Skipping Breakfast and Eating Dinner Late Linked With Worse Outcome After Heart Attack
Previous studies have found that skipping breakfast and eating
dinner late at night may increase the risk of obesity, insulin resistance, and cardiovascular
disease. Now a new study has found that for people who have had a heart attack,
skipping breakfast and eating dinner near bedtime may increase the risk of death,
suffering another heart attack, or postinfarction angina.
The researchers recruited 113 people who had suffered a serious
form of heart attack called ST-segment elevation myocardial infraction (STEMI)
for the study. The participants were asked about eating behaviors when they
were admitted to a coronary intensive care unit. Skipping breakfast was defined
as not eating anything before lunch at least three times per week. Late dinner
was defined as eating dinner within 2 hours before bedtime at least three times
The participants were followed for 30 days after hospital discharge. During that time, 5.3% died, and 17.7% had
another heart attack or postinfarction angina. 57.5% of them skipped breakfast,
51.3% ate dinner late at night, and 41% did both. The researchers found that
skipping breakfast and eating dinner late at night increased the likelihood of
death, another heart attack, or postinfarction angina by four to fivefold.
The study was conducted by researchers from Sao Paolo State
University. It was published on April 17, 2019 in the European Journal of Preventive Cardiology.