Saturday, January 12, 2019

Mindfulness and Exercise Prevents or Delays Aging Consequences

Aging is associated with organ dysfunctions.
Atherosclerosis, cognitive decline, chronic kidney disease, sarcopenia, thinning of skin, osteopenia to name an obvious set.

This study  below relates the first two  diseases to resting heart rate over twenty years of follow up.
Higher heart rates show greater declines!
Why?

Heart rate resting is a function of ANS tone precisely measured by HRV which declines with aging.  
HRV is related inversely to mortality.  High HRV  equals low mortality risk and vice versa.

Heart rate increases due to vagal tone decline.
Heart failure has a greater mean mortality than mean cancer mortality.
Heart failure has vagal exhaustion as a hallmark.

Preserving vagal tone and ANS balance increases healthspan and lifespan.
Strong brakes AND strong accelerators, together, constitute high metabolic function.

Daily mindfulness and exercise promotes higher HRV.
I promote vagal nerve stimulating biofeedback breathing as illustrated by Gervitz HRV on YouTube for 2 minutes twice daily AND Tabata four minutes of high intensity interval exercise daily.

Relation of Elevated Resting Heart Rate in Mid-Life to Cognitive Decline Over 20 Years (from the Atherosclerosis Risk in Communities [ARIC] Study)

StephanieWangMDa1Oluwaseun E.FashanuMD, MPHb1DiZhaoPhDbcEliseoGuallarMD, DrPHbcRebecca F.GottesmanMD, PhDcdAndrea L.C.SchneiderMD, PhDdJohn W.McEvoyMBBCh, MHSbFaye L.NorbyMS, MPHeAmer I.AladinMDfAlvaroAlonsoMD, PhDgErin D.MichosMD, MHSab
Resting heart rate (RHR) is independently associated with cardiovascular disease (CVD) risk. We determined whether RHR, measured in mid-life, is also associated with cognitive decline. We studied 13,720 middle-aged white and black ARIC participants without a history of stroke or atrial fibrillation. RHR was obtained from a 12-lead resting electrocardiogram at the baseline visit (1990 to 1992) and categorized into groups as <60 (reference), 60 to 69, 70 to 79 and ≥80 beats/min. Cognitive scores were obtained at baseline and at up to 2 additional visits (1996 to 1998 and 2011 to 2013). The primary outcome was a global composite cognitive score (Z-score) derived from 3 tests: delayed word recall, digit symbol substitution, and word fluency. The associations of RHR with cognitive decline and incident dementia were examined using linear mixed-effects and Cox hazard models, respectively, adjusting for sociodemographics, CVD risk factors, and AV-nodal blockade use. Multiple imputation methods were used to account for attrition over follow-up. Participants had mean ± SD age of 58 ± 6 years; 56% were women, 24% black. Average RHR was 66 ± 10 beats/min. Over a mean follow-up of 20 years, those with RHR ≥80 beats/min had greater global cognitive decline (average adjusted Z-score difference −0.12 [95% confidence interval −0.21, −0.03]) and increased risk for incident dementia (hazard ratio 1.28 (1.04, 1.57), compared with those with RHR <60 beats/min. In conclusion, elevated RHR is independently associated with greater cognitive decline and incident dementia over 20 years. Further studies are needed to determine whether the associations are causal or secondary to another underlying process, and whether modification of RHR can affect cognitive decline.

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