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Association of Low Urinary Sodium Excretion With Increased Risk of Stroke
We examined the association of urinary sodium excretion (UNaV) as an accurate estimate of intake with risk of stroke. We studied 7330 individuals free of cardiovascular events at baseline in the Prevention of Renal and Vascular End-stage Disease (PREVEND) study, a prospective, population-based cohort of Dutch men and women.
Source: Mayo Clinic Proceedings - September 20, 2018 Category: Internal Medicine Authors: Lyanne M. Kieneker, Michele F. Eisenga, Ron T. Gansevoort, Rudolf A. de Boer, Gerjan Navis, Robin P.F. Dullaart, Michel M. Joosten, Stephan J.L. Bakker Tags: Brief report Source Type: research

Adherence to the dietary approaches to stop hypertension diet and risk of stroke: A meta-analysis of prospective studies
The Dietary Approaches to Stop Hypertension (DASH) diet has been shown to lower the risk of hypertension, but its role in the prevention of stroke remains in debate. We therefore conducted a meta-analysis to examine the association between DASH diet and incident stroke. A systematic database search in PubMed and Embase was performed to identify eligible prospective studies. The study-specific relative risks (RRs) and 95% confidence intervals (CIs) were pooled using random-effect meta-analysis. Dose–response relationship between DASH diet score and risk of stroke was also assessed. We included 12 prospective cohort stud...
Source: Medicine - September 1, 2018 Category: Internal Medicine Tags: Research Article: Meta-Analysis of Observational Studies in Epidemiology Source Type: research

Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
Rationale: Pathophysiologic mechanisms of the central nervous system, such as stroke, can be associated with intractable hiccups. Intractable hiccups can be associated with potentially fatal consequences, thus requiring safe management in an inpatient rehabilitation facility (IRF) setting with a multidisciplinary team approach to optimize mobility and feeding. Patient Concerns: A 49-year-old male presented to the emergency department with complaints of vomiting and dizziness. Diagnoses: Head computed tomography revealed moderate acute inferior cerebellar infarct in the territory of the posterior inferior cerebellar...
Source: Medicine - August 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Clinical, socioeconomic, and behavioural factors at age 50 years and risk of cardiometabolic multimorbidity and mortality: A cohort study
ConclusionsThe importance of specific midlife factors in disease progression, from disease-free state to single disease, multimorbidity, and death, varies depending on the disease stage. While clinical risk factors at age 50 determine the risk of incident cardiometabolic disease in a disease-free population, midlife socioeconomic and behavioural factors are stronger predictors of progression to multimorbidity and mortality in people with cardiometabolic disease.
Source: PLoS Medicine - May 21, 2018 Category: Internal Medicine Authors: Archana Singh-Manoux Source Type: research

Trends in Racial/Ethnic and Nativity Disparities in Cardiovascular Health Among Adults Without Prevalent Cardiovascular Disease in the United States, 1988 to 2014.
Conclusion: Cardiovascular health has declined in the United States, racial/ethnic and nativity disparities persist, and decreased disparities seem to be due to worsening cardiovascular health among whites rather than gains among African Americans and Mexican Americans. Multifaceted interventions are needed to address declining population health and persistent health disparities. Primary Funding Source: National Institute of Neurological Disorders and Stroke and National Center for Advancing Translational Science of the National Institutes of Health. PMID: 29554692 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - March 20, 2018 Category: Internal Medicine Authors: Brown AF, Liang LJ, Vassar SD, Escarce JJ, Merkin SS, Cheng E, Richards A, Seeman T, Longstreth WT Tags: Ann Intern Med Source Type: research

Plasma stem cell factor levels are associated with risk of cardiovascular disease and death
ConclusionsThis prospective population‐based study demonstrates that subjects with high levels of SCF have a lower risk of cardiovascular events and death. The findings provide clinical support for a protective role of SCF in maintaining cardiovascular integrity.This article is protected by copyright. All rights reserved.
Source: Journal of Internal Medicine - August 26, 2017 Category: Internal Medicine Authors: Harry Bj örkbacka, Ingrid Yao Mattisson, Maria Wigren, Olle Melander, Gunilla Nordin Fredrikson, Eva Bengtsson, Isabel Gonçalves, Peter Almgren, Jens O. Lagerstedt, Marju Orho‐Melander, Gunnar Engström, Jan Nilsson Tags: Original Source Type: research

Mediterranean diet may reduce Alzheimer's risk
This study included 447...
Source: Evidence-Based Medicine - November 24, 2015 Category: Internal Medicine Authors: Psaltopoulou, T., Sergentanis, T. N. Tags: Smoking and tobacco, Clinical trials (epidemiology), Dementia, Drugs: CNS (not psychiatric), Stroke, Hypertension, Diet, Memory disorders (psychiatry), Psychiatry of old age, Lipid disorders, Health education, Smoking Therapeutics/Prevention Source Type: research

Rehabilitation nutrition for sarcopenia with disability: a combination of both rehabilitation and nutrition care management
AbstractMalnutrition and sarcopenia often occur in rehabilitation settings. The prevalence of malnutrition and sarcopenia in older patients undergoing rehabilitation is 49 –67 % and 40–46.5 %, respectively. Malnutrition and sarcopenia are associated with poorer rehabilitation outcome and physical function. Therefore, a combination of both rehabilitation and nutrition care management may improve outcome in disabled elderly with malnutrition and sarcopenia. The co ncept of rehabilitation nutrition as a combination of both rehabilitation and nutrition care management and the International Classification of Functioning, ...
Source: Journal of Cachexia, Sarcopenia and Muscle - December 1, 2014 Category: Internal Medicine Source Type: research

Dietary salt reduction; further lowering of target lowers blood pressure but may increase risk
Commentary on: He FJ, Li J, Macgregor GA. Effect of longer-term modest salt reduction on blood pressure. Cochrane Database Syst Rev 2013;(4):CD004937. Context Numerous studies have shown that a high dietary salt intake increases blood pressure (BP) and the risk of cardiovascular events.1 2 Conversely, a moderate and even low-level salt intake lowers BP in a dose-dependent way. Methods He and colleagues have performed a thorough and comprehensive meta-analysis of 34 randomised controlled trials (RCTs) assessing the impact of modest reduction in salt intake with a trial duration of at least 4 weeks. Findings The present...
Source: Evidence-Based Medicine - January 22, 2014 Category: Internal Medicine Authors: Messerli, F. H., Bangalore, S. Tags: Clinical trials (epidemiology), Drugs: cardiovascular system, Drugs: CNS (not psychiatric), Heart failure, Stroke, Hypertension, Diet, Ischaemic heart disease Therapeutics Source Type: research

Opposite impacts of dietary versus supplemental calcium on cardiovascular health
Commentary on: Li K, Kaaks R, Linseisen J, et al.. Associations of dietary calcium intake and calcium supplementation with myocardial infarction and stroke risk and overall cardiovascular mortality in the Heidelberg cohort of the European prospective investigation into cancer and nutrition study (EPIC-Heidelberg). Heart 2012;98:920–5. Context Calcium supplementation is widely used to maintain bone health. Growing data suggests that calcium supplementation, but not dietary calcium intake, may harm cardiovascular (CV) health.1 2 There is no randomised controlled trial (RCT) that addressed CV events as primary endpoints...
Source: Evidence-Based Medicine - May 15, 2013 Category: Internal Medicine Authors: Guessous, I., Bochud, M. Tags: EBM Prognosis, Clinical trials (epidemiology), Epidemiologic studies, General practice / family medicine, Drugs: cardiovascular system, Stroke, Diet, Ischaemic heart disease Source Type: research

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