AHA News: Depression and Anxiety Linked to Lower Levels of Heart Health in Young Adults

woman with depression

An AHA scientific statement published this year in Circulation summarized the recent evidence of biological, behavioral and psychological pathways that link mental health to heart disease. The statement suggested that because of the clear link emerging between psychological health and heart health, doctors should assess the mental well-being of heart patients as part of their routine care.

Dr. Nieca Goldberg, medical director of New York University’s Women’s Heart Program, said the findings underscore the importance of monitoring both mental health and heart health in this younger age group.

“People who tend to smoke” – one of the biggest risk factors for heart disease – “may be smoking to counterbalance their anxiety or depression,” said Goldberg, a clinical associate professor at NYU’s Grossman School of Medicine who was not involved in the new research. But, as of now, she said no study has shown that interventions to treat anxiety or depression have an effect on lowering risk factors for cardiovascular conditions.

That doesn’t mean people can’t take steps to elevate their mental and cardiovascular well-being. Goldberg said aerobic exercise, even a low-impact activity like walking the dog, improves mood and stamina.

Patterson advised getting better sleep, maintaining a healthy weight and eating a balanced diet. “I think it comes down to doing things that make you feel good as a person that are also contributing to your cardiovascular health.”

The study suggests physicians should continue to routinely screen their younger patients for depression and anxiety – and to look out for cardiovascular issues at the same time. Patterson also suggests the reverse. If a young adult seems at risk for heart disease, health professionals should ask about their mental well-being.

“It’s important to target people before they get to an age where it’s harder for them to modify their behaviors,” she said. “Being able to catch these risk factors earlier will be beneficial overall.”

American Heart Association News covers heart and brain health. Not all views expressed in this story reflect the official position of the American Heart Association. Copyright is owned or held by the American Heart Association, Inc., and all rights are reserved. If you have questions or comments about this story, please email [email protected].

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