Posts Tagged ‘heart’

Stick With It

Monday, May 23rd, 2011 by American Senior Fitness Association   View This Issue of Experience!

The passage of time can be a good thing under the right circumstances. That’s the take-away from recent research conducted by cardiologist Paul Bhella of the JPS Health Network. He found that a lifelong (or long-term) devotion to physical activity can preserve the heart tissue of senior citizens – to a degree, in fact, that is comparable or superior to that of younger, healthy persons who don’t work out, according to a report by Alex Branch of the McClatchy-Tribune.

By now most people know that physical exercise is heart-healthy. But some may fear that they started their fitness programs too late in life to do them any good. Over time, the human heart loses mass and elasticity, which increases the risk of heart failure. But here at SFA, we emphasize that it is never too late to get going and reap worthwhile physiological and psychosocial benefits.

At the annual meeting of the
American College of Cardiology in April, 2011, Dr. Bhella discussed his research team’s findings. They compared the hearts of subjects over age 65 who had exercised different amounts (if at all) during their lives with the hearts of subjects under 35 who, while healthy, were physically inactive. MRI results showed that youthful heart mass was maintained in the older adults who had habitually exercised four or five times per week. Better still, exercising six or seven times per week not only preserved mass, but also promoted new mass – exceeding that of youngsters (ages 25 to 34) who didn’t exercise. Similar outcomes were observed regarding heart elasticity.

For the study’s purposes, “exercise” was defined as aerobic activity, such as walking or cycling, generally performed for more than 20 minutes per session. Importantly, a “lifelong” commitment to exercise did not necessarily mean uninterrupted physical activity since childhood – or even since high school. Most of the senior citizens with notably desirable heart mass and elasticity levels had been physically active for about 20 to 25 years. That suggests that middle-aged and older persons can gain greatly by embarking on a regular program of physical exercise.

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Although they have a higher prevalence of disease than their English counterparts, older Americans live as long or longer

Thursday, November 4th, 2010

American Senior Fitness Association Researchers have found that, although they have a higher prevalence of disease than their English counterparts, older Americans live as long or longer. The study found Americans have higher rates of diabetes, high-blood pressure, heart disease, heart attack, stroke, chronic lung diseases and cancer. Yet, Americans 55 – 64 lived as long as the English and those 65 and over lived even longer. The studies co-author, James P. Smith, noted “that at least in terms of survival at older ages with chronic disease, the medical system in the United States may be better than the system in England.” Co-author James Banks stated that “the United States’ health problem is not fundamentally a health care or insurance problem, at least at older ages. It is a problem of excess illness and the solution to that problem may lie outside the health care delivery system. The solution may be to alter lifestyles or other behaviors.” Click below for a report from ScienceDaily.

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EACPR statement emphasizes the importance of medical screening for older adults beginning a high intensity exercise regimen

Wednesday, September 29th, 2010

EACPR, a European health organization, has released a “position stand” emphasizing the importance of medical screening for older adults prior to beginning a high intensity exercise regimen. The statement from the European Association of Cardiovascular Prevention and Rehabilitation noted that, although regular aerobic exercise is associated with a reduced risk of coronary events in middle-aged individuals, “moderate and vigorous physical exertion is associated with an increased risk for cardiac events, including sudden cardiac death, in individuals harbouring cardiovascular disease.” Click below for a brief overview from PubMed or here for a PDF copy of the EACPR document.

 

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The National Heart, Blood, and Lung Institute of NIH has produced a creative, heart-smart cookbook

Monday, September 20th, 2010

For tasty heart-healthy eating, check out Keep the Beat Recipes: Deliciously Healthy Dinners from the National Heart, Lung, and Blood Institute of NIH (the National Institutes of Health). To sample one satisfying main dish featured in the cookbook, Chicken and Mushroom Fricassee, click here . For ordering information, click below.

 

 

 

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Why Is the Mediterranean Diet So Heart-Healthy?

Thursday, July 1st, 2010 by American Senior Fitness Association   View This Issue of Experience!

Among other beneficial foods, the "Mediterranean diet" features virgin olive oil, which researchers believe may support heart health by repressing genes that promote inflammation. Scientists at the University of Cordoba, Spain, recently studied a small group of patients with metabolic syndrome — which increases one’s risks for both heart disease and type 2 diabetes — and published their findings in BMC Genomics (11:253), a journal of BioMed Central.

Specifically, the researchers sought to learn more about how a diet abundant in "phenol compounds" (found in olive oil, especially the extra-virgin types) influenced the workings of genes. While acknowledging that other lifestyle factors may also contribute to the lower risk for cardiovascular disease in the Mediterranean region, the study’s authors wrote: "These results provide at least a partial molecular basis for reduced risk of cardiovascular disease observed in Mediterranean countries, where virgin olive oil represents a main source of dietary fat." To view this research article, click here.

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Sweet Stuff for the Heart

Thursday, July 1st, 2010 by American Senior Fitness Association   View This Issue of Experience!

German researchers who followed 19,357 people (ages 35 to 65) for 10 years have found that eating chocolate can be heart-healthy — that is, eating modest amounts of chocolate, especially the dark type. Their results were published earlier this year in the European Heart Journal, a publication of Oxford Journals.

Participants in the study who enjoyed a small (7.5-gram) square of chocolate daily had lower blood pressure and a 39 percent lower risk for heart attack or stroke, compared to those who ate the least amount of chocolate. Lead researcher Brian Buijsse said that "dark chocolate exhibits the greatest effects, milk chocolate fewer, and white chocolate none."

Buijsse cautioned against eating so much chocolate that it raises one’s overall calorie intake or replaces one’s consumption of healthful foods. Weight gain is undesirable, and it should be noted that a 7.5-gram piece of chocolate is quite small. Even so, dark chocolate can make a good substitute for high-calorie, low-nutrient junk food snacks. To learn more about this study, click on http://www.oxfordjournals.org/news/research/2010/03/30/chocolate.html.

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Cardiac Patients Help Out Lucky Shelter Dogs

Thursday, July 1st, 2010 by American Senior Fitness Association   View This Issue of Experience!

Cardiac Friends is an outstanding program under way in Waukesha, Wisconsin, that enlists heart patients as volunteers to take dogs, who are housed at a local shelter, on regular walks healthful for both the human and canine participants. As reported by HealthDay News, the program is a partnership between the county’s Humane Animal Welfare Society and ProHealth Care (PHC), involving medically approved cardiac patients of PHC’s Waukesha Memorial Hospital.

These dog walkers have undergone procedures such as angioplasty, stent implantation and open heart surgery. Regular exercise with their canine companions lowers their risk for another cardiac event, helps control cholesterol levels, reduces blood pressure, helps counter depression and provides an opportunity to be needed and to make a difference.

From a shelter dog’s point of view, getting out of the kennel often to enjoy some physical recreation with a friendly, attentive visitor helps the animal stay mentally and physically fit while waiting for his or her new "forever home."

At this time, all of the patient-volunteers in the Cardiac Friends program (now approximately one year old) are men in their seventies. They visit the shelter three times per week, for an hour or longer, to get outdoors with their canine buddies, play fetch and walk along an enticing foot-path through an adjacent meadow.

Shelter coordinator Sara Falk told HealthDay News that the Cardiac Friends volunteers are among her favorites thanks to their reliability and since "… they are taking longer walks than a lot of the other walkers because they have fitness in mind."

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Facts of Life

Saturday, February 20th, 2010 by American Senior Fitness Association   View This Issue of Experience!

The American Heart Association (AHA) wants everyone to take some potentially life-saving measures in connection with acute myocardial infarction (AMI), more commonly referred to as heart attack. One important preventive step is to have a checkup to determine one’s blood pressure, cholesterol and triglycerides levels, and undertake appropriate treatment as needed.

Another critical safeguard is recognizing the warning signs of an impending cardiac event. Typically, one or more of the following symptoms may be experienced in advance of a heart attack:

  • Constant or "comes-and-goes" chest pain or discomfort;
  • Upper body pain or discomfort involving one or both arms, the shoulders, back, neck, jaw or teeth;
  • Upset stomach, nausea, vomiting or discomfort that could be mistaken for heartburn;
  • Shallow breathing or shortness of breath;
  • Lightheadedness;
  • Unusual fatigue;
  • High anxiety (sometimes comparable to a panic attack);
  • Breaking out in a cold sweat.
  • Women, especially, should be alert to possible warning signs, as their symptoms tend to be less predictable than men’s. The National Institutes of Health conducted a study called "Women’s Early Warning Symptoms of AMI" revealing that many did not experience chest pain or discomfort before or at any stage of their heart attack. Pre-attack symptoms included shortness of breath, fatigue, indigestion, anxiety and sleep disturbance. During-attack symptoms included shortness of breath, fatigue, weakness (particularly in the arms), cold sweat and dizziness. Women should seek prompt medical attention for signs of possible heart disease, even when chest pain is not present. For additional practical advice, visit the AHA’s web site http://www.goredforwomen.org.

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    Lighthearted Findings

    Saturday, February 20th, 2010 by American Senior Fitness Association   View This Issue of Experience!

    New research indicates that happiness may have a beneficial effect on heart health. The European Heart Journal, which is the flagship journal of the European Society of Cardiology, has issued the following news release describing the study:

    Feb. 18, 2010 —

    People who are usually happy, enthusiastic and content are less likely to develop heart disease than those who tend not to be happy, according to a study published in Europe’s leading cardiology journal, the European Heart Journal. The authors believe that the study is the first to show such an independent relationship between positive emotions and coronary heart disease.

    Dr Karina Davidson, who led the research, said that although this was an observational study, her study did suggest that it might be possible to help prevent heart disease by enhancing people’s positive emotions. However, she cautioned that it would be premature to make clinical recommendations without clinical trials to investigate the findings further.

    “We desperately need rigorous clinical trials in this area. If the trials support our findings, then these results will be incredibly important in describing specifically what clinicians and/or patients could do to improve health,” said Dr Davidson, who is the Herbert Irving Associate Professor of Medicine & Psychiatry and Director of the Center for Behavioral Cardiovascular Health at Columbia University Medical Center (New York, USA).

    Over a period of ten years, Dr Davidson and her colleagues followed 1,739 healthy adults (862 men and 877 women) who were participating in the 1995 Nova Scotia Health Survey. At the start of the study, trained nurses assessed the participants’ risk of heart disease and, with both self-reporting and clinical assessment, they measured symptoms of depression, hostility, anxiety and the degree of expression of positive emotions, which is known as “positive affect”.

    Positive affect is defined as the experience of pleasurable emotions such as joy, happiness, excitement, enthusiasm and contentment.These feelings can be transient, but they are usually stable and trait-like, particularly in adulthood. Positive affect is largely independent of negative affect, so that someone who is generally a happy, contented person can also be occasionally anxious, angry or depressed.

    After taking account of age, sex, cardiovascular risk factors and negative emotions, the researchers found that, over the ten-year period, increased positive affect predicted less risk of heart disease by 22% per point on a five-point scale measuring levels of positive affect expression (ranging from “none” to “extreme”).

    Dr Davidson said: “Participants with no positive affect were at a 22% higher risk of ischaemic heart disease (heart attack or angina) than those with a little positive affect, who were themselves at 22% higher risk than those with moderate positive affect.

    “We also found that if someone, who was usually positive, had some depressive symptoms at the time of the survey, this did not affect their overall lower risk of heart disease.

    “As far as we know, this is the first prospective study to examine the relationship between clinically-assessed positive affect and heart disease.”

    The researchers speculate about what could be the possible mechanisms by which positive emotions might be responsible for conferring long-term protection from heart disease. These include influence on heart rates, sleeping patterns and smoking cessation.

    “We have several possible explanations,” said Dr Davidson. “First, those with positive affect may have longer periods of rest or relaxation physiologically. Baroreflex and parasympathetic regulation may, therefore, be superior in these persons, compared to those with little positive affect. Second, those with positive affect may recover more quickly from stressors, and may not spend as much time ‘re-living’ them, which in turn seems to cause physiological damage. This is speculative, as we are just beginning to explore why positive emotions and happiness have positive health benefits.”

    She said that most successful interventions for depression include increasing positive affect as well as decreasing negative affect. If clinical trials supported the findings of this study, then it would be relatively easy to assess positive affect in patients and suggest interventions to improve it to help prevent heart disease. In the meantime, people reading about this research could take some simple steps to increase their positive affect.

    “Like the observational finding that moderate wine consumption is healthy (and enjoyable), at this point ordinary people can ensure they have some pleasurable activities in their daily lives,” she said. “Some people wait for their two weeks of vacation to have fun, and that would be analogous to binge drinking (moderation and consistency, not deprivation and binging, is what is needed). If you enjoy reading novels, but never get around to it, commit to getting 15 minutes or so of reading in. If walking or listening to music improves your mood, get those activities in your schedule. Essentially, spending some few minutes each day truly relaxed and enjoying yourself is certainly good for your mental health, and may improve your physical health as well (although this is, as yet, not confirmed).”

    In an accompanying editorial by Bertram Pitt, Professor of Internal Medicine, and Patricia Deldin, Associate Professor of Psychology and Psychiatry, both at the University of Michigan School of Medicine (Michigan, USA), the authors pointed out that, currently, no-one knew whether positive affect had a direct or indirect causal role in heart disease, or whether there was a third, underlying factor at work, common to both conditions. Nor was it known for certain whether it was possible to modify and improve positive affect, and to what extent.

    “Randomised controlled trials of interventions to increase positive affect in patients with cardiovascular disease are now underway and will help determine the effectiveness of increasing positive affect on cardiovascular outcome and will provide insight into the nature of the relationship between positive affect and cardiovascular disease,” they wrote.

    “The ‘vicious cycle’ linking cardiovascular disease to major depression and depression to cardiovascular disease deserves greater attention from both the cardiovascular and psychiatric investigators. … These new treatments [to increase positive affect] could open an exciting potential new approach for treating patients with known cardiovascular disease who develop depression. If Davidson et al.’s observations and hypotheses stimulate further investigation regarding the effect of increased positive affect on physiological abnormalities associated with cardiovascular risk, perhaps it will be time for all of us to smile.”

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    Atrial Fibrillation

    Monday, February 1st, 2010 by American Senior Fitness Association   View This Issue of Experience!

    American Senior Fitness Association president Janie Clark, MA, is pleased to be a member of the new AFib Support Team, assisting persons who have been diagnosed with the heart rhythm disturbance atrial fibrillation. Janie serves as the team’s senior fitness specialist and recently joined her fellow team members — a cardiologist, a cardiological nurse, and a lifestyle gerontologist — on a special episode of Retirement Living Television’s "Healthline" series, which was dedicated to the subject of atrial fibrillation.

    Led by host Kevin Soden, MD, the "Healthline" special explains the meaning of AFib, includes the touching stories of real-life patients, explores treatment options, and provides practical approaches for living successfully with the condition. For more information about the program, including short video excerpts, visit the Retirement Living Television website at http://www.rl.tv/shows/Healthline/.

    Below is an exciting news release describing the launch of the AFib Support Team initiative. It features links where you can see and hear support team members briefly discussing atrial fibrillation. It also includes a link to the AFib Support Team website, which supplies detailed information about this prevalent health concern: atrial fibrillation.

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