Triple the risk of high blood pressure? Eat late!

People have been warned not to eat late at night after a study found it tripled the risk of high blood pressure.

Dinner should be eaten no later than two hours before bedtime, advise scientists, who insist that when we eat could be as important as what we eat.

Healthy eating to lower blood pressure

Previous research has emphasised the importance of a good breakfast in staying healthy, and the latest findings underline that eating is best done early in the day.

Almost 10 million people in Britain have high blood pressure, which increases their risk of conditions such as heart attacks and strokes. Blood pressure usually drops at night, but in many patients this does not happen and these people are particularly prone to further heart problems.

“If blood pressure doesn’t drop by more than 10 per cent at night this increases cardiovascular risk and these patients have more [heart attacks and strokes] and more chronic disease,” said Ebru Özpelit of Dokuz Eylul University, Turkey, who led the study.

In the first study of its kind, her team found that “non-dipping” high blood pressure was much more likely in people who regularly eat within two hours of going to bed. They studied 721 patients with high blood pressure, half of whom had the non-dipping kind.

After adjusting for age, weight and other risks, they found that people who reported eating late at night were 2.8 times as likely to suffer from the condition, they told the European Society of Cardiology’s congress in Rome. Dr Özpelit said that late-night eaters were not bingeing on junk food but simply delaying dinner or snacking on nuts and fruit.

Although the study could not prove a link, she said that animal studies have suggested that eating at night interferes with the body clock and stimulates the production of hormones such as adrenaline which affect blood pressure. She emphasised that dinner should be eaten no later than 7pm.

“If we eat late at night, the body essentially remains on high alert as during the day, rather than relaxing for sleep, and stress hormones are secreted causing blood pressure not to decrease during sleep,” she said.

She said that mealtimes were a key factor. “We must define the ideal frequency and timing of meals because how we eat may be as important as what we eat,” she said.

“It is not as important as obesity and it is not as important as diabetes, but we found it was more important than salt consumption in our analysis.”

COMMENTS

This is a retrospective observational study.  It is based on what people with a condition (hypertension) recall in terms of their lifestyle and previous habits.  At best it may demonstrate association, not causation.  For that you need a prospective RCT (randomised controlled trial) where patients are divided into two similar groups before they have developed the condition, with one group eating late and one eating at a normal time, with all other confounding factors potentially controlled for.   Retrospective observational studies are low down on the scale of evidence quality and mean very little.  Must a be slow news day in terms of health.  I know the Times isn’t a medical journal but it could do without publishing such tosh with misleading headlines.

AND

According to this blood pressure must be very high in Cyprus and other European countries bordering the Mediterranean where it is normal to eat late.

yes….I agree, The southern Mediterranean diet is often cited as one reason for the longer life expectancy of people from the region.  Yet they routinely eat at 9.00 pm or an even more preposterous later time.

Leave a Reply

Your email address will not be published. Required fields are marked *