Is It Possible To Increase Testosterone Levels Without Anabolics?

Anabolics are the first thing that comes to mind to guys who are desperate to raise their testosterone levels. And there’s a good reason for that – anabolics are pretty powerful.

Higher testosterone production results in increased levels of energy, libido, confidence and cognitive functioning, as well as enhanced muscle building. Sure, that makes testosterone the ultimate male hormone that can make or break your physique, and boosting it will give you greater mass and strength gains in a short period of time, but don’t forget that taking anabolics can be a rather risky adventure.

The potential side effects of using ster*ids include increased breast size, acne, abnormal functioning of internal organs, t*sticle shrinkage and even impairing the ability of the body to produce adequate levels of testosterone on its own – it’s simply not worth the risk, most of the time.

But if you’re still struggling to increase the production of this blissful hormone, we have some good news for you – there are natural ways to achieve it which don’t include any horrible side effects.  We’re talking about natural testosterone boosting supplements made from proven ingredients, of course. Nowadays you can find plenty of highly efficient boosters that will help your body produce more testosterone and up your game in the gym.

All of us are not the same, so don’t feel ashamed if you naturally have lower testosterone levels – a lot of guys have this problem that prevents them from building serious mass. But make no mistake, your body has a bigger potential for producing testosterone that you might think, and all you have to do is push it to it’s maximum. How?

Besides taking testosterone boosters, you could change a thing or two in your current diet plan. For example, opt for food rich in saturated fats which are known to enhance testosterone levels – fatty beef, pork, lamb, cheese and butter. Also, increase your consumption of vitamin D.

Multiple studies have shown that low levels of vitamin D are associated with low levels of testosterone in otherwise healthy male adults. And finally, avoid sugar as much as you can. Consuming simple sugars raises insulin levels, which in turn lower your levels of testosterone.

By the way, another crucial hormone that’s harmful to testosterone production is cortisol or the “stress hormone“. Chronic emotional stress will cause your body to keep the cortisol levels higher than normal for longer periods of time, resulting in decreased testosterone levels.

And if you haven’t started lifting yet, this is the right time do give it a try. Heavy lifting increases testosterone levels like no other exercise. Perform compound exercises like deadlifts, dips, pull-ups, bench presses and squats.

Just don’t give up. We promise you that anyone can reach their optimal testosterone production on a natural way, without the use of anabolics. All it takes is a bit of patience and determination. So stay cool, eat fatty food and keep pumping!

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NSW revises travel advice as new SA coronavirus hotspot locations revealed; Morrison signs defence agreement in Japan; 19th consecutive day of zero COVID-19 cases, no deaths in VIC; Trump orders Pentagon to drop troop levels to 2500 in Iraq and Afghanistan

Australia’s peak medical group is calling on the Federal Government to abandon the final step of its reopening framework in light of South Australia’s fresh coronavirus outbreak.

It comes as contact tracers are under enormous pressure to contain the growing cluster before it spirals out of control.

The Australian Medical Association (AMA) wants the government to halt its plan, which would allow large gatherings and a mass return to workplaces.

National president, Perth surgeon Omar Khorshid, wants moderate restrictions to remain in place permanently until a vaccine is delivered, under a ‘COVID Cautious’ plan instead of ‘COVID Normal’.

That includes within states with little to no community transmission.

Vice-President of the AMA Dr Chris Moy told Today the lifting of all restrictions could lead to complacency.

“What we’ve found in South Australia already is that this thing is so infectious that if we only rely on testing and contact tracing then we don’t have the safety net or hand brake of reduced movement throughout the community,” Dr Moy told Today.

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5 Ways to Preserve Your Testosterone Levels

You already know how important testosterone is to your physique, how you feel and your libido. Just to remind you, if you want to be a lean, mean, alpha, you need testosterone. Up until now, we’ve focused on what to do to raise your T-levels.

As we mentioned before, your own testosterone production can be optimized by training the right way, eating the right way, supplementing with the right supplements and overall changing your lifestyle with a healthier one.

Despite reading and implementing all this great information, you may still be sabotaging your T-levels by doing some things wrong so to stop you wasting your time and energy and undoing a lot of your good work, hare are our five top DON’TS for ensuring your T-levels are always on the up and up!

Don’t neglect dietary fats

Fats are the building blocks of hormones – including testosterone and cholesterol, a kind of fat, is also really important. Low fat diets are notorious for lowering your testosterone levels so don’t fall into the trap of thinking low fat diets are good.

You should be consuming around one gram of fat per pound of bodyweight and your fat intake should be one third saturated, one third monounsaturated and one third polyunsaturated.

If you think this is too much fat and you’ll gain weight, you are probably chowing down on way to much carbohydrate so make some changes so you can eat enough hormone-making fat without gaining weight. Skip the bread, rise, pasta and potatoes rather than cutting down your fat intake.

And stop throwing out your egg yolks if you care about your T-levels. They contain essential vitamins as well as cholesterol which are strongly linked to increasing your testosterone production. Again, if you are skipping the yolks for weight management reasons, you’d be way better off eating less toast and juice with your eggs.

Don’t do excessive cardio

Lots of steady state cardio is a great way to see your T-levels plummet. Long sessions of jogging or bike riding – any cardio really – can cause a significant rise in cortisol; cortisol being a stress hormone which reduces testosterone production.

The main reason most people do lots of cardio is for weight management. Once you go over around 20 to 30 minutes three times a week, any additional cardiovascular health benefits are negligible so unless you are actually training for an endurance event, more cardio is pointless.

Rather than try and run off your gut, eat a little less carbs, superset your workouts and do some sprints, barbell complexes, kettlebell swings or heavy bag work – real man’s cardio. Leave the jogging to those skinny, weak-a*s endurance types!

Don’t train longer than 90 minutes

You can train long or you can train hard but you can’t train long and hard. Of course, lots of powerlifters spend two or three hours at a time training and even Arnie, the patron saint of bodybuilding, trained for two hours per session but these marathon workouts were punctuated by very leisurely breaks, food was often consumed and many were taking supplemental testosterone which pretty much rewrites the rule books.

Long workouts, like excessive cardio, causes an increase in catabolic hormones and a decrease in anabolic hormones. In simple terms, that means your body is primed for breaking down and not building up.

Keep the intensity level of your workouts high and your workouts to 60 to 90 minutes in length. Work hard and then, when you are done, get the hell out of the gym and eat a good-sized protein and carb-rich meal. Extra sets above and beyond your ability to recover simply delay the rebuilding process.

Don’t skip compound exercises

These man makers have been shown to elevate your testosterone levels in the hours after your workout; especially if you lift heavy, use low reps and do multiple sets. Build your workouts around the big three of squats, deadlifts and bench presses and add in some overhead pressing, heavy chins and rows and power cleans if you are so inclined. Spread these exercises across your workout week, add in some assistance exercises like curls and calf raises and you have the perfect recipe for training to increase your testosterone levels.

Don’t spend lots of time on isolation exercises like triceps kickbacks, side lateral raises and dumbbell flyes. While there is nothing especially wrong with these exercises, they do not trigger the same anabolic hormonal response. Think 80% big lifts, 20% isolation and you’ll be on your way to strength and size – guaranteed.

Don’t overeat soy

Soy is a cheap and readily available source of protein and because it comes from beans, it’s considered to be very ethical and ideal for vegetarians. A couple of portions of soy milk or tofu a week is no big deal but guys, if you want to maximize your T-levels, don’t break the three-serving rule.

Soy is strongly linked to increased estrogen levels – particularly in men. So, while it’s great for the gals, guys with an eye on their T-levels should go easy on soy.

Estrogen is testosterone’s evil twin and if your estrogen levels rise, your T-levels go down – it’s like a hormonal teeter-totter. Estrogen does everything that testosterone does not – it promotes fat storage, has no noted anabolic effect and is not linked to a higher male sex drive or increased strength.

The bottom line is; if you care about your T-levels, don’t consume too much soy. A couple of frozen soy desserts a week is fine; Soy protein powder twice a day is not.

So there you go – not only do you know how to maximize your T-levels, you also know what do to avoid inadvertently sending them crashing back down. Being awesome isn’t easy and requires a lot of work on your part but the rewards make it worth it the effort – you’ll be stronger, leaner and more of a badass than 99% of the population.

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Pollution levels dip in Delhi, air quality still ‘very poor’

The national capital recorded its air quality in the ‘very poor’ category on Thursday morning even as experts said the situation was much better compared to two days ago when pollution levels were above the emergency threshold.

A change in the wind direction — from north westerly to north-north easterly — was the reason behind the dip in pollution levels as it reduced the contribution of stubble burning significantly, according to government agencies and weather experts.

The city recorded an air quality index (AQI) of 315 at 9 am. The 24-hour average AQI was 344 on Wednesday and 476 on Tuesday.

Delhi witnessed six severe air days on the trot from November 4 to November 9, according to Central Pollution Control Board (CPCB) data.

The AQI in neighbouring cities of Faridabad (306), Ghaziabad (336), Noida (291), Greater Noida (322), and Gurgaon (261), which fall in the National Capital Region (NCR), was also recorded in the poor and “very poor” categories.

An official of the India Meteorological Department (IMD) said the situation is much better compared to Tuesday .

The wind direction has changed preventing the transport of smoke from farm fires in Punjab and Haryana, he said. The official, however, said the air quality is likely to deteriorate marginally on Friday.

The IMD said winds were calm in the morning and the minimum temperature was 11.6 degrees Celsius.

Calm winds and low temperatures trap pollutants close to the ground, while favourable wind speed helps in their dispersion.

There was shallow fog in the morning and the visibility was 800 metres at the Safdarjung Observatory.

The Ministry of Earth Sciences’ air quality monitor, SAFAR, said the change in transport level wind direction has led to a significant decrease in stubble burning-related intrusion in spite of high fire counts.

The share of stubble burning in Delhi’s PM2.5 was almost negligible — 3 per cent — on Wednesday due to unfavourable transport-level winds, it said.

Deterioration (in air quality) is expected on Friday towards the higher end of the ‘very poor’ category, it said.

The CPCB had on Wednesday ordered closure of hot mix plants and stone crushers in Delhi-NCR till November 17 in view of a likely increase in pollution levels during the festive season.

It also asked the governments of Punjab and Haryana to take immediate stringent actions to curb stubble burning and authorities in Delhi-NCR to strictly check biomass burning.

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Storm activity, high pollen levels spark fears of thunderstorm asthma in Victoria

The Bureau of Meteorology says there is a “high risk” of thunderstorm asthma across parts of Victoria today, where a combination of high pollen levels, gusty winds, rain and thunderstorms are forecast.

The areas most at risk are in western Victoria. They include the Mallee, Wimmera, Northern Country and South West forecast districts.

The risk is moderate in the Central area, which includes Melbourne, and in the North Central, West and South Gippsland weather districts.

Bureau of Meteorology (BOM) forecaster Richard Russell said anyone with hay fever could attest pollen levels were currently very high.

They usually peak for a six-week period beginning in November.

Mr Russell said the current high pollen levels, combined with potential thunderstorm activity in the west of the state, later moving east into central areas, could create a “low-end” severe weather event.


The worst thunderstorm asthma event occurred in Melbourne in 2016, when more than 3,500 people presented at hospital emergency departments with symptoms of asthma.

Ten people died and the majority of those affected were young people.

In another event earlier this month, emergency departments in southern New South Wales saw a surge in cases, with more than a dozen people seen at emergency departments in the Riverina.

Not every storm triggers asthma

A severe thunderstorm warning is in place for north-western parts of Victoria as a slow-moving pressure trough crosses the state.

With that there could be damaging winds and heavy rainfall, the BOM warns.

A severe weather warning for damaging winds is also in place for elevated parts of the Central district into Gippsland and the North East forecast districts.

“The trough that is driving this is slowly moving eastwards and will reach central parts of the state in the late afternoon, including Melbourne in the early evening,” Mr Russell said.

“The biggest risk in Melbourne will be early this evening, but it’s an outside chance from afternoon through to early hours of the morning.”

Mr Russell said not every storm on a high-pollen day triggered thunderstorm asthma because every storm was different.

“The behaviour and interaction between an area of high pollen, the way it reacts with the gustiness of thunderstorms, you need to concentrate that pollen into the outflow from the thunderstorm,” he said.

“The concern with thunderstorm asthma is you really need the right combination of high or extreme pollen levels across a broad area of the state and also gusty thunderstorms — or any really good mechanism to concentrate that pollen into a small area at any one time — so that you really are exposed to a really high dose of the pollens, as thunderstorms typically do.”

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Racialized trans and non-binary people in Canada face higher levels of discrimination, fear of police: report

New insights from a national survey of transgender and non-binary people in Canada suggest that trans people of colour face more harassment, with almost three quarters reporting they fear harassment or scrutiny from police forces simply because of who they are.

Forty-five per cent reported having been harassed at some point at work or at school.

In 2019, Trans PULSE Canada conducted a survey of 2,873 trans and non-binary people across Canada. The report released this week represents the second analysis of the data collected in that survey, focusing on racialized trans and non-binary people.

The report specifies that they used the term “racialized” to include “people and communities that experience racism.”

“Racialization can be conceptualized as ‘the process by which societies construct races as real, different and unequal in ways that matter to economic, political and social life,’” the paper stated, quoting the Ontario Human Rights Commission. The report clarified that their count of racialized trans and non-binary people includes those who identified as a person of colour as well as those who indicated on the survey that they were perceived as a person of colour.

Out of the 2,873 respondents who took the survey in 2019, 14 per cent identified as racialized — a little over 400 people. The authors pointed out that barriers to accessing the survey or the possibility that many did not know about its existence mean that this cannot be taken as a true reflection of what percentage of trans and non-binary people are racialized.

Trans PULSE Canada’s first analysis of this data, released in March, focused on how survey respondents reported having healthcare needs unmet.

While racialized and non-racialized respondents reported similar levels of mental health and issues getting health care, there were some marked differences.

One in four trans and non-binary people of colour said they were disabled or living with a disability, compared to 18 per cent of non-racialized trans and non-binary people.

When it came to being the target of violence or harassment, racialized trans and non-binary people were more likely to receive all forms of violence and harassment, reporting at least four per cent more than non-racialized respondents.

That gap widened depending on what type of violence or harassment the survey specified.

Half of racialized respondents had been the target of sexual harassment, compared to 42 per cent of non-racialized respondents.

And a third of trans and non-binary people of colour reported having been sexually assaulted within the last five years, compared to a quarter of non-racialized trans people.

Trans people of colour were also eight per cent more likely to avoid religious institutions out of fear of harassment or being outed than non-racialized trans people.

One of the most significant differences between racialized and non-racialized respondents came when respondents were asked if they experienced worries about being stopped or harassed by police or security.

Although it was high across the board — half of non-racialized trans or non-binary people said they did worry about police harassment — 73 per cent of racialized respondents answered that they feared police harassment.

On top of that, only 19 per cent of racialized respondents anticipated getting fair treatment from the police if they reported a physical assault, while a third of non-racialized respondents felt that they’d be treated fairly. The trust level dropped if respondents were asked about reporting a sexual assault, with only one in 10 of racialized respondents anticipating fair treatment.

Feeling unable to trust the police can have direct ramifications for wellbeing and health. A quarter of trans people of colour said they had specifically avoided calling 911 for emergency medical services within the last five years.

Researchers said this was the first quantitative, all-ages data that has been compiled on racialized trans and non-binary people within Canada, and that the results highlight how racialized members of the trans community face high levels of discrimination, violence and “anticipated and actual negative experiences with police and the legal system.”

As with racialized people in the general Canadian population, racialized trans and non-binary people experienced profound levels of discrimination compared to their non-racialized peers,” the study stated.

One racialized participant of the survey, who was not identified in the paper, was quoted as saying they are “hoping this [study] will shape change to uphold the full humanities of trans femmes and trans women … I see white, trans femmes experience life with so many more options for their survival than those of us who are racialized.” 

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Winnipeg health officials claim they were misled about staffing levels at Maples care home during emergency event

The Winnipeg Regional Health Authority (WRHA) is alleging the company that runs a Winnipeg personal care where eight people passed away in 48 hours misled them about the number of staff members available on Friday evening, where over a dozen 911 calls were made from the care home.

During a news conference at the Manitoba Legislature Monday afternoon, Vickie Kaminski, president and CEO of the WRHA, said they asked Revera again Monday about the number of staff members available, and the level of care provided, after speaking with the union.

On Saturday, Jason Chester, vice-president of long-term care operations for Western Canada at Revera, said the care home was fully staffed at the time.

Kaminski said on Monday they received a “slightly different picture” of the staffing levels.

She said on a normal evening shift (3:30-11:30 PM), 19 health care aides are normally scheduled, and that is what was scheduled this past Friday.

“However, four staff called in, and said they had to self-isolate, and that took them down to 15,” Kaminski said. “An additional eight people called in sick for that shift, which left them with seven healthcare aides for the entire home.”

Kaminski said day staff was asked if they would work overtime, with nine agreeing to work an additional two hours at the end of their shift to help with the dinner hour, and three agreed to stay for four additional hours to help settle residents for the night.

“The 19 people that were expected for an eight-hour shift became 19 health care aides until 5:30 in the afternoon, and then went down to 10 healthcare aides until 7:30, and then became seven for the rest of that shift,” Kaminski said. “It’s really unfortunate that we’re here today to have to correct that record.

“We’re extremely concerned about the information we got, and the information that we gave, both to the (Health Minister), and the residents of Manitoba, was less than accurate.”

Kaminiski said the WRHA will also soon create a clinical team who will be at Winnipeg’s care homes going forward.

“Some on a daily basis. Some bi-weekly, and some once a week, but every day there will be huddles with all of our personal care homes and we will be getting reliable verifiable information that we will pass on,” she said.

Kaminski said the “less than fulsome disclosure” from Revera has put a strain on the WRHA’s relationship with the company.

“I’m going to be following up with Revera, and we will be seeking clarification as to what they knew, and when they knew it, and why the information they provided to us was less than accurate,” she said. “We will certainly be speaking with Revera about our expectations on a go-forward basis.

“Part of the reason for having someone on-site at some of our facilities, and some of their facilities will be to verify any information before we accept it.”

Speaking at the Manitoba legislative building, Manitoba NDP Leader Wab Kinew said Revera should not be operating in Manitoba due to the incident.

 “I can’t understand how they’re allowed to run personal care homes in Manitoba, ” Kinew said. “The Government of Manitoba has to take these homes over. The company cannot be allowed to continue caring for seniors after what we’ve seen.”

CTV News has reached out to Revera for comment.

-With files from CTV’s Mason Depatie and Mike Arsenault.

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Coronavirus: Police warn of ‘greater levels of enforcement’ for COVID rule breakers | UK News

People who ignore coronavirus restrictions should be prepared to “face the consequences of greater levels of enforcement”, police have warned.

The chief constables of five forces in the north-west of England have said in an open letter that they will “collectively target” the minority of people who break the rules by holding large gatherings, music events and parties.

Their words come just days before tougher restrictions are brought in across England in an effort to limit the spread of the coronavirus.

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The senior officers, from the forces covering Cheshire, Cumbria, Greater Manchester, Lancashire and Merseyside, said their forces had taken a “very measured” approach to enforcement and used a model of “engage, explain, encourage and only as a last resort, enforce”.

“Sadly we have seen a minority right across the North West who seem incapable of demonstrating any civic responsibility and complying with regulations.”

They said the public wanted a “consistent and robust” approach to enforcement and that the introduction of local restrictions had seen forces take a “firmer stance” over restrictions and move more quickly to issue fixed penalty notices.

They wrote: “We know how hard this is, but we need to maintain that shared purpose we had in the first lockdown to defeat the virus and, ultimately, save lives.

“To the minority who feel the restrictions don’t apply to them be prepared to face the consequences of greater levels of enforcement.

“We will collectively target those who flout the restrictions, particularly those organising large gatherings and music events, repeatedly holding parties or deliberately causing harm to our communities by not following the restrictions such as self-isolating where necessary.

“Where we have issued fixed penalty notices a significant proportion of recipients think they can ignore them.

“We are therefore seeking support from government and the judiciary to consider how we bring these people to justice rapidly.”

On Tuesday the UK reported 397 people had died within 28 days of a positive coronavirus test, the highest number since May.

There were also 20,018 new COVID-19 cases, compared with 18,950 on the previous day.

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Spending climbs back to pre-pandemic levels despite cuts to JobKeeper, JobSeeker

AlphaBeta director Dr Andrew Charlton said the results were a sign that the tapering back of government support measures was not having a disastrous effect on the economy.

“Australians should be buoyed by the fact that spending is now back to pre-COVID levels across both essential and discretionary spending,” he said.

The spending tracker, which draws on the anonymised purchasing data of hundreds of thousands of consumers, showed discretionary and essential spending by high income earners returned to pre-COVID levels in mid-October for the first time since the pandemic began.


Simon Bligh, chief executive illion, said it was pleasing to see higher income earners “opening the purse strings again.”

Separate Commonwealth Bank credit and debit card data shows spending was 6 per cent higher than a year ago in the week ending October 30. Weekly spending improved strongly in Victoria amid the lifting of pandemic restrictions.

But Dr Charlton warned the withdrawal of financial support to households and businesses still posed an economic threat.

“There are definitely risks and headwinds,” he said.

In late September, JobKeeper, which supports about 3.5 million workers, was cut from $1500 to $1200 a fortnight for those who worked more than 20 hours a week and to $750 a fortnight for other employees. The $550-a-fortnight coronavirus supplement for those on JobSeeker and some other welfare payments fell to $250 a fortnight around the same time. JobKeeper will be reduced further in January and finish in March 2021.

The spending tracker shows food delivery remains the strongest spending category across Australia, with purchases 289 per cent higher than the pre-pandemic norm in the week ending October 25.

“Aussies love their MasterChef but are obviously leaving the cooking to someone else,” Mr Bligh said.

Other spending categories doing especially well include online gambling (weekly spending 94 per cent higher than pre-pandemic) and furniture and office (+68 per cent).

Spending at cafes, which fell sharply in the early stages of the coronavirus outbreak, was 10 per cent higher than pre-pandemic levels in the week ending October 25.

However, spending in some categories remains way below the pre-pandemic levels including public transport (-52 per cent), pubs and venues (-32 per cent), travel (-27 per cent) and road tolls (-22 per cent).

The increase in Melbourne’s travel limit to a 25 kilometre radius appears to have boosted spending at petrol stations which was 69 per cent higher in Victoria in the week ending October 25 compared with the pre-pandemic norm. But spending on entertainment Victoria was still 97 per cent below pre-pandemic levels.

In NSW, spending at fast food restaurants was 45 per cent above pre pandemic levels in the week to October 25. But purchases on travel were still 73 per cent below pre pandemic levels and entertainment spending was down 62 per cent.

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Abnormal blood pressure levels while sleeping increase risk of heart disease, stroke

Credit: Unsplash/CC0 Public Domain

People who experience high blood pressure while sleeping are more likely to experience future cardiovascular disease especially heart failure, even when their daytime blood pressure is within normal ranges, according to new research published today in the American Heart Association’s flagship journal Circulation.

Health care professionals typically use in-office and daytime measurements to determine a patient’s hypertension medication needs and dosages. However, many patients may have undetected nocturnal hypertension— while sleeping.

“Nighttime blood pressure is increasingly being recognized as a predictor of cardiovascular risk,” said Kazuomi Kario, M.D., Ph.D., lead author of the study and a professor of cardiovascular medicine at Jichi Medical University in Tochigi, Japan. “This study provides much more in-depth information about the cardiovascular risk associated with high nighttime blood pressure and different nighttime blood pressure phenotypes than have been reported previously.”

The Japan Ambulatory Blood Pressure Monitoring Prospective (JAMP) study enrolled 6,359 patients from across Japan between 2009 and 2017 and measured daytime and nighttime levels using an at-home, wearable, ambulatory monitor. Blood pressure was measured during daily activities and sleep for at least 24-hours at a time, and device data were periodically downloaded at a health care clinic. Almost half of the study participants were male, and more than half were over the age of 65 years. The patients all had at least one cardiovascular risk factor, and three-quarters of them were taking blood pressure medications, and none had symptomatic cardiovascular disease when the study began.

The study participants were instructed to rest or sleep during nighttime hours and maintain their usual daytime activities. Their daily activities and sleep and wake times were self-reported in a diary. Almost every participant recorded 20 daytime and seven nighttime automated blood pressure measurements. To determine nighttime measurements, patients self-reported the time they fell asleep and woke up. All other readings were defined as daytime.

Follow-up occurred annually via phone or clinic visit, with total follow up ranging from two to seven years. Researchers analyzed the rates of cardiovascular disease events, including attacks, strokes, and death, among the participants. The occurrence and timing of heart events in relation to blood pressure variations was analyzed to determine whether there were any associations. Study participants experienced a total of 306 cardiovascular events, including 119 strokes, 99 diagnoses of coronary artery disease and 88 diagnoses of heart failure.

The analysis indicates:

Increased levels during sleep—a systolic blood pressure measuring 20 mm Hg above a person’s daytime systolic reading—was significantly associated with the risk of atherosclerotic cardiovascular disease and heart failure.

The participants who had an abnormal circadian pattern, which is when sleep blood pressure exceeds daytime readings, were at particular risk of developing heart failure and had a greater risk of experiencing any cardiovascular disease events.

Excessive reduction of blood pressure during sleep may also be detrimental. Patients with well-controlled hypertension showed a significantly increased risk of stroke when nighttime systolic pressure took extreme dips.

“Results indicate that nighttime was a significant, independent risk factor for cardiovascular events,” said Kario. “The study highlights the importance of including nighttime blood pressure monitoring in patient management strategies and will hopefully encourage physicians to ensure that antihypertensive therapy is effectively lowering blood pressure throughout the 24-hour dosing period.”

The authors noted that the study was not without limitations. Ambulatory data were obtained once at the start of the study, however, no information was available regarding the contributions of subsequent changes in ambulatory levels up until the time of diagnosis of a cardiac event. The study focused on systolic, rather than diastolic, measurements due to the older age of the participants. Additionally, study evaluations did not include echocardiograms, thus preventing some degree of differentiation for types of heart failure.

Blood pressure outside of clinic may better predict outcomes in black patients

More information:
Kazuomi Kario et al, Nighttime Blood Pressure Phenotype and Cardiovascular Prognosis: Practitioner-Based Nationwide JAMP Study, Circulation (2020). DOI: 10.1161/CIRCULATIONAHA.120.049730

Abnormal blood pressure levels while sleeping increase risk of heart disease, stroke (2020, November 2)
retrieved 2 November 2020

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