or anything going on with the mind.”

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Eskey also tries to incorporate movement into her life wherever possible. 

“When my son goes to preschool, I pull him on a bike trailer. The same goes for anything that’s a few miles away, like grocery shopping.”

“I want to be completely present for my kids and maintain a level of energy and vitality in life.”

After dinner, the family often goes out on bike rides or jumps on the trampoline. 

“We do anything to make it fun,” she said.

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When it comes to mental health, Eskey has made the decision not to use social media.

Lil Eskey hiking

Pictured on a hike, Eskey said she incorporates movement into her life wherever possible.  (Lil Eskey)

“I hear about anything that’s super important, and I’ll check the news occasionally to see what information I need, but to me, social media just seems like an additional stressor on the body,” she said. 

Eskey and her family often experiment with different health practices, she said. 

“I listen to different podcasts on health and fitness to hear about new science or new ideas, and then we’ll test it out to see what works,” she said. 

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“For example, I realized I feel way better when I have a couple of hours between having my last meal and going to bed.”

She’s also experimented with using a continuous glucose monitor to track her blood sugar.

“We’re always just doing different experimental things to see what makes the biggest change,” Eskey said.

Woman sleeping

Prioritizing her sleep is the biggest thing Eskey does for her health, she told Fox News Digital. “Good sleep is so underrated,” she said. (Photo Illustration by Ute Grabowsky/Photothek via Getty Images)

She has also been using anti-aging supplements from NOVOS. During the course of the study, Eskey’s biological pace of aging was reduced from .99 to .77.

“The time we’re here on this earth doesn’t always have to reflect the cumulative stress on our bodies. Rather, it’s stress that causes aging,” she said. 

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“It’s more important now than ever, with all the toxins and stressors we’re facing.”

Maintaining a more youthful energy level is important to Eskey, as she is still raising young children, she said.

Lil Eskey

“The biggest thing is being able to keep up with my kids and be totally active,” Eskey said.  (Lil Eskey)

“The biggest thing is being able to keep up with my kids and be totally active,” she said. 

“When my kids want to play at the park, it’s important to me that I’m not just sitting on the bench watching them. I want to be completely present for my kids and maintain a level of energy and vitality in life.”

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Julie Gibson Clark, 55 years old, focuses on movement

A recruiter who lives in Phoenix, Arizona, Julie Gibson Clark said she focuses on seven key areas to help slow down biological aging.

The first is movement, both strength and cardio. “I focus on full-body strength training twice per week and a mix of zone 2 and Vo2Max training the rest of the week,” she told Fox News Digital.

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In her diet, Clark focuses heavily on veggies.

“I mix cooked greens and veggies, about 1 pound total every day,” she said. “I started small (about 4 ounces) and added about 1 ounce per week.”

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Clark also prioritizes 90 to 100 grams of healthy protein each day: a mix of vegan protein, collagen and healthy, pasture-raised meats and eggs.

Julie Gibson Clark

Julie Gibson Clark, a recruiter who lives in Phoenix, Arizona, said she focuses on seven key areas to help slow down biological aging. (Julie Gibson Clark)

Sleep is also a big priority for Clark. “It’s hard to perform well at anything without proper sleep,” she told Fox News Digital.

Saunas and cold showers are another part of Clark’s regular routine. “This is my natural antidepressant and helps with focus during the day,” she said. “For anyone struggling with low mood or stressful times, I highly recommend trying this.”

Clark also began meditating in 2019, which she described as “a game-changer for stress and sleep.” 

“I like to think of longevity practices like a braid with three strands — exercise, eating right and prioritizing sleep.”

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“Twenty minutes every afternoon improves my sleep and allows me to recalibrate stress levels during the day,” she said.

Clark also takes NOVOS supplements, which she credits with increasing her energy levels and slowing her pace of aging by 8%, according to the study results.

Julie Gibson Clark

“When you start moving, you’ll likely be more motivated to eat well, and your sleep will be better. When you sleep, it’s easier to stay on track with your diet and fitness plans,” Clark said. “They all work together.” (James Lee)

“I like to think of longevity practices like a braid with three strands — exercise, eating right and prioritizing sleep,” she told Fox News Digital. “And there’s an extra colorful strand in there: supplements. Each of these works together to help the others.”

She added, “When you start moving, you’ll likely be more motivated to eat well, and your sleep will be better. When you sleep, it’s easier to stay on track with your diet and fitness plans. They all work together.”

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Clark said she adheres to the motto, “It’s not the years in your life, but the life in your years.”

“I want all the years I have to be full of mobility, vibrance and vitality.”

Amy Hardison, 64 years old, makes exercising fun

A writer and grandmother of 11 in Mesa, Arizona, Amy Hardison has always had consistent health and exercise habits.

“I have exercised aerobically an hour a day, six days a week for 50 years and have rarely missed a day,” she told Fox News Digital. 

“I always listen to an audiobook while exercising, making it even more fun.”

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Amy Hardison

Amy Hardison’s favorite exercises include swimming and working out on the elliptical. “I love working out at home — other people love going to a gym and having a trainer. Do whatever works for you and then do it consistently,” she advised. (Amy Hardison)

Hardison’s favorite exercises include swimming and working out on the elliptical. 

“I love working out at home — other people love going to a gym and having a trainer. Do whatever works for you and then do it consistently,” she advised.

Regarding nutrition and exercise, Hardison’s philosophy is to find something you love that you can stick with long-term. 

“Aging will take you places you have never been.”

“Some people totally cut out sugar from their diet, often because they tend to eat too much once they start,” she said. “Others, like me, eat small amounts each day.”

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Hardison had never been into vitamins and supplements until she got involved in the NOVOS study.

“I really liked that the study included bloodwork at the beginning, middle and end of the year-long trial,” she said. 

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“My bloodwork revealed that at the beginning of the study, I was aging at .86 biological years for every chronological year.  At the end of the study, I was aging at .74. That is compelling empirical data.”

Although Hardison does what she can to stay physically healthy and mentally sharp, she acknowledges that there is a limit to what she can control. 

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Amy Hardison with husband_hiking

“Life is to be lived and enjoyed,” said Hardison, pictured hiking with her husband. (Amy Hardison)

“There is even a limit to how much I am willing to invest in longevity,” she said. “Life is to be lived and enjoyed.”

“Aging will take you places you have never been,” Hardison continued. 

“There is so much to learn and experience. Embrace the normal and natural decline with humor and perspective. Thank your body for taking you on the journey.”

A biohacker’s 5 quick tips for healthy aging

Melanie Avalon, health influencer, entrepreneur and host of The Intermittent Fasting Podcast and “The Melanie Avalon Biohacking Podcast,” agreed that women can take proactive steps to slow their pace of aging.

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“The ever-growing online bloodwork and genetic platforms allow women access to personal data, providing a deeper view of their aging on a cellular level, including monitoring their biological age, which may differ from their chronological age,” she told Fox News Digital. 

“Women can then make dietary and lifestyle choices to optimize these markers.”

1. Optimize sleep

One of the biggest issues aging women experience is restless sleep, often characterized by tossing, turning and hot flashes, according to Avalon.

Woman sleeping

One of the biggest issues aging women experience is restless sleep, often characterized by tossing, turning and hot flashes, according to Avalon. (iStock)

“Women can implement a ‘sleep sanctuary’ to best support a restorative night, including sticking to a consistent wind-down routine and sleep schedule, in a cool, dark environment,” she advised.

Using a cooling mattress, avoiding late-night blue light exposure, and finding the optimal sleep position are some ways women can achieve better sleep quality, Avalon advised.

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2. Seek hormonal support as needed

“Women often dread the perimenopausal years for their seemingly inevitable rollercoaster of hormonal issues,” Avalon said.

“Women can support healthy hormonal levels and natural transitions into the menopausal years by nourishing their bodies with micronutrient-rich whole foods, getting ample sleep, addressing stress levels, and reducing their exposure to toxins.”

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For some women, hormone replacement therapy may be an option.

“Many women may find that the benefits outweigh the risks,” Avalon noted.

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3. Optimize muscle mass

Maintaining muscle mass is crucial for healthy aging, according to Avalon. 

“Declines in muscle mass and strength are intrinsically tied to mortality, playing a causative role in falls and metabolic issues,” she said. 

Woman lifting weights

The maintenance of muscle mass is crucial for healthy aging, according to one expert. (iStock)

“Aging typically leads to reduced muscle protein synthesis,” Avalon noted.

“Women should pay careful attention to getting ample protein as they age, with a particular focus on the amino acid leucine, which stimulates muscle protein synthesis.” 

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Aging women should aim for a gram of protein per pound of body weight, Avalon recommended. 

“Women can also engage in strength training to further support muscle growth and maintenance,” she added.

4. Monitor essential markers

“Aging women should embrace the agency to take their health into their own hands,” Avalon said.

Cholesterol test

Women should work with conventional doctors to regularly check key health metrics, such as blood pressure, blood sugar levels, cholesterol and bone density, along with other markers of disease, an expert advised. (iStock)

She recommends working with conventional doctors to regularly check key health metrics, such as blood pressure, blood sugar levels, cholesterol and bone density, along with other markers of disease.

5. Achieve proper glycemic control

Poor glycemic control is linked to a myriad of degenerative diseases, from prediabetes and diabetes to cardiovascular disease and cognitive decline, according to Avalon. 

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“Aging women can implement an unprocessed, whole-food-based diet, low to moderate in carbs, depending on their tolerance,” she said. 

Women can also opt to wear a continuous glucose monitor (CGM) to monitor their blood sugar levels.

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Heart attacks more likely during presidential elections and other stressful times, study shows

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Heart attacks more likely during presidential elections and other stressful times, study shows

Your genes could put you at a higher risk of heart attack during very stressful times.

Research from Massachusetts General Hospital found that people who have specific genetic traits, paired with anxiety or depression, are at a “significantly higher heart attack risk” during periods of social or political stress, such as presidential elections, winter holidays or even the Super Bowl.

The study, presented at the American College of Cardiology’s annual scientific session in April, was the first to examine stress sensitivity based on genetics as a driver of acute coronary syndromes (ACS).

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These syndromes include heart attacks and other “serious conditions where the heart is suddenly deprived of blood supply,” a press release noted.

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Of 18,428 Mass General Brigham Biobank participants, 1,890 developed ACS between 2000 and 2020. 

People with high stress sensitivity, anxiety or depression are at a “significantly higher heart attack risk” during periods of social or political stress, the study found. (Lorenzo Bevilaqua/ABC via Getty Images; iStock)

The researchers measured the participants’ stress sensitivity by measuring their neuroticism polygenic risk score (nPRS).

Stressful periods — including five days after presidential elections and 10 days surrounding Christmas Day — made up 3.2% of the observed timeline.

A total of 71 ACS cases took place during stressful periods, compared to 1,819 during control periods.

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People with high genetic stress sensitivity had a 36% higher risk of ACS, the researchers found.

Those with high genetic stress who also developed anxiety or depression had three times the risk.

woman holds her heart in pain

People with above median nPRS, or high genetic stress sensitivity, had a 36% higher risk of ACS, a new study found. (iStock)

“High nPRS, indicating elevated genetic susceptibility to stress, mediates ACS risk during periods of socio-political stress,” the study authors wrote as a conclusion. “A multifaceted approach to [cardiovascular disease] prevention may benefit.”

In an interview with Fox News Digital, lead study author Shady Abohashem, M.D., instructor of cardiovascular imaging at Massachusetts General Hospital and Harvard Medical School, said that while the numbers are “striking,” the results overall are not surprising, since anxiety and depression alone have been associated with a substantial risk for heart attack regardless of genetics.

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“So, if you have both conditions, you would expect to have a substantial increase in your risk,” he said.

Through scientific analysis, Abohashem and his fellow researchers found that about 25% of ACS cases were due to anxiety and depression.

man depressed looks out the window

About a quarter of ACS developments in this study were due to anxiety and depression, the researcher told Fox News Digital. (iStock)

The impact of genetic susceptibility on heart attack risk could be an important factor for cardiologists and general care physicians to consider, Abohashem said.

He suggested implementing these screenings into cardiovascular risk assessments to help identify those people at most risk.

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“The mind-heart connection is strong, and this study highlights that not only our bodies, but also our minds, need rest and care.”

“Based on that identification, we could develop targeted intervention, or maybe preventive strategies, that could help us protect those people from developing heart attacks in the future,” he added.

HEART HEALTH RISK FACTORS FOR WOMEN OVER AGE 50

The researchers are currently working on a study to discover how lifestyle modifications can benefit people with a high genetic risk for stress.

As 2024 is an election year, Abohashem advised Americans to manage stress through effective outlets like exercise or yoga.

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Shady Abohashem, MD, headshot

Shady Abohashem, M.D., instructor of cardiovascular imaging at Massachusetts General Hospital and Harvard Medical School, was the lead author of the new study and shared insights with Fox News Digital. (ACC (American College of Cardiology))

Dr. Laxmi Mehta, an American Heart Association medical expert and cardiology director at The Ohio State University, commented on the study in a statement sent to Fox News Digital.

“This is an interesting study that further supports the data of the mind-heart connection,” said Mehta, who was not involved in the research. “It highlights the importance of mental health and its impact on overall health, including the heart.”

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Mehta did note that the “retrospective nature” of the study “limits the ability to show a direct causal relationship between mental health conditions” such as depression and anxiety.

The study “reinforces whole-person preventative care,” the cardiologist emphasized.

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man has heart problems while hiking

A doctor stressed the importance of a medical focus on the “mind-heart connection.” (iStock)

“The mind-heart connection is strong, and this study highlights that not only our bodies, but also our minds, need rest and care,” she said. 

“The public needs to be aware of the impact social and political stress has on us, that it is OK to take a break from these stressors, and also that it is good to learn more about interventions like yoga, exercise and mindfulness.”

The expert encouraged doctors to advise their patients on the American Heart Association’s “Life’s Essential 8,” which are key measures to maintaining cardiovascular health.

These eight steps include eating better, being more active, quitting nicotine products, getting healthy sleep, managing weight, controlling cholesterol, managing blood sugar and maintaining healthy blood pressure.

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This 30 Plants a Week Hack Helped One Woman Lose 227 lbs — How It Can Work for You

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This 30 Plants a Week Hack Helped One Woman Lose 227 lbs — How It Can Work for You



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