Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Tuesday, May 23, 2017

Fruits, Vegetables in Diet May Lower Risk of PAD

Still mostly fucking useless since it doesn't give a protocol and tell us what the circulating micronutrient levels in the bloodstream need to be to provide this protection. Serving sizes per vegetable or fruit, this lack of information requires us to guess that.

http://www.medpagetoday.com/Cardiology/PeripheralArteryDisease/65399?xid=nl_mpt_cardiodaily_2017-05-22&eun=g424561d0r

Suggests a role for lifestyle counseling in PAD management

  • by
    Staff Writer, MedPage Today
  • This article is a collaboration between MedPage Today® and:
    Medpage Today
Eating three or more servings of fruit and vegetables per day may lower the risk of developing peripheral artery disease (PAD), reported researchers.
According to a cross-sectional study of more than 3.7 million people, those who reported daily intake of at least three servings of fruits and vegetables had significantly lower risk of PAD (adjusted OR 0.81, 95% CI 0.79-0.83) than those reporting that they ate three servings less than once a month, wrote Jeffrey Berger, MD, of New York University School of Medicine, and colleagues in Arteriosclerosis, Thrombosis and Vascular Biology, an American Heart Association journal.
PAD risks were equally low among those eating three servings of fruits and vegetables most days of the week (OR 0.80, 95% CI 0.79-0.82), again compared with those with less-than-monthly consumption of three servings.
Even eating three servings once every 2-3 weeks was associated with lower odds of PAD, the researchers found (OR 0.89, 95% CI 0.87-0.91).
"Our current study provides important information to the public that something as simple as adding more fruits and vegetables to your diet could have a major impact on the prevalence of life-altering peripheral artery disease," Berger said.
"We need to increase the nutrition status in our country. We spend so much time thinking about the latest drugs and technologies -- we need to spend more time thinking about lifestyle -- especially sufficient fruit and vegetable intake," Berger told MedPage Today.
"People have more control on their cardiovascular health. Things like eating well and exercise can have a great impact on the risk of cardiovascular disease," he continued.
Berger and colleagues collected data from medical and lifestyle questionnaires and ankle brachial index (ABI) tests at more than 20,000 sites across America, involving a total of nearly 3.7 million individuals. Mean age of participants was 64 years, 64% were female, and 89% were white.
Percentages eating three servings of fruits and vegetables at various frequencies were as follows:
  • Daily: 29.2%
  • 4-5 times/week: 22.9%
  • 2-3 times/week 25.9%
  • Once/week to once/month: 15.0%
  • Less than once monthly: 7.1%
The researchers identified 233,958 (6.3%) cases of PAD as defined by ankle brachial index (ABI) ≤0.9 or history of lower extremity revascularization procedure.
Among all participants with abnormal ABI, 73.2% (n=121,389) had ABI 0.9-0.7, 19.7% (n=32,648) had ABI 0.7-0.5, and 7.1% (n=11,717) had ABI <0 .5.="" p=""> Using a logistic regression model, the researchers found that increasing age, female sex, non-sedentary lifestyle, increasing income, and frequent consumption (most days of the week) of fish, nuts, and red meat were positively associated with daily consumption of fruits and vegetables.
Conversely, non-white race, current or former smoking, being currently unmarried, and frequent consumption of fast food were inversely associated with daily intake of at least three servings of fruits and vegetables. Geography was also a factor, with several states in the South having rates of less-than-monthly consumption above 20%.
When stratified by smoking status, the association of lower PAD and increased fruits and vegetables was present only among participants who were current or former smokers.
"Our study gives further evidence for the importance of incorporating more fruits and vegetables in the diet," concluded co-author Sean Heffron, MD, also of New York University School of Medicine.
"One-on-one dietary assessments and counseling for PAD patients, as well as greater public health awareness of the importance of fruit and vegetable consumption, are both needed," he wrote.
Limitations included the cross-sectional nature of the study which prevented the researchers from commenting on incidence of PAD, as well as the use of a non-validated survey instrument which left participants to define a "serving" for themselves.

The research was partially funded by the National Heart and Lung Blood Institute of the National Institutes of Health.

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