More Pregnant Women Are Having Strokes!

It is unlikely that women would have stroke during pregnancy or shortly after giving birth. However, researchers from Centers for Disease Control and Prevention's Division for Heart Disease and Stroke Prevention in Atlanta, Georgia have spotted a big jump in such events over the past 12 years.

The findings, which were published on July 28, 2011 in ‘Stroke’ (Journal of the American Heart Association), showed that there was a total of 4,085 pregnancy related stroke hospitalizations in the United States during the period between 1994 and 1995, and that number rose 54 percent to 6,293 between 2006 and 2007. The data used in the study came from a large national database of 5 to 8 million discharges from 1,000 hospitals.

Some increase was expected, but the figures found in the findings indeed surprised the researchers. Overall incidence is still low as latest data indicated that just three-quarters of a percent of women in America had a stroke during pregnancy or within 3 months of giving birth.

One factor could be responsible for the rise is that more women are overweight when they become pregnant, which can raise the likelihood of complications from diabetes and high blood pressure. Nevertheless, it was wished that more research should be designed and carried out to find the cause of the rise.

Stroke risk is usually low for a relatively healthy person. As pregnancy by itself is a risk factor for stroke and more pregnant women already have some kind of risk factor for stroke like obesity, hypertension (high blood pressure), diabetes or congenital heart disease, the overall risk will simply be doubled.

It was also observed that doctors do not have enough guidance on the best medication for pregnant women, especially for those with an increased risk for stroke. This is because norms on clinical studies usually exclude pregnant women in clinical trials as most drugs pose a hazard to the unborn fetus.

The researchers suggested developing a comprehensive, multidisciplinary plan that would enable doctors and patients to follow guidelines that could accurately monitor and provide care before, after and during childbirth.

Can Heart Attack Damage Be Repaired?

Heart attack is a common name for myocardial infarction (MI) or acute myocardial infarction (AMI). When a person has a heart attack, some heart cells will die because of interruption of blood supply to a part of his or her heart. If a heart attack victim is not dealt with immediately, he or she might end up with death. That is why it is the leading cause for death for men and women worldwide.

Even if the victim is lucky enough to survive the heart attack, the damage to the heart muscle can never be repaired. He or she could have complications such as blood clots, heart failure, heart rupture, heart valve damage, irregular heartbeats and inflammation of the heart.

Good news is that doctors might be able to help the human heart repair itself in the near future. Researchers the Institute of Child Health in London had discovered cells in the hearts of mice that can make new muscle after a heart attack, and found a way to reactivate these cells that help build the heart in an embryo but generally go dormant in adulthood.

The findings, which were published on June 9, 2011 in the journal ‘Nature’, suggested that it might be possible to develop a drug for patients who are at risk of heart attack to keep those dormant cells ready in case of a heart attack.

In the study, researchers found that if the cells, which are found in the outer layer of the mouse heart, were injected with a particular substance and the animals were given a heart attack, the cells migrated to the injury part and made new muscle. The heart worked better as shown by several indicators found. Nevertheless, it was not clear if that was due to the new muscle or other known effects of the injected substance.

While it is generally agreed that very little in the cardiac world has translated from mice to man, some cardiac experts believe the new study would stir the field of heart regeneration studies that would eventually generate some positive findings to benefit people with heart disease.

Strokes Could Happen During Sleep!

Stroke is the third leading cause of death in the United States, after heart disease and cancer.

While some stroke can be deadly, most of the strokes can probably be treated if victims act quickly. Clot-busting drugs are used to prevent permanent disability after a stroke. However, victims must receive the treatment within a 4-and-a-half-hour window after the stroke symptoms begin.

When a person has a stroke during sleep, he or she could not possibly know when stroke occurred. As such, they could not receive the treatment if he or she slept for more than 4 and a half hours.

A study conducted by researchers from the University of Cincinnati reported nearly 15 percent of people who had a stroke while they slept making them not eligible for clot-busting treatment. Their findings were published online on May 9, 2011 in the journal ‘Neurology’.

The researchers reviewed medical records from people who went to emergency rooms in Ohio and Kentucky in 2005 in order to investigate how many strokes occur during sleep, and whether they differ from strokes that begin while people are awake.

Among the identified 1,854 people who had suffered the most common kind of stroke, in which blood flow to the brain becomes blocked, 273 (almost 15 percent) said they woke up with symptoms.

There were no major differences between strokes that occurred while people were asleep and awake. But people who had wake-up strokes were slightly older and their strokes were somewhat more severe.

None of the patients who woke up with symptoms got the clot-busting drug known as tPA (tissue Plasminogen Activator). In fact, one third of these victims could have received the drugs if time had not been an issue. They also did not have any other reasons like high blood pressure or a recent surgery that would disqualify them from receiving tPA.

According to the researchers, doctors are reluctant to give iPA to stroke patients after the crucial time window because the treatment comes with a risk of bleeding in the brain. Meanwhile, research had not shown any benefits if it is given long after symptoms began.

Perhaps, scientists should find out how to estimate when wake-up strokes actually occurred so that doctors could determine those who wake up with stroke symptoms to receive iPA.

Why Pregnant Mother Should Not Smoke?

Tobacco smoking is bad for the health. It would lead to many chronic diseases including lung cancer, hypertension (high blood pressure), heart disease, stroke, erectile dysfunction and COPD (chronic obstructive pulmonary disease).

The harm often extends not only to the smokers themselves but also to others, especially the family members and friends. Studies have shown that people might develop similar diseases through secondhand smoke.

Smoking is no longer the privilege for men. Many women have picked up this habit as well.

Around 15 percent of women smoke while pregnant in many Western countries. What these female smokers do not know is that a wide range of childhood health problems, including behavioral and neurocognitive problems and sudden infant death had been linked to smoking during and after pregnancy.

A recent study by researchers from the University of Sydney found that pregnant mothers who smoke could cause changes to their unborn babies that can lead them to have lower high-density lipoprotein (HDL) cholesterol. HDL is commonly referred to as ‘good cholesterol’ that plays a key role in protecting against atherosclerosis.

Atherosclerosis is a condition in which the artery wall thickens because of accumulation of fatty materials. It could cause heart problems and even heart attack.

Published on June 21, 2011 in the European Heart Journal, the Australian researchers reported that by the age of 8, children born to mothers who smoked in pregnancy had level of HDL cholesterol at around 1.3 millimoles per liter (mmol/L), which was lower than those born to mothers who had not smoked, with about 1.5 mmol/L.

The participants were 405 healthy 8-years-old children (born between 1997 and 1999) who had been enrolled before birth into a randomized controlled trial that was investigating asthma and allergic disease. Data were collected before and after they were born, including information on mothers' smoking habits before and after pregnancy, exposure to passive smoke, and data on height, weight, waist measurement and blood pressure.

Ultrasound scans were used to measure the arterial wall thickness and blood samples were taken from 328 children, who agreed, to measure lipoprotein levels. There was no effect on the thickness of the children's arterial walls, but it was found that there was an effect on levels of HDL cholesterol.

The findings suggested that smoking created an unhealthy set of characteristics on babies while they are developing in the womb, which might cause them prone to develop heart disease and stroke later on. The effect seemed to last for at least 8 years and the risk of getting heart disease for smokers’ children could be 10 to 15 percent higher.

Another Cause For Children Obesity!

Childhood obesity is a serious issue as obese children are at a much higher risk of developing many chronic diseases including diabetes, heart disease, hypertension (high blood pressure), stroke and even certain types of cancer later in their life.

Sedentary lifestyle and unhealthy diet have been crowned as the main culprits responsible for childhood obesity. However, researchers from Temple University had recently found a new cause.

In a paper published in the ‘Journal of Pediatrics’, they reported that toddlers who still drank from bottles at age of 2 were 33 percent more likely than other children to be obese at the age of 5.

Of the 6,750 children studied, 1 in 5 was still using a bottle at the age of 24 months, either at night or all the time. For those who were long-term bottle users, roughly 1 in 5 was obese at the age of 5, comparing to about 1 in 6 that has been weaned earlier.

After looking into other factors that could affect a child's risk of obesity, including mother's weight, family income and education, and if the child had ever been breastfed, the researchers found that prolonged bottle-feeding by itself could induce a 33 percent increase in children's risk of obesity.

According to researchers, the bottle might be providing a source of comfort, rather than meeting nutritional needs. Nevertheless, the extra calories could be substantial. For instance, for an average 2-ear-old girl, an 8-ounce bottle of whole milk fed at bedtime would provide 12 percent of her calorie needs for the day.

Though the findings could not conclude long-term bottle-feeding is directly responsible for the increased risk of obesity, they did suggest that weaning babies around 12 month old could help prevent weight gain.

In fact, pediatricians already advise parents to wean their children when they are about 12 to 14 months old, or even earlier. This is mainly because extended bottle-feeding, especially overnight, is believed to boost the risk of cavities and might contribute to iron deficiency.

It Is Food Choice That Make You Fat!

What you eat is what you get! Unhealthy eating can cause people to develop chronic diseases including Type-2 diabetes, high cholesterol, heart disease and stroke.

Many people believe eating less and exercise more can achieve good health! But in reality, this seems to be too simplistic because researchers from the Harvard School of Public Health found that slight changes in eating habits, like eating an extra serving of potato chips or fries each day, could raise a person’s weight over the years.

After examining data on diet and lifestyle of 3 large studies including more than 120,000 nurses and health professionals from around the United States over a period of 20 years, the researchers argued that overall food choice appears to have the strongest link to how much a person gains weight.

While the United Nations praising potato as a good source of Vitamin-C, several B Vitamins and Minerals, including iron, potassium, phosphorus and magnesium, the researchers reported on June 22, 2011 in the ‘New England Journal of Medicine’ that people who ate an extra serving of French fries every day gained an average of 1.5 kilos over a 4-year period. Those who consumed on an extra serving of potato chips daily gained an average of 770 grams every 4 years, and an extra serving of potatoes prepared in any non-chip form was found to contribute to an average weight gain of 590 grams over 4 years.

Similar results were seen in people who consumed extra sugary drinks (0.45 kilos) and unprocessed meat (0.43 kilos) and processed meat (0.42 kilos).

On the other hand, people ate more of certain foods like yoghurt, vegetables, fruits and whole grains, did not gain weight. Over the period of 4 year, people who ate an extra serving of vegetables each day lose 0.1 kilos. Similar results were discovered in people who ate extra serving of yoghurt (0.37 kilos), fruit (0.21 kilos) and nuts (0.26 kilos).

In conclusion, the study found that quality of food is more important than quantity to prevent long-term weight gain, and that small lifestyle changes did make the difference between staying slim and becoming overweight.

Be Happy To Lower Heart Disease Risk!

Are you happy with your life? If your answer is yes, then probably you will be at a lower risk of getting heart disease.

Researchers from Harvard School of Public Health in Boston found that people who were most content with their lives had 13 percent lower risk of heart disease. Their findings were published online on July 4, 2011 in the ‘European Heart Journal’.

According to them, participants' level of satisfaction with their job, family, sex life and with themselves was linked to their risk of coronary heart disease. The higher the satisfaction, the greater the risk reduction.

About 8,000 British government workers were asked about 7 specific areas of participants' everyday lives, including love relationships, leisure activities, standard of living, job, family, sex and one's self. They rated their satisfaction level in each area on a scale of 1 (very dissatisfied) to 7 (very satisfied).

The participants’ health records for coronary related death, non-fatal heart attack and angina, or chest pain were tracked over the next 6 years. It seemed that satisfaction with one’s job, family, sex and self were most paramount for heart disease prevention, after taking into account of other heart disease risk factors including hypertension (high blood pressure) and body mass index (BMI).

Health experts have long regarded depression and anxiety as risk factors for heart disease, but there has not been much evidence found that supported benefits of a positive psychological state like feeling content with one’s life.

The new findings suggested effort to encourage positive psychological states could be as relevant as to lessen negative psychological states for those who are at high risk of heart disease.

Nevertheless, being happy alone might not be enough to keep heart disease away as there are many other risk factors that can cause people to develop heart disease. The basic rules remain: a healthy diet and regular physical activities are still a must for people who wish to be heart healthy.

How Did Movies Affect Teen Smoking?

Smoking is undoubtedly a unwanted habit that should not be encouraged because it can cause smokers as well as people around them (through secondhand smoke) suffer chronic diseases including lung cancer, heart disease, stroke, COPD (chronic obstructive pulmonary) and erectile dysfunction. It can lead to birth defects, too.

Teens smoke for a number of reasons. Pressure among the peers and smoking habit of parents or relatives tend to influence the teens to follow suit. A study by the Centers for Disease Control and Prevention (CDC), however, indicated that smoking among teens is somehow related to movies with tobacco.

According to their findings that were published on July 14, 2011 in the ‘Morbidity and Mortality Weekly Report’, number of movies in the United States in which an actor smoked fell sharply between 2005 and 2010.

55 percent of movies that had huge box office grossing in the United States in 2010 did not have smoking scenes, compared with a third of films that scored huge box office success in 2005.

During the same 6-year period, the number of tobacco incidents in top-grossing movies fell by 56 percent, though there were still some 2,000 scenes where an actor used tobacco either openly, on screen, or implicitly, off-screen. In fact, the percentages of 2010 top-grossing movies with no tobacco incidents were the highest observed in 2 decades.

In 2010, a study released by CDC found that the percentage of middle school students in the United States who smoked fell from 11 percent to 5 percent between 2000 and 2009 and those who experimented with smoking fell from nearly 30 percent to 15 percent.

Meanwhile, use of other tobacco products like cigars, pipes and chewing tobacco was also down among middle school boys aged between 11 and 14. The smoking among high school students was also down though less sharply.

17 percent of high school students smoked cigarettes in 2009, comparing to 28 percent in 2000, while 3 in 10 high school students tried smoking 2 years ago, comparing to nearly 4 in 10 in 2000.

The drop in onscreen smoking might have contributed to the decline in smoking among middle school and high school students.