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 Compared with periods without any snow, men were 16 percent more
likely to have a heart attack and 34 percent more likely to die from
a heart attack after a storm dropped at least 20 centimeters (about
8 inches) of snow, the study found.
Women, however, didn’t appear to have an increased risk of heart
attack after a major snowfall.
While previous studies have linked snow shoveling to an increased
risk of heart attacks in the days following major storms, the
current study offers fresh insight into this connection by examining
several decades of health data for individual patients hospitalized
in Quebec.
“We found that both the quantity and duration of snowfall were
associated with an increased risk of heart attack for men but not
women,” said lead study author Dr. Nathalie Auger of the University
of Montreal.
It’s not clear from the results why researchers only found an
elevated risk for men. But the findings suggest people should be
more cautious when shoveling and avoid it whenever possible,
especially if they have a history of heart problems, Auger said.
“It may be that men shovel more than women, particularly after heavy
snowfalls,” Auger added by email. “It is also possible that men put
more effort into shoveling, and have a tendency to overdo it.”
To explore the connections between winter weather and heart attacks,
researchers examined data on 128,073 hospital admissions and 68,155
deaths from heart attacks in Quebec between 1981 and 2014.
They focused only on heart attack hospitalizations and deaths from
November to April, the months when snowstorms typically hit, and
obtained detailed weather data including the amount of snow and
duration of storms.
Overall, men accounted for 62 percent of the hospital admissions and
57 percent of deaths, researchers report in CMAJ.
One-third of heart attacks happened the day following snowfall, and
about 10 percent happened after at least 5 centimeters (2 inches)
hit the ground.
The duration of storms also mattered.
When snowfall continued for at least 24 hours, men were 8 percent
more likely to be hospitalized for a heart attack and 12 percent
more likely to die than when it didn’t snow, the study found. This
didn’t happen for women, however.
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Limitations of the study include the lack of data on whether people
did in fact shovel snow, or how hard they worked if they did, the
authors note. People might not exert themselves as much removing
snow with a snow blower as they would shoveling it by hand, the
researchers point out.
“We really don't know for certain whether snow shoveling was the
only explanation for their results,” Dr. David Alter of the
University of Toronto said by email. “That said, there are studies
that have shown mechanistically, how much strain is placed on the
heart during snow shoveling.”
Women also shouldn’t assume from these results that they wouldn’t
boost their risk of a heart attack by overexertion while shoveling
snow, added Alter, who wrote an editorial accompanying the study.
“The risks do not only extend to men,” Alter said. “If you are
sedentary, not participating in regular exercise, and over the age
of 50 with risk factors for heart disease or with established heart
disease, I would not recommend snow shoveling.”
If it’s unavoidable, Alter recommends bundling up to keep warm and
using a snow blower if possible or using a shovel to push snow aside
rather than to heave it up and toss it into a pile.
“Don't lift the snow,” Alter added. “If you want to reduce your risk
with snow shoveling, exercise regularly for 30 to 45 minutes five
days per week to make certain you are appropriately physically
conditioned to do so.”
SOURCE: http://bit.ly/2lcTlVw CMAJ, online February 13, 2017.
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