Fitness
7 key health measures help predict future risk of heart disease
Researchers identified five patterns of how well people did or did not do on the seven health measures over time. These patterns were able to help predict participants’ future risk of CVD.
Seven key measures of heart health may help predict future risk of cardiovascular disease, according to researchers. They added that improving these measures may also help decrease the risk of CVD in the future.
The team of researchers, including three from Penn State, studied how seven key health measures — like diet, exercise and blood pressure — were related to people’s cardiovascular health over time.
They identified five patterns of how well people did or did not do on the seven health measures over time. These patterns were able to help predict participants’ future risk of CVD.
For example, people who consistently scored well in the seven metrics had a lower chance of CVD than people who did not. The researchers also found that improving these metrics over time was related to a lower risk of CVD in the future.
Xiang Gao, associate professor of nutritional sciences and director of the Nutritional Epidemiology Lab at Penn State, said the study — published today (May 31) in JAMA Network Open — suggests that people can help influence their risk of CVD in the future.
“In our study population, and probably across the world, there are many people who have suboptimal or poor heart health,” Gao said. “But, even though most people don’t meet the ideal criteria for all seven metrics, if we can work to improve those measures, the future risk of CVD can still decrease.”
The American Heart Association identified the seven health metrics as the most important predictors of heart health. They include four behaviors that people have control over and three biometrics that should be kept at healthy levels.
The modifiable behaviors include not smoking, maintaining a healthy weight, eating healthy and staying physically active. The biometrics are blood pressure, cholesterol and blood sugar.
Each metric has a poor, intermediate or ideal score. For example, smoking regularly would be considered “poor,” smoking within the past 12 months would be “intermediate,” and never smoking or quitting more than a year ago would be “ideal.” Combining the score for all seven metrics — 0 for poor, 1 for intermediate and 2 for ideal — results in an overall “cardiovascular health score,” or CHS.
“Only about 2 percent of people in the United States and other countries meet all the ideal requirements for these seven factors,” Gao said. “This raises the question of whether improving these metrics is related to lower future risk of CVD. It should, but no one had the data to support this idea.”
The researchers used data from 74,701 Chinese adults from the Kailuan Study. At the beginning of the study, the participants completed questionnaires about their health and underwent clinical exams and lab tests three times in the first four years. Across the following five years, the researchers kept track of any new onset CVD cases in the participants.
After the information was gathered, the researchers analyzed the data to see how CHS during the first four years was associated with whether or not the participants developed CVD subsequently. They found five distinct patterns — or trajectories — that people followed throughout the four years.
These trajectories included maintaining high, medium or low CHS, as well as increasing and decreasing CHS over time. Gao said these different trajectories were associated with different risks for developing CVD in the future.
“For example, about 19 percent of participants were able to maintain a better cardiovascular health score over the four years,” Gao said. “We found that those people had a 79 percent lower chance of developing heart disease in the future than people who maintained a low cardiovascular health score.”
Gao said they found similar results when they analyzed risk for stroke and myocardial infarction — commonly referred to as a heart attack.
“We also examined whether improving cardiovascular health score over time affected future risk of CVD,” Gao said. “We found that improvement of overall cardiovascular health over time related to lower future CVD in this population, even for those with poor cardiovascular health status at the beginning of the study.”
Additionally, the researchers were curious about whether one health measure was more important than the others. They ran repeated tests, removing a different, single health measure each time. They found that the scores still predicted future CVD risk in similar ways.
“This suggests that overall cardiovascular health is still the most important thing and that one factor isn’t more important than the others,” Gao said. “It also helps confirm that these seven metrics are valid and a very useful tool for developing a strategy for cardiovascular disease prevention.”
Fitness
Treatment options to help overcome knee pain for sports enthusiasts
“Sports-related pain should be evaluated quickly, especially when it’s difficult to put weight on the knee, swelling occurs or there is restricted range of motion,” said Dr. Alexander Meininger, orthopedic surgeon and MACI consultant.
Millions of people experience chronic pain, with knee pain among the most common. Athletes and active adults know the impact activities like running and skiing can have on their knees, but when chronic knee pain makes it difficult to do those activities, or even day-to-day tasks like walking up the stairs, people may often face challenges.
According to the journal “Cartilage,” unlike other tissues, cartilage does not repair itself and, without proper treatment, can worsen over time and become more difficult to treat. However, options like FDA-approved knee cartilage repair surgery MACI (autologous cultured chondrocytes on porcine collagen membrane) uses a patient’s cells to help repair cartilage defects and may help alleviate knee pain.
“Sports-related pain should be evaluated quickly, especially when it’s difficult to put weight on the knee, swelling occurs or there is restricted range of motion,” said Dr. Alexander Meininger, orthopedic surgeon and MACI consultant.
Justin Keys, a former patient of Meininger and avid skier, knows that the long-term outcomes of knee cartilage surgery can be worth the short-term sacrifices. After several injuries, including an ACL injury, Keys struggled with most activities except walking on flat, paved surfaces. After consulting with Meininger, Keys chose knee cartilage repair to help get back to his active lifestyle.
Keys considered whether to manage the injury as-is or choose MACI and undergo rehabilitation to potentially get back to his favorite activities in the future. He knew he could no longer use short-term relief methods and had to address his pain with a treatment to help provide lasting relief.
For athletes like Keys who want to fix knee pain, it’s important to consider these steps:
Discuss Options with Your Doctor
Patients should talk to their doctors and undergo an MRI to help assess the internal structures of the knee. Meininger recommends patients and their doctors discuss options for long-term knee restoration health, preserving function for future decades and recognizing the short-term sacrifice.
Set Yourself Up for Success
Experts like Meininger suggest patients take steps ahead of surgery to help their recovery.
“The important thing is to be as fit as possible and use the preseason months to undergo surgery and rehab,” Meininger said.
Patients can take steps to prep their home for recovery, which may include:
- Bringing necessities down from hard-to-reach shelves
- Moving furniture to ensure clear pathways
- Installing shower safety handles to minimize potential falls
The Road to Rehab and Recovery
Rehabilitation takes time and everyone’s experience is unique. It can be as much of a mental challenge as it is physical. Committing to a physical therapy regime, staying hydrated and eating well are important aspects to support recovery. Patients should talk to their doctors with questions and before starting any exercises.
IMPORTANT SAFETY INFORMATION
Do not use if you are allergic to antibiotics such as gentamicin or materials from cow or pig; have severe osteoarthritis of the knee, other severe inflammatory conditions, infections or inflammation in the bone joint and other surrounding tissue or blood clotting conditions; had knee surgery in the past 6 months, not including surgery for obtaining a cartilage biopsy or a surgical procedure to prepare your knee for a MACI implant; or cannot follow a rehabilitation program post-surgery.
Fitness
6 Exercise safety tips
Now, as social restrictions ease, you may find yourself stepping up your workouts, whether you’re training for an event or working to improve your game in a recreational league.
In the wake of the COVID-19 pandemic, many Americans are more aware of their health and wellness. Now, as social restrictions ease, you may find yourself stepping up your workouts, whether you’re training for an event or working to improve your game in a recreational league.
Sprains, strains and injuries can happen to even the most seasoned athletes. When you’re testing your limits, even a minor injury can alter your performance. Consider products and supports like these from the CURAD Performance Series product line, available at Walmart and Amazon, to help you get back in the game quickly and safely.
Find more resources to support your fitness journey at CURAD.com.
Keep Dirt and Germs Away
The more active you are, the harder it can be to find a bandage that stays with you all day or all game long.
Spray Away Sore Spots
Controlling mild pain can help keep you at the top of your game, and a topical analgesic works fast to heal common pain brought on by fitness and exercise, such as pain in knees, feet, shoulders and backs.
Put Pain in the Past
When recovery becomes the name of the game and pain relief is needed after daily workouts or bodily injuries. Cold packs work to heal bruises, reduce swelling and relieve headaches and general pain points while microwavable heat packs provide satisfying heat therapy to address sore and stiff joints, muscle cramps and tension.
Reduce Impact of Knee Strain
Weak, injured or arthritic knees can come from many sources, including tendonitis and a wide range of conditions that result in strain or overuse. An adjustable band can provide support for on-field sports and during workouts or everyday activities.
Manage Pain and Relieve Pressure
If you participate in endurance and strength exercises or certain sports, you may ask a lot of your joints. Kinesiology tape can be configured a multitude of ways to help reduce pain and improve blood circulation, as well as relieve tension and pressure.
Control Back Strain
When your back is strained, your body and performance can suffer. A mild or moderate sprain can benefit from strong support and compression.
Fitness
Exercise can provide relief for dry, itchy eyes
A significant increase in tear secretion and tear film stability after participating in aerobic exercise can be another remedy for relieving dry, itchy eyes.
A team led by researchers from the University of Waterloo discovered that a significant increase in tear secretion and tear film stability after participating in aerobic exercise can be another remedy for relieving dry, itchy eyes.
Every time we blink, our eyes are covered in tear film—an essential protective coating necessary for maintaining healthy ocular function. Healthy tear film comprises three layers–oil, water, and mucin–that work together to hydrate the ocular surface and protect against infection-causing irritants like dust or dirt.
When any part of the tear film becomes unstable, the ocular surface can develop dry spots, causing eye symptoms like itchiness or stinging and burning sensations.
“With so much of our activity tied to screen usage, dry eye symptoms are becoming increasingly common,” said Heinz Otchere, a PhD candidate in vision science at Waterloo. “Instead of having to use eye drops or other alternative treatments, our study aimed to determine if remaining physically active can be an effective preventative measure against dryness.”
Fifty-two participants were divided into two groups—athlete and non-athlete—to participate in an exercise session. Participants in the athlete group exercised at least five times per week, while non-athlete participants exercised no more than once per week. Researchers, which included experts from the University of Cape Coast in Ghana, performed visual examinations before and five minutes after each exercise session, where tear secretion and tear break-up time were assessed.
While participants in the athlete group showed the largest increase, Otchere says all participants experienced a meaningful boost in tear quantity and tear film stability after the exercise session.
“It can be challenging for people to regularly exercise when the demand is there to work increasingly longer hours in front of screens,” Otchere said. “However, our findings show physical activity can be really important for not just our overall well-being, but for our ocular health too.”
The study, Differential effect of maximal incremental treadmill exercise on tear secretion and tear film stability in athletes and non-athletes, was co-authored by Otchere, the University of Cape Coast’s Samuel Abokyi, Sekyere Nyamaah, and Michael Ntodie, and Ghana’s Our Lady of Grace Hospital’s Yaw Osei Akoto. It was recently published in the Experimental Eye Research journal.
-
Destinations4 weeks agoIn an airy Baguio café via Rebel Bakehouse
-
Nutrition4 weeks agoMicrowave frying can help lower oil content for healthier French fries
-
Destinations2 weeks agoFaith, fanaticism, and everything in between in Manaoag
-
NewsMakers1 week agoFeeling unfulfilled could lead to riskier, heavier alcohol use
-
NewsMakers1 week agoCancer risk is significantly higher for adults who never married, large study finds
-
NewsMakers1 week agoHealthier plant-based diet associated with lower risk of Alzheimer’s, other dementias
-
NewsMakers1 week agoSocial support, sleep, pain management linked to mental health in later life
-
Wellness1 week agoPhysical activity and appropriate sleep linked to subsequent lower dementia risk
