Higher systolic BP at middle age may raise likelihood of dementia | Sleep duration linked to metabolic syndrome risk, study finds | Study shows link between diabetic ESRD, increased fibrinogen levels
June 14, 2018
AANP SmartBrief
News for nurse practitioners
Health Care News
Higher systolic BP at middle age may raise likelihood of dementia
Individuals with systolic blood pressure of 130 mm Hg or higher at age 50 were 45% more likely to develop dementia, compared with those with lower systolic BP, French researchers reported in European Heart Journal. The findings also showed a 47% higher likelihood of dementia among individuals who weren't diagnosed with cardiovascular disease but had higher-than-normal systolic BP at age 50, but neither elevated systolic BP at ages 60 or 70 nor diastolic BP were tied to increased dementia risk.
MedPage Today (free registration) (6/13),  Medical News Today (6/13) 
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Sleep duration linked to metabolic syndrome risk, study finds
Sleep duration linked to metabolic syndrome risk, study finds
Researchers found that individuals who reported sleeping for less than six hours or more than 10 hours daily were at increased risk of metabolic syndrome. The findings in the journal BMC Public Health, based on 133,608 South Korean adults aged 40 to 69, revealed that women who slept more than 10 hours a day were at an increased risk of developing metabolic syndrome, high blood glucose and triglyceride levels, low HDL cholesterol levels and higher waist circumference, while men who overslept were at higher risk of only metabolic syndrome and high triglyceride levels.
Medical News Today (6/13) 
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Study shows link between diabetic ESRD, increased fibrinogen levels
Chinese researchers used a cohort of 174 type 2 diabetes patients with biopsy-proven diabetic nephropathy and found those in the second, third and fourth quartiles of serum fibrinogen levels had a 7.1-, 5.8-, and 8.8-fold increased risk of developing diabetic end-stage renal disease, respectively, compared with those in the first quartile. The findings were published in Diabetes Research and Clinical Practice.
Renal and Urology News (6/13) 
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Binge drinking among women tied to lower bone mass in small study
Frequent binge drinking, or having at least four drinks within two hours almost twice a month on average, by adolescents and young women was associated with failure to achieve peak bone mass, according to a study in the Journal of Studies on Alcohol and Drugs. The study included 87 women in college who underwent bone density measurements in the lumbar spine.
Medical Daily (6/14) 
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Research examines effect of physical activity on genetic propensity to obesity
A study in Menopause showed that engaging in more than 150 minutes of physical activity per week completely attenuates the genetic predisposition to obesity among women aged 70 to 80. Researchers used a cohort of 8,206 postmenopausal women from the Women's Health Initiative, aged 50 to 80, and found that the genetic risk score for obesity was more strongly associated with body mass index among sedentary women, compared with the most active women.
Medscape (free registration) (6/13) 
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Help your patients avoid harm
Remind your patients that Rx and OTC NSAIDs should always be used at the lowest effective dose for the shortest time. Visit the Alliance for the Rational Use of NSAIDs at booth 345 at AANP 2018 to learn more, and visit our website to access a free clinician "refresher course" and patient education materials in English and Spanish. Visit our website today and join us in making NSAID use safer.
Pharmaceutical News
Study ties high-dose opioid use to elevated heroin use risk in veterans
Researchers reviewed data for 3,570 participants of the Veterans Aging Cohort Study and found that those who were prescribed high-dose opioids had an increased risk of subsequent heroin use. The study, presented at the annual meeting of the College on Problems of Drug Dependence, suggests screening for heroin use should be done in high-dose opioid users ages 50 to 56 who have a history of opioid use disorder, HCV infection, injecting or recent stimulant use.
Family Practice News (6/13) 
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Antipsychotics linked to higher adiposity, lower insulin sensitivity in youths
Researchers found that 46.5% of children and adolescents with at least one psychiatric disorder were overweight or obese after 12 weeks of receiving antipsychotic treatments, compared with about 30% at baseline, with the largest increases in body fat found among those who took olanzapine. The findings in JAMA Psychiatry also found reduced insulin sensitivity among those who received antipsychotics, which may increase their long-term risk for type 2 diabetes and cardiovascular disease.
Xinhua News Agency (China) (6/14),  Healio (free registration)/Psychiatric Annals (6/13) 
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Emerging Trends, Products and Technologies
CDC finds increase in US preterm birth rate
A report from the CDC's National Center for Health Statistics showed the preterm birth rate in the US increased from 9.57% to 9.85% from 2014 to 2016. The increase mainly was due to more late preterm births, particularly those at 36 weeks.
Physician's Briefing/HealthDay News (6/13) 
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Unhealthy lifestyles key to rise in cancers in the last 10 years
Numerous factors contributed to the rise in cancer cases over the past decade, and unhealthy lifestyles played a key role in the development of those diseases, according to a study by the Global Burden of Disease Cancer Collaboration. Making lifestyle changes is key to prevention, and activities such as eating healthy foods, quitting smoking, exercising regularly and using sun protection could help reduce the risk of developing cancer.
Deutsche Welle (Germany) (6/13) 
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Health Policy and Legislative News
House advances bill that would boost behavioral health EHR adoption
The House of Representatives passed a bill that would authorize the Center for Medicare and Medicaid Innovation to award federal incentives to behavioral health care providers adopting certified EHR technology. "By utilizing electronic health records, they can better coordinate care, support delivery of treatment and help to fully integrate recovery and prevention services for all Americans," said Rep. Lynn Jenkins, R-Kan.
EHR Intelligence (6/13) 
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Countdown to Conference
The nation's largest multispecialty NP conference is coming to stunning Denver on June 26. Want to be there? Here's what to do: Register today: The AANP 2018 National Conference is AANP's premier event where NPs go to learn, collaborate, share insights, grow professionally, and have a little fun! With access to over 450 hours of CE and the best in networking and social events, this is the most impactful way you could possibly spend a week! Plan your trip: 
  • Select your conference sessions and finalize your schedule by clicking CHECKOUT. By selecting sessions now, you can secure a seat and print your custom schedule at check-in.
  • Download the conference mobile app, which lets you organize your schedule, navigate the Colorado Convention Center and stay up to date on announcements.
  • We've got your Wednesday evening entertainment. Skip the line and book your tickets for AANP Rocks the Colorado Convention Center. Featuring The Railers, Brandon Ray and Filmore. This can't-miss concert lets you cut loose with old and new friends alike while supporting Musicians On Call. Buy tickets today and simply pick them up with your name badge when you arrive at the conference.
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