For stroke patients, receiving treatment as soon as possible is vital. The shorter time between the stroke and treatment, the less chance there is of serious damage to the patient’s brain. That’s why fast diagnosis of a stroke is so important for the patient’s overall prognosis. But vascular neurologists, the clinicians most called upon to check stroke patients, are often in short supply and high demand. As a result, they cannot always see every suspected stroke patient as quickly as perhaps liked. The answer has been to utilise telemedicine and this is something neurologists have been doing for more than three decades. By taking advantage of audio-visual platforms, neurologists can assess suspected stroke patients quickly. If the patient is displaying signs of a stroke, they can be given life-saving treatment, consisting of administering tissue plasminogen activator (tPA), a clot-dissolving drug first developed for treating heart attacks, which was then fine-tuned for strokes in the early 1990s. The success of tPA, however, lies in administering it as quickly as possible, to counter the effect of blood loss to the brain. A 2016 study highlights the impact of telehealth for stroke patients. According to Kaiser Permanente’s study, involving more than 2,500 patients treated for stroke symptoms between 2013 and 2015 in its 14-hospital network in southern California, a 75% increase was witnessed in the timely use of tPA after a telehealth consult. Patients receiving a telehealth consult were given a diagnostic imaging test 12 minutes sooner than those who didn’t, and tPA was administered 11 minutes sooner. Overall, the door-to-needle time was reduced to less than an hour. *Image by Gerd Altmann from Pixabay
Telehealth is probably not the first thing you think of when talking about ways of assessing possible stroke patients in an emergency. But Norther Ireland has just approved exactly such a system, highlighting the traction that telehealth solutions are garnering today. The solution, provided by Health Services Limited (HSL), enables clinicians and patients to have video consultations, with the ultimate goal being to make a diagnosis. Patients still need to visit an A&E department, but when they do the emergency clinicians who receive them can use the telehealth solution to get expert treatment advice remotely from stroke consultants. The solution can be used on tablets, smartphones and laptops, making it different to other virtual stroke assessment tools in the market that rely on external systems to function, the company claims. It has everything built-in that a stroke consultant needs to make an initial diagnosis of the stroke patient. The app also has the functionality to save the patient’s results in their electronic care record. [Related reading: The benefits of electronic health records] Perhaps the biggest benefit of the telehealth solution is that it enables stroke consultants to assess a patient’s condition as soon as possible and relay timely, potentially life-saving advice to their emergency room counterparts. The stroke assessment telehealth solution is already in place in hospitals across Northern Ireland the United Kingdom.
It’s a well-known fact that sleep is of utmost importance to health. Specifically, it’s been shown that a lack of high-quality sleep negatively impacts our resilience, productivity and performance. Furthermore, long-term chronic sleep deprivation is linked to high blood pressure, diabetes, heart attack, heart failure and stroke. Now, new research suggests that irregular sleeping patterns may contribute to the risk of cardiovascular problems. The study was carried out by researchers from Brigham and Women’s Hospital in Boston, MA, who analysed data from 1,992 patients in their 60s and 70s with no cardiovascular problems at baseline. They found that those who had the most irregular sleep patterns (defined as 2 hours or more difference in sleep duration each night) had a twofold plus increased risk of cardiovascular disease than patients with one hour or less difference in sleep duration. Importantly, even after adjusting for other risk factors, patients with irregular sleep patterns remained at significant risk of cardiovascular events. Publishing their findings in the Journal of the American College of Cardiology, the researchers said: “Our study indicates that healthy sleep isn’t just about quantity but also about variability and that this can have an important effect on heart health.” Do you get enough sleep each night? Is your sleeping pattern pretty irregular? If not, you could be increasing your risk of cardiovascular disease. Remember, getting enough high-quality sleep is extremely important and beneficial to your health.
We recently wrote about how avoiding five specific bad habits can significantly extend your life. Now, a new meta-analysis published in The BMJ adds further weight to the argument for eating less salt and being healthier. According to the meta-analysis of 133 clinically randomised trials, lowering salt intake reduces blood pressure – even in individuals who are not yet at risk of hypertension-related conditions. This is important because heart disease is the number one global killer and high blood pressure is the leading cause of heart disease. Furthermore, hypertension is also the leading cause of stroke, heart failure and kidney disease, highlighting how potentially beneficial a low slat diet could be for many people. Interestingly, the research found that the greater the reduction in salt intake, the greater the benefit to blood pressure. At present, U.S. government guidelines advise Americans to not consume more than 2,300 milligrams (mg) of salt per day as part of a healthy eating pattern. However, the vast majority of U.S. adults are eating more sodium than they should -- average of more than 3,400 mg each day. One of the biggest problems is the amount of salt that is contained in manufactured foods, which is usually added to enhance flavour, texture and colour, as well as improve longevity. So even if you don’t reach for the salt shaker at every mealtime, you could still be consuming too much. It’s good to get into the habit of checking the foods you buy to see how much they all contain. After all, just a small reduction could significantly improve your health and reduce your risk of early mortality. Speaking about the findings of the research, lead author Feng He, a researcher at Queen Mary University of London, said: “The totality of evidence in the JACC review and this latest BMJ research shows that reducing our salt intake will be immensely beneficial.”
While it’s not possible or practical for everyone, training for and completing a marathon significantly improves the health of a new runner’s arteries, a study suggests. For the study, researchers from Barts and University College London analysed 138 novice runners attempting the London Marathon. Following six months of training, the runners’ arteries were seen to regain some youthful elasticity, something which should reduce the risk of heart attacks and strokes. Furthermore, the runners’ blood pressure fell by as much as if they had been prescribed medication. Interestingly, those who were the least fit before the training appeared to afford the most health benefits. The best news is that the British Heart Foundation (BHF), which funded the study, says smaller amounts of aerobic exercise are likely to have a similar effect, meaning people don’t necessarily need to train for a marathon to benefit. Speaking about the findings of the study, Prof Metin Avkiran, an Associate Medical Director at the BHF, said: “The benefits of exercise are undeniable. Keeping active reduces your risk of having a heart attack or stroke and cuts your chances of an early death.” According to NHS England guidelines, every week, adults should do a minimum of either: 150 minutes moderate-intensity exercise, such as brisk walking, doubles tennis or cycling 75 minutes vigorous exercise, such as running, football or rugby It’s also important to do strengthening activities - such as push-ups, sit-ups or lifting and carrying - at least twice a week.
New research suggests cancer patients are at higher risk of dying from cardiovascular disease than the general population. According to the study, the results of which are published in the European Heart Journal, more than one in 10 cancer survivors die from heart and blood vessel problems, rather than their initial illness. Among the 3,234,256 cancer patients studied for the research, 38% died from cancer, while 11% died from cardiovascular diseases. Among the deaths from cardiovascular diseases, 76% were due to heart disease. The risk of dying from cardiovascular disease was also highest in the first year after a patient’s cancer diagnosis and among patients younger than 35. Among those cancer patients diagnosed before the age of 55 and who went on to survive their illness, the risk of dying from cardiovascular disease was more than 10 times higher than that for the general population. Meanwhile, patients with breast, prostate or bladder cancer were most likely to die from heart disease – but this is simply because these are the most common types of cancer. It is still unclear as to why cancer patients have a seemingly higher risk of heart disease, but their treatment itself or lifestyle factors, such as being overweight, drinking too much and not exercising, could be to blame, experts say.
People who take daily blood pressure medication should take it just before bedtime to get the most out of it, researchers say. Writing in the European Heart Journal, the researchers say that while it may sound like a very simple tip, it’s one that could save lives. The reason why taking such medication at bedtime is more beneficial is because our body clocks alter the way our bodies respond to it. At night, our blood pressure is typically lower than it is during the day. However, if for some reason our blood pressure does not dip and remains consistently high, our chances of having a stroke or heart attack significantly increase. The study found that patients who took their daily blood pressure medication before bedtime had significantly lower average blood pressure both at night and during the day than those who took their medication in the morning. Their blood pressure also dipped more at night. Lead researcher Prof Ramon Hermida, from the University of Vigo in Spain, said doctors should consider recommending their patients take their daily blood pressure medication at night going forward – especially as it’s “totally cost-free. It might save a lot of lives. “Current guidelines on the treatment of hypertension do not recommend any preferred treatment time. Morning ingestion has been the most common recommendation by physicians based on the misleading goal of reducing morning blood pressure levels. “The results of this study show that patients who routinely take their anti-hypertensive medication at bedtime, as opposed to when they wake up, have better-controlled blood pressure and, most importantly, a significantly decreased risk of death or illness from heart and blood vessel problems.” The next step is to determine whether the findings of the study apply to different brands of blood pressure medication. Lifestyle factors that have an impact on blood pressure: Smoking Drinking too much alcohol Being overweight Not doing enough exercise Eating too much salt
Gum disease is linked to an increased risk of hypertension, a new study has found. Furthermore, the more sever the gum disease, the greater a person’s risk of high blood pressure. The research by University College London's Eastman Dental Institute – the findings of which appear in the journal Cardiovascular Research – shows people with periodontitis (an advanced form of gum disease) have a higher risk of hypertension. Hypertension, according to the Centers for Disease Control and Prevention (CDC), affects 32% of all American adults, and as many as 47.2% of people aged over 30 have some form of gum disease, which is why the new research is so intriguing. While the two conditions may appear to be completely unrelated, the new research shows otherwise. And when you consider that high blood pressure is the leading cause of premature death worldwide, affecting up to 45% of adults, the findings of the study could result in much more attention being paid to combatting gum disease going forward. Specifically, the research revealed an association between moderate-to-severe periodontitis and a 22% higher risk of hypertension, Moreover, severe periodontitis was linked to a 49% higher risk of hypertension. Speaking about the findings of their research, senior author Prof. Francesco D'Aiuto, from the University College London Eastman Dental Institute in the United Kingdom, said: “Previous research suggests a connection between periodontitis and hypertension and that dental treatment might improve blood pressure, but to date, the findings are inconclusive. “Hypertension could be the driver of heart attack and stroke in patients with periodontitis,” he added.
Cancer has surpassed cardiovascular disease as the biggest killer of middle-aged people in higher-income nations, a study suggests. Globally, stroke and heart problems are the leading causes of death among this age group. But the findings of this latest research led by a team from Canada's McMaster University shows that middle-aged people in rich nations are 2.5 times more likely to die of cancer than cardiovascular disease. In contrast, people in poor countries are three times more likely to die from cardiovascular disease. The study, published in The Lancet, is drawn from a global research program, the Prospective Urban and Rural Epidemiologic (PURE) study, involving 160,000 people from 21 different countries. While cardiovascular disease accounted for more than 40% of deaths in middle- and low-income countries, it only accounted for less than a quarter in richer nations. The researchers say this could be due to people living in richer countries receiving more medication and support. Speaking about the findings of the research, Gilles Dagenais, a professor at Quebec’s Laval University in Canada who co-led the work, said: “Our report found cancer to be the second most common cause of death globally in 2017, accounting for 26% of all deaths. But as (heart disease) rates continue to fall, cancer could likely become the leading cause of death worldwide, within just a few decades.”
A pill that contains four different medicines and is designed to be taken daily could dramatically reduce the number of heart attacks and strokes, a new study has found. The polypill – which is the generic term used to describe a medication that contains multiple active pharmaceutical ingredients – contains aspirin, a cholesterol-lowering statin and two drugs to reduce blood pressure. For the study, researchers from Iran and the UK studied around 6,800 people from more than 100 villages in Iran. Half were given the polypill and advice on how to improve their health through lifestyle changes and the other half were just given the lifestyle changes advice. After five years, the group taking the polypill had experienced 202 cardiovascular events, while the group that had just been given the advice had experienced 301 cardiovascular events. In other words, the group taking the polypill had experienced around a third less cardiovascular events. The researchers say the pill costs just pennies a day, but could have a huge impact, especially in poorer countries where doctors have fewer options available to them. Stroke and coronary heart disease are the top two causes of death worldwide, killing more than 15 million people each year. Obesity, smoking and doing little exercise are all risk factors associated with an unhealthy heart. Based on the findings of the study, if 35 people were all given the polypill daily, it would prevent one of them developing a major heart problem within 5 years. “Given the polypill's affordability, there is considerable potential to improve cardiovascular health and to prevent the world's leading cause of death,” said Dr Nizal Sarrafzadegan, of Isfahan University of Medical Sciences, Iran. The findings of the research are published in The Lancet.
Having high blood pressure before middle age may pose a risk to brain health in later life. According to a new study, the results of which are published in The Lancet Neurology, the “window of opportunity” to safeguard brain health runs from the mid-30s to the early-50s. And having high blood pressure in the 30s and 40s could lead to blood vessel damage and brain shrinkage. For the study, a team of researchers from UCL Queen Square Institute of Neurology followed 500 people born in 1946. Throughout the study, participants had their blood pressure measured and had brain scans. The researchers found that blood pressure increases between the ages of 36 and 43 were linked to brain shrinkage. Moreover, blood pressure increases between 43 and 53 were associated with blood vessel damage or “mini strokes” when people reach their 70s. Speaking about the findings of the research, Dr Carol Routledge, director of research at Alzheimer's Research UK, said: “High blood pressure in midlife is one of the strongest lifestyle risk factors for dementia, and one that is in our control to easily monitor and manage. “Research is already suggesting that more aggressive treatment of high blood pressure in recent years could be improving the brain health of today's older generations. “We must continue to build on this insight by detecting and managing high blood pressure even for those in early midlife.”
Postmenopausal women who have more fat on their legs and thighs have less risk of stroke or heart disease than their peers who carry fat around their stomach, a new study has found. As a result of the research, the findings of which appear in the European Heart Journal, scientists say women should aim to be more “pear-shaped” than “apple-shaped”. For the research, scientists followed 2,600 women with BMIs of between 187 and 25 for 18 years. The scientists found that the women who were apple-shaped i.e. had fat around their stomachs were more than three times more likely to develop cardiovascular disease than the women who were pear-shaped i.e. had fat on their legs and thighs. It’s already known that fat stored in the visceral region (around the abdominal organs) can increase a person’s chances of developing type-2 diabetes and cardiovascular problems, but the exact reasons why remain unknown. Further research is needed. The advice for women (and men) is to reduce the amount of fat they have stored around their stomachs. Speaking about the findings of the study, Dr Sonya Babu-Narayan, associate medical director at the British Heart Foundation, said: “This study uncovers an interesting link between where fat is stored and your risk of heart attack and stroke, but can't tell us why it exists. “Future research to uncover how the distribution of body fat is related to these diseases could reveal important new ways to prevent and treat the world's biggest killer.”
We are frequently warned about the health consequences of leading a sedentary lifestyle. But new research reveals that not all types of sitting are equally unhealthy. The study by researchers at Columbia University Vagelos College of Physicians and Surgeons found that sitting in front of a TV (known as ‘leisure-time sitting’) was associated with a greater risk of heart disease and death. In fact, study participants who watched four or more hours of TV a day were found to have a 50% greater risk of cardiovascular events and death compared to those who watched less than two hours a day. However, the study also found that participants who sat for long periods at work had the same level of risk as those who sat the least, suggesting the type of sitting really does have an impact. Furthermore, the study also revealed that even the most avid TV watchers could reverse the effects of their longer sedentary periods with moderate to rigorous exercise. For example, individuals who watched TV for four hours or more each day, and undertook 150 minutes or more exercise a week, had no increased risk of stroke, heart attack or death. Speaking about the findings of the study, Keith M. Diaz, Ph.D., assistant professor of behavioural medicine at Columbia University Vagelos College of Physicians and Surgeons, said: “It may be that most people tend to watch television for hours without moving, while most workers get up from their desk frequently. The combination of eating a large meal such as dinner and then sitting for hours could also be particularly harmful.”
Previous claims that one or two alcoholic drinks a day doesn’t do any harm and could actually be protective are now in significant jeopardy following the publication of a large genetic study in The Lancet. According to the UK and Chinese researchers who followed 500,000 Chinese people over a 10-year period, the findings of the study are the best evidence yet on the direct effects of alcohol. While the negative health implications of heavy drinking are understood, the impact of consuming small amounts of alcohol on a regular basis has remained unclear. The researchers, from the University of Oxford, Peking University and the Chinese Academy of Medical Sciences, found that: drinking one to two alcoholic drinks every day increased stroke risk by 10-15% drinking four alcoholic drinks every day increased stroke risk by 35% For the purposes of the study, one drink was defined as either: a small glass of wine a bottle of beer a single measure of spirits In other words, even light-to-moderate drinking can increase blood pressure and a person’s chances of having a stroke. Prof David Spiegelhalter, from the University of Cambridge, said drinking alcohol on a daily basis gives the “opposite effect of taking a statin” (drugs that are used to lower cholesterol levels). The bottom line, according to Prof Richard Peto, professor of medical statistics and epidemiology at the University of Oxford, is the “claims that wine and beer have magical protective effects is not borne out”.
Our daily diets are bigger killers than smoking and account for one in five deaths around the world. In other words, the food you eat could be sending you to an early grave. But which diets are the worst? Well, according to an influential study in The Lancet, salt – whether it be in bread, processed meals or soy sauce – shortens the most lives. The Global Burden of Disease Study used estimates of different countries’ eating habits to determine which diets were shortening the most lives. Here are the three most dangerous diets: Too much salt - three million deaths Too few whole grains - three million deaths Too little fruit - two million deaths Low levels of seeds, nuts, vegetables, fibre and omega-3 from seafood were the other major killers. Speaking to the BBC, Prof Christopher Murray, the director of the Institute for Health Metrics and Evaluation at the University of Washington, said: “We find that diet is one of the dominant drivers of health around the world, it's really quite profound.” Salt is such a big problem because it significantly increases a person’s blood pressure, which in turn increases their chances of heart attacks and strokes. Around 10 million out of the 11 million diet-related deaths were because of cardiovascular disease, highlighting why diets containing too much salt are such a problem.
A new cholesterol-lowering drug could offer hope for both people who are unable to take statins due to the side effects and for people who statins are ineffective. An international study suggests the drug, called bempedoic acid, helps lower cholesterol in people who continue to have high levels despite taking statins. It is thought that it can also be used for people who are unable to take statins because of the associated side-effects. Publishing their research in the New England Journal of Medicine, the researchers say they have asked UK and US drug regulators to consider approving the pill for widespread use. Bempedoic acid works by blocking an enzyme in the body that is used to produce cholesterol. For the study, over 1,000 people with cardiovascular disease or a genetic cholesterol condition were given bempedoic acid in addition to their usual cholesterol-lowering medication. About 700 other study participants were given a placebo. After just three months, the group taking bempedoic acid had 17% less bad cholesterol than the group receiving the dummy medication. Speaking about the findings of the research, Prof Kausik Ray, from Imperial College London, said: “Bempedoic acid could be another addition to the arsenal of cholesterol lowering treatments available to patients. “What we have is a new class of drug that could be given to patients who are already taking statins and could help them further reduce their cholesterol levels and thus potentially cut their risk of heart attacks and strokes.” Bad cholesterol remains one of the main risk factors for heart attacks and strokes across the world.
The health benefits of eating fiber have long been hailed, but how much fiber should we all be eating to prevent chronic disease and premature death? A new study reveals just that… Commissioned by the World Health Organization (WHO), the research is the culmination of a meta-analysis of observational studies and clinical trials that took place over almost 40 years. The results appear in the journal The Lancet. One of the objectives of the research was to help in the development of new guidelines for dietary fiber consumption, as well as discover which carbs protect us the most against noncommunicable diseases. So how much fiber should we be eating? Well, the research found that a daily intake of 25–29 grams of fiber is ideal. People who consumed this amount of fiber each day were 15–30 percent less likely to die prematurely from any cause and had a 16–24 percent lower incidence of stroke, coronary heart disease, type 2 diabetes, and colon cancer. The researchers also say that consuming more than 29 grams of fiber per day could lead to even more health benefits. Speaking about the findings of the study, Professor Jim Mann, of the University of Otago, in New Zealand, said: “The health benefits of fiber are supported by over 100 years of research into its chemistry, physical properties, physiology, and effects on metabolism. “Fiber-rich whole foods that require chewing and retain much of their structure in the gut increase satiety and help weight control and can favorably influence lipid and glucose levels. “The breakdown of fiber in the large bowel by the resident bacteria has additional wide-ranging effects including protection from colorectal cancer.” Fiber-rich foods include vegetables, whole grains, fruit, and pulses, such as beans, peas, lentils, and chickpeas. Are you consuming enough fiber?
How’s your blood pressure? Do you even know? If you haven’t had it checked recently, your blood pressure could be creeping up (getting higher) and you might not have even realised. In fact, high blood pressure (also known as hypertension) is often called a “silent killer” because it rarely causes symptoms until a person’s health is already severely damaged. That’s why keeping an eye on your blood pressure and looking out for any potential symptoms is so important. Failure to seek treatment when you have high blood pressure can lead to serious health complications such as stroke and heart disease. This is ironic when you consider that hypertension can usually be treated with lifestyle changes and/or medication. So what high blood pressure warning signs should you be looking out for? First and foremost, the only way to check whether you have high blood pressure or not is to have it checked by a health professional, or check it yourself providing you know how to and have the necessary equipment. Remember, just because you feel ‘fine’ does not mean you aren’t at risk of hypertension. If your blood pressure becomes extremely high (above 180/120 mmHg), something referred to as ‘hypertensive crisis’, you may experience any of the following symptoms: Severe headaches Nosebleeds Severe fatigue Chest pain Irregular heartbeat Vision problems Back pain Severe anxiety Blood in your urine Shortness of breath (difficulty breathing) Hypertensive crisis is a medical emergency and immediate intervention is required to prevent serious damage to blood vessels and major organs. So, in short, you are unlikely to know whether you have elevated blood pressure or not until serious damage has occurred. Get your blood pressure checked regularly and heed any advice from medical professionals on how to keep yours at a healthy level.
Doctors should take a person’s marital status into account when assessing their risk of heart attack and stroke, a major study has found. For the study, researchers at Keele University analysed numerous trials involving more than two million people. They found that individuals who were never married, divorced or widowed were 42% more likely to develop cardiovascular disease. They were also 42% more likely to die from heart disease and 55% more likely to die from a stroke. Risk factors such as age, sex, high cholesterol, high blood pressure, smoking, and diabetes are usually associated with cardiovascular disease. However, the findings of the new study suggest marital status should also be added to the list. Senior author, Mamas Mamas, Professor of Cardiology at Keele University, in England, said: “Our work suggests that marital status should be considered in patients with or at risk of developing cardiovascular disease, and should be used alongside more traditional cardiac risk factors to identify those patients that may be at higher risk for future cardiovascular events”. The researchers say the reason marriage could have a protective effect on cardiovascular disease is because of the additional emotional and social support that’s afforded by having a spouse. People with long-term partners are more likely to have symptoms spotted earlier and encouraged to seek medical advice as a result.
Have you ever encountered someone who calls themself ‘fat but fit’? It’s not uncommon to meet people who are clearly overweight, yet not perturbed by their situation because they consider themselves to be fit and healthy. However, a large study conducted in America has found that women who are overweight or obese but otherwise healthy are still at an increased risk of cardiovascular disease (CVD). For the study, researchers from the German Institute of Human Nutrition Potsdam-Rehbruecke tracked the health of some 90,257 women in the US over a 30-year period. They found that women who were overweight or obese, but had none of the typical cardiovascular risk factors, such as high blood pressure, excess cholesterol and diabetes, were 20% and 39% more likely to develop cardiovascular disease than their normal weight and metabolically healthy peers. Speaking about the findings of the study, Prof Matthias Schulze, who led it, said: "Our large cohort study confirms that metabolically healthy obesity is not a harmless condition, and even women who remain free of metabolic diseases for decades face an increased risk of cardiovascular events.” The study also found women who were of normal weight, but metabolically unhealthy, were over two-times more likely to develop cardiovascular disease than their peers of the same weight who were metabolically healthy. Jeremy Pearson, associate medical director at the British Heart Foundation, added: "This large scale study confirms that obesity, even if unaccompanied by other warning signs, increases risk of cardiovascular disease in women."
Most people are familiar with the phrase, ‘an apple a day keeps the doctor away’, but what about an egg a day? New research suggests that a daily egg may reduce the risk of heart disease and stroke. Despite sometimes getting a bad press for their high cholesterol content, eggs, it seems, could help us steer clear of cardiovascular conditions, according to research published in the journal Heart. For their study, researchers from the School of Public Health at Peking University Health Science Centre in Beijing, China analysed survey data relating to more than 500,000 individuals. Of those individuals, 461,213 were free from cancer, cardiovascular disease (CVD) and diabetes at baseline. Egg consumption among the study participants was noted and the individuals were followed up with after a median period of 8.9 years. The researchers' found that individuals who usually ate about one egg per day had a 26% lower risk of experiencing hemorrhagic stroke; a 28% lower risk of death due to this type of event; and an 18% lower risk of CVD-related mortality. Current NHS guidelines in the UK relating to egg consumption state: "although eggs contain some cholesterol, the amount of saturated fat we eat has more of an effect on the amount of cholesterol in our blood than the cholesterol we get from eating eggs". So, in other words, it’s not eggs that are necessarily the problem when it comes to cholesterol, but rather how you cook them. Indeed, eggs are a great source of healthful nutrients, such as protein, vitamins, phospholipids, and carotenoids.
People who regularly drink more than the UK’s recommended alcohol guidelines risk taking years off their lives, a major new report has found. According to the study of some 600,000 drinkers, having 10 to 15 alcoholic drinks every week could shorten a person's life by between one and two years. People who regularly consume more than 18 alcoholic drinks every week could lose four to five years of their lives. UK government guidelines, which were last updated in January 2016, recommend that both men and women should not drink more than 14 units of alcohol each week (equivalent to 6 pints of average strength beer). Previously, the guidelines advised 21 units for men and 14 units for women each week. The authors of the Lancet study say their findings support the UK government’s revised guidelines. Commenting on the study’s findings, Tim Chico, professor of cardiovascular medicine at the University of Sheffield, said: "This study makes clear that on balance there are no health benefits from drinking alcohol, which is usually the case when things sound too good to be true. "Although non-fatal heart attacks are less likely in people who drink, this benefit is swamped by the increased risk of other forms of heart disease including fatal heart attacks and stroke."
While a low sperm count and problems with sperm quality are huge hurdles for couples who are trying to get pregnant, a new study shows that men with low sperm counts are also at increased risk of illness. The study of 5,177 men in Italy found that those with low sperm counts were 20% more likely to have more body fat, more "bad" cholesterol and higher blood pressure – all factors that increase the risk of developing diabetes, heart disease and stroke. They were also 12 times more likely to have low testosterone levels. Dr Alberto Ferlin, from the University of Bresci, who led the study, said: "Infertile men are likely to have important co-existing health problems or risk factors that can impair quality of life and shorten their lives. "Fertility evaluation gives men the unique opportunity for health assessment and disease prevention." The study’s authors say that men with low sperm counts should be actively checked for other potential health problems, which may have a greater chance of being rectified if treated earlier. However, the authors of the study stressed that their findings did not prove that low sperm counts cause metabolic problems, merely that the two are linked in some way.
Do you know how much salt you consume on a daily basis? If you’re a fan of Chinese takeaway meals, it could be far more than you ever imagined, according to a campaign group. For their research, Action on Salt analysed more than 150 Chinese takeaway dishes from both restaurants and supermarkets. They found that most contained way too much salt – almost half the average person’s recommended daily amount of salt (6g) in some cases. When it comes to the saltiest meals, dishes like beef in black bean sauce topped the list. If a person adds a portion of egg fried rice, their salt intake could rise by as much as 5.3g in one meal. In fact, one portion of beef in black bean sauce and a side of vegetable noodles was found to contain as much salt as five Big Macs. While it’s vastly more difficult with Chinese takeaway food, Action on Salt recommends people check the nutritional information on supermarket bought food to see how much salt it contains. The campaign group says that many Chinese takeaway meals should carry health warnings because of the amount of salt they contain. Too much salt can lead to increased blood pressure, which can in turn increase a person’s risk of heart attack and stroke. Public Health England (PHE) has been encouraging the food industry to reduce the amount of salt found in food. Dr Alison Tedstone, chief nutritionist for PHE, said: "A loaf of bread has 40% less than it used to. "However, some products are still too high in salt and we know this can be reduced further. "We've been very clear with the food industry on the importance of meeting the 2017 salt targets. "We'll report on their progress this year and on any necessary advice to government on the next steps." So, the next time you reach to grab your favourite Chinese takeaway meal from the supermarket, just have a quick read of the nutritional information. What you discover might just make you choose something else instead.
Diabetes has long been split into two types: type 1 and type 2. But new research suggests it could actually be five different diseases and treatment could be tailored to tackle each form. Researchers in Sweden and Finland say the more complicated diabetes picture they’ve uncovered could lead to a new era of personalised medicine being ushered in. Affecting approximately one in 11 people around the world, diabetes doesn’t just play havoc with blood sugar levels, but also increases the risk of stroke, blindness, heart attack, kidney failure and limb amputation. Type 1 diabetes, which affects around 10% of sufferers in the UK, is a disease of the immune system that attacks the body’s insulin factories, leading to there being a shortage of the hormone to control blood sugar levels. Type 2 diabetes, on the other hand, is associated with poor lifestyle choices and obesity, which affect the way in which insulin works. For the study, the researchers analysed blood samples from 14,775 patients. They found that people could be separated into five distinct diabetes clusters. Talking to the BBC, Prof Leif Groop, one of the researchers, said: "This is extremely important, we're taking a real step towards precision medicine. "In the ideal scenario, this is applied at diagnosis and we target treatment better."
Just one cigarette a day can increase a person’s risk of heart disease and stroke, a study has found, dispelling the myth that cutting back, not quitting altogether, can eliminate health issues. The study found that just one cigarette a day can increase a person’s chances of heart disease by about 50% and chances of a stroke by 30% than people who have never smoked. The bottom line is that there is no safe level of smoking when it comes to heart disease and stroke. Cardiovascular disease, not cancer, remains the greatest mortality risk for smokers, accounting for approximately 48% of smoking-related premature deaths. And while the number of people who smoke in the UK has been falling, the percentage of people smoking one to five cigarettes a day has been steadily rising, researchers said. However, cutting down on cigarettes is always a good start and people who do so are more likely to quit in the long-run. Prof Allan Hackshaw from the UCL Cancer Institute at University College London, who led the study, said: "There's been a trend in quite a few countries for heavy smokers to cut down, thinking that's perfectly fine, which is the case for things like cancer. "But for these two common disorders, which they're probably more likely to get than cancer, it's not the case. They've got to stop completely." For the study, the researchers at UCL analysed data from 141 separate smoking-related studies and published their findings in the BMJ.
A study by Public Health England looking at the heart health of the nation has found that thousands of men face early death at the hands of a heart attack or stroke. In fact, according to the analysis of 1.2 million people, one in 10 British men has a heart age that’s a decade older than their actual age. Heart disease is the main cause of death among men and the second among women. Public Health England says that 7,400 people will die from heart disease or stroke this month alone. However, most of these deaths are preventable and Public Health England says that just a few small lifestyle changes can have a positive impact. One of the suggestions made was for over 50s to get their blood pressure regularly checked as high blood pressure can be an early sign of a potentially life-threatening condition. Public Health England’s head of cardiovascular disease, Jamie Waterall, urged people not to only start considering their heart health later in life. "Addressing our risk of heart disease and stroke should not be left until we are older", he said. How to improve your heart health: Give up smoking Get active Manage your weight Eat more fibre Eat five portions of fruit and vegetables per day Cut down on saturated fat Cut down on salt Drink less alcohol
A trial involving an anti-inflammatory drug could represent the biggest breakthrough in the treatment of heart attacks and strokes since statins were introduced to help lower cholesterol, its authors say. The study of 10,000 patients found that anti-inflammatory drug canakinumab reduced the risk of a patient who had already had a heart attack having another one in the future. The four-year trial saw patients receive high doses of statins as well as either canakinumab or a placebo. Those who received canakinumab were found to be 15% less likely to suffer from a cardiovascular event than their counterparts who received the placebo. Furthermore, cancer deaths were also halved in patients who received canakinumab. The results, which have been referred to as “exciting” by the British Heart Foundation, are thought to be down to the effect of the anti-inflammatory drug on unchecked inflammation within the heart’s arteries. Presenting their results at the European Society of Cardiology meeting, held in Barcelona, Spain, the research team from Brigham and Women's Hospital in Boston, led by the study's lead author Dr Paul Ridker, said the study represented "a milestone in a long journey". "For the first time, we've been able to definitively show that lowering inflammation independent of cholesterol reduces cardiovascular risk. "This has far-reaching implications." It is thought the trial could now lead to new types of treatment for heart attacks and strokes being developed.
A new type of heart scan that analyses the fat and inflammation around the heart’s arteries could more accurately predict who will have a heart attack. The new way of scanning, developed by a team at the University of Oxford, identifies potential ticking time bomb arteries, allowing high-risk patients to receive intensive treatment and reduce their risk of suffering a heart attack or stroke. Most of us know inflammation as the red, swollen, sore feeling you experience after cutting your skin. However, the same occurs in all the tissues in the body, including inside the heart. Inflammation on the inside of blood vessels is linked to the build-up of unstable plaques, which can break apart and block a coronary artery, starving the heart of oxygen – resulting in a heart attack. "The holy grail in cardiology is the ability to pick up inflammation in coronary arteries, it's been a challenge for the past 50 years," said Prof Charalambos Antoniades, one of the Oxford researchers. Prof Metin Avkiran, associate medical director at the British Heart Foundation, said: "Discovering which plaques are likely to rupture, so people can be treated before such a devastating event strikes, is a major objective of current research. "If the technique lives up to its promise in larger trials in patients, it could lead to more effective treatment to avoid a potentially fatal heart attack or stroke."
Researchers from Oxford University have discovered a potential “goldmine” for new drugs in one of the unlikeliest places – ticks. They found that proteins contained in the parasites’ saliva are excellent at stopping inflammation of the heart, which can cause myocarditis and lead to heart failure. Ticks are remarkably good at biting and feeding without being detected. This allows them to stay attached to animals and humans for up to 10 days while they feed on their blood. The reason tick bites don’t cause any pain or inflammation is because proteins in their saliva neutralise chemicals called chemokines in the host. It’s now thought that ticks could be used to help treat other conditions, such as stroke and arthritis. Prof Shoumo Bhattacharya, BHF professor of cardiovascular medicine at the University of Oxford, who led the research, said: "Myocarditis is a devastating disease, for which there are currently very few treatments. "With this latest research, we hope to be able to take inspiration from the tick's anti-inflammatory strategy and design a life-saving therapy for this dangerous heart condition.” Traditionally, tick saliva was obtained by milking the tiny parasites using tubes. Nowadays, though, tick saliva proteins can be grown in yeast from synthetic genes, which allows large amounts to be produced. It should be noted that all of the current research has only been carried out in a laboratory, so it will be several years before any trials are conducted with humans.
Coconut oil is higher in saturated fat than butter, beef dripping and pork lard, and can increase “bad” (LDL) cholesterol. That’s the stark new warning contained in updated advice from the American Heart Association (AHA). A diet high in saturated fat can lead to clogged arteries and an increased risk of heart disease and stroke. Despite coconut oil being commonly sold as a health food and a “healthier” alternative to other saturated fats, the AHA says there are no good studies to support this. In fact, 82% of the fat found in coconut oil is saturated, which is higher than butter (63%), beef dripping (50%) and pork lard (39%). And studies show that like other saturated fats, coconut oil can increase “bad” cholesterol. The AHA says people should watch how much saturated fat they eat and replace some of it with unsaturated vegetable oils, like olive oil and sunflower oil. Dr Frank Sacks, lead author of the AHA advice, said: "We want to set the record straight on why well-conducted scientific research overwhelmingly supports limiting saturated fat in the diet to prevent diseases of the heart and blood vessels." Nevertheless, saturated fat is still an essential part of a healthy, balanced diet and shouldn’t be completely cut out, just limited. In the UK, Public Health England advises that men should eat no more than 30g of saturated fat a day and women no more than 20g a day.
A vaccine that helps lower cholesterol will now be trialled on humans following successful studies in mice. Researchers from the Medical University of Vienna will now test the safety of their experimental treatment – which stops fatty deposits clogging the arteries – on 72 volunteers. If the trials are successful, the vaccine would offer an alternative for people who currently take pills on a daily basis to reduce their risk of angina, stroke and heart attack. Writing about their cholesterol-lowering vaccine in the European Heart Journal, Dr Guenther Staffler and colleagues from The Netherlands Organisation of Applied Scientific Research say it will take many more years of tests before it is known whether the treatment is safe and effective in humans. In studies of mice, the treatment cut low density lipoprotein (LDL) cholesterol (bad cholesterol) by as much as 50% over 12 months and appeared to stop the build-up of fatty deposits in the arteries. Regardless of whether the vaccine becomes available in the future, the researchers were keen to stress that it should not be seen as an excuse for people to avoid exercise and eat lots of high-fat food. Nevertheless, the treatment could be useful for individuals who have high cholesterol due to an inherited condition called familial hypercholesterolaemia.
People with non-O blood could be at greater risk of stroke and heart attack, research suggests. Scientists say it's because A, B and AB blood contains higher levels of a blood-clotting protein. The research, which was presented at the 4th World Congress on Acute Heart Failure, analysed studies involving 1.3m people. It found that people 15 in 1,000 people with non-O blood suffered a heart attack, compared to 14 in 1,000 people with O blood. While these figures don't sound that startling at first, when applied to a whole population the numbers become more important. It is hoped that the findings will help doctors better identify who is at risk of developing heart disease. However, Dr Mike Knapton, associate medical director at the British Heart Foundation, said the findings would not have a large impact on the current advice issued by the charity. "Most of a person's risk estimation is determined by age, genetics (family history and ethnicity) and other modifiable risk factors including diet, weight, level of physical activity, smoking, blood pressure, cholesterol and diabetes. "People with a non-O blood group type - AO, BO and AB - need to take the same steps as anyone wanting to reduce their CVD risk." So regardless of your blood type, the advice remains the same: improve your diet, weight, level of physical activity and don't smoke. In addition, manage blood pressure, cholesterol and diabetes too. There's nothing you can do about your blood group, but you can make positive lifestyle changes to reduce your risk of heart attack and stroke.
Doctors say that an innovative new drug can cut bad cholesterol to unprecedented levels, reducing the risk of heart attacks and strokes for millions of people. Accounting for around 15 million deaths each year, heart attacks and strokes are the world's biggest killers. They are also the reason why people take drugs known as statins to reduce their levels of bad cholesterol, or LDL. Bad cholesterol causes blood vessels to fur up, which increases the chances of them blocking, leading to the heart or brain being starved of vital oxygen. The new drug, evolocumab, changes the way a person's liver works to help reduce bad cholesterol and is thought to be much more effective than statins. Evolocumab's potential was seen during a large international trial involving 27,000 patients who were already taking statins. "The end result was cholesterol levels came down and down and down and we've seen cholesterol levels lower than we have ever seen before in the practice of medicine," according to Prof Peter Sever, from Imperial College London. "They would have another 20% reduction in risk and that is a big effect. It is probably the most important trial result of a cholesterol lowering drug in over 20 years," he added. One heart attack or stroke was prevented for every 74 patients taking evolocumab in the two-year trial. The British Heart Foundation's medical director, Prof Sir Nilesh Samani, said: "This trial is a significant advance" in fighting one of the biggest killers in the world.
Despite the fact the number of people who are overweight or obese has risen over the past 30 years, fewer people are actually attempting to shed weight, according to a new study, the findings of which were published in JAMA. Around two thirds of the adult population in the United States are obese or overweight, putting them at increased risk of heart disease, stroke, diabetes, and other chronic diseases. However, new research has found that even though there has been a significant rise in the number of people who are overweight or obese since the 1980s, the percentage of U.S. adults who are trying to lose weight has fallen. For their research, study co-author Dr. Jian Zhang and her colleagues from the Georgia Southern University, analysed the data of 27,350 U.S. adults aged between 20 and 59 years. The analyses revealed that the rates of overweight and obesity increased by 13%, from 53% in 1988-1994 to 66% in 2009-2014. Furthermore, the researchers also found that the percentage of people who attempted to lose weight over the same period actually dropped by 7%, from 56% in 1988-1994 to 49% in 2009-2014. At present, people are deemed to be overweight or obese depending on their body mass index (BMI). A BMI of 25 to under 30 is considered overweight, while a BMI of 30 or above is considered obese. A healthy diet and regular physical activity are proven to help curb weight gain, which is why we should all make a conscientious effort to watch what we eat and exercise more. [Recommended read: BMI Wrongly Labelling People Unhealthy, Finds New Research]
A Mediterranean-inspired meal with lashings of virgin olive oil may help to protect your heart, according to new research. Cholesterol is carried around the blood by two different types of molecules called lipoproteins: low-density lipoprotein (LDL) and high-density lipoprotein (HDL). You'll most likely know LDL as "bad cholesterol". That's because high levels of LDL can lead to plaque building up in arteries, which can result in heart disease and stroke. HDL, on the other hand, the so-called "good bacteria", actually absorbs cholesterol and carries it to the liver where it is flushed from the body. That's why having high levels of HDL can reduce your risk of heart disease and stroke. Previous research has shown that the Mediterranean diet can protect against the development of heart disease as it improves the lipid profile of HDLs. The new research - which was led by Montserrat Fitó, Ph.D., coordinator of the Cardiovascular Risk and Nutrition Research Group at the Hospital del Mar Medical Research Institute in Barcelona, Spain - aimed to determine whether eating a Mediterranean diet rich in virgin olive oil or nuts over a long period of time would improve the beneficial properties of HDL in humans. Fitó's team randomly selected a total of 296 people who already had a high risk of heart disease and were participating in a separate study. They had an average age of 66 and were assigned to one of three diets for a year. They found that the individuals on the Mediterranean diet enriched with virgin olive oil had improved HDL functions. "Following a Mediterranean diet rich in virgin olive oil could protect our cardiovascular health in several ways, including making our 'good cholesterol' work in a more complete way," said Fitó.
A new study has found the typical "social business diet", which consists heavily of red meats, sweet drinks, processed snacks and alcohol, has a detrimental effect on a person's heart. Unfortunately, it's a sign of the times that many individuals do not have, or at least don't think they have, enough time to sit down and eat a healthy meal. Instead, many people rely on grab-and-go food items that can be eaten on the road. However, according to a team of researchers from the Icahn School of Medicine at Mount Sinai in New York City, eating habits such as these up the risks of atherosclerosis - a slow, but steady clogging of one's arteries. In fact, eating out, snacking on the go, and excessive alcohol consumption is more unhealthy than the so-called Western diet. "This business diet is really very bad," said Dr. Valentin Fuster, a cardiology professor from Icahn. "It hits the arteries hard, and strongly contributes to cardiovascular disease risk, the world's number one killer," he added. The American Heart Association says that cardiovascular disease accounts for more than 17 million deaths across the world each year. Atherosclerosis occurs when plaque builds up in a person's arteries, and can raise their risk of blood clots, heart attacks, heart disease and stroke. If people want to lower their risk of cardiovascular problems in the future, they should minimise their consumption of red meat, sweets and alocohol, and increase their intake of vegetables, fruits, low-fat dairy products, whole grains, fish and nuts.
Patients recovering from a stroke can boost their motor skills by playing simple card games, such as snap, according to new research from Canada. Reporting their findings in the Lancet Neurology, the researchers said that playing other games like Jenga and bingo, or a video games console like the Nintendo Wii, also helped boost motor skills and helped patients regain their coordination equally well. By studying 141 patients who had recently suffered a stroke, the Canadian team discovered that recreational activities, such as playing cards and using the Wii, significantly improved motor skills after just two weeks. It's a finding that suggests more therapy, in addition to standard stroke care, is beneficial for patients. Dr Gustavo Saposnik, from St Michael's Hospital in Toronto, said: "We all like technology and have the tendency to think that new technology is better than old-fashioned strategies, but sometimes that's not the case. In this study, we found that simple recreational activities that can be implemented anywhere may be as effective as technology." The research is good news for stroke patients who cannot access the latest technology, but can undertake inexpensive, easily accessible activities that can help with their recovery. A stroke occurs when the blood supply to a person's brain is cut off because of a clot or a bleed. The main symptoms are a drooping of the person's face; slurred speech; and numbness/weakness of the arms. A stroke should be treated as a medical emergency and the sufferer given urgent attention and treatment.
A new study has found that obese patients who undergo bariatric weight loss surgery have a greater chance of survival than those who do not. According to the research from a team at the University of Gothenburg in Sweden, weight loss surgery decreased the chance of death by as much as 57% compared with not having it. Being obese or overweight has been linked to many diseases, including heart attack, stroke and several different cancers, and can increases a person's risk of death as a result. Of the 48,693 patients (aged 18 to 74 years old), 22,581 underwent bariatric surgery - a gastric band was fitted in 92.8% of cases. The remaining 26,112 obese patients had no surgery at all. The researchers, led by Dr Christina Persson, found that the mortality rate in the group that did not have surgery was 4.21% compared to just 1.1% for the surgical group. That's equivalent to 7.7 deaths per 1,000 people each year versus just 2.1. Cardiovascular disease was the most common cause of death in the non-surgical group, followed by cancer, while external causes of mortality, such as suicide and accidents, were found to be the most common causes of death in the surgical group. "The study indicates that the overall all-cause mortality is considerably lower among obese individuals who undergo bariatric surgery compared to non-surgical obese individuals, and the differences lies mainly in cardiovascular disease and cancer," said Dr Persson. The findings of the study were presented at the recent European Obesity Summit in Sweden. To find out how France Surgery can help you undergo bariatric weight loss surgery, contact us today.
A new study suggests that taking aspirin immediately following a mini-stroke significantly reduces a person's chances of suffering a major stroke. Using data from around 56,000 individuals, the study researchers found that if aspirin is taken after a mini-stroke - also called a transient ischemic attack, or TIA - the risk of experiencing a disabling or fatal stroke over the coming days and weeks is reduced, in some cases, by as much as 80 percent. Immediately following a mini-stroke, a person's risk of a major stroke is 1,000 times higher than that of the general population, the researchers noted. Lead researcher Peter Rothwell, a professor and stroke expert at the University of Oxford in England, said: "Our findings confirm the effectiveness of urgent treatment after TIA and minor stroke, and show that aspirin is the most important component. Immediate treatment with aspirin can substantially reduce the risk and severity of early recurrent stroke." He added that the findings have implications for doctors, who should give aspirin whenever a TIA or minor stroke is suspected. Mini-strokes and major strokes often exhibit similar symptoms, which include: Numbness or muscle weakness that usually affects one side of the body Difficulty speaking or understanding speech Dizziness or loss of balance Double vision or difficulty seeing in one or both eyes The study was published on May 18 in The Lancet.