The Clinton Herald, Clinton, Iowa

Food & Health

February 6, 2014

Anxiety linked to higher risk


Lower overall heartattack and stroke risk, not just cholesterol

After lifestyle changes, cholesterol-lowering statin drugs could benefit about 33 million Americans who have a greater than 7.5 percent 10-year risk for heart attack and stroke. The term “ASCVD” in this guideline refers to the type of cardiovascular disease caused by atherosclerosis, or hardening of the arteries, that can lead to heart attack or stroke.

The guideline recommends that patients and their healthcare providers assess the patient’s risk of ASCVD events, and then discuss treatment options, including patient preferences. It also describes four major groups of people whose benefit from lowering their heart attack or stroke risk would clearly outweigh the risk of side effects from statin medications. These include patients: 1) with diagnosed ASCVD; 2) with LDL, or “bad,” cholesterol of more than 190 mg/dL with no secondary cause; 3) who are 40-75 years old with type 2 diabetes, an LDL cholesterol of 70 to 189 mg/dL, and don’t have diagnosed ASCVD; and 4) who have an estimated 10-year risk of ASCVD of more than 7.5 percent, but don’t have diagnosed ASCVD or type 2 diabetes with the LDL levels described above.

Treating for higher overall risk using the criteria in the guideline will replace the previous approach of treating LDL cholesterol to a specific target level.

Assessing risk of heart attack and stroke in more people

Updated risk equations for white men and women — and a new risk equation for African-Americans — were published in the risk assessment guideline. To calculate 10-year risk, the equations use race, gender, age, total cholesterol, HDL “good” cholesterol, blood pressure, use of blood pressure medication, diabetes status and smoking status. Importantly, stroke risk is included, giving patients a better assessment of their future cardiovascular health.

Lifestyle guidelines: dietary patterns and exercise

Lifestyle recommendations target the many people who need to lower cholesterol and blood pressure. They recommend an overall heart-healthy dietary pattern and 40 minutes of moderate to vigorous aerobic exercise three to four times a week. Dietary patterns should emphasize fruits, vegetables, whole grains, low-fat dairy products, poultry, fish and nuts, and limit red meat and sugary foods and beverages. To lower blood pressure, the guideline recommends a step-down approach to no more than 2,400 milligrams of sodium a day. To lower it further, the guidelines recommend getting sodium down to 1,500 mg a day.

Text Only
Food & Health
  • Watermelon Think beyond the slice with refreshing watermelon

    Watermelon is one of those foods you really don’t need to overthink.
    Slice it. Eat it. Spit out the occasional seed. Done.

    July 27, 2014 1 Photo

  • Health insurers owe Iowans nearly $1.8M in refunds

    The federal government says insurers owe Iowans nearly $1.8 million in refunds because of a provision in the Affordable Care Act.

    July 24, 2014

  • Agents get subsidized 'Obamacare' using fake IDs WASHINGTON (AP) — Undercover investigators using fake identities were able to secure taxpayer-subsidized health insurance under President Barack Obama’s health care law, congressional investigators said Wednesday.The weak link seemed to be call cente

    July 24, 2014

  • Almost half of America's obese youth don't know they're obese

    The good news is that after decades of furious growth, obesity rates finally seem to be leveling off in the U.S.. The bad news is that America's youth still appear to be dangerously unaware of the problem.

    July 23, 2014

  • Illinois patients to docs: 'What about marijuana?'

    Illinois doctors, nursing homes, hospitals and hospice organizations are ramping up for their role as gatekeepers in the state's new medical marijuana program.

    July 23, 2014

  • Amanda Stecker Herbs make a better way to flavor meals Summer is a season full of fresh herbs. This is the best time of year to take advantage of the fresh herbs in the grocery store. Herbs add a boost of flavor without added sodium and are rich in antioxidants. Herbs are easy to incorporate into everyda

    July 23, 2014 1 Photo

  • Genome Genetic mapping triggers new hope on schizophrenia WASHINGTON, D.C. — Scientists have linked more than 100 spots in our DNA to the risk of developing schizophrenia, casting light on the mystery of what makes the disease tick.Such work could eventually point to new treatments, although they are many y

    July 23, 2014 1 Photo

  • An oncologist uses scorpion venom to locate cancer cells

    Olson, a pediatric oncologist and research scientist in Seattle, has developed a compound he calls Tumor Paint. When injected into a cancer patient, it seems to light up all the malignant cells so surgeons can easily locate and excise them.

    July 22, 2014

  • Obamacare hit by ruling, but subsidies to continue

    A federal appeals court delivered a potentially serious setback to President Barack Obama's health care law Tuesday, imperiling billions of dollars in subsidies for many low- and middle-income people who bought policies.

    July 22, 2014

  • Bice Nurses earn Daisy awards

    CLINTON — Two Clinton nurses recently earned Daisy awards.Mercy Medical Center nurses Jodie Atkinson and Kristen Bice earned the awards that is rewarded to extraordinary nurses. Atkinson began her career in nursing at Mercy Medical Center in 1995 on

    July 22, 2014 2 Photos


Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.