Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, April 29, 2024

Climbing stairs reduces risk for all-cause, cardiovascular death

 But this goes against standard age-proofing your home:

One of the best ways to age-proof a house is by having a master bedroom and bathroom on the first floor, says Mark Hager, founder of AgeInPlace.com. “You want to have everything you need on one level so that you don't have to climb stairs as you get older,” 

I'll be climbing stairs until the day I die. Or as we hear from our medical staff; 'Use it or lose it'.

Climbing stairs reduces risk for all-cause, cardiovascular death

Key takeaways:

  • Climbing stairs was associated with a 39% reduced risk for death from heart disease.
  • It was also associated with a 24% reduced risk for death from any cause.

In a meta-analysis of studies covering more than 400,000 people, climbing stairs was associated with reduced risk for all-cause mortality and death from heart disease.

“If you have the choice of taking the stairs or the lift, go for the stairs, as it will help your heart,” Sophie Paddock, MBBS, interventional cardiologist at the University of East Anglia and Norfolk and Norwich University Hospital Foundation Trust, Norwich, U.K., who presented the findings at ESC Preventive Cardiology 2024, said in a press release. “Even brief bursts of physical activity have beneficial health impacts, and short bouts of stair climbing should be an achievable target to integrate into daily routines.”

Graphical depiction of data presented in article
Data were derived from Paddock S, et al. Optimal exercise modalities for primary and secondary prevention. Presented at: ESC Preventive Cardiology; April 25-27, 2024; Athens, Greece.

Paddock and colleagues reviewed nine studies with data from 480,520 participants and conducted a pooled analysis of five studies with 455,649 participants to determine the relationship between stair climbing and all-cause and CV mortality. The pooled cohort included healthy individuals as well as those with prior MI or peripheral artery disease. The age range was 35 to 84 years and 53% were women.

Stair climbing was associated with a 39% reduced risk for CV mortality (RR = 0.61; 95% CI, 0.48-0.79; I2 = 84%; z-test = 3.76; P = .0002) and a 24% reduced risk for all-cause mortality (RR = 0.76; 95% CI, 0.62-0.94; I2 = 85%; z-test = 2.5; P = .01), according to the researchers.

In a qualitative synthesis, the researchers concluded that there was a positive association between stair climbing and CVD including MI, ischemic stroke and HF.

“Based on these results, we would encourage people to incorporate stair climbing into their day-to-day lives,” Paddock said in the release. “Our study suggested that the more stairs climbed, the greater the benefits — but this needs to be confirmed. So, whether at work, home, or elsewhere, take the stairs.”

Reference:

Climb stairs to live longer. https://www.escardio.org/The-ESC/Press-Office/Press-releases/Climb-stairs-to-live-longer. Published April 26, 2024. Accessed April 26, 2024.

Sources/Disclosures

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Source:

Paddock S, et al. Optimal exercise modalities for primary and secondary prevention. Presented at: ESC Preventive Cardiology; April 25-27, 2024; Athens, Greece.

Disclosures: Paddock reports no relevant financial disclosures.

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