Advice for the lonely hearts club

Loneliness represents an underappreciated health crisis in the United States and is linked to a 29% higher risk of heart attack and a 32% higher risk of stroke. The underlying mechanism is thought to be similar to what happens when people feel depressed or stressed. Reconnecting with old friends can help short up social skills. To find new friends, people might look online or at their local library for classes, in-person clubs, or volunteer opportunities that match their interests.

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When heart-related pain goes unrecognized

As many as 60% of heart attacks go unnoticed when they occur. So-called silent heart attacks occur for a variety of reasons, including differences in pain perception and people not recognizing symptoms or dismissing them. People may assume heart attack symptoms are limited to the chest, but nerves in the heart can send signals to the surrounding nerves, causing pain that radiates to the stomach, back, neck, arm, or jaw. Sometimes people assume their chest pain is caused by a respiratory infection or heartburn when they’re actually having a heart attack.

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Are you an everyday exerciser or a weekend warrior?

People who get most of their recommended weekly physical activity over one or two days may lower their heart disease risk just as much as those who are active more regularly throughout the week. Evidence also suggests there’s no particular benefit to exercising at certain times of the day, including with respect to mealtimes. So people should be physically active whenever they find it to be most convenient.

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The latest in medical alert systems

Some medical alert systems now have advanced technology that integrates monitoring services with a smartphone, smart watch, or smart speaker. The services aren’t cheap. They range from $20 to $50 per month, depending on the company and any additional services (such as fall detection). There may also be fees for activation and equipment (up to a few hundred dollars). The alternative is getting an alert system that isn’t monitored, such as free “panic button” apps for smartphones or a smart watch that can notify relatives in an emergency.

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Ways to maximize your energy

People’s energy levels typically decrease later in life as a result of aging, illness, or other factors. Fortunately, a healthier lifestyle can boost energy. That involves eating a diet low in added sugars and processed foods, getting seven to nine hours of sleep each night, managing stress, getting lots of aerobic exercise, and strengthening the muscles. Using physical energy frugally is another useful strategy. For example, it helps to perform activities at a slow, steady pace instead of a fast pace; to break activities into small tasks instead of one large job; and to rest between tasks.

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How does exercise affect blood pressure?

A 2023 analysis of nearly 300 randomized trials found that several types of exercise were effective in lowering resting blood pressure. Exercise types included aerobic exercise, high-intensity interval training, dynamic resistance training, isometric exercise training, and combined training (aerobic exercise plus one of the other types of exercise). People who are over age 50 and have not been exercising much should check with a doctor before beginning a regular exercise program, since some types of exercise may not be right for them.

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