Obese US adults had worse heart health and a higher risk of type 2 diabetes in 2014 than they did in the late 1980s, according to a study in the Journal of the American Heart Association. Researchers evaluated data from the annual National Health and Nutrition Examination Survey between 1988 and 2014 involving 18,626 obese adults and also found that the proportion of people with all risk factors for heart disease -- high blood pressure, high cholesterol and impaired blood glucose control -- increased from about 16% in 1988 to about 22% in 2014.
Diabetes patients in South Asia who participated in a multi-component quality improvement program were twice as likely to reach care goals, compared with those who had usual care, researchers reported in the Annals of Internal Medicine. The QI program included self-care, increased patient monitoring and use of nonphysician care coordinators, and the intervention was associated with greater improvements in diabetes measures, blood pressure and cholesterol levels than usual care.
Middle-aged and older adults without a history of heart disease had a lower risk of a fatal cardiac event over 10 years if they had higher levels of omega-3 polyunsaturated fatty acids from eating fish and plant-based foods, researchers wrote in JAMA Internal Medicine. The report used data from 19 cohorts involving 45,637 people from 16 countries, including the US.
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The American College of Cardiology issued guidance on using nonstatin treatments to reduce low-density lipoprotein as part of cardiovascular disease risk management. The recommendations, reflecting recent findings on adding drugs to statin therapy for patients at high risk of CVD, are published in the Journal of the American College of Cardiology and have been endorsed by the National Lipid Association.
The American Heart Association has released a scientific statement warning about the risks of using metformin, nonsteroidal anti-inflammatory drugs, antihypertensive drugs, and other prescription and over-the-counter drugs and complementary and alternative medications that may cause or exacerbate heart failure. The group recommends educating patients about the impact of OTC and alternative medications, encouraging them to actively take part in managing their medications, and establishing a "captain" among a patient's clinicians to oversee and monitor medications.
Washington Health System in Pennsylvania will collaborate with the University of Pittsburgh Medical Center's Heart and Vascular Institute to expand its cardiac services, involving nurse practitioners and physicians, officials said. WHS plans to develop a transcatheter aortic valve replacement program and other procedures, as well as expand heart failure and valve disease detection and management programs.