Excess weight, obesity affects more than 2 billion people worldwide | Weight loss may reverse later type 2 diabetes risk in overweight youths | More education tied to reduced rates of cardiovascular disease
June 15, 2017
News about cardiovascular disease prevention and management
A study in the New England Journal of Medicine found that 2.2 billion people, or 30% of the world's population, were overweight or obese in 2015, including nearly 108 million obese youths. The findings, based on 1980 to 2015 data from 195 countries, also showed that the US had the highest obesity rate among children and young adults of the 20 most populated countries, while China and India had the most number of obese youths.
Danish researchers found that overweight boys whose weight normalized between ages 7 and 13 didn't have an increased likelihood of developing type 2 diabetes in adulthood, compared with those who were never overweight, but they found a three times higher risk among those who were persistently overweight. The findings, based on data involving 62,565 Danish men born from 1939 to 1959 and presented at the American Diabetes Association meeting, also showed increased odds of type 2 diabetes among those who were overweight for the first time in young adulthood.
The risk of cardiovascular disease among men and women ages 45 to 85 was inversely correlated with education level, researchers wrote in JAMA Internal Medicine. Among men, 59% of those with a grade school education had cardiovascular disease compared with 42% of those with graduate degrees, while for women, 28% of those with graduate degrees had heart disease, compared with 51% of those with a grade school education.
Researchers reviewed data for nearly 15,000 patients with atrial fibrillation who were taking a non-vitamin K antagonist oral anticoagulant and found that the standard dose was given to more than 40% of those with a renal indication for dose reduction, and more than 10% of those with no indication for dose reduction were underdosed. The findings, published in the Journal of the American College of Cardiology, also found an association between inappropriate dosing and increased risk of stroke.
A 10-year study in The Lancet found daily intake of aspirin for preventing recurrent cardiovascular events was associated with an increased risk of serious and fatal bleeding complications among patients over the age of 75, with the risk significantly increasing with age. Researchers, whose findings were based on 3,166 British patients, suggest routine use of proton pump inhibitors to reduce the bleeding risk.
Lake Regional Health System's cardiac rehabilitation program is focused on quality, so if metrics do not show patient improvement, "we're not doing our job," said registered nurse Jennifer Newman, director of cardiopulmonary rehabilitation at the Missouri facility. Newman said the hospital has put more emphasis on care quality before and after surgery, patient education and goal-setting for recovery.
PCNA has developed a new tool on blood clots and venous thromboembolism (VTE) for you to use with your patients. This colorful four-page handout, "Blood Clots: What You Need to Know," provides an overview of VTE, risk factors, preventing VTE, warning signs, medical tests and treatments. This teaching tool is available in both English and Spanish via hard copy or digital download. Check it out.