นอนหลับให้เต็มอิ่มป้องกันโรคหัวใจได้

thairath130708_001นักวิจัยของเนเธอร์แลนด์ ได้พบจากการติดตามศึกษาคนไข้โรคหัวใจและอัมพาต จำนวนไม่น้อยกว่า 14,000 คน มานาน 10 กว่าปีพบว่าการนอนหลับเต็มอิ่ม ไม่ต่ำกว่าคืนละ 7 ชม. จะทำให้หัวใจมีสุขภาพแข็งแรง

พวกเขาพบว่า คนที่ปฏิบัติตามข้อแนะนำในการดำรงชีวิต 4 ข้อ มีการออกกำลัง กินอาหารที่เป็นประโยชน์ กินเหล้าแต่พอประมาณและไม่สูบบุหรี่ จะป่วยด้วยโรคหัวใจกับหลอดเลือดหัวใจ น้อยลงถึงร้อยละ 57 และโรคลมอัมพาตน้อยกว่าร้อยละ 67 และหากได้นอนเต็มอิ่ม คืนละไม่ต่ำกว่า 7 ชม.ด้วยแล้ว ก็จะ ยิ่งเป็นผลดีหนักขึ้น จะหนีห่างจากโรคหัวใจและหลอดเลือดมากขึ้นเป็นร้อยละ 65 และโรคลมอัมพาตมากถึงร้อยละ 83

ในเวลาเดียวกัน เจ้าหน้าที่อาวุโสของมูลนิธิโรคหัวใจแห่งอังกฤษ ก็ช่วยทำความเข้าใจว่า ผู้ที่เป็นโรคนอนไม่ค่อยหลับก็อย่าเพิ่งตกใจ เพราะไม่ได้หมายความว่า การนอนไม่หลับจะทำให้เป็นโรคหัวใจไปด้วย คงจะต้องมีการวิจัยเพิ่มเติม เพื่อจะได้เข้าใจความเกี่ยวพันของการนอนกับโรคหัวใจให้มากขึ้น “ผู้ที่นอนหลับยาก ควรจะหลีกเลี่ยงเครื่องดื่มที่มีกาเฟอีน และการกินอิ่มเต็มที่ ตอนใกล้ๆ กับเวลานอนเสีย”.

 

ที่มา : ไทยรัฐ  8 กรกฎาคม 2556

.

Related Article :

.

Sleep is good for the heart as well as the mind, say researchers

Sleep is good for the heart as well as the mind, say researchers

Good night’s sleep ‘protects heart’

By Helen Briggs

BBC News 3 July 2013

Seven or more hours’ sleep a night boosts the benefits to the heart of a healthy lifestyle, research suggests.

According to a large study, traditional advice on exercise, diet, drinking and smoking reduced deaths from heart disease or stroke, but even more lives were saved by also having enough sleep.

Advice on getting enough sleep could have a substantial impact on public health, say European researchers.

In theory, many heart and stroke deaths could be prevented or postponed.

A team in the Netherlands tracked heart disease and strokes in more than 14,000 men and women for more than a decade.

By the end of the study, about 600 individuals had suffered heart disease or stroke, and 129 died.

The study found that deaths were less likely in people who followed all four positive lifestyle recommendations – taking exercise, eating a healthy diet, drinking alcohol in moderation, and not smoking.


This research shows that combining a good night’s sleep with other healthy lifestyle choices can reduce your risk of heart disease”

Doireann MaddockBritish Heart Foundation

Observing all four behaviours was associated with a 57% lower risk of cardiovascular disease and a 67% lower risk of dying from stroke or heart disease, they say.

But when sufficient sleep – seven or more hours a night – was added to the other four lifestyle factors, the beneficial effect was amplified – resulting in a 65% lower risk of cardiovascular disease and an 83% lower risk of death from cardiovascular disease.

The researchers say other studies have shown a link between poor sleep and cardiovascular disease, but this is the first to look at whether sleep – added to the other four healthy lifestyle recommendations – can further reduce risk.

“If all participants adhered to all five healthy lifestyle factors, 36% of composite cardiovascular disease [heart disease or stroke] and 57% of fatal cardiovascular disease could theoretically be prevented or postponed,” say the researchers, from the National Institute for Public Health and the Environment, Bilthoven, and Wageningen University.

“The public health impact of sufficient sleep duration, in addition to the traditional healthy lifestyle factors, could be substantial.”

Commenting on the work, published in the European Journal of Preventive Cardiology, Prof Grethe S Tell, of the University of Bergen, Norway, said the benefits of sleep should be considered by public health experts and parents alike.

“The main message of the study is that we need to consider sleep as an important factor for health,” she told BBC News.

“From a public health point of view we should encourage people to get enough sleep and like all other healthy lifestyle factors this needs to be taught at home.”

Sleepless nights

Doireann Maddock, senior cardiac nurse at the British Heart Foundation, said people suffering sleepless nights should not be alarmed.

“This research shows that combining a good night’s sleep with other healthy lifestyle choices can reduce your risk of heart disease,” she said.

“But troubled sleepers should not be alarmed – this study doesn’t mean sleepless nights cause heart disease.”

She added that further research was needed to fully understand the link between sleeping habits and the heart.

“If you find it difficult to drift off, avoiding caffeine and heavy meals too close to the end of the day may help.

“But if lack of sleep is becoming a problem, make sure you have a chat to your doctor.”

SOURCE : www.bbc.co.uk

Advertisements

หมอรีบปลุกให้รู้ตัว อย่าประมาทนอนกรน เป็นภัยต่อสุขภาพตนหนักในวันข้างหน้า

Snorers are more likely to have thickening or abnormalities in the carotid artery that supplies the brain with oxygenated blood

Snorers are more likely to have thickening or abnormalities in the carotid artery that supplies the brain with oxygenated blood

นักวิจัยโรงพยาบาลเฮนรีี่ ฟอร์ดของสหรัฐฯ บอกเตือนอย่างแรงว่า อย่าไปดูถูกการนอนกรนว่า แค่เป็นการก่อความรำคาญเท่านั้น แต่ที่จริงแล้ว มันอาจก่อภัยให้กับสุขภาพในวันหน้าได้ยิ่งกว่าความอ้วน การสูบบุหรี่และมีไขมันในเลือดสูง เพราะว่ามันทำให้เส้นเลือดเลี้ยงสมองด้านหน้าหรือผิดปกติไปได้ ซึ่งการที่เยื่อบุเส้นเลือดใหญ่นำออกซิเจนไปเลี้ยงสมองหน้านั้น เท่ากับเป็นลางร้ายบอกให้รู้การมาถึงของโรคหลอดเลือดทั้งหลาย

หมอโรเบิร์ต ดีบ หมอโสตศอนาสิกวิทยา กล่าวว่า ไม่ควรประมาทการนอนกรนเป็นอันขาด ควรจะเริ่มรักษามัน เช่นเดียวกับความดันโลหิตสูง การหยุดหายใจระหว่างหลับและปัจจัยเสี่ยงของโรคหัวใจและหลอดเลือดอื่นๆ

เขาได้พบในการศึกษาว่า ผลจากการนอนกรนทำให้เส้นเลือดเลี้ยงสมองกระทบกระเทือนได้ แม้ว่าจะยังไม่ถึงหยุดหายใจระหว่างนอนหลับ อาจจะเป็นเพราะการสั่นไหวของการนอนกรน ทำให้เกิดการอักเสบขึ้น การหยุดหายใจขณะหลับเป็นพัก เป็นอาการของโรคของการนอนอย่างหนึ่ง เกิดจากท่อทางเดินหายใจอุดตัน ทำให้กรนดังและหยุดหายใจเป็นพัก รู้กันว่าเกี่ยวพันกับโรคหัวใจและหลอดเลือด รวมกับภัยต่อสุขภาพร้ายแรงอื่นๆ นานแล้ว.

ที่มา : ไทยรัฐ 6 กุมภาพันธ์ 2556

.

Related Article:

.

Snoring May Be Early Sign of Future Health Risks

 

MEDIA CONTACT:
Krista Hopson
khopson1@hfhs.org

Jan. 24, 2012

DETROIT – Here’s a wake-up call for snorers: Snoring may put you at a greater risk than those who are overweight, smoke or have high cholesterol to have thickening or abnormalities in the carotid artery, according to researchers at Henry Ford Hospital in Detroit.

The increased thickening in the lining of the two large blood vessels that supply the brain with oxygenated blood is a precursor to atherosclerosis, a hardening of the arteries responsible for many vascular diseases.

“Snoring is more than a bedtime annoyance and it shouldn’t be ignored. Patients need to seek treatment in the same way they would if they had sleep apnea, high blood pressure or other risk factors for cardiovascular disease,” says lead study author Robert Deeb, M.D., with the Department of Otolaryngology-Head & Neck Surgery at Henry Ford.

“Our study adds to the growing body of evidence suggesting that isolated snoring may not be as benign as first suspected. So instead of kicking your snoring bed partner out of the room or spending sleepless nights elbowing him or her, seek out medical treatment for the snorer.”

The study reveals changes in the carotid artery with snorers – even for those without sleep apnea – likely due to the trauma and subsequent inflammation caused by the vibrations of snoring.

Study results will be presented Friday at the 2013 Combined Sections Meeting of the Triological Society in Scottsdale, Ariz. It has been submitted to The Laryngoscope journal for publication.

Obstructive sleep apnea (OSA) – a sleep disorder that occurs due to the collapse of the airway in the throat during sleep and causes loud snoring and periodic pauses in breathing – has long been linked to cardiovascular disease, along with a host of other serious health issues.

But the risk for cardiovascular disease may actually begin with snoring, long before it becomes OSA. Until now, there was little evidence in humans to show a similar connection between snoring and cardiovascular risk.

For the Henry Ford study, Dr. Deeb and senior study author Kathleen Yaremchuk, M.D., reviewed data for 913 patients who had been evaluated by the institution’s sleep center.

Patients, ages 18-50, who had participated in a diagnostic sleep study between December 2006 and January 2012 were included in the study. None of the participants had sleep apnea.

In all, 54 patients completed the snore outcomes survey regarding their snoring habits, as well as underwent a carotid artery duplex ultrasound to measure the intima-media thickness of the carotid arteries.

Carotid intima-media thickness, a measurement of the thickness of the innermost two layers of the arterial wall, may be used to detect the presence and to track the progression of atherosclerotic disease. Intima-media thickness is the first sign of carotid artery disease.

Compared to non-snorers, snorers were found to have a significantly greater intima-media thickness of the carotid arteries, the study finds.

The study also revealed no statistically significant differences in intima-media thickness for patients with or without some of the traditional risk factors for cardiovascular disease – smoking, diabetes, hypertension or hypercholesterolemia.

“Snoring is generally regarded as a cosmetic issue by health insurance, requiring significant out-of-pocket expenses by patients. We’re hoping to change that thinking so patients can get the early treatment they need, before more serious health issues arise.”

The Henry Ford research team plans to conduct another long-term study on this topic, particularly to determine if there’s an increased incidence of cardiovascular events in patients who snore.

Along with Drs. Deeb and Yaremchuk, Henry Ford study co-authors are Paul Judge, M.D.; Ed Peterson, Ph.D.; and Judith C. Lin, M.D.

Funding: Henry Ford Hospital

SOURCE : henryford.com

=====================================================

Changes in the carotid artery are a precursor a hardening of the arteries, which can cause heart attacks and brain haemorrhages (pictured)

Changes in the carotid artery are a precursor a hardening of the arteries, which can cause heart attacks and brain haemorrhages (pictured)

Snorers ‘more at risk of heart attack than smokers or obese’

  • New connection between between ‘plain’ snoring – not  more severe sleep apnoea – and cardiovascular risk
  • Snorers more likely to have thickening or abnormalities in the carotid artery that supplies the brain with blood
  • Snorers must seek treatment in the same way as those with high blood pressure or heart disease risk factors

By SOPHIE BORLAND

PUBLISHED: 13:01 GMT, 25 January 2013

Snorers are more likely to have a heart attack than smokers or the obese, say researchers.

Far from being merely a nuisance, snoring could be the early warning sign of life-threatening health problems, they warn.

US researchers believe that the condition may cause a thickening of the arteries which can lead to  brain haemorrhages, strokes and heart attacks.

Around a quarter of women and four in ten men are frequent snorers, although nearly half of us snore occasionally. Though it can interfere with our sleep – and that of our partners – it was not thought to cause any long-term health problems until recently.

American researchers claim the condition is as serious as having high blood pressure and urge snorers to seek medical advice.

A team from the University of Detroit found that frequent snorers are far more likely  to develop a thickening of the carotid artery – which supplies oxygenated blood to  the brain.

The condition has also been linked to hardening of other arteries in the body and can lead to heart attacks, strokes and brain haemorrhages.

Dr Robert Deeb, from the Henry Ford Hospital in Detroit, who led the research said: ‘Our study adds to the growing body of evidence suggesting isolated snoring may not be as benign as first suspected.

‘So instead of kicking your snoring bed partner out of the room or spending sleepless nights elbowing him or her, seek out medical treatment for the snorer.’ Dr Deeb and his colleagues studied 54 men and women aged 18 to 50.

They had all filled in questionnaires about their snoring habits and then had ultrasound scans to look at the thickness of their carotid artery. The researchers found that the innermost layers of the artery walls were far thicker among the snorers than the other adults.

Dr Deeb added: ‘Snoring is generally regarded as a cosmetic issue by health insurance, requiring significant expenses by patients.

dailymail130125_001c

‘We are hoping to change that thinking so patients can get the early treatment they need, before more serious health issues arise.’

He said that the thickening of the artery may be caused by the constant vibrations of the snoring which results in inflammation.

The researchers now hope to carry out a larger study to see if snorers are more likely to have heart attacks and strokes. Dr Deeb, who has submitted his findings to the Laryngoscope journal for publication, said: ‘Snoring is more than a bedtime annoyance and it shouldn’t be ignored.

‘Patients need to seek treatment in the same way they would if they had sleep apnoea, high blood pressure or other risk factors for cardiovascular disease.’

Last year researchers from the University of Wisconsin, in the US, said that snorers were more likely to die from cancer.

The study of 1,500 adults found that moderate snorers were at 4.8 times greater risk of death.

SOURCE: dailymail.co.uk

ผู้หญิงขยันเดินจะหนีห่างเป็นอัมพาตพ้นอาทิตย์หนึ่งไม่ควรจะต่ำกว่านาน 3 ชม.

ผู้เชี่ยวชาญด้านสุขภาพของสเปน ศึกษาวิจัยออกมาได้ว่า สตรีผู้ที่ขยันเดิน อาทิตย์หนึ่ง เป็นระยะเวลารวมกันไม่ต่ำกว่า 3 ชม. จะไม่ค่อยเป็นอัมพฤกษ์อัมพาตน้อยกว่าเพื่อนที่เดินน้อยกว่า หรือไม่ได้ออกกำลังเลย

หัวหน้าของสำนักงานดูแลสุขภาพท้องถิ่นได้ชี้ว่า ผลการศึกษาเป็นการบอกเตือนกับผู้คนทั่วไปว่า การออกกำลังขนาดปานกลางจะเป็นคุณแก่สุขภาพตัวเอง

รายงานผลการศึกษากล่าวว่า สตรีผู้ที่เดินเร็ว อาทิตย์หนึ่งเป็นเวลานานไม่น้อยกว่า 210 นาที จะมีโอกาสเป็นอัมพฤกษ์อัมพาตน้อยกว่าคนที่ไม่ได้ทำ แต่ก็ยังสู้ผู้ที่ขี่จักรยาน และออกกำลังอย่างหนัก แม้จะทำด้วยเวลาที่น้อยกว่ากันด้วยไม่ได้.

ที่มา :  ไทยรัฐ 14 มกราคม 2556

.

Related Article :

.

A woman and her dog walk along trees during a sunny autumn day in a park at Berlin's Wilmersdorf district

Walking linked to fewer strokes in women

By Kathleen Raven
NEW YORK | Thu Jan 3, 2013 3:40pm EST

(Reuters Health) – Women who walk at least three hours every week are less likely to suffer a stroke than women who walk less or not at all, according to new research from Spain.

“The message for the general population remains similar: regularly engaging in moderate recreational activity is good for your health,” lead author José María Huerta of the Murcia Regional Health Authority in Spain told Reuters Health.

Past studies have also linked physical activity to fewer strokes, which can be caused by built-up plaque in arteries or ruptured blood vessels in the brain.

While the current study cannot prove that regular walking caused fewer strokes to occur in the women who participated, it contributes to a small body of evidence for potential relationships between specific kinds of exercise and risk for specific diseases.

Women who walked briskly for 210 minutes or more per week had a lower stroke risk than inactive women but also lower than those who cycled and did other higher-intensity workouts for a shorter amount of time.

In all, nearly 33,000 men and women answered a physical activity questionnaire given once in the mid-1990s as part of a larger European cancer project. For their study, Huerta and his team divided participants by gender, exercise type and total time spent exercising each week.

The authors, who published their findings in the journal Stroke, checked in with participants periodically to record any strokes. During the 12-year follow-up period, a total of 442 strokes occurred among the men and women.

The results for women who were regular walkers translated to a 43 percent reduction in stroke risk compared to the inactive group, Huerta said.

There was no reduction seen for men based on exercise type or frequency, however.

“We have no clear explanation for this,” Huerta wrote in an email. He hypothesized that the men may have entered the study in better physical condition than the women, but there was no evidence to support that guess.

Huerta also declined to compare the study participants’ risk levels to those of the general population, citing the subjects’ unusual characteristics: a majority of men and women in the study were blood donors, who tend to be in good health in order to give blood.

“I wouldn’t make much of the results because they are for a very specific population,” Dr. Wilson Cueva of the University of Chicago in Illinois said.

Cueva, who was not involved with the research, pointed out that the study relied too heavily on subjective measurements, like the participants’ memory of exercise routines.

“There is no objective way to measure how much exercise they actually did,” he said.

Each year in the U.S., about 795,000 people suffer a stroke, according to the American Heart Association. Put another way, one American has a stroke every 40 seconds and dies from one every four minutes.

Despite a recent dip in strokes attributed to better blood pressure control and anti-smoking campaigns, the World Health Organization (WHO) predicts that stroke cases will increase as the global population continues to grow older.

Guidelines set by the WHO and U.S. Centers for Disease Control and Prevention recommend at least 150 minutes – or two-and-a-half hours – of moderate exercise such as brisk walking each week.

Cueva urged health consumers to heed those guidelines for now. The way the Spanish study was designed, it’s difficult to draw any conclusions he told Reuters Health. But, “We know that exercise is related to reduced risk of stroke and other diseases.”

SOURCE:  reuters.com

อานุภาพของวัคซีนโรคไข้หวัดใหญ่ช่วยคุ้มหัวใจวาย-โรคลมอัมพาต

นักวิจัยแคนาดาค้นคว้าทบทวนผลการศึกษาเรื่องต่างๆ พบว่าการฉีดวัคซีนป้องกันโรคไข้หวัดใหญ่ไม่เพียงแต่จะป้องกันโรคหวัดเท่านั้น หากเทียบกับผู้ที่ไม่ได้ฉีด มันยังมีฤทธิ์ป้องกันโรคหัวใจวายหรือลมอัมพาตได้ตั้งครึ่งต่อครึ่ง หรือตายด้วยโรคเหล่านี้น้อยลงไปถึงร้อยละ 40

ดร.จาคอป อูเดลล์ แพทย์โรคหัวใจของโรงพยาบาลวิทยาลัยสตรี และมหาวิทยาลัยโตรอนโตกับคณะ ผู้ซึ่งศึกษาทบทวน กล่าวว่า วัคซีนโรคหวัด อาจเป็นวิธีการสำคัญของการบำรุงสุขภาพหัวใจ และป้องกันโรคหัวใจวายกับโรคลมอัมพาตที่สำคัญอย่างหนึ่ง “ผลการค้นพบ บางทีอาจส่อว่าวัคซีนป้องกันโรคหวัดก็คือวัคซีนป้องกันโรคหัวใจด้วย”

หมออูเดลล์ยอมรับว่า ยังไม่รู้สาเหตุที่วัคซีนมีสรรพคุณป้องกันโรคหัวใจได้ อาจเป็นเพราะวัคซีนได้กำจัดคราบที่จับอยู่ในหลอดเลือด ในขณะที่ ดร.ซาราห์ สมามาน แพทย์ผู้เชี่ยวชาญ มีความเห็นว่า สิ่งสำคัญอยู่ที่การช่วยลดการอักเสบ เมื่อคนเราเป็นหวัด ในเลือดจะมีตัวก่อการอักเสบสูงขึ้น ซึ่งการอักเสบในหลอดเลือด อาจเป็นเหตุให้หัวใจวายได้.

ที่มา: ไทยรัฐ 2 พฤศจิกายน 2555

.

Related Article:

.

Influenza Vaccine May Reduce Risk of Heart Disease and Death: Flu Shot May Reduce Risk of Major Cardiac Event by 50 Percent

ScienceDaily (Oct. 28, 2012) — Getting a flu shot may not only protect you from getting sick, it might also prevent heart disease. Two Toronto-based researchers presented studies at the 2012 Canadian Cardiovascular Congress which found that the influenza vaccine could be an important treatment for maintaining heart health and warding off cardiovascular events like strokes and heart attacks.

Dr. Jacob Udell, a cardiologist at Women’s College Hospital and the University of Toronto, and his team from the TIMI Study Group and Network for Innovation in Clinical Research looked at published clinical trials on this subject, dating back to the 1960s.

“For those who had the flu shot, there was a pretty strong risk reduction,” says Dr. Udell.

The flu vaccine provided an approximate 50 per cent reduction in the risk of a major cardiac event (heart attack, stroke, or cardiac death) compared with placebo after one year of follow-up. A similar trend was seen for the flu vaccine reducing death from any cause (approximately 40 per cent).

The influenza vaccine reduced cardiovascular events and cardiovascular death in people with or without heart disease.

The combined studies examined a total of 3,227 patients, with an almost equal split between patients with and without established heart disease. Half of the participants were randomly assigned to receive flu vaccine and those that did not typically received a placebo vaccine.

Dr. Udell says these results provide support for current guideline recommendations for influenza vaccination of individuals with a prior heart attack, but for a different reason than simply reducing flu risk. And although it was encouraging to see a reduction in non-fatal cardiac events, he believes a large, lengthier multi-national study would comprehensively demonstrate the vaccine’s effectiveness to reduce fatal cardiac events and save lives.

“A large study that was international in scope and representative of patients such as those in North America and Canada in particular could help answer this question,” he says.

This research could also potentially boost use of the vaccine, which Udell believes is still woefully low. “The use of the vaccine is still much too low, less than 50 per cent of the general population; it’s even poorly used among health care workers,” he says. “Imagine if this vaccine could also be a proven way to prevent heart disease.”

An Ipsos Reid survey conducted by B.C. and Quebec Lung Associations this year found that 36 per cent of Canadians reported having received a flu shot in 2011.

And according to the Public Health Agency of Canada’s National Advisory Committee on Immunization (NACI), the 2008 Adult National Immunization Coverage Survey found that vaccination rates for adults 18 to 64 years of age with a chronic medical condition is low at 35 per cent.

It also found that non-institutionalized seniors aged 65 and older have higher coverage, at 66 per cent.

According to the NACI, rates for both groups have declined somewhat since their 2006 survey and fall short of the 80 per cent national targets for influenza vaccine coverage in adults under age 65 with chronic conditions and in seniors.

People with ICDS who get the shot have fewer adverse events The second study, conducted by cardiologists Drs. Ramanan Kumareswaran and Sheldon Singh from Sunnybrook Health Sciences Centre examined the use of the influenza vaccine in patients with implantable cardiac defibrillators or ICDs.

“Anecdotes suggest that patients have more ICD shocks during flu season. We were trying to figure out what we can do to reduce the amount of shocks in (our clinic’s) ICD population during the flu season,” says Dr. Kumareswaran.

Patients with ICDs that had appointments at the Sunnybrook Hospital ICD clinic between September 1st 2011 and November 31st 2011 completed a survey that identified their demographics, health status, if they received a flu shot in the past year and opinions towards the vaccine.

The patients’ health charts were reviewed to determine all ICD therapies in five months preceding the 2010 flu season (June to October) and for three months during the 2010-2011 flu season (December to March).

A total of 230 patients with an average age between 70 and 74 completed surveys with 179 (78 per cent) patients reported receiving the vaccination in the previous year. Just over 20 per cent did not receive the vaccine.

The patients who did not receive the flu vaccine had a trend toward experiencing more ICD therapies on average. Specifically, 10.6 per cent of patients who received the vaccine received at least one ICD therapy during flu season compared to 13.7 per cent of patients who did not receive the influenza vaccine.

“What is interesting is that if this is consistent over time, it could be of significant benefit to our patient population who already have compromised survival to start with,” says Dr. Singh.

“We would like to look at this on a larger scale to determine whether or not our results can be replicated. We’re in the process to determine how best to do that.” An ICD is a small battery-powered electrical impulse generator implanted in patients who are at risk of sudden cardiac death.

The device is programmed to detect cardiac arrhythmia and correct it by delivering a jolt of electricity or increasing the heart rate to restore a healthy rhythm once an irregular beat has been detected.

About 5,000 Canadians get ICDs every year and there are about 100,000 Canadians who currently have them. (Most Canadians with advanced heart disease are potential candidates for ICDs.)

Heart and Stroke Foundation spokesperson Dr. Beth Abramson says these studies strengthen National Advisory Committee for Immunization recommendations for the use of the influenza vaccine in those at high risk of developing influenza related complications, such as patients with heart disease or diabetes, and those who have close contact with those at high risk of developing complications.

“In addition to leading a heart healthy life, having an annual flu shot could be another easy way to help prevent cardiac events,” she says.

Dr. Abramson notes that the Heart and Stroke Foundation recommends an influenza vaccination for those at high risk of influenza-related complications or hospitalization (including people with heart conditions, those with diabetes, people over 65 years of age, people with a BMI at or above 40 and children or adults treated with ASA). It is also recommended for people who are most likely to transmit influenza to high risk individuals (family members, friends, coworkers, healthcare provider and caregivers).

Story Source:

The above story is reprinted from materials provided byHeart and Stroke Foundation of Canada, via EurekAlert!, a service of AAAS.

SOURCE: sciencedaily.com

ป่วยหลอดเลือดสมอง จุดชนวนตั้งแต่วัยเด็ก

โรคหลอดเลือดสมอง หรือ สโตรค ที่อาจเป็นได้ทั้งตีบ แตก ตัน มักเกิดขึ้นกับคนสูงวัย และสามารถทำให้ผู้ป่วยเป็นอัมพฤกษ์ อัมพาต หรืออันตรายถึงขั้นเสียชีวิตได้ เนื่องด้วยผลที่รุนแรงของโรคนี้ นักวิจัยจึงพยายามค้นหาสาเหตุต้นตอก่อโรคให้ได้มากที่สุด เพื่อใช้เป็นคำแนะนำในการลดเลี่ยงเกิดโรคดังกล่าว

เช่นงานวิจัยของ ดร.โรเบิร์ต วิลสัน จากศูนย์การแพทย์แห่งมหาวิทยาลัยรัช ในชิคาโก สหรัฐอเมริกา ศึกษาจากกลุ่มตัวอย่างทั้งสิ้น 1,040 ราย โดยพวกเขาเหล่านั้นมีอายุไม่ต่ำกว่า 55 ปี ทุกคนต้องตอบแบบประเมินที่มุ่งเน้นไปยังความทรงจำในอดีตก่อนอายุ 18 ปี ในด้านความรักและการดูแลเอาใจใส่จากผู้ปกครอง ตัวอย่างคำถามสำคัญ อาทิ ตอนเด็กเคยถูกทำให้กลัวหรือโดนข่มขู่บ้างไหม เคยถูกลงโทษรุนแรงด้วยการเฆี่ยนตีด้วยเข็มขัดและวัตถุอื่นๆ หรือไม่ รวมทั้งพ่อแม่หย่าร้าง และฐานะทางการเงินของครอบครัว

หลังการประเมินผ่านไปสามปีครึ่ง กลุ่มตัวอย่าง 257 รายได้เสียชีวิตลง ในจำนวนดังกล่าวมี 192 ราย ปรากฏสัญญาณของโรคหลอดเลือดสมองที่พบได้ชัดเจนจากการชันสูตรศพ และแน่นอนว่า กลุ่มตัวอย่างในจำนวนเฉียดสองร้อยรายนั้น ระบุในแบบประเมินว่า ชีวิตในวัยเด็กของพวกเขาได้รับการเลี้ยงดูที่ไม่ดี ผู้ปกครองขาดการเอาใจใส่ เคยถูกทำร้ายทั้งร่างกายและจิตใจ

ถึงแม้ ดร.วิลสัน จะประเมินไปถึงปัญหาสุขภาพ เช่น โรคเบาหวาน โรคหัวใจ ความเครียด พฤติกรรมการสูบบุหรี่ และการออกกำลังกาย ผลลัพธ์ที่ได้ก็ยังเป็นเช่นเดิม

ดังนั้น หลังวิเคราะห์ข้อมูลแล้ว ดร.วิลสัน จึงสรุปได้ว่า ประสบการณ์ชีวิตที่เจ็บปวดทั้งกายและใจในวัยเด็ก ตลอดจนการเจริญเติบโตทางร่างกาย และปัญหาสุขภาพ สามารถเพิ่มความเสี่ยงป่วยเป็นโรคหลอดเลือดสมองในตอนสูงวัยได้ถึงสามเท่าตัว เมื่อเทียบกับผู้ที่เติบโตมาจากครอบครัวที่ให้ความรักความอบอุ่นมาเป็นอย่างดี

นัยว่า พ่อแม่ ผู้ปกครอง ถ้าไม่อยากให้บุตรหลานต้องป่วยด้วยโรคหลอดเลือดสมองตอนแก่ ควรเลี้ยงดูเอาใจใส่ มอบความรักและประสบการณ์ชีวิตที่ดีให้พวกเขาตั้งแต่ในวัยเด็ก.

ทีมเดลินิวส์ออนไลน์
takecareDD@gmail.com

ที่มา: เดลินิวส์  24 กันยายน 2555

 

.

Related Link:

.

How children are treated when they are young can affect their future health

Emotionally neglected children ‘more likely to suffer strokes in old age’

By DAILY MAIL REPORTER

PUBLISHED: 20:00 GMT, 19 September 2012 | UPDATED: 20:00 GMT, 19 September 2012

People who were emotionally neglected as children are more likely to suffer a stroke as adults, according to a new study.

Researchers found people who felt ignored and unsupported when young had a higher risk of the brain-damaging condition in later life.

Study author Dr Robert Wilson, of Rush University Medical Centre in Chicago, said: ‘Studies have shown that children who were neglected emotionally in childhood are at an increased risk of a slew of psychiatric disorders, however, our study is one of few that look at an association between emotional neglect and stroke.’

For the study, 1,040 people 55 years of age or older took a survey measuring physical and emotional abuse before the age of 18. The questions focused on whether they felt loved by their caregiver, were made to feel afraid or intimidated and whether they were punished with a belt or other object. Questions about divorce and financial need were also included.

Over a period of three-and-a-half years, 257 people in the study died, of whom 192 had a brain autopsy to look for signs of stroke. Forty of the participants had evidence of a stroke based on their medical history or an examination. A total of 89 people had signs of a stroke based on the autopsy results.

The study found that the risk of stroke was nearly three times higher in those who reported a moderately high level of childhood emotional neglect than those who reported a moderately low level.

Dr Wilson said the results stayed the same after considering factors such as diabetes, physical activity, smoking, anxiety and heart problems.

However, he noted a limitation of the study was that neglect was reported from memory many years after it happened, so participants may not have remembered events accurately.

Dr Kevin Barrett, a member of the American Academy of Neurology who wrote an editorial on the research, said: “The results add to a growing body of evidence suggesting that traumatic childhood experiences and physical illness in adulthood may be linked.”

The study was published in the online issue of the medical journal Neurology.

SOURCES:  dailymail.co.uk

.

The long-term experience of family life after stroke.

Kitzmüller G, Asplund K, Häggström T.

Department of Health and Society, Narvik University College, Narvik, Norway. gk@hin.no

http://www.ncbi.nlm.nih.gov/pubmed/22210306

.

The 8.15 train to Nirvana: How you can meditate your stresses away… even on the daily commute

The 8.15 train to Nirvana: How you can meditate your stresses away… even on the daily commute
By MARIANNE POWER
PUBLISHED: 21:20 GMT, 12 May 2012

Last summer I bumped into an old colleague. We hadn’t seen each other for years and it transpired that in the previous 18 months, her mother had died of cancer, her father had moved in with her and she had been made redundant.

Yet she seemed remarkably calm. How on earth was she coping? After joking about the healing power of gin, she admitted her secret: she had learned how to meditate.

We have all read about the healing powers of meditation. Medical research has found that it can reduce the risk of everything from heart disease to strokes, depression and insomnia – but this was the first time I had seen its benefits up close.

Down time: Marianne Power meditates as she waits for a Tube train in London

Soon I was meditating twice a day, too, even learning to fit it into train journeys to work or sneaking a few quiet minutes in a bathroom cubicle at the office.

Before I bumped into my colleague I was running on empty. By day I was stressed by silly things that made me snap at people.

By night I would try to unwind with too many hours of television and too many glasses of wine before lying awake in bed stewing over all my worries.

I was run-down, got every cold going and at my very lowest points was prescribed antidepressants. My friend recommended Transcendental Meditation, which is different from other forms of meditation.

Instead of focusing on your breathing, you are given a Sanskrit word, known as a mantra, that you repeat in your head. The idea is that the repetition of the sound calms your mind.

The practice was made famous by The Beatles, who became devotees after meeting its founder, Maharishi Mahesh Yogi, in the Sixties. Since then everyone from Clint Eastwood to William Hague and Nick Clegg has become a fan.

Latest research from Oxford University’s Department of Psychiatry has shown that meditation brings about neurological changes. After a few months of meditation, the parts of the brain with a tendency to worry are switched off.

Clinical trials have proved that as a standalone treatment it can prevent relapse of depression and is effective alongside medication.

Benefits: Medical research has found that meditation can reduce the risk of everything from heart disease to strokes, depression and insomnia

But I was most interested in its effects in counteracting stress. And I can say that learning to meditate has changed my life.

At my first lesson I was given my mantra, which you don’t share with anyone, and told to close my eyes and repeat it again and again in my head. Straight away I was hooked.

There’s something about the sound vibration of the mantra going over and over in your mind that lulls you into a kind of trance. The repetition of the sound is like a lullaby.

You go into your own world and yet you are still aware of your surroundings. You’re neither awake, nor asleep, nor dreaming – just beautifully relaxed. It’s like a warm bath for your brain.

After that first lesson, I felt calm and focused and that night I enjoyed a longer, deeper sleep than I’ve had since I was a child. And I’ve been sleeping well ever since.

The more I meditate, the less I seem to be bothered by things. Situations that would once have sent me into a tailspin no longer have the same effect.

My heart doesn’t race in the way it once did; I have become more calm and rational; my concentration at work has also improved.

Transformation: Learning to meditate can change your life, says Marianne Power

I think this is primarily because I am better rested and less stressed, but scans have shown that meditation actually increases the size of your hippocampus – the part of the brain associated with memory and learning. I also feel healthier.

I have had only one cold in the past seven months. And then there are the less tangible changes, the ones to your personality and relationships.
Friends have commented on the fact that I seem more relaxed. I certainly feel more content, less inclined to snap or overreact.

So is this a miracle? Am I now the perfect person? Hardly. Like most of the good things in life, it takes work. Like going to the gym or eating well, you have to keep doing it even on days when you tell yourself you are too busy.
I meditate for 20 minutes morning and night. After breakfast, and then at 4pm – and on days when that’s not possible, on the train or in a taxi. Every little helps. It doesn’t matter whether I close my eyes for two minutes or 20, when I open them I feel better.

I have yet to experience the so-called ‘bliss’ that devotees talk about but I’m just so happy that I’ve found a tool that helps me perform well in the day and sleep better at night.

I wish I’d been taught this at school – it’s the best life skill I’ve ever learnt. But it’s not cheap.

When I turned up for the first open evening at my local TM centre (they’re all over the country), I was told that fees were charged according to income. I would have to pay £490.

But I did it – and it was the best money I’ve ever spent.

Data from: dailymail.co.uk