A high-risk, socioeconomically disadvantaged group of obese patients seem to have achieved modest weight loss and improved blood pressure control by attending a behavioral intervention program. The study is published Online First in the JAMA journal Archives of Internal Medicine. The study's background information states that the U.S. primary care system fails to sufficiently approach obesity. Socioeconomically disadvantaged patients who turn to community health centers for help are especially affected by the limited availability of treatments to tackle obesity. Gary G. Bennett, Ph.D., of Duke University, Durham, N.C., and his team decided to perform a two-group, 24-month randomized effectiveness trial in three Boston community health centers from February 2008 to May 2011, involving 365 obese participants who received treatment for hypertension.
Mayo Clinic researchers this week will announce the use of the blood pressure drug prazosin as an effective treatment to curb post-traumatic stress disorder (PTSD)-related nightmares. In a presentation during the 20th European Congress of Psychiatry in Prague, Mayo Clinic psychiatrists will present a systematic literature review of prazosin in the treatment of nightmares. Researchers investigated 12 prazosin studies, four of which were randomized controlled trials. "The studies showed the drug was well-tolerated and can take effect rapidly, within days to weeks, and some patients reported a return of nightmares when the course of prazosin was stopped, " says Simon Kung, M.D., a Mayo Clinic psychiatrist and principal investigator of the study. "There's not much available for treating nightmares in terms of medications, so prazosin is a promising option, " Dr.
Public Health Data Reveals Obesity, Hypertension, And Diabetes Prevalence In Cleveland Neighborhoods
The Prevention Research Center for Healthy Neighborhoods of Case Western Reserve University has released new health data from Cleveland neighborhood groups on three of the most pressing public health concerns: obesity, hypertension, and diabetes. The three data briefs - statistical public health publications - group Cleveland neighborhoods and provide prevalence estimates for diabetes, hypertension awareness and obesity using five years of local survey data. Previously, these measures were only available for the city of Cleveland. "This data allow the local public health community to measure chronic diseases such as diabetes, obesity, and high blood pressure down to the neighborhood level. We are committed to ongoing data collection to show how 'place matters' - where you live makes a difference, " says Elaine Borawski, PhD, the Angela Bowen Williamson Professorship in Community Nutrition at Case Western Reserve School of Medicine, primary investigator and co-director of the PRCHN at Case Western Reserve University, and co-author of the data briefs.
Every year, almost 8, 000 African-Americans die unnecessarily due to racial disparities in hypertension control, making increased blood pressure control amongst African-Americans a 'compelling goal', according to an article in the Journal of Cardiovascular Nursing, by Lisa M. Lewis, PhD, RN. Compared with their Caucasian counterparts, African-Americans usually develop hypertension at a younger age and tend to have less control over their blood pressure, as well as disproportionately suffering from more strokes or mortalities. According to statistics, African-Americans have a 30% higher risk of non-fatal stroke, an 80% higher risk of fatal stroke, and a startling 420% greater risk of end-stage kidney disease. Scientific estimates have established that only 51% of all patients with hypertension regularly take their medications and that adherence rates amongst African-Americans are even lower.
If you develop pregnancy-related hypertensive disorders or diabetes, you may have an increased risk of cardiovascular disease later in life, according to research in Circulation: Journal of the American Heart Association. "We wanted to learn about possible explanations as to why women with pregnancy complications tend to have more heart disease later in life, " said Abigail Fraser, M.P.H., Ph.D., School of Social and Community Medicine at the University of Bristol, United Kingdom. Researchers studied 3, 416 pregnant women enrolled in the Avon Longitudinal Study of Parents and Children in the early 1990s. Among them, 1, 002 (29.8 percent) had one pregnancy complication, 175 (5.2 percent) had two and 26 (0.8 percent) had three. The complications included gestational or pregnancy diabetes, hypertensive (or high blood pressure-related) disorders of pregnancy (also known as preeclampsia), preterm delivery, and size of babies at birth (top and bottom 10 percent in weight).