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He said fatigue was not fully understood and other factors such as exercise, diet and sleep patterns played a role.
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Not one, but two four hour blocks of work, along with proper diet, sleep and socialization.
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But the study authors suggest that the relationship works both ways, and that diet can alter sleep as well.
CNN: Does your diet influence how well you sleep?
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As a starting point, attention to diet, exercise, sleep and mindfulness might be just as important for change leadership as is a knowledge of basic strategy concepts.
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In a 2007 study at the University of South Carolina at Columbia, 25 experienced swimmers did six timed trials while sticking to an artificial schedule that controlled for variables like sleep, diet and other factors.
WSJ: Your Body's Best Time for Everything
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By the sixth year, the participants, now in their mid-30s, had split into two camps: the 60% who remained "at war" with their bodies, and the remaining 40% who decided to prioritize their health, meaning they paid more attention to sleep, exercise and diet and set limits on how much they allowed work to consume them.
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With humans, if we get too little sleep, have a poor diet, and take on too much pressure, our stress levels rise and we succumb to ailments our otherwise healthy immune system could easily handle.
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"Everything we already know about fighting off chronic disease, like getting sufficient sleep, staying active throughout life, and having a healthy diet" may stave off premature aging of the immune system, too, Epel said.
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Shift workers are also more likely to eat an unhealthy diet (high in carbohydrates and fats) or smoke to compensate for their lack of sleep.
FORBES: Shift Work Can Lead to Increased Risk of Heart Attack and Stroke