Patients who have bariatric surgery can improve outcomes for a variety of diseases including diabetes, fatty liver and obstructive sleep apnea and lower their risk of early death, writes Dr. Edward Loftus Jr. of the Mayo Clinic. Physicians must be aware of ulcers, gastroesophageal reflux, mental health issues and other potential complications patients may experience after surgery, Loftus writes.
Bariatric surgery reduced all-cause mortality and reduced risks for acute coronary syndrome and cerebrovascular events in people with both morbid obesity and hypertension, researchers reported in PLOS Medicine.
The number of states where the self-reported adult obesity prevalence is 35% or higher rose from six in 2017 to 12 in 2019, according to CDC data. Obesity is linked to poor COVID-19 outcomes and "disproportionately impacts some racial and ethnic minority groups who are also at increased risk of COVID-19," the CDC said, and nutritionist April Murphy expects the obesity rate could continue to rise as the coronavirus pandemic continues.
An analysis of 40 clinical studies demonstrated an association between supplementation with the omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid and a reduction in risks for coronary heart disease events and myocardial infarction. "The study supports the notion that EPA and DHA intake contributes to cardioprotection, and that whatever patients are getting through the diet, they likely need more," said cardiologist Carl Lavie, a co-author of the analysis, which was published in Mayo Clinic Proceedings.
Isolation and a loss of control in adolescents' lives caused by the pandemic make them particularly vulnerable to post-traumatic stress and depressive and anxiety disorders, which can contribute to eating disorders, says adolescent medicine specialist Dr. Hina Talib. Signs of an eating disorder include eating in secret, sudden changes in eating behaviors, an obsession with exercise, self-isolation and weight loss, says registered dietitian Anna Lutz.
A study in Nature Communications found that diabetes and high blood pressure negatively affect memory and thinking patterns, which could also raise the risk of dementia later in life. The findings, based on data from 22,000 individuals across the UK, also revealed that diabetes and high blood pressure were associated with structural changes in a person's gray and white brain matter and impaired their thinking speed and short-term memory.
Changes in biomarkers of blood glucose control or inflammation was not affected by consumption of total red meat for 16 weeks among adults without but at risk of cardiometabolic disease, according to a meta-analysis in Advances in Nutrition. Insulin, glucose and HOMA-IR values decreased during total red meat or alternative diet periods, while A1C and C-reactive protein levels remained the same, the study found.
Many people have either fallen into unhealthful habits or are struggling to maintain healthful ones, and establishing basic daily routines like bookending the day with physical activity can help, says W. Scott Butsch, director of obesity medicine at the Cleveland Clinic's Bariatric and Metabolic Institute. Family physician Leticia Polanco says to gradually resume prior fitness routines, and registered dietitian Kim Guess suggests restocking the kitchen with a supply of healthful foods and making simple recipes at first, like vegetable side dishes.
A study that included almost 3,000 US adults ages 45 and older found each 1 point gain in the score for following the American Heart Association's Life's Simple 7 tool was associated with a 6% decreased risk of hypertension, with no significant difference by race or sex, researchers reported in the Journal of the American Heart Association. Risk factors measured in the AHA tool include BMI, diet, smoking, physical activity, blood pressure, cholesterol and blood sugar levels.
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In the early months of the COVID-19 pandemic, there was a decline of almost 20% in the number of acute prescriptions compared with the beginning of the year, according to Doug Long of IQVIA during a presentation at the National Association of Specialty Pharmacy virtual annual meeting. The number of prescriptions is gradually increasing, but the numbers are not expected to recover completely, as the increase in virtual physician visits means 33% fewer new prescriptions, compared with in-person visits, according to data from IQVIA.