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6. Stress
Last, but not least, there's stress. Although we've come to know stress as an emotional or mental strain, it can also refer to an imbalance of any health habit: eating too much sugar or fat, exercising too much or too little, not getting enough rest. Or it can mean exposure to pollution, poisons or excessive noise. Whatever the cause, repeated stress can lead to sickness.

Although much of our knowledge about stress's affect on health is anecdotal, research continues to be done on the link between disease and stress. Herpes (25), menstrual cramps (26), the common cold (27), angina (chest pain) (28) and even cavities (29) are aggravated or brought on in part by emotional or mental stress.

We can't control everything about our health. Genetics, accidents, age and pollution are out of our reach. But we can make decisions about some things like diet, exercise, rest, smoking and drinking. The best life is made up of healthy choices.



References
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  8. Nelson ME et al. A 1-y walking program and increased dietary calcium in postmenopausal women: effects on bone. American Journal of Clinical Nutrition 1991;53:1304-11.
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  10. Somers VK, Conway J, Johnston J, Sleight P. Effects of endurance training on baroreflex sensitivity and blood pressure in borderline hypertension. The Lancet 1991;337(8754):1363-68.
  11. Golub BJ Exercise that alleviates primary dysmenorrhea. Contemporary OB/GYN 1987;29(5):51-57.
  12. Haus G, Hoerr SL, Mavis B, Robison J. Key modifiable factors in weight maintenance: fat intake, exercise, and weight cycling. Journal of the American Dietetic Association 1994;94:409-13.
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  14. Weitzman M, Gortmaker S, Sobol A. Maternal smoking and behavior problems of children. Pediatrics 1992;90(3):342-49.
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  16. Mainous AG, Hueston WJ. The effect of smoking cessation during pregnancy on preterm delivery and low birthweight. The Journal of Family Practice 1994;38(3):262-66.
  17. Lowsinon JH, Ruiz P, Millman RB (eds). ®)9¯Substance Abuse: A Comprehensive Textbook®):¯ (2nd ed). Baltimore: Williams & Wilkins, 1992, chapter 25 ("Nicotine").
  18. Facchini FS, Hollenbeck CB, Jeppesen J, Chen YDI, Reaven GM. Insulin resistance and cigarette smoking. The Lancet 1992;339:1128-30.
  19. Barton JR, Riad MA, Gaze MN, Maran AGD, Ferguson A. Mucosal immunodeficiency in smokers, and in patients with epithelial head and neck tumors. Gut 1990;31:378-82.
  20. Fontelo PA. Can smoking be child abuse? (letter). American Journal of Public Health 1993;83(3):429-30.
  21. Zhu B et al. Exposure to environmental tobacco smoke increases myocardial infarct size in rats. Circulation 1994;89(3):1282-90.
  22. Brayton RG, Stokes PE, Schwartz MS, Louria DB. Effect of alcohol and various diseases on leukocyte mobilization, phagocytosis and intracellular bacterial killing. The New England Journal of Medicine 1970;282(3):123-28.
  23. Streissguth AP et al. Fetal alcohol syndrome in adolescents and adults. Journal of the American Medical Association 1991;265:1961-67.
  24. Jensen GB, Pakkenberg B. Do alcoholics drink their neurons away? The Lancet 1993;342:1201-04.
  25. Schmidt DD et al. The temporal relationship of psychosocial stress to cellular immunity and herpes labialis recurrences. Family Medicine 1991;23:594-9.
  26. Sigmon ST, Nelson RO. The effectiveness of activity scheduling and relaxation training in the treatment of spasmodic dysmenorrhea. Journal of Behavioral Medicine 1988;11(5):483-95.
  27. Cohen S, Tyrrell DAJ, Smith AP. Psychological stress and susceptibility to the common cold. The New England Journal of Medicine 1991;325:606-12.
  28. Yeung AC et al. The effect of atherosclerosis on the vasomotor response of coronary arteries to mental stress. The New England Journal of Medicine 1991;325:1551-6.
  29. Sutton PRN. Acute dental caries, mental stress, immunity and the active passage of ions through the teeth. Medical Hypotheses 1990;31:17.
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