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Category: stroke

Published on Leave a comment on Being Physical Fit Is Linked To A Lower Risk of Atrial Fibrillation and Stroke

A recent large study found another great reason for being physically active. The researchers found that physical fitness is linked to  atrial fibrillation (AFib) and stroke.

Atrial fibrillation is a heart rhythm disorder, and having it is linked to a much higher risk of having a stroke. The researchers found that being physically fit (exercise! physical activity!) is linked to lower rates of atrial fibrillation, stroke, and MACE (major adverse cardiovascular events, such as stroke or heart attack leading to death).

There was an eleven year follow up of the approximately 15,450 participants, all of whom did not have atrial fibrillation at the start of the study. The study tested the  physical fitness of the participants (average age 55 years) on an exercise treadmill.

Bottom line: Physical activity and physical fitness are important for reducing the risk of developing heart problems, including atrial fibrillation. Yes, even taking walks (brisk is best) will improve physical fitness.

From Science Daily: Keep fit to avoid heart rhythm disorder and stroke

A study in more than 15,000 people has found that physical fitness is linked with a lower likelihood of developing atrial fibrillation and stroke. The research is presented at ESC Congress 2023.
...continue reading "Being Physical Fit Is Linked To A Lower Risk of Atrial Fibrillation and Stroke"

Published on Leave a comment on Health Harms Associated With Artificial Sweeteners

Another recent study found that consuming artificial sweeteners do harm. In August a study found that artificial sweeteners alter both the oral and gut microbiomes in a negative way. Other earlier studies found an association with high blood pressure, inflammation, weight gain, vascular dysfunction, and increased risk of cancer.

Now, a large study found that high consumption of artificial sweeteners is associated with increased risk of heart disease (cardiovascular disease), including heart attacks and strokes (cerebrovascular events).

What is high consumption of artificial sweetener? One individual packet of artificial sweetener or a 100 mL of diet soda is about 42.46 mg/day, while in this study high sweetener consumption is about 77.62 mg/day. So high consumption is not even 2 diet sodas or packets per day.

Bottom line: Artificial sweeteners are NOT a healthy or good alternative to sugar (or maple syrup or honey). Also, avoid high fructose corn syrup - that has its own problems. Artificial sweeteners are found in highly processed foods - try to also avoid those for your health.

Cardiovascular diseases are the leading cause of death worldwide. Avoiding sugar and instead consuming artificial sweeteners is not going to help you achieve health. But improving your overall diet will, such as eating a diet rich in whole grains, fruits, vegetables, seeds, nuts, legumes (beans).

From Medical Xpress: Study suggests possible link between artificial sweeteners and heart disease

A large study of French adults published by The BMJ today suggests a potential direct association between higher artificial sweetener consumption and increased cardiovascular disease risk, including heart attack and stroke. ...continue reading "Health Harms Associated With Artificial Sweeteners"

Published on Leave a comment on Certain Gut Bacteria Are Linked to Strokes

There is growing evidence that the presence of certain species of bacteria in the gut microbiome are associated with a higher stroke risk, while other bacteria are associated with a lower risk and health. Two recent studies went further and found that the presence (or higher levels) of certain bacteria are associated with severe ischemic strokes and a poorer recovery.

Ischemic strokes are the most common type of stroke. They occur when a clot or other blockage blocks the blood supply to the brain.

Both study researchers presented their findings at the European Stroke Organisation Conference (May 2022). They found that 26 species of bacteria were linked to strokes (in other words, you want less of the bacteria that increase stroke risk in your gut microbiome). Some examples of bacteria associated with strokes or poorer outcome included: bacteria of the genus Ruminococcus, species Prevotella copri, and Paraprevotella xylaniphila.

What does this mean for you? The researchers felt that changing your community of gut microbes (the gut microbiota or microbiome) could be a potential way to decrease stroke risk or stroke severity. A main way to accomplish this is by nutritional changes.

One of the researchers (Cyprien Rivier) said about the results:  "This suggests a delicate balance in the gut microbiota which can change the risk of stroke when altered."

To improve your gut microbes and lower stroke risk: most important is to improve your diet (eat a healthy diet rich in fruits, vegetables, whole grains, nuts, seeds, legumes, some fermented foods, and try to avoid highly processed foods). Also, good for gut microbes: increase your physical activity or amounts of exercise, don't smoke, and try to maintain a healthy weight. Another option is getting a fecal microbial transplant.

By the way, the beneficial microbes are NOT in dietary supplements. Must eat real food! Interestingly, an earlier study found that people who have ischemic strokes tend to have lower amounts ("depletion") of Lactobacillus sakei in the gut than healthy people.

Excerpts from Medscape: Gut Bacteria Linked to Stroke Severity, Risk

Two new studies identifying strains of gut microbiota associated with more severe strokes and worse post-stroke recovery point to a possible role for the gut microbiome in preventing stroke and improving outcomes. ...continue reading "Certain Gut Bacteria Are Linked to Strokes"

Published on Leave a comment on Coffee and Tea Drinking Associated With Lower Rates of Stroke and Dementia

Some good news - a recent study found that daily coffee and tea drinking is associated with lower rates of stroke and dementia. Just an association, not a definite cause and effect, but still... nice to hear some (more) good news for us coffee and tea drinkers.

Researchers analyzed data from a large group in the United Kingdom's Biobank (a large medical data base). The 365,682 participants (aged 50 to 74 years old) were followed for about 11 years. They found that drinking coffee and tea separately or in combination were associated with a lower risk of stroke and dementia. Coffee alone or in combination with tea was also associated with lower risk of post-stroke dementia.

Most interesting finding: Drinking 2 to 3 cups of coffee with 2 to 3 cups of tea daily was associated with a 32% lower risk of stroke and a 28% lower risk of dementia (when compared to those who do not drink coffee and tea).

How much was best in this study? Moderate amounts of coffee and tea consumption are best. Two to 3 cups of coffee per day or 3 to 5 cups of tea per day, or a combination of 4 to 6 cups of coffee and tea per day, were linked with the lowest rates of stroke and dementia.

From Science Daily: Coffee and tea drinking may be associated with reduced rates of stroke and dementia

Drinking coffee or tea may be associated with a lower risk of stroke and dementia, according to a study of healthy individuals aged 50-74 publishing Nov. 16 in the open-access journal PLOS Medicine. Drinking coffee was also associated with a lower risk of post-stroke dementia.  ...continue reading "Coffee and Tea Drinking Associated With Lower Rates of Stroke and Dementia"

Published on Leave a comment on A Southern Style Diet Linked to Increased Risk of Sudden Cardiac Death

The results of a large study adds more evidence to what we have long suspected: eating a Southern-style diet (fried foods and sugary drinks!) increases the risk for sudden cardiac death (up to 46% higher risk), while eating a plant-based or Mediterranean style diet appears to lower that risk.

Sudden cardiac death (SCD) occurs when the heart suddenly stops beating, and death occurs within one hour from the onset of symptoms. Heart disease (coronary artery disease) is the most common underlying cause of SCD (75 to 80% of cases), but it can also have other causes (e.g. heart failure, valve disease). Sudden cardiac death is quite common in the US - about 1 in every 7.5 deaths (or nearly 367,000 deaths in 2016).

Univ. of Alabama researchers looked at 5 dietary patterns that people ate over a 10 year period:  plant-based (Mediterranean), Southern, convenience food, alcohol & salad, and sweets. People generally eat foods from all 5 groups, but what is significant is the primary pattern - what the person mostly eats. The Southern diet is most prevalent in the southeastern US, which is also known as the "Stroke Belt", due to the higher stroke death rate there.

A Southern-style dietary pattern is characterized by fried foods, added fats,  eggs, organ meats (such as liver or giblets), processed meats (e.g. bacon, hotdogs, cold cuts), and sugar-sweetened beverages. A plant-based or Mediterranean dietary pattern is rich in fruits, vegetables, seeds, nuts, whole grains, legumes (beans), and fish, and low in processed meats, added fats, and fried foods.

The bottom line here is that what you eat has an effect on your health, including heart health. Best is a diet rich in plant-based foods - which also happens to be fiber rich and best for feeding beneficial microbes in the gut. Try to eat at least a minimum of 5 to 6 servings of fruits and vegetables each day, but more (up to 8 or 9 servings) might be even better.

From Science Daily: The Southern diet - fried foods and sugary drinks - may raise risk of sudden cardiac death

Regularly eating a Southern-style diet may increase the risk of sudden cardiac death, while routinely consuming a Mediterranean diet may reduce that risk, according to new research published today in the Journal of the American Heart Association, an open access journal of the American Heart Association.  ...continue reading "A Southern Style Diet Linked to Increased Risk of Sudden Cardiac Death"

Published on Leave a comment on Diet Rich In Plant-based Foods Associated With a Lower Risk of Stroke

Once again a study found health benefits from eating a diet rich in plant-based foods, such as vegetables, fruits, whole grains, legumes, beans, nuts, and seeds This time the health benefit was a lower incidence of stroke.

Researchers from the Harvard T. H. Chan School of Public Health looked at the data from two large studies and found that a diet high in quality plant-based foods may reduce the risk of having a stroke by about 10%. The lower risk was for ischemic stroke, in which a blood clot blocks artery to brain. There was no difference in risk for hemorrhagic stroke.

Interestingly, researchers found no association between a vegetarian diet and risk of stroke, but the number of cases was small.

From Medical Xpress: Diet high in healthful plant-based food may reduce risk of stroke by 10%

Eating a healthy, plant-based diet that includes foods like vegetables, whole grains and beans, and decreasing intakes of less healthy foods like refined grains or added sugars may reduce your risk of having a stroke by up to 10%, according to a study published in the March 10, 2021, online issue of Neurology, the medical journal of the American Academy of Neurology. The study found a diet high in quality plant-based foods may reduce your risk of having an ischemic stroke.  ...continue reading "Diet Rich In Plant-based Foods Associated With a Lower Risk of Stroke"

Published on Leave a comment on Smoking Linked To Hemorrhagic Stroke Deaths

Looking for  a reason to stop smoking? How about brain bleeds? A recent study found that cigarette smoking is linked to death from the extremely serious bleeding stroke called subarachnoid hemorrhage (SAH).

Researchers in Finland followed 16,282 twin pairs for over 40 years. They found that for both men and women smoking was strongly linked to death from a subarachnoid hemorrhage, and was more important than any genetic factors (which had a "modest link" to only a few deaths). They also did not find a link with high blood pressure, or levels of physical activity.

A subarachnoid hemorrhage is a type of stroke that results from bleeding in the space between the brain and the thin membrane that covers it (subarachnoid space). A SAH occurs in about 5 to 6% of all strokes. It is a medical emergency that frequently leads to death.

Excerpts from Science Daily: Smoking linked to bleeding in the brain in large, long-term study of twins

An investigation of the Finnish Twin Cohort reaffirmed a link between smoking and subarachnoid hemorrhage (SAH), a type of bleeding stroke that occurs under the membrane that covers the brain and is frequently fatal. The new study by researchers in Finland is published today in Stroke, a journal of the American Stroke Association, a division of the American Heart Association.  ...continue reading "Smoking Linked To Hemorrhagic Stroke Deaths"

Published on Leave a comment on Can Cholesterol Levels Go Too Low?

Moderation seems best for so many things in life. And apparently this may also be true for a person's cholesterol levels. In a large study researchers found that having low levels of LDL cholesterol (below 70 mg/dL) significantly increased the risk of hemorrhagic stroke (intracerebral hemorrhage).Typically, lowering LDL (low-density lipoprotein) cholesterol is recommended as a way to reduce the risk of a heart attack or ischemic stroke, but several studies now confirm this very low LDL cholesterol - hemorrhagic stroke association.

The study was led by Pennsylvania State University researcher Xiang Gao, but conducted over a 9 year period in an industrial area in northern China. The 96,043 participants had their LDL cholesterol levels measured 4 times over that period. The researchers didn't find any increased risk of hemorrhagic stroke when LDL levels were above 70 mg/dL.

From Medical Xpress: Cholesterol that is too low may boost risk for hemorrhagic stroke

Current guidelines recommend lowering cholesterol for heart disease risk reduction. New findings indicate that if cholesterol dips too low, it may boost the risk of hemorrhagic stroke, according to researchers.  ...continue reading "Can Cholesterol Levels Go Too Low?"

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Published on 1 Comment on Long Work Hours Associated With Increased Stroke Risk

Do you routinely work more than 10 hours a day at your job? Uh-oh. A large study conducted in France found that individuals working long hours had a 29% greater risk of stroke, and those working long hours for 10 years or more had a 45% greater risk of stroke. What exactly are long working hours? The study defined long working hours (LWH) as working more than 10 hours daily for at least 50 days per year.

The researchers looked at people who had full-time jobs, and did not separate out types of strokes - both ischemic and hemorrhagic strokes were lumped together in this study. Another interesting finding was that the risk for stroke was greater among people under the age of 50 who reported long working hours for more than 10 years. And this association had a "lower effect for owners, chief executive officers, professionals, and farmers" - all occupations where people had greater control over decisions during their days.

Studies from other countries found a similar association. For example, in Japan, 60% of death from over-work (called karoshi) cases who received worker compensation died of stroke.

From Science Daily: Long work hours associated with increased risk of stroke  ...continue reading "Long Work Hours Associated With Increased Stroke Risk"

Published on Leave a comment on Link Between Antibiotics, Heart Attacks, and Stroke Risk In Older Women

Many, many people wind up taking numerous courses of antibiotics at some points in life. Think of recurrent sinus infections or urinary tract infections or other infections. Or some conditions (e.g. dental or skin conditions) are treated with really long courses of antibiotics  New research (from 36,429 women participating in the long-running Nurses' Health Study)  found that women who take antibiotics over a long period of time during middle-age (40 to 59 years old), but even more so in late adulthood (60 years and over), are at increased risk of heart attack or stroke within the next 8 years.

How increased a risk for cardiovascular diseas? 28% or higher risk (compared to those who didn't take antibiotics)! But looking at the actual numbers it means: Among women who take antibiotics for two months or more in late adulthood, six women per 1,000 would develop a cardiovascular disease, compared to three per 1,000 among women who had not taken antibiotics.

Eight years was the length of the study, so it is unknown if the increased risk persists longer. The authors give a number of possible reasons for these results, but think it might be because antibiotic use results in gut microbial alterations. And the longer the antibiotic use, the more persistent the gut microbiome (microbial community) alterations. Other research studies supports this link (antibiotic use - gut microbe disruptions - increased cardiovascular disease). Another reason to eat in as healthy a manner as possible to feed beneficial gut microbes: a diet rich in fruits, vegetables, whole grains, seeds, and nuts.

From Medical Xpress: Antibiotic use linked to greater risk of heart attack and stroke in women

Women who take antibiotics over a long period of time are at increased risk of heart attack or stroke, according to research carried out in nearly 36,500 women. The study, published in the European Heart Journal today, found that women aged 60 or older who took antibiotics for two months or more had the greatest risk of cardiovascular disease, but long duration of antibiotic use was also associated with an increased risk if taken during middle age (aged 40-59). The researchers could find no increased risk from antibiotic use by younger adults aged between 20-39.  ...continue reading "Link Between Antibiotics, Heart Attacks, and Stroke Risk In Older Women"