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Background The impact of diet on specific age-related diseases has been studied extensively, but few investigations have adopted a more holistic approach to determine the association of diet with overall health at older ages. We examined whether diet, assessed in midlife, using dietary patterns and adherence to the Alternative Healthy Eating Index (AHEI), is associated with aging phenotypes, identified after a mean 16-year follow-up. Methods Data were drawn from the Whitehall II cohort study of 5350 adults (age 51.3±5.3 years, 29.4% women). Diet was assessed at baseline (1991-1993). Mortality, chronic diseases, and functioning were ascertained from hospital data, register linkage, and screenings every 5 years and were used to create 5 outcomes at follow-up: ideal aging (free of chronic conditions and high performance in physical, mental, and cognitive functioning tests; 4%), nonfatal cardiovascular event (7.3%), cardiovascular death (2.8%), noncardiovascular death (12.7%), and normal aging (73.2%). Results Low adherence to the AHEI was associated with an increased risk of cardiovascular and noncardiovascular death. In addition, participants with a “Western-type” diet (characterized by high intakes of fried and sweet food, processed food and red meat, refined grains, and high-fat dairy products) had lower odds of ideal aging (odds ratio for top vs bottom tertile: 0.58; 95% confidence interval, 0.36-0.94; P=.02), independently of other health behaviors. Conclusions By considering healthy aging as a composite of cardiovascular, metabolic, musculoskeletal, respiratory, mental, and cognitive function, the present study offers a new perspective on the impact of diet on aging phenotypes.
Sharing a rare moment of person-to-person time during the scientific sessions in San Francisco, Dr Seth Bilazarian asks Drs Samuel Goldhaber how he goes about bridging with dabigatran, rivaroxaban, and apixaban.
The news was less disappointing for aerobic exercise, with 51.6% of adults getting the recommended amount, than it was for muscle-strengthening activities, with only 29.3% getting the recommended amount. The overall exercise rates also varied widely by state, ranging from 13% in Tennessee and West Virginia to 27% in Colorado. The report was published in the May 3 issue of the Morbidity and Mortality Weekly Report, a CDC publication. "Exercise not only helps with weight management, it helps reduce anxiety and depression; boosts energy, immunity and brain power; and significantly lowers the risk for chronic diseases such as cancer, diabetes and cardiovascular disease," she said. According to the Physical Activity Guidelines for Americans, adults should get at least: => two and a half hours a week of moderate-intensity aerobic activity such as walkin => or an hour and 15 minutes a week of vigorous-intensity aerobic activity, such as jogging. In addition, adults should do muscle-strengthening activities, such as push-ups, sit-ups or activities using resistance bands or weights. These exercises should be done two or more days a week and work all major muscle groups, the guidelines suggested. The highest proportion of adults meeting those guidelines were in the West (24 percent) and the Northeast (21 percent). Women, Hispanics and older and obese adults were less likely to meet the guidelines "Simple steps to start moving include: enlisting a friend or family member to join you; taking a walk every evening after dinner; getting up and marching in place at every TV commercial; limiting TV and computer time; [and] scheduling your time to exercise in your daily calendar,
A stroke, sometimes called a “brain attack,” occurs when blood flow to the brain is interrupted. When a stroke occurs, brain cells in the immediate area begin to die because they stop getting the oxygen and nutrients they need to function. What are the symptoms of a stroke?— The symptoms of stroke are distinctive because they happen quickly—thus the origin of the name "stroke." Sudden numbness or weakness of the face, arm, or leg (especially on one side of the body)Sudden confusion, trouble speaking, or understanding speechSudden trouble seeing in one or both eyesSudden trouble walking, dizziness, loss of balance or coordinationSudden severe headache with no known cause
Sharing a rare moment of person-to-person time during the scientific sessions in San Francisco, Dr Seth Bilazarian asks Dr. Samuel Goldhaber how he goes about bridging with "Novel oral anticoagulants" (NOACs) #dabigatran, #rivaroxaban, and #apixaban.
Some says social smoking can be good. This is Ontario Ministry of Health answer. A farting one! WeWantAds shows you the most funny, creative and sexy ads all...
Data provided by UpToDate, one of the most popular tools used by Physicians, shows Apple dominating the Physician market when compared to Android. Dr. Denise Basow, President of UpToDate, responded to my questions with some of the following data: There are over 700,000 clinicians using UpToDate worldwide.25% of the usage of UpToDate is on mobile devices.At the end of 2012, there were over 75,000 iOS users and over 10,000 Android users.When using the UpToDate mobile app, 90% of the access is from iOS and 10% is from Android.
Walnuts are rich in polyunsaturated fatty acids and have been shown to improve various cardiometabolic risk factors.This trial investigated association between walnut intake & type 2 diabetes in the Nurses’ Health Study which followed 58,063 women aged 52–77 years old from 1998–2008 and
79,893 women aged 35–52 y in NHS II (1999–2009) without diabetes, cardiovascular disease, or cancer at baseline.
Consumption of walnuts and other nuts was assessed every 4 years using food questionnaires. A total of 5930 new type 2 diabetes cases during 10 y of follow-up were detetected. Walnut consumption was associated with a lower risk of type 2 diabetes for participants consuming 1–3 servings/mo (1 serving = 28 g), 1 serving/wk, and >2 servings/wk of walnuts: were 0.93, 0.81 and 0.67 compared with women who never/rarely consumed walnuts. Further adjustment for updated BMI slightly attenuated the association and the HRs were 0.96, 0.87 & 0.76 , respectively. The consumption of total nuts and other tree nuts was also inversely associated with risk of type 2 diabetes, and the associations were largely explained by BMI. Our results suggest that higher walnut consumption is associated with a significantly lower risk of type 2 diabetes in women.
A series of videos designed to educate and empower patients about advance care planning and their choices for medical care. Video decision tools effectively communicate and inform patients about their options for care. These videos are designed to shed light on the reality of aggressive end-of-life treatments, which are often portrayed on television as being more successful than they are.
Chris Wilcox and Jeff Green of the Boson Celtics discuss their life threatening diagnosis (thoracic aortic aneurysm) and heart surgery at Cleveland Clinic. Here's picture of Jeff Green hugging his surgeon Lars Svenson after buzzer beater over the Cavaliers 3/28/2013. https://twitter.com/Ballislife/status/317621724109750272/photo/1
New research clarifies why music and exercise make such a good team, and how to create an optimal workout playlist Selecting the most effective workout music is not as simple as queuing up a series of fast, high-energy songs. One should also consider the memories, emotions and associations that different songs evoke. For some people, the extent to which they identify with the singer's emotional state and viewpoint determines how motivated they feel. And, in some cases, the rhythms of the underlying melody may not be as important as the cadence of the lyrics. In recent years some researchers and companies have experimented with new ways to motivate exercisers through their ears, such as a smartphone app that guides the listener's escape from zombies in a postapocalyptic world and a device that selects songs based on a runner's heart rate
In approximately 30% of young survivors of stroke, no clear cause is identified despite a thorough evaluation. Patent foramen ovale ("hole in the heart") is found in about half of these patients, as compared with approximately 25% of the general population. Clinicians, then, often assume that the patent foramen ovale was the cause of the stroke, although it may be incidental in some patients. The most effective strategy for the prevention of stroke recurrence in such patients is uncertain, and some experts recommend closure of the patent foramen ovale to prevent future embolic events, although high-level data have been lacking.
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Famous people with Atrial Fibrillation
People who own dogs or cats may have a reduced risk of cardiovascular disease,. Top Ten Things To Know Pet Ownership and Cardiovascular Risk
1. This AHA Scientific Statement critically assesses studies regarding the influence of pet ownership on the presence and reduction of CVD risk factors as a novel strategy in reducing the risk of CVD.
2. Pet ownership, particularly of dogs, is probably associated with decreased CVD risk (LOE B), and may have a causal role in reducing CVD risk (LOE B). Further investigation is needed to establish a causal relationship.
3. While pet ownership may be reasonable for the reduction in CVD risk (Class IIb, LOE B), pet adoption, rescue, or purchase should not be done for the primary purpose of reducing CVD risk (Class III, LOE C).
4. An association between pet ownership and lower blood pressure has been found in some, but not all, studies.
5. Of all pets, dogs seem most likely to positively influence physical activity, especially with owners who regularly walk their dogs.
6. Pets also play an important role in providing social support, which is one of the most significant predictors of adherence to behavior change over time.
7. Companion animals may strengthen engagement in a weight loss program.
8. A positive relationship between pet ownership and autonomic function or cardiovascular reactivity to stress has been reported in most published studies. People with pets tend to have lower baseline heart rates, lower blood pressures, and significantly reduced increases in heart rate and blood pressure in response to stress. Recovery time from a stressful event is also markedly improved.
9. Further investigation is warranted regarding the influence of pet ownership on reducing CVD risk, including those on risk factor modification, primary prevention, and use of pet acquisition as a part of a strategy for secondary prevention of cardiovascular disease.
10. Minimal data are available to make an association between hyperlipidemia and pet ownership, as well as survival in people without established cardiovascular disease and pet ownership. COMPLETE INFO at Levine GN, et al; on behalf of the American Heart Association Council on Clinical Cardiology and Council on Cardiovascular and Stroke Nursing. Pet ownership and cardiovascular risk: a scientific statement from the American Heart Association. Circulation. 2013:
http://circ.ahajournals.org/lookup/doi/10.1161/CIR.0b013e31829201e1
Subclinical hyperthyroidism is associated with a 20% increased risk for cardiovascular mortality, primarily driven by heart-failure deaths, according to a large study in more than half a million individuals from general practice in Denmark, reported at the 2013 European Congress on Endocrinology. "The main finding is a 20% increased risk of mortality in all levels of hyperthyroidism, including overt and subclinical but also high-normal, euthyroid patients, those lying in the lower range of the normal thyroid-stimulating hormone [TSH]," "The take-home message is that if a person has a family history with any thyroid problem or has any signs of thyroid problems, they should go for a checkup. Their family doctors need to be aware that any sign of thyroid abnormality can affect cardiovascular health, and they should act accordingly." The link between overt hyperthyroidism and cardiovascular mortality is quite well established, he said, but the finding of an association with subclinical hyperthyroid disease is much more novel. Of 574,595 included individuals (mean age, 48.7 years; 39.1% male), 95.9% were euthyroid, 1603 (0.3%) had overt hypothyroidism, 11,834 (2.1%) had subclinical hypothyroidism, 3967 (0.7%) had overt hyperthyroidism, and 6264 (1.1%) had subclinical hyperthyroidism.
Eating fish, chicken, olive oil and other foods rich in omega-3 fatty acids while staying away from meats and dairy -- the so-called Mediterranean diet -- may help older adults keep their memory and thinking skills sharp, a large new U.S. study suggests. Using data from participants enrolled in a nationwide study on stroke, the researchers gleaned diet information from more than 17,000 white and black men and women whose average age was 64. The participants also took tests that measured their memory and thinking (cognitive) skills. During the four years of the study, 7 percent of the individuals developed problems with these skills, the researchers reported. "Greater adherence to Mediterranean diet was associated with lower risk of incident cognitive impairment in this large population-based study," said lead researcher Dr. Georgios Tsivgoulis, from the University of Alabama at Birmingham as well as the University of Athens, in Greece.
The FDA is creating a largely automated surveillance system to monitor safety of high-risk medical devices, and has authorized a cellphone app for doctors to simplify reporting deaths and injuries to the agency.
Many U.S. adolescents are already on their way to increased cardiovascular risk in adulthood, researchers found. Roughly half of about 5,000 study participants ages 12 to 19 (54.7% of males and 50.5% of females) met "ideal" standards for fewer than five of the seven variables developed by the American Heart Association to define cardiovascular health, according to Christina Shay, PhD, of the University of Oklahoma Health Sciences Center in Oklahoma City, and colleagues. And 0% met all seven variables including not smoking and having low total cholesterol, the researchers reported online in Circulation: Journal of the American Heart Association.
A tiny South Pacific airline is charging passengers based on their weight, at a time when other carriers have only ventured to seek payment for luggage and meals. Customers flying Samoan upstart carrier Samoa Air Ltd. on short international hops to neighboring American Samoa are set to pay US$0.92 per kilogram, or $0.42 a pound, for each flight.
Stewart Hamilton, Chief Medical Officer at Medical Travel Commission looks at the soft side of delivering services to the medical traveller. What really makes a difference in terms of patient satisfaction?
Subway's menu fared best in a new evaluation of nutrition in kids' meals Nine restaurants, including McDonald’s (MCD), Carl’s Jr., and Popeyes Louisiana Kitchen (AFCE), had zero options that met standards. “Restaurants just aren’t making significant changes to the kids menu yet.” Many meals come with soda or deep fried foods. Subway, which already markets itself as a diet-friendly chain, emerged as the winner: All of its kids’ meals met both CSPI and NRA standards. Other chains that fared above average: IHOP (DIN), Red Lobster (DRI),Burger King (BKW), Arby’s, Chick-fil-A, Denny’s (DENN), Bob Evans (BOBE), and LongHorn Steakhouse (DRI). Of the 50 chains, Olive Garden (DRI) had the greatest number of possible kids’ meal combinations, with a whopping 780, including different variations of pastas, sauces, toppings, and sides. About 1 percent of these, or 10 different meal combos met CSPI standards.
Spring is around the corner and so will be a new crop of fad diets eager to help you get into shape. Be on the lookout for a return of these repackaged crazy f
Lawrence General Hospital cardiac catheterization laboratory today achieved Accreditation for Cardiovascular Excellence for catheterization and PCI (angioplasty and stenting). The first in New England. • ACE accreditation is a professional review of an organization’s structure, internal processes, patient safety practices, and clinical outcomes to determine if it meets the standards established by experts in cardiac and endovascular care.
• ACE is sponsored by The Society for Cardiovascular Angiography and Interventions and American College of Cardiology, the two leading professional cardiovascular organizations, jointly representing over 40,000 practitioners.
• The extensive consultative and educational Accreditation recognizes committment to providing high quality care for patients. With ACE certification patients and providers in the community served can be certian that the catheterizatuion laboratory is meeting or exceeding the standards set by experts in cardiac and endovascular care. Lawrence Genral is committed to achieving the highest standards. ACE accreditation/CQI also provides a standard of care for patients comparing one facility to anothercertifies to insurers that beneficiaries are getting the best possible care provides independent, unbiased, outcome-based evidence to patients & families that they are receiving the highest quality carevalidates LGH's position, voice, and influence in government policy-making circlesreduces costs by supporting a more effective and efficient operation based on uniform standardsminimizes complications, which in turn benefits payors, patients, and society by reducing costs.
New healthcare buzzwords are introduced almost daily - can you keep them straight?
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"Western-type” diet (characterized by high intakes of fried and sweet food, processed food and red meat, refined grains, and high-fat dairy products) has been attributed to many disease of older age. This study characterizes ideal aging as avoidance of these disease. The additional life style strategies of exercise and smoking are strongly associated with favorable aging but diet is an independent predictor. It makes common sense that the cumulative effect of daily diet over the middle third of life will have an impact on outcomes in the last third of life.