From a Circulation online release:
…these results indicate that sleep may play an important role in health disparities and may represent a modifiable risk factor (along with diet and physical activity) for cardiometabolic risk in general and cardiometabolic health disparities specifically.
Our review of the epidemiological data on the impact of sleep duration and disorders on cardiovascular health suggests the following:
Both short- and long-duration sleep and sleep disorders such as SDB and insomnia are associated with adverse cardiometabolic risk profiles and outcomes.
Sleep restriction has a negative impact on energy balance, but it is less clear whether treating sleep disorders has a positive impact on obesity risk.
Treating those with sleep disorders may provide clinical benefits, particularly for blood pressure.
Sleep is increasingly recognized as an important lifestyle contributor to health. However, this has not always been the case, and an increasing number of Americans choose to curtail sleep in favor of other social, leisure, or work-related activities. This has resulted in a decline in average sleep duration over time. Sleep duration, mostly short sleep, and sleep disorders have emerged as being related to adverse cardiometabolic risk, including obesity, hypertension, type 2 diabetes mellitus, and cardiovascular disease.
To read more click on the following link: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000444
From a The Telegraph online article:
A new study (in The Lancet, Aug 16, 2019) reveals that pensioners who have an operation have a one in 14 chance of suffering a silent or “covert” stroke – an event that shows no obvious symptoms but can damage the brain.
More than 1,100 patients across the world were given MRI scans nine days after some form of major non-cardiac surgery.
They were then followed up a year later to assess their cognitive abilities.
The researchers found that not only did having a silent stroke double the chances of cognitive decline a year on, it also increased the chances of a full life-threatening stroke.
Suffering a mini-stroke increased the risk of experiencing postoperative delirium as well.
The Lancet Study: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext?utm_campaign=clinical19&utm_content=98869259&utm_medium=social&utm_source=twitter&hss_channel=tw-27013292
To read more click on the following link: https://www.telegraph.co.uk/science/2019/08/15/silent-stroke-risk-major-surgery-revealed-new-study/
Adults aged 85 years and older, the “oldest old,” are the fastest-growing age group in the United States, yet relatively little is known about their cancer burden. Combining data from the National Cancer Institute, the North American Association of Central Cancer Registries, and the National Center for Health Statistics, the authors provide comprehensive information on cancer occurrence in adults aged 85 years and older. In 2019, there will be approximately 140,690 cancer cases diag-nosed and 103,250 cancer deaths among the oldest old in the United States. The most common cancers in these individuals (lung, breast, prostate, and colorectum) are the same as those in the general population. Overall cancer incidence rates peaked in the oldest men and women around 1990 and have subsequently declined, with the pace accelerating during the past decade. These trends largely reflect declines in cancers of the prostate and colorectum and, more recently, cancers of the lung among men and the breast among women.
To read entire study click on following link: https://onlinelibrary.wiley.com/doi/epdf/10.3322/caac.21577
From a Harvard Heart Health online article:
For the study, nearly 8,300 people at risk for heart disease had fasting and nonfasting lipid profile tests done at least four weeks apart. (Fasting means they had nothing to eat or drink except water for at least eight hours before the test.) The differences in their total, LDL, and HDL cholesterol values were negligible. Triglyceride levels were modestly higher in the nonfasting samples.
Don’t want to skip breakfast before your cholesterol test? You probably don’t need to. A study published online May 28 by JAMA Internal Medicine adds to the evidence that fasting isn’t necessary before this common blood test, often referred to as a lipid profile.
To read more click on following link: https://www.health.harvard.edu/newsletter_article/farewell-to-fasting-before-a-cholesterol-test
From a National Institute on Aging news release:
“These initial results support a growing body of evidence suggesting that controlling blood pressure may not only reduce the risk of stroke and heart disease but also of age-related cognitive loss,” said Walter J. Koroshetz, M.D., director of the NIH’s National Institute of Neurological Disorders and Stroke (NINDS). “I strongly urge people to know your blood pressure and discuss with your doctors how to optimize control. It may be a key to your future brain health.”
In a nationwide study, researchers used magnetic resonance imaging (MRI) to scan the brains of hundreds of participants in the National Institutes of Health’s Systolic Blood Pressure Intervention Trial (SPRINT) and found that intensively controlling a person’s blood pressure was more effective at slowing the accumulation of white matter lesions than standard treatment of high blood pressure. The results complement a previous study published by the same research group which showed that intensive treatment significantly lowered the chances that participants developed mild cognitive impairment.
To read more click on following link: https://www.nia.nih.gov/news/intensive-blood-pressure-control-may-slow-age-related-brain-damage
From a Wall Street Journal online article by Sarah Krouse:
In medicine, measuring slight changes in voice is starting to help doctors detect the onset of diseases like Parkinson’s or more quickly measure the efficacy of treatments for illnesses like depression, researchers say.
Chronic Pain: Observations as Patient and Provider About What Works (…And What Doesn’t)
Dr. Grace Dammann, medical director of the Pain Clinic at Laguna Honda Hospital, and seven of her colleagues talk about what does and does not work in the treatment of chronic pain. She talks as both a patient and a provider. There is also a discussion of various non-pharmacologic and complementary medicine modalities to treat pain.