A study in BMC Medicine showed the strongest association between a previous type 2 diabetes diagnosis at baseline and incident liver outcomes among patients with nonalcoholic fatty liver disease and nonalcoholic steatohepatitis. UK researchers analyzed data on 18,782,281 adults from Italy, Spain, the Netherlands and the UK, with each NAFLD/NASH patient matched to as many as 100 people without NAFLD, and said they found a "much less than expected" number of patients with recorded NAFLD diagnoses, an indication that many of them are undiagnosed in primary care.
Researchers used a cohort of 96 adults with type 2 diabetes and found a higher risk for coronary artery calcium levels of more than 300 among those with advanced fibrosis and those with nonalcoholic fatty liver disease and advanced fibrosis, as measured by magnetic resonance elastography, compared with those without advanced fibrosis. The findings were published in Clinical Gastroenterology and Hepatology.
Early onset of diabetes was associated with depressive symptoms, smoking, high stress, concentrated neighborhood poverty, intimate partner violence, financial worries, being separated or single, and having less than a high school diploma, with a 1.53 hazard ratio among those with more than three risk factors, according to a study in JAMA Network Open. Researchers also found that infrequent exercise, having less than a high school diploma, concentrated neighborhood poverty, smoking and being widowed were tied to early onset of hypertension, with a hazard ratio of 1.41 for those with more than three risk factors.
A study in the journal Circulation found men who had a BMI of 35 or higher as teens had a significantly higher risk of dilated cardiomyopathy, compared with those who had lower BMI levels as teens. The study found men who were lean as boys had a low risk but the risk increased steadily as weight increased, even for men who had been on the high end of a normal BMI in adolescence.
Data from a cross-sectional study suggested older adults who follow a Mediterranean diet may have a reduced risk of depression, researchers reported at the American Psychiatric Association's annual meeting. "Following a healthy lifestyle, which includes not only a Mediterranean-style diet, but also plenty of physical activity and drinking alcohol only in moderation, is linked to a reduction in depression," said researcher Konstantinos Argyropoulos.
Research and guidelines show patients with dyslipidemia should be advised to exercise as a way to reduce their low-density lipoprotein cholesterol, Beth Taylor, an associate professor of kinesiology at University of Connecticut, told the National Lipid Association Scientific Sessions. Taylor said small gains in exercise could have a big effect on cardiovascular disease.
Physician satisfaction with their jobs is not tied to compensation but instead depends on respect, a supportive work environment and feeling valued, said physicians who participated in a study published in JAMA Internal Medicine. "I think that in this high stress, high responsibility profession, the ability to actually just be able to share concerns and vulnerabilities is essential," said lead author Arabella Simpkin.
A lack of standards for capturing and reporting data on social determinants of health and behavioral health impedes the electronic exchange and use of such data, according to a survey of health information exchange leaders. The survey also found that managing risk and delivering on the promise of value-based care are among HIE leaders' top priorities.
A bill that supporters say would protect patients from unexpected out-of-network medical bills for emergency and non-emergency services was introduced by a bipartisan group of senators led by Sens. Bill Cassidy, R-La., and Maggie Hassan, D-N.H. The STOP Surprise Medical Bills Act would include an arbitration process and final payments would be based on "commercially-reasonable rates for that geographic area," according to Hassan's office.
Smartphone and computer apps have become ubiquitous in daily life, providing the potential to bridge EHR interoperability gaps, and rules proposed by the ONC aim to facilitate the connection of EHRs with third-party apps through application programming interfaces, says National HIT Coordinator Dr. Donald Rucker. If the initiative succeeds, clinicians would no longer have to report quality data because insurers could extract data through APIs and apply machine learning technology to rate quality, Rucker says.
Results from the PREVention of Diabetes through Lifestyle Intervention and Population Studies in Europe and around the World (PREVIEW) study will be presented at the 79th Scientific Sessions on Saturday, June 8. ADAMeetingNews.org caught up with PREVIEW study investigator Jennie Brand-Miller, PhD, AM FAA, who discusses the study's objective and significance. Read about the study.