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We recently asked our members about their level of happiness: “All things considered, how happy would you say you are?” More than 93,000 people from all 50 states answered, telling us that:

• 53% were “Very happy”
• 17% were “Happy”
• 20% answered “Neutral”
• 10% were “Not very happy” or “Not at all happy”

With 70%, or more than 65,000, of our members saying they were very happy or happy, we thought we’d dig into what this means and share our insights here.

Happiness is increasingly recognized as an important part of overall health. March 20 has been the official International Day of Happiness for the last 10 years, a day that recognizes happiness as “a fundamental human goal” and encourages countries around the world to consider happiness in their public policies. The United Nations also issues its annual “World Happiness Report” on that day. In the 2023 report, Finland was considered the happiest country in the world for the sixth year in a row!

What does it mean to be “happy"?

The simple dictionary definition of happiness is a “state of well-being and contentment,” but as you can imagine, having a sense of well-being and contentment can mean different things for different people. What you consider important for your well-being, and therefore happiness, is probably not the same as your partner, your parents, your neighbors, or your friends.

For the World Happiness Report, the United Nations takes into account 14 different physical and mental health items, including our relationships with our family, at work, and in the community, as well as the amount of social support we feel that we receive, satisfaction with our work situation, and the amount of personal freedom we believe we have.

Researchers specializing in happiness also suggest that happiness is made up of many different aspects of our life, including our:

• Feelings of joy, pleasure, and cheerfulness
• Sense of purpose in life
• Satisfaction with our quality of life

The researchers drew this diagram to show how different factors contribute to our happiness:

What did we find out about happiness in the Evidation community?

When we look at the diagram above, it’s clear that happiness is affected by many different parts of our lives, some that we can control and others that we can’t. To look at some of the traits of our Evidation community that influenced their happiness, we used the answers about happiness we reported at the beginning of this article and linked those with where our members live (by zip code), the size of their cities or towns, and their relationship status.

We found that the five happiest states were:

1. Kentucky
2. Arkansas
3. Mississippi
4. Louisiana
5. Utah

Interestingly, four of the five states are located in the Southeast. 

• People in Kentucky were more likely to be married or living with partners (74%) than people in California (60%) or New York (58%), who reported lower levels of happiness. 
• People in Kentucky were more likely to live in smaller towns and rural areas. 

• For people in the Southeastern states, happiness generally was higher in more rural neighborhoods.

• Compared with people living in the Southeast, people in California and Montana (who were not as happy) said they were less likely to receive or provide help or support from people close to them.

How does happiness affect health and vice versa?

Now that we’ve looked at what can affect our levels of happiness, what does that have to do with our health? It’s not really an easy question to answer because of how complex both happiness and health are, but research over the last couple of decades has shed light on ways that being happier or having greater well-being can be positive for health, including:

• Lower heart rate and blood pressure
• Lower risk of heart disease and stroke
• Decreased risk of dementia
• Less likely to develop a cold after exposure to a virus
• Better physical responses (such as heart rate) to stressful events
• Less pain due to arthritis or a chronic pain condition
• Longer lifespan
• And much more!

Some of the findings we had from the Evidation community might be related to how connected we are to the people around us, regardless of how many people there are. Having close relationships has also been linked to greater happiness and a longer lifespan in a long-term study. Positive social relations can also improve your ability to overcome stress and maintain a positive outlook.

It’s for these reasons that the United Nations and other global organizations emphasize the importance of a population’s happiness in government planning.

What are some actions you can take to improve your well-being and happiness?

Each of us can also take actions to improve our own levels of happiness and therefore our health. Not every action needs to be large. In fact, results from a study called BIG JOY showed that micro-acts or small actions performed every day had a big impact on emotional well-being (life satisfaction, happy feelings, meaning in life), positive emotions, enhancing relationships, and improving sleep. Below are some suggestions for ways you can add to your well-being.

Enhance your social support network by reaching out to friends, family, and coworkers or joining a professional organization, sports club, church group, book club, or other group-based activity.

Perform selfless acts for others by volunteering at a local organization, helping a stranger in need, or donating money to your favorite charity.

Fit in some physical activity by taking a walk, parking further away at the grocery store, joining a fitness class, or dancing to your favorite song.

Spend time in nature by eating your lunch outside, sitting on a bench in your local park, or joining a guided hike.

These are just a few examples of ways research has shown can enhance well-being — try one, many, or all and find others that fit into your life and bring you joy.

Want to receive personalized health insights? Complete cards daily in the Evidation app and, if you haven’t already, connect a compatible health app. 

Don’t yet have an Evidation account? Download the app today!

There are many factors and lifestyle events that can cause your blood pressure to increase. Exercising, while healthy for your heart, can cause a temporary increase in blood pressure. Stress can be a cause of sudden high blood pressure as well. But what about necessary lifestyle factors, such as eating? Does blood pressure rise after eating? For some people, it does.

Generally speaking, when you eat, your blood pressure goes down temporarily. This is because the body sends blood to the gastrointestinal system to help you break down your food, and the rest of your body experiences a drop in blood pressure. Increases in blood pressure are less common, but they can still happen. If you suspect your blood pressure’s increasing after eating, here’s what you need to know.

The physiology of eating: how the body responds

When you eat, your body must send extra blood to the digestive organs to help with breaking down the food and using its nutrients. When this happens, the blood vessels away from the digestive system narrow. This process also triggers an increased heart rate after eating. All of this happens so that the body maintains sufficient blood flow to the brain and extremities, even though more blood is going toward the digestive system.

These physiological processes cause a slight dip in blood pressure that’s rarely a cause for concern. Sometimes, the blood vessels and heart don’t respond the way they should to these natural changes, causing a more severe decrease in blood pressure accompanied by symptoms, such as dizziness and lightheadedness. This is a condition known as postprandial hypotension. Having high blood pressure after eating is less common, but it can happen.

How do you recognize high blood pressure after eating?

Having high blood pressure after eating is a condition known as postprandial hypertension. This rare occurrence is hard to spot because high blood pressure doesn’t cause many symptoms. Most of the time, people only realize they have this issue if they take their blood pressure after eating for another reason.

That said, extremely high blood pressure spikes can cause symptoms, according to the World Health Organization. These may include:

• Severe headaches
• Chest pain
• Dizziness
• Nausea
• Breathing difficulties
• Changes in vision
• Anxiety

If you have any of these symptoms after eating, talk to your doctor right away. This can indicate a severe increase in blood pressure that needs immediate medical attention.

Factors influencing high blood pressure changes

There are several factors that can influence your blood pressure and cause it to rise. These include:

Cuff size or reading errors

If you're getting an unusually high reading after eating, make sure you're using a blood pressure cuff that's the right size for your arm. If it's too small, you will get an inaccurate reading, and that reading will be high. Similarly, make sure you are reading the blood pressure properly and are sitting still, with your arm gently resting on a table or the arm of the chair.

Food choices

If you eat foods that are high in salt or saturated fat, you’re going to be more likely to notice an increase in blood pressure after eating. The salt and fat content triggers this change. Monosodium glutamate, also known as MSG, is also connected to blood pressure increases.

Stress

Stress can cause increased blood pressure. This isn’t directly connected to eating, but you may notice higher readings if you’re in a period of high stress.

Caffeine

Caffeine intake can cause your blood pressure to increase. If you consume caffeine at your meal, then you’re more likely to notice increases in blood pressure after you finish eating, but the beverage, not the food, is the trigger.

Alcohol

Very Well Health indicates alcoholic beverages can trigger an increase in blood pressure. This increase in blood pressure is short-lived, but if the spike is high enough or if you already have high blood pressure, it can be dangerous.

Managing post-eating blood pressure: lifestyle strategies

Eating is not usually a cause of sudden high blood pressure spikes, but for some people, it does cause a slight increase. If you’re dealing with blood pressure problems and have found a connection between eating and high levels, there are some lifestyle changes you can make to help.

First, know that temporary increases in blood pressure, as long as it’s normally at a healthy level, may not be a cause for concern. Talk to your doctor about your cardiovascular health so you can know whether or not this is an issue.

If your doctor is concerned, take measures to improve your cardiovascular health and lower your cholesterol levels. Increased exercise and water intake are both good strategies to create overall improvements in your heart health.

You can also focus on what you eat if you’re seeing a connection between your blood pressure and your eating schedule. Healthline indicates the Dietary Approaches to Stop Hypertension (DASH) diet is a good place to start. This diet focuses on foods that are low in salt and saturated fats, including fresh produce, low-fat dairy, and whole grains. It also recommends limiting added sugars. With these changes, you can lower your blood pressure up to 11 mm Hg, which could significantly impact the changes in blood pressure after eating.

Healthy eating also means adding some factors into your diet. For example, potassium and magnesium can help lower blood pressure levels, according to one study. Lean protein and fiber are also beneficial to your cardiovascular health.

Blood pressure increases after you eat are rare, but for some people, they can be normal. However, if you’re already dealing with elevated blood pressure, or if those increases are substantial, you’re going to need to pay attention to them. Being mindful of this type of postprandial blood pressure change, and making lifestyle adjustments when needed, can help you take better control over your health. By prioritizing your health and staying informed about factors that influence it, you can enjoy better wellness in your life.

If you’re looking for help with achieving your health goals, consider Evidation. Our clear guidelines and support have helped many people reach their health goals. Start tracking your health with Evidation today.

When you’ve been focused on healthy changes to your diet and lifestyle, stepping on a scale to see an unexpected increase or decrease can be disheartening, to say the least. Yet weight fluctuations are actually quite common, even when you’re choosing healthy foods and movement. If you’re seeing weight fluctuations, even unexpected increases or decreases in your weight, don’t be alarmed. This is something everyone experiences, and here are some of the reasons why it happens.

Common causes of weight fluctuations

Is weight fluctuation normal? Yes, it is, and everyone experiences it. So what causes the weight to go up or down on the scale, even when you’re focused on making healthy changes to achieve your weight goals? Here are some common causes of weight increases:

• Foods, especially foods high in sodium or carbs
• Hormonal changes, especially menstruation
• Medications you take
• Alcohol consumption
• Lack of a bowel movement

Here are some common causes of drops in your weight:

• Exercise and sweat
• Hormonal changes
• Stress
• Recent urination or bowel movement

Daily and weekly weight variations

How much does weight fluctuate throughout the day or week? Weight variations happen both on a daily basis and a weekly basis. In a healthy adult, it’s common for weight to fluctuate as much as five to six pounds a day and even more after eating a meal. For this reason, you might want to try to weigh yourself at the same time each day.

Yet even day to day, you can experience weight fluctuations, even when all other factors are similar each day and you’re weighing at the same time of day. According to Henry Ford Health, the average healthy adult will gain or lose two to eight pounds every few days, and that’s not due to fat loss but rather normal weight fluctuations. In addition, weight tends to be higher at the beginning of the week for most people, and lower toward the end of the week.

Water weight and hormonal influences

One of the reasons your weight will change over the course of a week is due to hormones, which can cause you to retain, or sometimes to lose, water weight. Hormone changes, especially in people who are assigned female at birth, are a common reason for weight gain. When a woman is nearing her menstrual period, she often retains water and gains weight, and that weight comes off after her cycle. How much do you gain on your period? This varies from person to person and may depend on how much unhealthy food you consume, but increases of between 1 and 5 pounds are common over that week.

In contrast, you can also lose water weight which can cause a drop in weight. Going on a run on a hot summer day may make you lose water weight as you sweat. These types of weight gains or losses aren’t directly related to fat gain or loss, and as such, are temporary in nature.

Dietary factors: how food choices impact temporary weight changes

Hormones are just one reason people might gain water weight. Your dietary choices also impact your weight. Remember, all food has weight, so you’re going to weigh more after eating than before, but some foods can carry over long after the meal and cause temporary increases in your weight.

For example, if you eat a large amount of salty or processed foods in a day, you might retain more water over the next few days as your body works to flush out the salt and processed chemicals. Large meals, such as a holiday feast, can also cause temporary weight increases until your body processes all of the food.

Foods high in carbohydrates may also lead to water retention, which leads to increases in weight. This is why you might notice temporary weight gain after you eat out or after several holiday parties full of sweet treats. Restaurant foods, even healthier choices at restaurants, tend to be higher in salt and processed chemicals than foods you make at home, and as such, they’ll create a temporary increase in weight.

Sometimes, people are surprised to know that not drinking enough water can actually cause you to gain weight temporarily. Your body will retain more water when you aren’t drinking enough, and this, in turn, can lead to temporary weight gain.

What and how often you eat can also cause weight decreases. Periods of fasting, including overnight when you’re sleeping, will cause your weight to decrease temporarily. Similarly, if you eat a high protein, low carb diet for a while, you may see the scale moving down, but adding in healthy carbs can help it balance back out.

How should you weigh yourself? Long-term trends vs. short-term changes and what to focus on

These temporary changes in weight can be discouraging for many people who are trying to make healthy changes, but they’re a normal part of being human. One way to counteract the disappointment at seeing that number go up (or down, if you’re trying to gain weight) is to weigh yourself in the best way.

First, try to weigh yourself at the same time each day, preferably without shoes on. Wear similar clothing each time you weigh, and, if possible, weigh after using the restroom. Many people find it convenient to weigh after they get up in the morning before eating breakfast.

After learning to weigh yourself well, consider looking at long-term trends rather than short-term fluctuations, recommends Very Well Fit. If you’re seeing the scale increase day after day, with no drops, it may be time to consider making a change. However, if you’re seeing gradual decreases, with occasional increases, and your goal is to lose weight, then you’re succeeding. Those increases are likely due to normal, natural causes.

Another option to consider is using a body weight scale that measures more than just pounds. These scales will measure your body fat and water percentage to help you see where you stand in your health goals. If you’re adding healthy exercise to a change in your diet, this will help you know if your weight increases are due to increasing muscle mass, which might be part of your goal, rather than increases in body fat.

You can also use another measure to weigh your success instead of your weight. For example, rather than jumping on the scale, see how your clothes fit. If they're getting a little tight consistently, and your goal isn’t to gain, then you’ll want to reevaluate your changes, but if they're getting looser, you might be on the right track toward your healthy living goals.

You can also use a tool, such as Evidation, to track your health goals, including exercise and food choices, and earn rewards for the positive changes you make. Remember, wellness is about more than just weight, and using a health tracker and pairing it with Evidation can help you take your next steps towards healthy living so that you can focus less on normal weight fluctuations and more on your healthy lifestyle progress. Track your health with Evidation today.

When your digestive system isn't getting rid of waste properly, it can be a pain--literally and figuratively. Thankfully, sticking to a high fiber diet can help ease constipation issues, and adding food with lots of fiber to your diet long-term can help stop constipation from happening in the first place.

Here, we'll take a look at some of the most common causes of constipation, how eating plenty of fiber can support a healthy digestive system, how you can boost the amount of fiber in your diet, and tips to keep in mind to help you adapt to your new constipation-fighting nutrition plan.

Understanding constipation: causes and impact on well-being

Constipation is a condition characterized by infrequent or difficult-to-pass bowel movements. Some people experience chronic constipation. Most people experience the condition at some point in their lives.

There are many factors that can cause or exacerbate constipation, including:

• Taking certain medications
• A sedentary lifestyle
• Dehydration
• A low-fiber diet
• Certain health conditions, like irritable bowel syndrome
• Pregnancy
• Travel
• Changes in sleep patterns

While constipation can be uncomfortable, the occasional bout of the condition is usually nothing to worry about. When constipation becomes chronic, however, many people find that it affects their overall well-being. Research shows that chronic constipation is correlated with anxiety and depression, and may be related to chronic inflammation.

In addition to the mental health issues that often occur alongside constipation, many people develop physical health issues, including hemorrhoids, skin tags, infections, and blood clots. Other complications, including anal fissures, impaction, and rectal prolapse are also possible.

The good news: if you're experiencing chronic constipation, there are some simple steps you can take to help you get in the bathroom and get moving. Here, we'll take a look at what you need to know to support your digestive health by adding fiber to your diet.

The role of fiber in digestive health

Fiber is not a nutrient, rather, it's an indigestible--yet edible--component of plant foods. Fiber helps to improve digestive function by increasing the volume of stool, affecting the rate of digestion of different foods, and providing the environment necessary for the continued growth of healthy bacteria that resides in the intestine.

Many people who experience constipation find that adding high-fiber foods to their diets makes it easier to pass stool. While fiber supplements can be helpful, whole-food fiber sources are the best way to help your digestive system.

High-fiber foods chart & meal plan

Let's take a look at some high-fiber foods you can add to your diet to help relieve constipation and support your digestive health.

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A simple high-fiber meal plan might look like this:

• Breakfast: Oatmeal topped with strawberries and a drizzle of local honey, with a half cup of low-fat yogurt on top
• Lunch: A bowl of turkey chili with kidney and navy beans, topped with half an avocado
• Dinner: Grilled BBQ chicken with cauliflower, broccoli, and a sweet potato with butter

Of course, it's important to take your time when it comes to figuring out what works for you. Talking with your doctor about your fiber goals can be a helpful way to learn what number you should be shooting for each day.

Balancing fiber intake: dos and don'ts for digestive comfort

When you're constipated, it can be tempting to load up on fiber to get fast relief, but doing so may leave you in worse shape. Too much fiber at once can lead to gas, stomach pains, and bloating, and may not solve your constipation issue. Slowly adding fiber-rich foods to your diet can both ease constipation and help prevent you from experiencing constipation in the future.

In addition to adding fiber to your diet, you'll want to drink plenty of water throughout the day. This can help to ease constipation and can help your fiber-rich diet move smoothly through your digestive system.

As we mentioned above, fiber supplements can be a good fit at times, but the best way to get your fiber is by adding whole, natural plant foods to your diet. If you think a fiber supplement might be necessary to support your digestive health, talk with your doctor about how often you should supplement.

Beyond constipation: additional benefits of a high-fiber diet

While you'll likely notice a fast change in your digestive health after adding more fiber to your diet, the health benefits don't end there. Research shows that adding fiber to your diet can help you achieve a healthy weight, live longer, and control your blood sugar and cholesterol levels.

Adding fiber to your diet is a manageable way to boost your overall health. Whether you're dealing with digestive issues or things are moving along smoothly, giving your body a fiber boost offers benefits that go beyond the bathroom.

Evidation: Taking your health to the next level

At Evidation, our team is here to help you feel your best. Whether you're looking for tips that can help you get more activity in your day or you want to learn more about your health conditions, our health tracking app allows you to make the most of your health data. Download the app today to start your journey to getting healthy--and to be rewarded for making smart choices that fuel your body and your fitness.

When you go to the doctor's office, your healthcare provider will typically check both your blood pressure and your heart rate at the start of your appointment. While both of these cardiovascular vital signs can provide insights into your health, they provide distinctly different information. Understanding the difference between heart rate and blood pressure--as well as how the two measures can affect one another--can provide you with information you can use to boost your health.

What are heart rate and blood pressure?

Also known as your pulse, your heart rate measures the number of times your heart beats in each minute. There are many factors that can influence your heart rate, including your fitness level, current physical activity, certain medications, and your emotions.

Blood pressure doesn't measure how often your heart is beating, rather, it measures the force with which your blood is flowing against your arterial walls. Your blood pressure reading can provide you and your healthcare provider with insight into the health of your cardiovascular system.

When both your heart rate and your blood pressure reading fall within a healthy range, it's a sign that your cardiovascular health is solid. If your heart rate and/or blood pressure reading are too high or too low, it's a sign that you're in need of further testing for heart-related health conditions.

Blood pressure and heart rate: How they influence each other

While your blood pressure and heart rate aren't measures of the same thing in your body, they do tend to rise and fall together. Many people find that when their heart rate is very high, their blood pressure is very high as well, as the heart is working hard to get oxygen to various parts of the body.

Many people also find that when their heart rate is very low, their blood pressure is low as well. Typically, the ups and downs of heart rate and blood pressure measures are most noticeable during extreme circumstances, such as when you're experiencing a health crisis or during times of extreme emotional stress.

While the two measures often work in tandem, this isn't always the case. Some health issues--including dehydration, severe cases of infection, or severe blood loss--can cause blood pressure to decrease while the heart rate increases.

Factors affecting blood pressure and heart rate

If your blood pressure or heart rate are too high for your (or your healthcare provider's) liking, it's important to take steps to get both measures into a healthy range. Thankfully, activities that lower one of these measures will usually lower the other.

Some changes you can make to lower your blood pressure and heart rate include:

• Exercising regularly
• Managing stress through writing in a journal, listening to music, meditating, yoga, deep breathing, playing with pets, or spending time with family and friends
• Eating a healthy diet (and limiting the amount of added salt in your diet)
• Don't smoke, and if you do smoke, make a plan to quit
• Don't drink, and if you do drink, limit your alcohol intake
• Eat foods rich in magnesium and potassium (including pumpkin seeds, bananas, and leafy greens)

Sometimes, medication is necessary to support your heart health. Your doctor will be able to work with you to decide whether it makes sense for you to support your cardiovascular health with medication while you also implement lifestyle factors that can help you feel your best.

Measuring and monitoring: tips for tracking your vitals at home

Keeping track of changes in your heart rate and blood pressure can help you get an idea of how different factors, including stress, exercise, illness, and getting enough sleep, affect your cardiovascular health.

It's simple to take your heart rate and blood pressure measurements at home. Most automated machines that you can purchase for home use provide you with a blood pressure and pulse reading at the same time. While some smartphone apps claim to be able to measure blood pressure, these aren't approved by the Food and Drug Administration (FDA) and shouldn't be used to gather insights about your health.

A few tips to follow to help you get accurate heart rate and blood pressure readings at home:

• Be sure to take your readings at the same time every day
• Don't take your readings immediately after exercising unless you're working to measure your active heart rate and blood pressure
• Make sure you always take your blood pressure on the same arm, as the right arm tends to show higher blood pressure readings than the left arm
• Sit in a chair with your legs uncrossed during your blood pressure reading, as crossing your legs can cause up to a 10-point increase in your systolic blood pressure
• Consider your breathing when you take your blood pressure. Implementing a standardized breathing pattern can help to ensure that your mind is focused and your mind is as relaxed as possible

Some variation is normal in your day-to-day readings. If you notice sudden changes in your heart rate or blood pressure, it's important to reach out to a healthcare provider right away. If you notice gradual changes over time--for example, your blood pressure rises steadily over a few months--it's a good idea to make an appointment with your doctor to learn more about how to keep your blood pressure within a healthy range.

Whether you've been using your health data for years or you're just getting started with learning more about what works for your body, keeping track of your blood pressure and heart rate can help you see what's working for your health--and how some changes might benefit your well-being.

Download Evidation today

At Evidation, we're here to help you make the most of your health data. Whether you're starting to track your blood pressure readings, want to boost your activity levels, or want to learn more about your health conditions, we've got you covered. Our clear guidelines, tips, and support make it easier for our users to achieve their health goals. Download the app today to get started!

Most people know about blood pressure and its connection to cardiovascular health, but have you ever heard of pulse pressure? This lesser-known number can actually be one of the first indicators of cardiovascular concerns. Here’s what you need to know about pulse pressure, its connection to your heart health, and how to use it to monitor your health.

What is pulse pressure?

Pulse pressure is a measure of the difference between the systolic and diastolic blood pressure readings. It’s a lesser-known number that can have a big impact on your overall cardiovascular health.

Pulse pressure and its connection to cardiovascular health

To calculate pulse pressure, simply subtract the upper number and lower number of your blood pressure. It’s normal for this to increase as you age, but if the pulse pressure gets too high, it can indicate cardiovascular health problems, even before symptoms develop.

A high pulse pressure reading doesn't necessarily mean you have heart disease. However, it does mean you have an increased risk of heart disease. A high pulse pressure reading potentially increases the risk of both heart disease and stroke. Even just an increase of 10 mm Hg can increase heart disease risk by as much as 20 percent, according to research from the National Library of Medicine.

Low pulse pressures can also be problematic. According to the Cleveland Clinic, a low pulse pressure, when the pulse pressure is ¼ or less of the systolic blood pressure number, may indicate the heart isn’t pumping enough blood. This can indicate heart failure or heart valve disease in some people, and it can indicate a loss of blood in others after injury or due to internal bleeding. Thus, both low and high pulse pressures can indicate problems with your cardiovascular system.

Understanding the numbers: interpreting pulse pressure readings

A normal blood pressure reading for a healthy adult is typically 120/80. To find pulse pressure, subtract these two numbers. 120 – 80 = 40. You can find this any time you take your blood pressure reading using the same formula.

So, what does the number mean? Healthline indicates a normal pulse pressure reading falls between 40 and 60 mm Hg. Anything higher than this is considered high, while anything lower than this indicates a low reading.

Pulse pressure should be considered along with blood pressure. For instance, if someone has a pulse pressure of 60 mm Hg and a blood pressure of 120/80, which is normal for an adult, they’re at low risk for a heart disease event. However, if someone has a blood pressure reading of 180/120 mm Hg, they still have a pulse pressure of 60 mm Hg. That said, this is a high blood pressure reading, and as such, they're at risk for a heart disease event, even with a normal pulse pressure measurement.

Factors influencing pulse pressure

You may notice that your pulse pressure fluctuates. This is normal. Many factors can influence your pulse pressure.

Like your blood pressure, your pulse pressure may change with physical activity. Eating and drinking can also influence your pulse pressure. Even actions like talking and laughing can have an impact.

Age also impacts pulse pressure. Most people have higher pulse pressures as they age. This may be due to the way the arteries stiffen with age.

Interestingly, Mayo Clinic indicates that blood pressure medication may not have an impact on pulse pressure. While it’s important to take blood pressure medication to keep blood pressure numbers in a healthy range, if you have high blood pressure, you may notice that your pulse pressure remains where it is.

How to measure pulse pressure? Tips for accurate monitoring

Measuring pulse pressure isn’t hard, but you do need to do it accurately to give yourself a good picture of your cardiovascular health. Here are some tips.

Take an average of measurements

Because pulse pressure levels can change, you need to measure it more than once. Consider measuring it twice, with measurements taken about five minutes apart. Then, average your two measurements by adding them together and dividing by two. This may give you a more accurate pulse pressure.

Accurately measure blood pressure

Use a blood pressure cuff that you trust to measure your blood pressure. Consider taking your cuff to the doctor to have them verify that it’s accurately measuring your blood pressure. Sit still with your feet flat on the floor and your arm resting on the arm of a chair or couch when taking your blood pressure.

Monitor over time

A one-time pulse pressure reading that’s high isn’t necessarily a cause for alarm. Keep tabs on your pulse pressure over time, and alert your doctor if you see a potentially hazardous trend.

How to improve pulse pressure? Lifestyle and wellness strategies

If your pulse pressure’s high or low, talk to your doctor first to rule out any health concerns that need to be addressed quickly. If your doctor doesn’t find any serious concerns, consider making some lifestyle changes that can support heart health.

Eat a healthy, balanced diet

Eating healthy foods that are high in fiber and low in unhealthy fats and sugars will support improved heart health. Start by swapping out snack foods for whole fruits and vegetables and high-fat meats for leaner cuts to make some small changes that can add up to big improvements over time.

Learn stress management

Another way to support your heart health is with improved stress management. While you can’t always eliminate stress, find healthy ways to deal with it, such as practicing yoga at home or scheduling downtime into your week.

Exercise regularly

Exercise, even if it’s as simple as a walk, is beneficial to your heart. Use a tool such as a step counter and pair it with Evidation to incentivize yourself to keep walking.

Increase your sleep

Aim for 7 to 9 hours of sleep each night, whenever possible. Getting enough sleep reduces your stress and improves your overall health. When you sleep, your heart rate slows, and your cardiovascular system gets a break as well, which improves its health.

Get personalized health insights to track your health goals with Evidation

Early detection is a key factor in protecting yourself from cardiovascular disease, especially if you already have a diagnosis or are at high risk. Sometimes, you’ll need data to get the conversation going with your healthcare provider, and Evidation can help. Our personalized health insights can help you track your health goals and progress, while also giving you a talking point to help your care provider understand your concerns. Our Heart Health digital program can help you track your heart health throughout your daily life so that you can get the right data to your doctor. Read more about how Heart Health is helping people track and talk about their cardiovascular health, then download the app today to start tracking yours.

What is ferritin?

If your doctor has determined that you may have low iron levels, it's likely that they've ordered a ferritin test.

Ferritin is a protein that naturally occurs in blood. When you have a ferritin test, your doctor is able to use the amount of ferritin in your blood to determine how much iron is stored in your body.

Ferritin in the body

Ferritin plays an important role in keeping your body energized and healthy. Healthy iron levels allow your body to create red blood cells that work to carry oxygen throughout the body.

Iron levels can differ from person to person, and following your doctor's recommendations for lab tests can help your healthcare team keep an eye on your iron levels.

In healthy adults, standard blood ferritin ranges include:

• Female: 12 to 150 nanograms per milliliter
• Male: 12 to 300 nanograms per milliliter

Low ferritin risk factors

While anyone can have low iron levels, some people are more likely to develop low ferritin than others. If you're more likely to have low iron than others, your doctor may recommend regular ferritin testing to provide you with the information you need to adjust and supplement your iron levels.

People who are at risk for low ferritin levels include:

• People who are underweight
• Women who are pregnant
• Women who experience heavy periods
• People who have digestive issues that cause problems with their ability to absorb the nutrients in their food (such as inflammatory bowel disease)

While these conditions can make it more likely that you'll develop low ferritin levels, some people develop low ferritin levels–and subsequently, low iron– without any risk factors.

An important note: if you have a blood test that shows low ferritin, this does not necessarily mean that your body has low iron. Excess iron is stored in ferritin, so anyone who has low iron will also have low ferritin. In other words, Everyone who has low iron will have low ferritin, but not everyone who has low ferritin will develop low iron.

Symptoms of low ferritin

Wondering if you might be living with low ferritin levels? While a blood test is the only way to know for sure, there are some symptoms commonly shown by people who have low levels of iron stored in the ferritin in their red blood cells.

Common signs of low ferritin levels include:

• Skin appears more pale than usual
• Muscle weakness
• Unexplained fatigue
• Dizziness
• Rapid heartbeat
• Unusual shortness of breath

If you're experiencing these symptoms, it's important to talk with your doctor to get to the root of your issue. While many of these symptoms can be attributed to low ferritin, they can also be indicative of other health conditions.

Causes of low ferritin

There are many health issues that can cause a low ferritin test result. If your blood test comes back showing that you have low ferritin levels, it's likely that your doctor will order additional tests (such as transferrin saturation, total iron-binding capacity, and serum iron) to determine the severity of your body's low iron levels.

Sometimes, low ferritin levels can be caused by issues including:

• Conditions that stop the body from properly absorbing iron
• Blood loss related to digestive tract issues
• Inadequate levels of red blood cells
• A diet low in iron
• Inflammatory health conditions

Low iron stores vs. iron-deficiency anemia: What's the difference?

If you have a ferritin test that shows that you have low iron stores, you could be anemic. In order to understand the difference between low ferritin and low iron, it's important to understand the role that hemoglobin plays in your health.

Hemoglobin is a component of red blood cells, and works to carry oxygen throughout your body. Iron works to help your bone marrow produce hemoglobin. Without iron, the body struggles to produce hemoglobin. Red blood cells are able to store extra iron in ferritin proteins. When the body doesn't get enough iron from food, it has to resort to using ferritin-stored iron to create hemoglobin.

When your body doesn't have much ferritin-stored iron, it’s possible to develop iron deficiency. Over time, this can make it hard for the body to make enough hemoglobin to support your health. Anemia is a condition that occurs when you have low levels of hemoglobin in your blood, caused by low iron stores.

If you have low ferritin levels, it's important that you carefully follow your doctor's advice to boost your body's iron stores to avoid developing anemia.

Increasing ferritin levels naturally

If you've recently been diagnosed with low ferritin levels, we've got good news: there are plenty of steps you can take to naturally increase your body's iron stores. Here, we'll take a look at how supplementation and diet changes can help to boost your body's ferritin levels.

Supplements

Your doctor may recommend that you use iron supplements to help boost your ferritin levels. It's important to work closely with your care provider to monitor whether your supplementation routine is working--some people find more success through supplementing iron every other day rather than taking a supplement every day.

Dietary changes

Adding iron-rich foods to your diet may help you increase your ferritin levels. There's no need for a total dietary overhaul--simply adding some of the foods below to your nutrition plan can help you boost your energy by increasing your body's iron levels.

Foods high in iron include:

• Beans
• Tofu
• Beef
• Dried fruit
• Cashews
• Lentils
• Kale
• Pistachios
• Soybeans
• Peas
• Beef
• Broccoli

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Talk to your doctor

If you're concerned that you may have low iron stores in your body, it's key to reach out to your doctor for ferritin testing. Be sure to keep a list of your symptoms, which can allow your doctor to determine whether they should test for health conditions in addition to low ferritin levels. If your doctor finds that your ferritin levels are low, you'll want to talk with them to develop a supplementation and diet plan that will help you get back to feeling like yourself.

Download Evidation today

At Evidation, we're here to help you make the most out of every day. From providing you with easy-to-follow health tips to providing the support that you need to feel your best, we've got you covered. Download the app today to get started!

When you go to the doctor and get your blood pressure measured, the nurse reads back a number like this: 120/80. Most people don’t think twice about what that number means, but what happens if a measurement starts to creep up? For most patients with hypertension, both numbers will increase, but sometimes, just one. If only the bottom number starts to go up, you’re dealing with high diastolic blood pressure. Here’s a closer look at what causes high diastolic blood pressure and how you can treat this rare condition.

What is diastolic blood pressure?

When doctors measure blood pressure, they measure systolic and diastolic. The systolic number is listed on top of the diastolic number. Diastolic measures the pressure in your blood vessels in the period between your heartbeats. In contrast, systolic measures the pressure when the heart muscle contracts.

What causes diastolic blood pressure to increase?

Currently, any reading above 80 millimeters of mercury for diastolic blood pressure is considered high as long as the systolic blood pressure is within normal parameters. So what causes this level to increase?

General hypertension, which is elevated levels for both types of blood pressure, often occurs due to lifestyle factors. Someone who eats a diet high in fat and salt or someone who is living with obesity may have high blood pressure. However, high diastolic blood pressure is rare, affecting only about 20% of patients with high blood pressure. It may be caused by endocrine disorders, renovascular disorders, and even sleep apnea, in addition to the factors that can cause overall high blood pressure. Sometimes, stress and anxiety or excessive alcohol consumption can also cause it, and some medications, including atypical antipsychotics and amphetamines, can cause it. In many cases, however, doctors aren’t sure why a person develops high diastolic blood pressure. If you’re concerned about these potential causes, always consult with your doctor, and don’t change your medication without a doctor’s oversight.

Dangers of high diastolic blood pressure

High diastolic blood pressure may be rare, but it’s still an important thing to note because diastolic blood pressure is an important indication of cardiovascular health. Since this number measures the blood pressure between heartbeats, a high level may mean less effective delivery of oxygen to the heart's muscles. This, in turn, can lead to an increased risk of heart disease.

The risk is fairly high, too. According to Medical News Today, an increase of 10 millimeters of mercury for this measure doubles an adult’s risk of heart disease or stroke, as well as some additional health concerns. This risk appears once someone reaches age 40, and high diastolic blood pressure doesn’t have the same impact on younger individuals.

Specifically, increased diastolic blood pressure increases your risk of having:

• Heart disease
• Stroke
• Heart attack
• Heart failure
• Peripheral arterial disease
• Chronic kidney disease
• Vision loss
• Aneurysm
• Atrial fibrillation

Symptoms and diagnosis

High blood pressure of any kind rarely has symptoms. That’s why it’s sometimes called the “silent killer.” When blood pressure levels are severe, it may lead to headaches, anxiety, nosebleeds, and nervousness. An irregular heartbeat or vision problems may also occur.

Because symptoms typically don’t develop until the disease has progressed quite far and levels are extremely high, most people get diagnosed at a routine medical examination or when they’re being seen for something else. Doctors typically take blood pressure at every appointment, noting elevated levels. Occasionally, elevated diastolic blood pressure may not be a cause for alarm, but if it’s staying elevated regularly, you’ll want to talk to your doctor about how to best manage it.

Improve your blood pressure with treatments and lifestyle modifications

Managing your blood pressure, including your diastolic blood pressure, is an important part of keeping your heart healthy. The first line of defense for mildly elevated blood pressure and improving cardiovascular health may be lifestyle modifications. If lifestyle modifications aren’t sufficient, or if the diastolic blood pressure level is extremely high, your doctor may choose to use medications to treat it.

Increased exercise

First, consider adding more exercise to your routine. You can exercise safely with high blood pressure using a few modifications. Always check with your doctor, but getting more activity may help lower your blood pressure over time.

Increased water intake

Another way to manage blood pressure through lifestyle changes is by increasing your water intake. Drink the appropriate amount for your gender and age, and consider increasing it slightly if necessary to improve your health. Staying hydrated supports good heart health, and that includes improving blood pressure levels.

Balanced diet with less salt and alcohol

Managing your diet may also have a positive effect on diastolic blood pressure levels. Reducing alcohol consumption, limiting salt intake, and focusing on eating a balanced diet all play a role in keeping blood pressure levels in check. You can use tools like Evidation and your favorite fitness tracker and food tracking apps to monitor how well you’re doing to reach these goals.

Home monitoring of blood pressure

Monitoring your blood pressure levels at home will also be helpful. This shows you if the lifestyle modifications are working and will also help you know if you need further medical intervention.

Medication treatment options

Because high diastolic blood pressure is rare, most patients will need to get some medical oversight. If your systolic blood pressure is normal, but your diastolic is high, your doctor may want to proceed with caution. Medical News Today warns that treating high diastolic blood pressure with medication, particularly if the patient is young, can increase the risk of heart problems.

That said, if levels get high enough, doctors will recommend medication. Some options include:

• Diuretics
• Angiotensin receptor blockers
• Angiotensin-converting enzyme inhibitors
• Calcium channel blockers

Adding medication will mean an increased level of monitoring from your doctor. Sometimes, medications need adjustment until the ideal blood pressure level is reached.

Monitor your health goals with Evidation

If you’re struggling with your diastolic blood pressure, you’ll want to take a multifaceted approach to managing it. Tracking your health will be part of this. Evidation can add motivation to help you take charge of your health by rewarding you for making better health choices. Start tracking your health with Evidation today.

When winter hits, so does the holiday season. This brings many challenges if you’re focused on healthy living. From shorter days and colder weather that make it harder to get your exercise in, to the many treats and extra alcohol consumption common around the holidays, you’ll face many challenges to your healthy living goals during this time of year.

If you’re wondering, “Why do I gain weight during the winter?” know that you’re in good company. On average, people will gain between 1 and 3 pounds during the holiday season. There are many reasons for this. The stress of the holidays, extra food available, less motivation to get outdoors and be active, and increased cravings for comfort food are all contributing factors to winter weight gain.

So, what can you do if you want to avoid coming out of the winter with a few extra pounds? There are some simple yet effective strategies you can use to prevent holiday weight gain. With the right plan in place, you can enjoy some holiday festivities and still achieve your health goals during this season.

1. Be active and socialize

A key factor of a healthy lifestyle is exercise, but many people lose motivation to be active when the days get shorter and the temperature colder. The holiday season is about friends and family. While many events do focus on food and treats, they can also be about the people you’re spending time with. Focus on the social aspect of the event and look for ways to be active. Can you get together with family for a hike through the winter woods, or play a game of basketball in the driveway after a holiday meal? Being active and social may help counter any extra treats you enjoy over the season.

2. Mindful eating and portion control

Having one holiday cookie isn’t going to derail all of your healthy eating goals. Having two holiday cookies every day between Christmas and New Year's may be more than your body needs.

One key to balancing your desire to maintain a healthy weight with the extra treats of the holiday season is to practice mindful eating and portion control. Eat what’s available when you’re hungry, even if it’s not the healthiest option possible, but stop when you’re full. Take a half portion, too, and evaluate if you’re sufficiently full before returning for seconds. These small steps can make a big difference in the total number of calories you consume.

3. Smart snacking and healthy choices

When you want a snack during the holidays, it’s tempting to reach for another treat. Instead, grab some fresh fruit, or keep some cut-up veggies in the fridge. If you can focus on smart snacking and save the treats for an occasional after-meal dessert, you may find that you’re consuming fewer empty calories. Also, fruits and vegetables are high in fiber, which can help you feel full longer. They’re also packed with vitamins that can help boost your immune system throughout the winter months.

4. Manage stress and sleep

There’s no denying the holiday season can feel stressful. There are concerts, programs, parties, and events to attend nearly every weekend. Over time, you can start to develop significant stress as you work to manage this busy schedule. Stress releases the hormone cortisol, which triggers the body’s natural fat storage tendencies. When you have high cortisol levels, it can be harder to lose weight. Also, high cortisol levels can make you want to indulge in sugary or salty treats, which can add to your weight gain.

Add to the schedule the expectations this time of year to have the perfect, Pinterest-ready holiday, and you can see why it’s a recipe for high levels of stress. Find ways to weave in some relaxation throughout the winter as you manage your emotional wellness during this season. Curl up with a favorite book or holiday movie to unwind, or draw yourself a warm bath to add some relaxation. Maybe relax by listening to your favorite holiday music or attending a peaceful religious service. What feels relaxing is going to be highly personal to you, but find some ways to unwind.

Getting enough sleep is also essential during the winter. Sleep keeps your immune system functioning properly while also lowering your stress levels.

5. Mindful indulgence and alcohol consumption

It’s probably not reasonable to say you need to avoid all treats during the holidays, but as with your mindful eating, be mindful of your indulgence. Take small portions of the holiday treats that are so prevalent this time of year. Avoid taking seconds. This will help you consume less of these tasty but potentially unhealthy items.

Similarly, be considerate of how much alcohol you consume. Whether it’s wine, beer, or something else, alcohol contains calories, and too many calories can lead to weight gain. Have alcohol on occasion if you want it, but don’t overdo it.

6. Planning and self-compassion

The best way to protect against winter weight gain is with a plan. Find tools you can use to track your health, such as Evidation, and know how you will approach parties and treats brought to work. Give yourself some grace to enjoy some of these items, but have a plan in place to say “no” in a gracious way when needed.

In addition, practice self-compassion. You may gain some weight in the winter. For some, it’s the nature of the season and all of the celebrations it brings. If you do gain some weight and want to try to get back to your baseline after the holidays, you can easily do so. A little bit of extra winter weight, especially over the holidays, doesn’t need to derail the work you’ve put in throughout the year.

Are you looking for additional insights that can help you fight winter weight gain? Check out these 23 surprising health facts, or our guide to healthy eating during the holidays.

If you want a tool to help you prevent winter weight gain, consider Evidation. By rewarding you for your efforts, Evidation can make it easier to focus on healthy choices throughout the holidays. Start tracking your health with Evidation today.