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Integrated health services in Africa can improve patient care and save money

A new study led by UCL researchers finds that integrated health care for chronic high-burden conditions like diabetes and hypertension is feasible and cost-effective. The study showed that integrated care was associated with high levels of retention in care, no adverse effect on viral suppression among people with HIV, and cost-saving ...

SourceUniversity College London·JournalThe Lancet·TypeRandomized controlled/clinical trial·DateOct 6, 2023

Obesity, high blood pressure, and lipid imbalance trigger a progressive loss of energy generation capacity in the heart

A study published in Diabetes Care found that obesity, hypertension, and dyslipidemia alter cardiac energy production by interfering with metabolic substrate uptake. The research reveals early changes in apparently healthy middle-aged individuals, highlighting the importance of identifying mechanisms involved in heart disease onset.

SourceCentro Nacional de Investigaciones Cardiovasculares Carlos III (F.S.P.)·JournalDiabetes Care·TypeRandomized controlled/clinical trial·DateOct 3, 2023

Brief dialysis may be best for some kidney patients

A study by UC San Francisco researchers found that patients with acute kidney injury on outpatient dialysis may not need lifelong treatment if they have the potential to recover. The study tracked data from over 1,700 patients and showed that approximately three-quarters of those who recovered kidney function discontinued dialysis with...

SourceUniversity of California - San Francisco·JournalJournal of the American Society of Nephrology·DateSep 28, 2023

Increasing steps by 3,000 per day can lower blood pressure in older adults

A recent study found that adding 3000 steps per day can significantly reduce high blood pressure in older adults. The study involved sedentary adults aged 68-78 who walked an average of 4000 steps before the intervention, resulting in a 7-point decrease in systolic and 4-point decrease in diastolic blood pressure.

SourceUniversity of Connecticut·JournalJournal of Cardiovascular Development and Disease·TypeObservational study·DateSep 26, 2023

High blood pressure in males in late adolescence associated with increased risk of major cardiovascular events later in life

A study of over 1 million Swedish men found that high blood pressure at age 18 was associated with a higher risk of major cardiovascular events, including heart failure, heart attacks, and strokes. Early intervention for hypertension may be critical to reducing later cardiovascular events.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeNews article·DateSep 25, 2023

LSU Health New Orleans research quantifies effect of chronic diseases on racial disparity in Covid-associated hospitalizations

A first-of-its-kind study by LSU Health New Orleans found that chronic diseases, such as hypertension and diabetes, explained nearly two-fifths of the racial disparity in COVID-associated hospitalizations. Non-Hispanic Black cancer patients had a higher prevalence of chronic diseases and were more than twice as likely to live in high-p...

SourceLouisiana State University Health Sciences Center·JournalJNCI Journal of the National Cancer Institute·TypeData/statistical analysis·DateSep 12, 2023

Produce prescription programs yield positive health benefits for participants, study finds

A Tufts University study found that produce prescription programs associated with significant improvements in health outcomes, including halving food insecurity and lowering blood pressure. The programs provided free fruits and vegetables to low-income individuals with diet-related illnesses, resulting in clinically relevant outcomes.

SourceTufts University·JournalCirculation Cardiovascular Quality and Outcomes·DateAug 29, 2023

UEA researchers develop new tool to reduce stroke risk

Researchers have identified four specific factors that can predict atrial fibrillation, a condition that increases stroke risk by up to five times. The team developed an easy-to-use tool for doctors to identify high-risk patients, which may lead to targeted treatment and reduced future strokes.

SourceUniversity of East Anglia·JournalEuropean Journal of Preventive Cardiology·TypeObservational study·DateAug 27, 2023

How pre-eclampsia accelerates aging in women

Research led by Vesna D. Garovic reveals that pre-eclampsia causes accelerated aging in women, leading to increased risks of cardiovascular and kidney disease. Women with a history of pre-eclampsia are more likely to develop chronic conditions at a younger age.

SourceMayo Clinic·JournalEBioMedicine·DateAug 24, 2023

Social determinants of health contribute to higher CVD mortality rates in Black persons

A large US study found that social determinants of health are a major factor contributing to higher cardiovascular disease mortality rates in Black individuals compared to Whites. The study analyzed data from over 50,000 adults and found significant associations between social factors such as unemployment and food insecurity with CVD m...

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·TypeNews article·DateAug 14, 2023

Blood pressure patterns in the first half of pregnancy improve early prediction of preeclampsia and gestational hypertension

Researchers identified six distinct blood pressure trajectories in the first half of pregnancy that accurately predicted preeclampsia and gestational hypertension. These early predictions worked equally well across different racial groups, with three patterns identifying 74% of patients at risk.

SourceKaiser Permanente·JournalJournal of the American Heart Association·DateJul 12, 2023

More data needed on lifestyle interventions for postpartum blood pressure control

A recent study found that lifestyle interventions have limited impact on postpartum blood pressures, with most studies showing improvements in other outcomes like weight loss. Black women are underrepresented in these studies, despite being disproportionately affected by high blood pressure during and after pregnancy.

SourceBoston University School of Medicine·JournalJournal of Hypertension·TypeLiterature review·DateJul 10, 2023

Researchers uncover how a genetic mutation can cause individuals with normal cholesterol levels to develop coronary artery disease at a young age

A novel molecular pathway has been identified, explaining how a mutation in the ACTA2 gene can cause individuals in their 30s with normal cholesterol levels to develop coronary artery disease. The mutation leads to stress in smooth muscle cells, triggering the production of excess cholesterol and driving atherosclerotic plaque formation.

SourceUniversity of Texas Health Science Center at Houston·JournalEuropean Heart Journal·DateJul 7, 2023

Study finds younger kidney cancer survivors at significant risk for heart problems

Researchers found that younger age is associated with an increased risk of heart failure in adolescent and young adult cancer survivors treated with sunitinib or sorafenib. Cardiovascular disease is a leading cause of health complications and death among AYAs diagnosed with cancer, with hypertension being a common complication.

SourceVirginia Commonwealth University·JournalJournal of the National Comprehensive Cancer Network·TypeData/statistical analysis·DateJul 5, 2023

Sustainability of a 12-month lifestyle intervention delivered by community health workers in reducing blood pressure in Nepal: 5-year follow-up of an open-label, cluster randomised (COBIN) trial

A 12-month lifestyle intervention led by community health workers reduced systolic blood pressure in Nepal. However, a 5-year follow-up found that the benefit was not maintained, with blood pressure rising again after the intervention ended. This highlights the need for ongoing education and follow-up to prevent potential harm.

SourceMonash University·JournalThe Lancet Global Health·TypeRandomized controlled/clinical trial·DateJun 20, 2023

Juice concentrate from Japanese fruit benefits cardiovascular health, scientists at the Lewis Katz School of Medicine at Temple University report

Researchers at Temple University Health System discovered a promising alternative to control hypertension and associated cardiovascular problems. The infused juice concentrate from the Japanese plum was found to attenuate growth-promoting signals induced by angiotensin II, reducing hypertrophy of the aorta and inflammation.

SourceTemple University Health System·JournalHypertension Research·DateJun 13, 2023

Does multimorbidity impact chronic disease treatment?

Researchers analyzed data from 120 clinical trials and found no evidence that treatment efficacies differ depending on the number of comorbidities. The study suggests that modest levels of comorbidities do not affect treatment outcomes, providing valuable insights for clinicians to make informed recommendations.

SourcePLOS·JournalPLOS Medicine·TypeMeta-analysis·DateJun 6, 2023