Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 33,864 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective 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.
Showing posts with label conscience laundering. Show all posts
Showing posts with label conscience laundering. Show all posts
WEDNESDAY,
Aug. 14, 2019 (HealthDay News) -- Aerobic exercise significantly
improves stroke survivors' endurance and walking ability, researchers
report.
They
analyzed 19 studies that included nearly 500 stroke survivors, aged 54
to 71, who completed aerobic exercise programs similar in structure to
cardiac rehabilitation.
The
patients did two or three aerobics workouts a week for about three
months. Walking was the most common type of activity, followed by
stationary cycling and mixed aerobic exercise. The patients' endurance
and walking speed was tested before and after they completed the
programs.
Overall,
the patients had significant improvements. After completing the
therapy, they walked an average of nearly half the length of a football
field farther during a six-minute walking test. Those with mild movement
impairments had the best results.
"These
benefits were realized regardless of how long it had been since their
stroke," said study lead author Elizabeth Regan, a Ph.D. candidate in
exercise science at the University of South Carolina.
Mixed
aerobic exercise provided the greatest improvement, followed by
walking, cycling and recumbent stepping -- a machine that allows
stepping while in a seated position.
The study was published Aug. 14 in the Journal of the American Heart Association.
"Our
analysis included stroke survivors across a wide range, from less than
six months to greater than a year since their stroke, and the benefits
were seen whether they started an aerobic exercise program one month or
one year after having a stroke," Regan explained in a journal news
release.
Stroke
is the leading cause of disability in the United States. Physical
therapy is often prescribed for stroke survivors to improve physical
impairments. Most current stroke rehabilitation has little to no focus
on aerobic fitness.
"The
physical therapy we currently provide to patients after a stroke
focuses more on improving the ability to move and move well rather than
on increasing how far and long you can move," Regan said. "It doesn't
matter how well you can walk if your endurance level keeps you at home."
Study
co-author Stacy Fritz, an associate professor of exercise science at
the University of South Carolina, said that cardiac rehab programs may
offer benefits to stroke patients "who have health risks and endurance
losses similar to traditional cardiac rehab participants.
"Almost
every hospital has a cardiac rehab program, so it's an existing
platform that could be used for stroke survivors. Funneling patients
with stroke into these existing programs may be an easy, cost-effective
solution with long-term benefits," Fritz said.
More information
The U.S. National Institute of Neurological Disorders and Stroke has more on stroke rehabilitation.
Good conscience laundering BUT NO SPECIFICS, so useless. Your doctor needs a testing protocol for these and then a diet or supplement protocol to meet the needs. You can't let your doctor get away with crapola instructions like this.
Healthy eating is important for everyone, but
even more so for older adults. Dietary intake and nutrient absorption
decline in older adults, which has been linked to reduced physical and
mental function, and increased risk of disability. These problems, in
turn, may lead to less social interaction, depression, and higher
morbidity and mortality.
Older adults need to increase their intake of certain nutrients to live their best life.
To fend off these effects, older folks need
just as much, if not more, of some nutrients—without adding extra
calories. Eating healthier can provide most of these nutrients, and
common dietary supplements may provide the rest.
Here’s just a few of the important nutrients that older folks should consider increasing in their diet.
Omega-3s
Although taking omega-3 fatty acid supplements doesn’t seem to protect against Alzheimer’s disease or slow cognitive decline in older adults, omega-3s found in fish and other foods may offer some benefit for adults with rheumatoid arthritis.
While omega-3s have shown mixed results in patients with cardiovascular
disease (CVD), eating seafood high in omega-3s has been linked to
healthier and increased longevity in older adults.
Vitamin D
Vitamin D helps build and maintain strong bones and muscles, and also
helps with electrolyte reabsorption, immune system regulation, and
other functions. Researchers have found that vitamin D may also protect
against certain chronic diseases, including cancer, type 1
diabetes, rheumatoid arthritis, and autoimmune diseases.
But in older adults, vitamin D deficiency is common. (Notably,
vitamin D deficiency is becoming an increasing problem with younger
generations, too.) Lack of vitamin D in the older population can lead to
bone loss, impaired muscle function, increased risk of falls and
fractures, and other problems—including rickets. Vitamin D is mainly
produced by the skin upon exposure to sunlight, but supplements can help
people with a deficiency. The Recommended Dietary Allowance (RDA) of
vitamin D is 600 IU for adults aged 51-70 years and 800 IU for adults
older than age 70.
Most of us get enough calcium from our diets to build and maintain
strong bones. Indeed, researchers have shown that most older adults
don’t get any extra benefit from taking calcium supplements to prevent bone fractures.
But then again, some people don’t get enough calcium. Perhaps
surprisingly, it’s not postmenopausal older women who have inadequate
calcium intake—they seem to get enough calcium through diet and
supplements. Americans who don’t get enough calcium include girls aged 4
years and older (particularly adolescent girls) and boys aged 9 to 18
years, as well as men older than 51 years, according to an article by an
Institute of Medicine committee.
The RDA of calcium is 1,300 mg for adolescents and teenagers (aged
9-18 years), 1,000 mg for adults (women aged 19-50 years, men aged 19-70
years), and 1,200 mg for older adults (women aged 51 and older, men
aged 71 and older).
Potassium
Potassium is an electrolyte required for the normal functioning of
cells, nerves, and muscles. Potassium has also been linked to reducing
the risk of stroke and other CVDs. Specifically, higher intakes of
potassium have been associated with a significantly reduced risk of
stroke as well as nonsignificant reductions in the risk of other CVDs.
Potassium’s beneficial effects may be due to its antihypertensive
effects. However, even when researchers accounted for blood pressure,
higher potassium intake still produced a significantly lower risk of
stroke.
As of 2012, the World Health Organization
(WHO) has strongly recommended that adults increase their dietary
intake of potassium in order to reduce blood pressure levels and risks
for CVD, stroke, and coronary heart disease. The WHO suggests that
adults get at least 3,510 mg of potassium per day. Vitamin B12
Vitamin B12 deficiency is relatively common, especially
among older adults. An estimated 20% of adults older than age 50 may
have borderline vitamin B12 deficiency, and 3.2% have significantly low B12 levels. Symptoms of vitamin B12 deficiency—such
as difficulty walking, sensations or numbness in hands or feet, anemia,
swollen tongue, cognitive difficulties, weakness, fatigue—can be easily
overlooked or confused with other conditions in older adults, so a
blood test is needed to confirm the problem. Adults older than age 50
may not be able to absorb enough of the vitamin through foods, so a
standard daily multivitamin supplement is recommended.
Magnesium
Magnesium is involved in more than 300 biochemical processes in the
body, including protein synthesis, muscle and nerve function, blood
glucose control, and blood pressure regulation. Magnesium is largely
obtained through food; however, absorption of magnesium decreases with
age. In addition, medications that many older people take, including
diuretics and proton pump inhibitors, may also lower magnesium levels.
Good sources of magnesium-rich foods include nuts, spinach, beans, whole grains, as well as some breakfast cereals and other fortified foods.
Fiber, protein, and exercise
In addition to specific nutrients, older adults also need to increase their daily protein and fiber intake, and exercise.
Protein: Adults typically lose muscle mass as they get older. Eating more protein can reduce older adults’ loss of muscle mass and strength.
Fiber: Many older adults have problems with constipation. Increased daily intake of fiber can keep things moving along at a regular pace.
Exercise:Physical activity
of any kind is good for older adults, not only for cardiovascular
health and improved mood, but also to help prevent bones and muscles
from deteriorating.
What is your doctor recommending for dementia prevention? ANYTHING AT ALL?
I'm doing this. Dementia prevention 19 ways Don't follow me, I'm not medically trained. Considering my doctor knew nothing about stroke, there is no way I'm asking about dementia prevention, it should be publicly available in that stroke database.
People buy supplements or do puzzles in hopes of protecting brain
health. While they mean well, they may be ignoring solid research and
missing out on truly effective strategies. Learn the difference.
Many Americans in their 50s and early 60s are worried about declining
brain health, especially if they have loved ones with memory loss and
dementia, a new national poll finds.
But while the majority of those polled say they take supplements or do
puzzles in an effort to stave off brain decline, very few of them have
talked with their doctors about evidence-based ways to prevent memory
loss.
As a result, they may miss out on proven strategies to keep their brains
sharp into their later years, says the poll team from the University of
Michigan.
In all, nearly half of respondents to the National Poll on Healthy Aging
felt they were likely to develop dementia as they aged, and nearly as
many worried about this prospect. In reality, research suggests that
less than 20 percent of people who have reached age 65 will go on to
lose cognitive ability from Alzheimer's disease, vascular dementia or
other conditions.
Not Asking Doctors
Despite the brain-related concerns of so many respondents, only five
percent of the entire group, and 10 percent of those who said they had a
family history of dementia, said they had talked with a healthcare
provider about how to prevent memory problems.
At the same time, 73 percent said they do crossword puzzles or brain
games, or take supplements, to try to keep their minds sharp. Neither strategy has been shown to have a beneficial effect by major research studies.
Results
55% reported doing crossword puzzles or other brain games to maintain or improve their memory.
48% reported taking some type of vitamin or supplement to help their memory.
32% said they took fish oil or omega-3 supplements.
73% reported engaging in at least one of these strategies to help maintain or improve their memory.
5% said they had ever discussed ways to prevent dementia with their doctor.
10% of those with a family history of dementia had talked with their doctor about ways to prevent dementia.
The poll, carried out by the U-M Institute for Healthcare Policy and
Innovation with support from AARP and Michigan Medicine, U-M's academic
medical center, asked 1,028 adults aged 50 to 64 a range of brain health
questions.
Scientific Evidence
"While many people in this age range expressed concerns about losing
memory, and say they take active steps to prevent it, most haven't
sought advice from medical professionals, who could help them understand
which steps actually have scientific evidence behind them," says
Donovan Maust, M.D., M.S., a U-M geriatric psychiatrist who helped
design the poll and analyze the results. "Many people may not realize
they could help preserve brain health by:(Absolutely none of these are specific enough to do a damn bit of good! But your doctor gets good conscience laundering out of it.)
Managing their blood pressure
Managing their blood sugar
Getting more physical activity
Better sleep
Stopping smoking."
Maust worked with poll director Preeti Malani, M.D., U-M dementia researcher Kenneth Langa, M.D., PhD, and the poll team.
Effects of experience
The team found stark differences in perceptions and viewpoints between
the one-third of poll respondents who said they had a family history of
dementia, or had served as a caregiver to a loved one with dementia, and
those without such experience or family links.
For instance, 73 percent of those with a family history of dementia said
they themselves were somewhat or very likely to develop the condition
as they aged -- compared with just 32 percent of those with no family
history. The gap between the two groups was nearly as large when the
research team asked if poll respondents were worried about developing
dementia later in life.
"Staying mentally sharp is the number one concern for older adults,"
says Alison Bryant, Ph.D., senior vice president of research for AARP.
"According to the Global Council on Brain Health, people should
concentrate on those things we know can improve brain health -- eating a
healthy diet, getting adequate sleep, exercising, and socializing with
friends and family."
Attitudes toward dementia research
Differences also emerged between those who had dementia in their
families, and those without, when the researchers asked respondents if
they'd consider taking part in dementia-related research.
Seventy-one percent of those with a family history of dementia said
they'd be willing to give researchers a sample of their DNA, compared
with 51 percent of the other respondents. Nearly twice as many of those
with a family history said they'd take part in a test of a new medicine
aimed at preventing dementia, or a new treatment for people diagnosed
with dementia.
The poll also suggests that researchers searching for better ways to
prevent, diagnose or treat dementia may have to work hard to attract
participants. Thirty-nine percent of those who wouldn't be willing to
give a DNA sample said it was because they didn't want their DNA to be
stored in a repository. Similarly, 37 percent of those who said they
wouldn't take part in studies of new prevention or treatment strategies
expressed concerns about being a "guinea pig," and one-fifth worried
about potential harms.
Healthy lives, healthy attitudes
The poll also shows that a greater percentage of adults in their 50s and
early 60s who say they get adequate sleep and exercise, ate healthily
and were active socially at least several times a week felt their memory
was just as sharp now as it was when they were younger, compared to
those who do not engage in these healthy behaviors as frequently.
But those who said their health was fair or poor, or who reported that
they didn't often engage in healthy lifestyle practices, were much more
likely to say that their memory had declined since their younger years.
In all, 59 percent of those polled said their memory was slightly worse
than it used to be.
"For anyone who wants to stay as sharp as possible as they age, the
evidence is clear: focus on your diet, your exercise, your sleep and
your blood pressure," says Malani. "Don't focus on worrying about what
might happen, or the products you can buy that promise to help, but
rather focus on what you can do now that research has proven to help."
A full report of the findings and methodology is available at http://www.healthyagingpoll.org, along with past National Poll on Healthy Aging reports.
When the TV heartthrob, Luke Perry, of "Beverly Hills, 90210" fame, died
of a stroke in March, it was a surprise to many people. How could
someone so young, only 52 years old, die of an old person's ailment?
But, as Stanford neurologist Greg Albers told me in this 1:2:1 podcast,
age is one of the myths of stroke: "You can have stroke at any age. We
have children who have strokes, adolescents, young adults. It's most
common in the elderly but strokes can hit at any age."
Albers, director of the Stanford Stroke Center,
has been working to understand the mechanisms governing strokes for
nearly 30 years. Thanks to that dogged work, Albers hit gold in 2018
with the release of data from a large multisite clinical trial, DEFUSE 3.
Previously, it was thought that if a patient wasn't treated within a
few hours of their stroke, it was hopeless. Tissue would have
deteriorated to the point of no return, which all too often resulted in
death or long-term nursing care. While the advance of the drug called tissue plasminogen activator
(tPA) in the mid 1980's expanded the treatment window up to three
hours, the drug was hardly a panacea and it didn't work for the majority
of stroke patients, Albers told me.
In this 1:2:1 podcast, host Paul Costello discusses the latest in stroke research with stroke specialist Greg Albers.
The DEFUSE 3 trial opened a whole new world of possibilities. Stroke
treatment could take place up to 24 hours after the stroke and it could,
as Albers explained, reap huge benefits. Moreover, on the day that
Albers presented the data from DEFUSE 3 at the International Stroke
Conference, the American Stroke Association
recognized the breakthrough by simultaneously releasing new guidelines
that changed the stroke treatment window from 6 to 24 hours.
As Albers explains:
...we're talking about a 50
percent reduction in death or nursing home existence for treatable
stroke patients and a threefold increase in functional recovery. In
other words, three times as many people being able to go back to do
everything that they did before their stroke and half as many patients
winding up in a nursing home or dying.
According to the National Stroke Association, each year nearly 800,000 people experience a new or recurrent stroke.
Stroke is the leading cause of adult disability in the U.S.
Strokes can happen to anyone at any age, including teenagers, children, newborns and unborn babies.
Although it is the fifth leading cause of death in the U.S., up to 80 percent of strokes are preventable.
Much of the research advancing the understanding and treatment of
stroke has taken place at Stanford helmed by Albers and his colleagues.
During our conversation, he put the work into context:
I consider this the most exciting
time in stroke research because for the last two decades since we've had
the approval of tPA, there have been no therapeutic advances other than
a catheter technique to pull the blood clot out. People were convinced
that six hours was as far as you could go. Now, with DEFUSE 3 and
treatment opening up to 24 hours, people now believe the stroke
evolution is highly individualistic.
It's hard to see so many
people who are disabled by stroke, paralyzed, unable to speak, and to
realize that we can make a huge difference in their lives. This is why
you become a physician, to try to be able to do this type of research
and have this type of impact.
(But you are still leaving 90% of stroke survivors with some disability. I still see stroke as a complete failure. You only get partial credit for this success.)
The stroke medical worlds definition of success doesn't correspond to survivors definition at all; 100% recovery is the only goal, not 'care', reperfusion or survival. But this is great conscience laundering.
A
Harvard university study of 40,000 women aged 45 years and over has
shown that moderate exercise can reduce the chance of having a stroke.
Interestingly it was moderate exercise levels that showed the greatest
benefit.
You need to know the most common signs of a stroke. ~
Would you be able to recognise if you or someone close to you were having a stroke? A stroke is a 911 medical emergency and every second counts for survival.
To help you recognize the signs of stroke, the National Stroke Association wants you to remember F-A-S-T, or fast. F
stands for "face". Signs of stroke include drooping or numbness on just
one side of the face. An uneven smile is another clue that something's
wrong. A stands for "arm". Is just one arm weak
or numb? If the person tries to lift both arms, does one drift downward?
In general, stroke signs appear on just one side of the body.
A
junior doctor was left unable to recognise her own sister, after a
tangled mass of veins in her brain - which she nicknamed Ralph -
ruptured, following a cheerleading stunt.
S
stands for "speech". When a stroke happens, the person can't speak or
their speech is slurred or hard to understand. He or she won't be able
to accurately repeat a simple sentence. T stands
for "time". It's time to call 911 if you see any of these symptoms. Even
if the symptoms go away, the person needs to get to the hospital fast.
There's a finite window of opportunity for care,(Look at the fucking tyranny of low expectations here; 'care' NOT recovery or results) particularly the
administration of a specialised clot-busting medication, needed when the
stroke is due to a blood clot. More signs of stroke
Sudden numbness or weakness in one leg
Sudden confusion
Trouble understanding, seeing or walking
Dizziness or lack of balance
A sudden severe headache with no known cause
It's
good to know the name and location of the stroke center nearest to you.
Leading hospitals and medical centres with comprehensive stroke
services often carry the designation "Certificate of Distinction" from
the Joint Commission, an accreditation organisation. You can access a
stroke centre database at qualitycheck.org.
To protect yourself and loved ones, learn all you can about stroke now, so you'll be prepared should an emergency strike.
Pretty much useless since these are not protocols, just guidelines. Good conscience laundering though. I bet your doctor launders their conscience the same way.
It seems—no surprises here—that what’s good
for your body is also good for your mind. Getting regular physical
exercise, sticking with a healthy diet, drinking in moderation, and
getting enough sleep have all been clinically shown to improve physical
health and possibly protect the brain from cognitive decline.
Advertisement
Getting regular physical exercise,
sticking with a healthy diet, drinking in moderation, and getting enough
sleep have all been clinically shown to improve physical health and
possibly protect the brain from cognitive decline.
The efficacy of lifestyle changes is
particularly important in light of the “aging of America,” a shift
brought on primarily by the aging of the Baby Boomers, many of whom hit
their “golden years” in 2011. Consider that by 2030, the number of older
adults living in the United States will increase from about 45 million
to 70 million.
Hand in hand with this, naturally, will be increases in the incidence
of dementia and other diseases common in aging bodies. In turn, this
will place ever-increasing demands on patients, caregivers, and
healthcare systems. With no effective drug-based treatment for reversal
or symptom reduction, lifestyle changes have become the focus of many
studies as researchers try to uncover how to protect against cognitive
decline and dementia with age.
According to results from the Finnish Geriatric Intervention Study to
Prevent Cognitive Impairment and Disability (FINGER), regular physical
activity, proper diet, mental challenge, and strong social connections
may keep cognitive skills from decline, as well as improve reasoning
skills and the speed in performing mental tasks. The FINGER study is the
largest and longest randomized controlled trial focused on the effects
of lifestyle interventions on preserved mental acuity. Researchers
included 1,260 subjects who were followed for 2 years. All were aged 60
to 77 years and had risk factors for future cognitive impairment despite
normal scores on mental function tests.
Subjects were randomized to either the study group—which received
health interventions, including personal nutritional counseling,
exercise instruction from physical therapists, and cognitive training,
as well as seven medical exams—or the control group. Cooking classes,
cognitive training, and exercise instruction were often carried out in
groups among those in the study group. The control group underwent only
three medical exams and received none of the interventions the study
group did.
In the intervention group, overall scores were 25% higher compared
with the control group. It was in processing speed and executive
function, however, in which the intervention group excelled compared
with controls. For example, measurements of response time were a full
150% higher in the intervention group than in the control group, and in
tests of organization and reasoning, 83% higher.
Recall, however, did not improve in either group.
An important note is that the researchers found that the subjects
stuck with the study because they enjoyed themselves and became friends
with other subjects. The dropout rate was relatively low—only 12%. The
intervention group had 3-5 exercise session per week, plus 10-12
nutrition counseling sessions, and 144 cognitive training sessions over 2
years. Attendance was over 85%, researchers reported.
Here are a few lifestyle changes that have been shown to afford
protection—even if minimal—against the ravages of age on the brain,
including cognitive decline, dementia, and Alzheimer’s disease (AD).
For adults, the US Department of Health and Human Services recommends
at least 150 minutes of moderate-intensity aerobic physical activity
every week. Unfortunately, about 80% of Americans don’t do this, and
those aged 65 years and older have the lowest rates of physical
activity.
Researchers are not yet certain of how exercise affects brain health.
They theorize that possibilities include improved cerebral perfusion
stemming from positive effects on the cardiovascular system, the
promotion of neuro- and synaptogenesis, increases in brain-derived
neurotrophic factors, and improved insulin sensitivity and glucose
control that may reduce the incidence of amyloid plaque formation that
can lead to AD.
And while it’s no secret that exercise is good for you, the data
supporting its health benefits in protecting against cognitive decline
keep accumulating—rapidly.
In a meta-analysis
of 14 randomized, controlled trials, including 1,695 subjects with mild
cognitive impairment, researchers found a significant improvement in
verbal fluency caused by physical exercise. Researchers of another meta-analysis
of 11 studies, comprising 1,497 patients with mild cognitive
impairment, found that aerobic exercise improved both global cognitive
ability and memory—albeit only very slightly. Finally, in a recent Cochrane review,
researchers concluded that regular exercise may benefit older adults
with mild-to-moderate dementia in completing the activities of daily
living.
Mediterranean diet
The benefits of the Mediterranean diet seem to extend from head to
toe. In addition to promoting good cardiovascular health and reducing
the risks of certain cancers, this diet can also lower your risk of
developing mild cognitive impairment, and, in those with dementia, slow
its progression. Many studies have been done to assess the effects of
the Mediterranean diet, and all have shown that it is linked to better
cognitive function and lower incidence of dementia. Built on a
foundation of fruits and vegetables, olive oil, whole grains, nuts and
seeds, and beans, the Mediterranean diet consists of limited red meat,
and moderate amounts of fish, poultry, and dairy products.
Alcohol
Moderate consumption of alcohol may reduce the risk for cognitive
decline and dementia, according to several studies, including one from JAMA.
In this analysis of data from the Cardiovascular Health Study,
researchers found that those over 65 years old who drank 1-6 alcoholic
beverages per week had a lower risk of cognitive decline and dementia
compared with nondrinkers.
In another study,
resveratrol, a compound found in red wine, successfully broke down
beta-amyloid (Aß), a sticky compound that accumulates in the brain and
comprises the abnormal protein deposits characteristic of AD.
But, further studies are needed on alcohol’s protective effects, and
no one is recommending drinking to fight cognitive decline or AD just
yet.
Sleep
As most people know, adequate sleep is undeniably associated with
cognitive function. How many mistakes have you made after a night of
tossing and turning? Those who sleep less than the recommended 7-8 hours
a night consistently have lower mental function scores, according to
research. Sleep may also have a vital role in the upkeep of the brain,
which may be due—in part—to the consolidation of learning and memories
that occurs during sleep. This association may be especially strong in
those who are older.
In a recent review,
researchers found that poor sleep is, indeed, a risk factor for
cognitive decline and AD. In several of the studies included in their
review, previous researchers showed associations between sleep variables
and measurements of AD pathology, including CSF measures of Aß and PET
measures of Aß deposition. In experimental studies, investigators showed
that decreases in slow-wave sleep could actually decrease clearance of
Aß from the brain, while others have shown that sleep-disordered
breathing may actually increase Aß production.
The take-home message here is: Find an exercise regimen, a diet, or
mental stimulation you enjoy, and stick with it. Your brain will thank
you later.
Hell, I had high levels of vigorous physical activity and had the cardiovascular fitness of an athlete and still had a stroke. Good conscience laundering but not really that helpful. I'll live some 40 years past my stroke which means I'll have lived with cardivascular disease 4/9s of my life(44%).
039
- Low Levels of Moderate to Vigorous
Physical Activity is Associated With Fewer Years Lived Free of
Cardiovascular Disease: The Cardiovascular Lifetime Risk Pooling Project
Itinerary
March 8, 2019, 10:56 AM - 11:07 AM
Galleria Ballroom - 3rd Floor
Authors
Amanda Paluch, Northwestern Univ,
Chicago, IL; Hongyan Ning, Mercedes Carnethon, Northwestern Univ
Feinberg Sch of Med, Chicago, IL; Kelley Pettee Gabriel, Univ of Texas
Health Science Ctr at Houston, Sch of Public Health - Austin Campus,
Austin, TX; Norrina Allen, Donald Lloyd-Jones, John Wilkins,
Northwestern Univ Feinberg Sch of Med, Chicago, IL
Disclosures
A. Paluch: None. H. Ning: None. M. Carnethon: None. K. Pettee Gabriel: None. N. Allen: None. D. Lloyd-Jones: None. J. Wilkins: None.
Abstract
Background: Quantifying the associations of
moderate to vigorous intensity physical activity (MVPA) with years lived
free of cardiovascular disease (CVD) allows for contextualization of
the population burden and provides a metric for clinician-patient
communication. We hypothesized that individuals with lower levels of
MVPA during middle age will have fewer years lived free of CVD compared
to those with higher levels. Methods: A standardized z-score for MVPA
was created based on participant-reported physical activity in 28,466
middle aged adults aged 40-59 years (43.6% women) in 6 U.S. prospective
cohort studies. Z-scores were then categorized into quartiles for each
cohort. Rates (person-years) of incident CVD and death were summed for
participants up to age 95 years, or to the oldest age of observation.
Irwin’s restricted mean was used to calculate years lived free from CVD
and overall survival stratified by sex. Results: Over 514,324
person-years of follow-up, 3,556 CVD events were observed. Whereas there
was no difference in survival time among participants in the upper 3
quartiles, women in the lowest quartile vs. the next lowest quartile
lived 3.2 fewer years and men lived 1.2 fewer years free of CVD.
Survival after a CVD event was lower for women in the lowest MVPA
quartile (mean±S.E: 0.07±0.32 years) compared to all other quartiles
(Q2: 0.67±0.16 years to Q4: 0.96±0.16 years). Survival after CVD events
was similar across all quartiles of MVPA for men, ranging from 1.1±0.05
to 1.4±0.05 years. Conclusions: The benefits of physical activity
extend multiple decades into older ages. Even modest levels of physical
activity during middle age is associated with longer CVD-free survival,
particularly among women.
One more reason to blame your doctor for not getting you 100% recovered. Make sure you tell that to your doctor in person. You need to see the reaction when you call out their incompetency.
You already know that exercise can reduce the
risk of everything from type 2 diabetes and heart disease to
depression. Now, it turns out that being more physically active may
protect against dementia as well. Older adults who either engage in
daily exercise or just do everyday tasks, such as housework, may
maintain more of their thinking skills and memory than their less active
counterparts—and that holds true even if they have the brain lesions or
biomarkers that are linked to dementia, according to a recently
published study in Neurology.
Older adults who either engage in
daily exercise or just do everyday tasks, such as housework, may
maintain more of their thinking skills and memory than their less active
counterparts.
In the study, researchers assessed 454 older
adults (191 with dementia and 263 without dementia) who underwent
physical examination and cognitive testing annually for 20 years. All
participants consented to brain donation upon their passing (mean age at
death: 91 years). Participants’ physical activity was monitored with an
accelerometer. Upon collection and analysis of individualized movement
data, the researchers calculated an average daily activity score for
each participant.
When scientists examined the decedents’ brains for lesions and
biomarkers of dementia and Alzheimer’s disease, they found a link
between a higher level of physical activity and better cognition that
was independent of the presence of biomarkers of dementia, Alzheimer’s
disease, or related cognitive disorders.
The study authors concluded that, “Physical activity in older adults
may provide cognitive reserve to maintain function independent of the
accumulation of diverse brain pathologies. Further studies are needed to
identify the molecular mechanisms underlying this potential reserve and
to ensure the causal effects of physical activity.”(So they know nothing specific, but feel obligated to tell you this to assuage their conscience. )
Exercise is already touted for its beneficial effects on health.(Yes, we know your are touting your laziness.)
“Prior studies have indicated that higher levels of aerobic exercise,
along with a diet low in saturated fat and refined sugars, combined
with increased amounts of lean proteins and healthy grains and fiber,
are an important component to control blood pressure and reduce
cholesterol and triglycerides,” said Robert Glatter, MD, emergency
physician, Lenox Hill Hospital, New York City, NY. “Keeping yourself
physically active to improve cardiac fitness translates to improved
vascular health, which has clear neuroprotective effects.”
As far as which types of physical activity older Americans should try
to get, Dr. Glatter recommended “practical interventions” such as
taking the stairs instead of using the elevator or escalator. Also, try
walking to your destination rather than driving, he added.
“Simply taking ‘standing breaks’ at work, instead of sitting, is also
going to benefit your vascular health overall, by reducing stasis and
improving blood flow,” Dr. Glatter noted.
The key to enticing older people—or anyone, for that matter—to
exercise is to “find things they enjoy doing,” said Scott Going, PhD,
exercise physiologist and professor, Department of Nutritional Sciences,
The University of Arizona College of Agriculture and Life Sciences,
Tucson, AZ. “Ask what do they like to do? Maybe they enjoy social
dancing, or moving around the yard doing chores,” he said. It doesn’t
matter what they do, as long as it’s on a regular basis, he added. Even
low-intensity exercise can be beneficial.
It's key to remember that exercise needn’t take place at a gym,
explained Shawn Anthony, MD, sports medicine surgeon, Mount Sinai West,
New York City, NY. “Any time not spent sitting can be made part of an
exercise program,” he said. “Body weight exercises are a great way to
build core and muscle strength, improve balance, and gain benefits for
cardiovascular health.”
Simple exercises may include heel-toe walking, one-leg balancing, and standing marches, he added.
“Exercises can be performed while waiting in line at the supermarket
or during TV commercial breaks,” Dr. Anthony said. “Everyday house
chores like laundry and cleaning also are efficient ways to keep
moving.” (My God, what fucking lazy incomparable stupidity.)
About 30 minutes a day of exercise is recommended, and it can be broken up into 5 and 10-minute increments, Dr. Going said.
Those who are wheelchair-bound can do upper body activities, he added. The American Academy of Retired Persons offers suggestions for exercise and fitness routines for older adults as well.
According to Dr. Glatter, while exercise is important, there are
other factors that come into play as well when weighing risk factors for
Alzheimer’s disease and dementia.
“The contributions of adequate sleep, treating depression, and
reducing isolation may be equally important as we age, since they
ultimately affect blood pressure and lipid profile,” he said. “Keep in
mind that one of the key aspects of reducing the risk for dementia
centers around vascular health. Along with aerobic exercise, your blood
pressure and lipid profile are important determinants that influence the
pliability and reduce stiffness in small blood vessels.”
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This means absolutely nothing because it doesn't tell you a damn thing about recovery results. It just is conscience laundering for this stroke hospital, allows them to act like they are doing something without doing a damn thing useful for real 100% recovery. Hope they don't have a stroke and are sent to their hospital because nothing in their hospital gives any indication that they get stroke survivors recovered. They talk about care and a stroke support group which is a clear indication they don't know how to get you recovered.
Maury Regional Medical
Center (MRMC) recently earned the Joint Commission’s Gold Seal of
Approval® and the American Heart Association/American Stroke
Association’s Heart-Check mark for certification as an Advanced Primary Stroke Center. The Gold Seal of Approval® and the Heart-Check mark both represent symbols of quality from their respective organizations.
“This
recognition highlights the exceptional stroke care we provide here at
Maury Regional Medical Center,” said Maury Regional Health CEO Alan
Watson. “I commend all our physicians and staff members, led by Chest
Pain Center and Stroke Program Coordinator Brenda Bishop, for their
demonstrated commitment to the quality and compassionate care that made
this distinction possible.”
Maury
Regional Medical Center underwent a rigorous onsite review in December
2018. Joint Commission experts evaluated compliance with stroke-related
standards and requirements, including program management, delivery of
clinical care and performance improvement.
“We
congratulate Maury Regional Medical Center for achieving this
designation,” said Nancy Brown, chief executive officer of the American
Heart Association/American Stroke Association. “By adhering to this very
specific set of treatment guidelines Maury Regional Medical Center has
clearly made it a priority to deliver high-quality care to all patients
affected by stroke.”
At Maury
Regional Medical Center, board-certified neurologists, Emergency
Department nurses and Critical Care Unit nurses are specially trained
in stroke patient care. Maury Regional Medical Center also offers comprehensive stroke rehabilitation — including occupational, physical and speech therapy — as well as a monthly Stroke Support Groupfor those who have experienced a stroke along with their families, caregivers and friends.
Stroke is the number five
cause of death and a leading cause of adult disability in the U.S. On
average, someone suffers a stroke every 40 seconds, someone dies of a
stroke every four minutes and 795,000 people suffer a new or recurrent
stroke each year.
The facilities of Maury Regional Medical Center, Lewis Health Center, Marshall Medical Center and Wayne Medical Center are
all accredited by the Joint Commission, a status recognized nationwide
as a symbol of quality that reflects an organization’s commitment to
meeting certain performance standards. In addition to its recognition
for stroke services, Maury Regional Medical Center specifically holds
accreditation status from the Joint Commission in the areas of advanced
inpatient diabetes, total hip and total knee replacement, heart failure
and sepsis. Learn more at https://bit.ly/2BslpeT.
Red meat (if you do eat red meat, compare labels and select the leanest cuts available)
Sweets and sugar-sweetened beverages
Be
sure to work with the “chefs” in your household and plan together for
any dietary changes that are needed. When cooking at home, try
heart-healthy recipes. When dining out, look for healthy options.
Read the labels
By adopting the habit of reading food labels, you can choose foods more wisely. Watch for foods that have saturated fat or trans fat — factors that can raise your cholesterol. Eating foods that are high in sodium (salt) can increase blood pressure. Generally, the higher your salt intake, the higher your blood pressure.
Get the fact sheet on understanding nutrition labels: English (PDF) | Spanish (PDF)
Look for the Heart-Check mark
With
so many marketing messages being thrown at you in the grocery store, it
can be difficult to know what is truly healthy. To make it easier, the
American Heart Association (AHA) developed the Heart-Check mark. When
you see this symbol on food packaging, it means that the product meets
AHA criteria for saturated fat, trans fat, and sodium for a single
serving of the food product for healthy people over age 2. Learn more about the Heart-Check Certification Program
The DASH eating plan
As
its name implies, the DASH (Dietary Approaches to Stop Hypertension)
eating plan is designed to help you manage blood pressure. Emphasizing
healthy food sources, it also limits:
Red meat
Sodium (salt)
Sweets, added sugars and sugar-containing beverages
So fucking what? It is not specific enough to reliably work. But great conscience laundering for those promoting this. So your doctor can absolve themselves of responsibility by just saying those two words. 'Mediterranean diet'. Until you get actual SPECIFICS, you are screwed.
After the holidays, often
as part of a New Year’s resolution, it is common for people to think
about changing to a healthier diet. One option is the Mediterranean
diet, which was recently named by U.S. News & World Report
as the top overall diet, the best diet for healthy eating, the best
plant-based diet, the best diet for diabetes and the easiest diet to
follow.
Much evidence emerged in 2018 regarding the CV benefits of the Mediterranean diet. Below are some of those findings covered by Cardiology Today.
Mediterranean diet decreases risk for CVD events in women Women
with a greater Mediterranean diet eating pattern had decreased risk for
CVD events compared with those less adherent to the Mediterranean diet,
according to a study published in JAMA Network Open. Read More
Much evidence emerged in 2018 regarding the CV benefits of the Mediterranean diet.
Source: Adobe Stock
Mediterranean diet reduces CV events in high-risk patients
Patients
with high CV risk who adhered to a Mediterranean diet that was
supplemented with nuts or extra-virgin olive oil had fewer major CV
events compared with those who adhered to a reduced fat diet, according
to the PREDIMED study. Read More
Mediterranean diet may reduce stroke risk in women
Adherence
to a Mediterranean-style diet may help to reduce stroke risk in adults
at high risk for CVD, especially women older than 40 years, according to
a study published in Stroke. Read More
Proper nutrition can change course of CHD, other diseases BOSTON
— Nutrition is a powerful source of cardioprotective intervention and
physicians must be better about incorporating nutritional education into
their treatment plans, according to a presentation at the
Cardiometabolic Health Congress.
Diet intervention has been
shown to reduce risk for cardiometabolic death, with multiple studies
indicating that a Mediterranean diet (more fruit, vegetables, fish,
nuts, olive oil and whole grains)(How non specific can you get and still say this with a straight face?) can drastically improve
cardiometabolic health, according to Stephen Devries, MD, FACC,executive
director of the Gaples Institute for Integrative Cardiology and
associate professor at Northwestern University School of Medicine. Read More
Mediterranean diet increases lifespan The
Mediterranean diet was linked to prolonged survival in two different
studies spanning multiple age groups, according to findings published in
the British Journal of Nutrition. Read More
Older adults need to increase their intake of certain nutrients to live their best life.
To fend off these effects, older folks need
just as much, if not more, of some nutrients—without adding extra
calories. Eating healthier can provide most of these nutrients, and
common dietary supplements may provide the rest.
Getting regular physical exercise,
sticking with a healthy diet, drinking in moderation, and getting enough
sleep have all been clinically shown to improve physical health and
possibly protect the brain from cognitive decline.
Older adults who either engage in
daily exercise or just do everyday tasks, such as housework, may
maintain more of their thinking skills and memory than their less active
counterparts.
Mediterranean diet reduces CV events in high-risk patients