January 1st, 2012 by Lloyd Resnick in News
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Why would a pediatrician draw blood from your 9-, 10-, or 11-year-old at his or her next annual wellness visit? Because the American Academy of Pediatrics (AAP) recently endorsed updated guidelines that call for checking LDL (bad) cholesterol levels in all kids between the ages of 9 and 11.
The cholesterol-test recommendation created quite a stir. But wait, there’s more. The guidelines also call for annual blood pressure checks beginning at age 3, and periodic blood sugar measurements starting between ages 9 to 11. There’s also a strong recommendation for kids and adolescents to limit sedentary screen time to two hours or less per day, and to get at least an hour a day of moderate physical activity.
The biological basis for these guidelines is that atherosclerosis (the fatty gunk in arteries that causes heart attacks, strokes, and other serious problems) starts during youth. In many cases, Read more »
*This blog post was originally published at Harvard Health Blog*
December 30th, 2011 by John Mandrola, M.D. in Opinion, Research
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It is risky.
Stay fresh. Avoid repeating yourself. Don’t rant. Never preach. These would be the ‘rules’ of supposedly good blogs.
And, of course, doctors that dare to take a stance on health issues risk being perceived as pretentious. I get this.
So it is with trepidation that I write a follow-up to last week’s CW post about right ventricular damage immediately after an extreme race effort. Notwithstanding the pompousness concern, I also wish to avoid being labeled anti-exercise. Few believe more strongly in the healing powers of exercise.
But last Wednesday’s comments (both on the blog, Facebook and here on Dr. Val Jones’ BetterHealth blog) were just too good to let rest.
On the assessment of studies: Read more »
*This blog post was originally published at Dr John M*
December 28th, 2011 by Howard LeWine, M.D. in Health Tips, Research
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When you sit quietly, your heart slips into the slower, steady pace known as your resting heart rate. A new study suggests that an increase in this rate over time may be a signal of heart trouble ahead.
Your heart rate changes from minute to minute. It depends on whether you are standing up or lying down, moving around or sitting still, stressed or relaxed. Your resting heart rate, though, tends to be stable from day to day. The usual range for resting heart rate is anywhere between 60 and 90 beats per minute. Above 90 is considered high.
Many factors influence resting heart rate. Genes play a role. Aging tends to speed it up. Regular exercise tends to slow it down. (In his prime, champion cyclist Lance Armstrong had a resting heart rate of just 32 beats per minute.) Stress, medications, and medical conditions also influence the heart rate.
In today’s Journal of the American Medical Association, researchers from Norway report Read more »
*This blog post was originally published at Harvard Health Blog*
November 19th, 2011 by DrWes in Research
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Before reaching for tests like EKGs to screen teen athletes, we should first ask ourselves if we’ve taken a careful history:
The new study consisted of Madsen and his fellow researchers sending out surveys to every pediatrician and family practice doctor in Washington State. They received a good response–surveys were returned by 72 percent of pediatricians and 56 percent of family practitioners.
The results were disheartening:
- 28 percent of doctors surveyed failed to always ask if a teen experienced chest pain during exercise.
- 22 percent of doctors surveyed failed to Read more »
*This blog post was originally published at Dr. Wes*
November 17th, 2011 by GarySchwitzer in News, Opinion
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Journalist Larry Husten, on his Cardiobrief blog, writes, “Hype Aside, Hope for Stem Cell Therapy May Be Emerging From Hibernation.”
It was one of the only notes of caution we saw in our limited sampling of news stories about an analysis of an experimental stem cell intervention in 14 people – only 8 of whom were followed for a year. Husten wrote:
“Two small studies of cardiac stem cells for the treatment of heart failure have shown promise, but ABC News, CBS News and other media outlets are throwing around words like “medical breakthrough” and “heart failure cure.” ABC News correspondent Richard Besser was so enthusiastic that anchor Diane Sawyer commented that she had never seen him “so excited.” The first author of one of the studies, Roberto Bolli, said the work could represent “the biggest advance in cardiology in my lifetime.”
The reality may be somewhat more prosaic.” Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
