Home blood pressure monitors: how do they stack up?






Omron is one of the most established brands on the home blood pressure (BP) monitor market. And judging by some of the online user reviews of their products, Omron is one of the first names doctors recommend to patients who are considering purchasing their own BP monitor, which would seem to justify their "#1 Doctor Recommended Brand" strapline.

 The company boasts an almost bewildering range of 21 BP monitors for sale - the majority of which are for use on the upper arm, although they also offer a small range of wrist-mounted monitors.

Omron kindly sent us their BP786 monitor for review, which is the latest device in their popular "10 series." Currently retailing for less than $80, the BP786 seems to have been slightly less popular so far than its older 10 series siblings.

Although - like most modern home BP monitors - the BP786 can hook up to a computer or mobile device, a common complaint in user reviews is that the device appeared to have been "rushed to market," with the apps that allow the monitor to interact with devices not released to customers until some time after the physical product had launched.

Particular problems have been reported with the Android app, although the Omron is fairly unique in offering any Android support at all, with most mobile-friendly monitors integrating only with Apple's iOS platforms (for iPhone, iPad and iPod).

For some customers, though - possibly older customers in particular - one of the strengths of this device may be that you can use the BP786 completely independently of any computerized gadget. It also offers a superbly simple interface - most users are only required to press one big, blue button helpfully labeled "START/STOP."

This no-nonsense approach may sound unappealing to the tech-literate gadget fiends among us but, for medical monitoring devices in particular, usability is the cornerstone of good design.

To take a reading, all the user need do is attach the cuff to their upper arm and hit the big, blue button. As well as displaying your blood pressure, the machine will display stats on your pulse and even identify whether you have an irregular heartbeat.

That there is such a shallow learning curve associated with the BP786 is a credit to Omron. Although, I have to confess, it took me a few goes to figure out how to get the machine to take three consecutive readings and provide an average of the results. A design feature I really liked, however, was how easy it is to attach the cuff, which can be done without the assistance of another person.

However, if you do like to take your blood pressure readings with a friend, then Omron have included a neat "two-player" feature, where you can flick between two different sets of readings with one switch, allowing you to compare your readings with one other person. The device can store up to 100 readings per person.

Those looking for bells and whistles may be disappointed - and with a bulky, clunky-looking design, the BP786 cannot compete aesthetically with the sleek, smaller, wearable BP monitors - but overall, the Omron is a reliable, simple "does what it says on the tin" device.

Source: medicalnewstoday.com

Could growth hormone treatment increase the risk of stroke?

Hemorrhagic strokes are normally the result of hypertension, trauma, blood-thinning medication or aneurysms.
Hemorrhagic strokes are normally the result of hypertension, trauma, blood-thinning medication or aneurysms.
Growth hormone treatment usually consists of daily shots for several years, with a child receiving regular follow-ups to ensure that the treatment is working and that the dosage is correct.

Common side effects of the treatment include headaches, retention of fluid, joint and muscle aches and slippage of the bones at the hip, but new research published online in Neurology, the medical journal of the American Academy of Neurology (AAN), suggests that there may be a far more serious consequence of the treatment.

"We believe the tens of thousands of people worldwide who are treated with growth hormones should be informed about this risk," says corresponding study author Dr. Joël Coste.

"More research is needed to show whether the growth hormone treatment is the cause of this increased risk, but in the meantime parents and doctors should consider this association as they weigh their options for treatment."

'A strong association' The authors of the study utilized data from the Safety and Appropriateness of Growth hormone treatments in Europe (SAGhE) project. They examined 6,874 people born before 1990 from the French cohort of the project who began recombinant growth hormone treatment between 1985 and 1996 to treat short stature or growth hormone deficiency without an identified cause.

From 2008 to 2010, the participants were followed up with health questionnaires and medical record reviews. The average length of time between the commencing of treatment and final follow-up was 17 years, and growth hormone treatment lasted for an average of 3.9 years.

There are two main kinds of stroke. Ischemic strokes are caused by a narrowing or blocking of arteries to the brain, and hemorrhagic strokes are caused by arteries in and around the brain bursting or leaking.

The researchers noted that during the follow-up period, 11 of the participants had a stroke, occurring at the average age of 24. Of these, eight were hemorrhagic strokes. In total, four people died as a result of their stroke.

These results were then compared with two registries of patients recording stroke rates, based in Dijon, France, and Oxford, UK. The comparison showed that the group receiving growth hormone treatment would normally have been expected to experience between three and seven cases of stroke, much fewer than the 11 that occurred.

The results were even more striking when comparing the expected rates of hemorrhagic strokes in particular. The group receiving growth hormone treatment would have been expected to experience two cases of hemorrhagic stroke, rather than the reported eight.

This finding suggests that people receiving growth hormone treatment are three to more than four times more likely to have a hemorrhagic stroke than members of the population not receiving this treatment.

The debate continues The authors acknowledge that their study has its limitations; non-evaluation of other stroke risk factors, the lack of a control group of growth hormone-deficient patients not receiving treatment, and being unable to collect all possible information on each participant may all have influenced the findings.

Despite these limitations, Dr. Rebecca Ichord, of the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, wrote an accompanying editorial for the study, in which she states that the findings should force people to look at growth hormone treatment more critically.

"There has been a long-running debate about the usefulness, ethics and cost of growth hormone treatment, especially for otherwise healthy children," she says, adding:

"Doctors who prescribe growth hormone treatment will need to discuss this association, consider its strengths and weaknesses and weigh it in their recommendations. And people who have taken the therapy or start it should be informed about the signs of stroke, the importance of seeking treatment quickly and prevention strategies."

Dr. Ichord also identifies several areas that she believes now necessitate further research. In particular, she suggests that it should be discussed whether adults who had growth hormone treatment during their childhood should be followed up and potentially undertake primary preventative treatment strategies for stroke.

More and more studies are identifying childhood precursors to adult diseases, and this study is another one doing just that.


Source: medicalnewstoday.com

7 Tips for Tasty, Diabetes-Friendly Meals


1. Try the half-and-half pasta trick. Pasta is a favorite dish for many people. It's no secret that the whole-grain versions are the most nutritious. They’re rich in vitamins, minerals, phytochemicals, and fiber, which helps with digestion, makes you feel full, and doesn’t raise blood sugar as much as white pasta does.

If whole wheat spaghetti doesn’t whet your appetite, dietitian Bonnie Taub-Dix recommends mixing some (no more than half) white semolina pasta with it.

Also, cut veggies like zucchini, squash, and carrots into spaghetti-like strips using a mandolin slicer or a spiralizer. Top it off with a few meatballs or some chicken, so you'll eat less of the pasta and get some protein with your meal, says Taub-Dix, author of Read It Before You Eat It.

2. Shake up a spicy blend. Empty your saltshaker, and fill it with a mix of your favorite seasonings and spices. Use it to liven up eggs, salads, poultry, lean meats, and veggies, Taub-Dix suggests.

Brands sold online and in supermarkets have a variety of flavorful and aromatic blends, including Italian, Southwest chipotle, or a garlic- or peppercorn-based blend.

Choose the salt-free versions. Most people get too much sodium, which can make you more likely to get high blood pressure.

3. Pick pistachios. You'll get fiber and protein, as well as several vitamins, minerals, and phytonutrients. “Also, research indicates that pistachios may help decrease the blood sugar response in the body when coupled with a carbohydrate,” Newgent says.

Pistachios can be more than just a crunchy snack. Add them to a brown rice pilaf or a salad, Newgent suggests.

4. Replace fatty foods with avocado. Avocados are rich in fat, but it's a good kind of fat.

“Eating healthful fats, as part of a Mediterranean diet, may be beneficial for blood sugar management, and potentially more helpful than a low-fat diet for weight management,” Newgent says.

Avocados are also a good source of magnesium, Newgent says.

She mentions a study in which people with prediabetes who had more magnesium in their diets were less likely to develop type 2 diabetes. That study doesn't prove that magnesium was the reason, but the researchers concluded that the magnesium may have been helpful.

Still, avocados are high in calories, so limit how much you eat.

Try pairing eggs with sliced avocado, or dot a dollop of guacamole on a lean, grilled steak.

5. Get creative with yogurt. “Plain Greek yogurt shouldn’t just be considered a creamy, high-protein breakfast or snack. It can be a delicious ingredient in cuisine as well,” Newgent says.

She suggests pairing yogurt with lemon juice, garlic, and a touch of extra-virgin olive oil for use as a marinade on chicken. “It’ll make the poultry extra juicy when roasted or grilled.”

6. Sprinkle on the cinnamon. Considered one of the world’s oldest-known spices, cinnamon has been studied for possible health benefits for people who have type 2 diabetes. Though the findings have been mixed, Newgent says, “a recent study shows enjoying it may help decrease blood sugar, ‘bad’ cholesterol (LDL), and triglycerides in the body.” Don't expect it to make a huge difference in normal portions. It's still more of a flavoring than anything else.

Mix cinnamon into a turkey burger (“add fresh mint, too, for a Middle Eastern flair," Newgent says), or a vegetable chili, or add it to a baked sweet potato, cottage cheese, or an apple you're going to heat in the oven or microwave.

7. Glaze your snacks and desserts. While you’ll only use a small amount, some research shows that vinegar may lower blood sugar. You can get balsamic glazes online and in supermarkets. Drizzle them on pizza, fish, meats, veggies, or fruit.

“I love to drizzle a balsamic glaze on top of berries or melon,” Taub-Dix says. “You’ll be surprised how that little glaze can make a difference in how your fruit looks and tastes. It just gives it a little jazz!”

Source:webmd.com

The Dark Side of Sun Exposure


People enjoy the sun. Some have even worshiped it. Sunlight is essential to many living things. But sunlight also has a dangerous side. It can harm your skin and even your eyes. The good news is you can take some simple steps to protect your body from sun damage and still enjoy the sun’s healthful effects.

Our bodies were built to make good use of the sun. Sunlight helps keep our sleeping patterns on track so we can stay awake by day and sleep soundly at night. Getting too little sun, especially in winter months, can leave some people prone to a form of depression known as seasonal affective disorder. Sunlight also helps our skin make vitamin D, which is needed for normal bone function and health. Yet sunlight can also cause damage.

Sunlight travels to Earth as a mixture of both visible and invisible rays, or waves. Long waves, like radio waves, are harmless to people. But shorter waves, like ultraviolet (UV) light, can cause problems. The longest of these UV rays that reach the Earth’s surface are called UVA rays. The shorter ones are called UVB rays.

Too much exposure to UVB rays can lead to sunburn. UVA rays can travel more deeply into the skin than UVB rays, but both can affect your skin’s health. When UV rays enter skin cells, they upset delicate processes that affect the skin’s growth and appearance.

Over time, exposure to these rays can make the skin less elastic. Skin may even become thickened and leathery, wrinkled, or thinned like tissue paper. “The more sun exposure you have, the earlier your skin ages,” says Dr. Barnett S. Kramer, a cancer prevention expert at NIH.

Your skin does have ways to prevent or repair such damage. The outermost layer of skin constantly sheds dead skin cells and replaces them. You might have noticed this type of skin repair if you’ve ever had a bad sunburn. Your skin may peel, but it usually looks normal in a week or 2.

“When you’re exposed to ultraviolet radiation, there’s a repair process that goes on constantly in each one of your exposed cells,” says Dr. Stephen I. Katz, director of NIH’s National Institute of Arthritis and Musculoskeletal and Skin Diseases. Still, long-term damage to your skin can remain.

As you get older, it becomes harder for skin to repair itself. Over time, UV damage can take a toll on your skin and its underlying connective tissue. As a result, your skin may develop more wrinkles and lines.

Too much sun exposure can also raise your risk for skin cancer, the most common type of cancer in the United States. When UV light enters skin cells, it can harm the genetic material (called DNA) within.

DNA damage can cause changes to cells that make them rapidly grow and divide. This growth can lead to clumps of extra cells called a tumor, or lesion. These may be cancerous (malignant) or harmless (benign).

Skin cancer may first appear as a small spot on the skin. Some cancers reach deep into surrounding tissue. They may also spread from the skin to other organs of the body.

Each year, more than 2 million people are treated for 2 types of skin cancer: basal cell and squamous cell carcinoma. These cancers are seen in both older and younger people, and they’re rarely life-threatening.

Melanoma is a less common but more serious type of skin cancer that’s diagnosed in more than 68,000 Americans each year. Another 48,000 are diagnosed with an early form of the disease that involves only the top layer of skin. Melanomas arise from the cells that provide pigment (color) to the skin.

Your risk for melanoma is higher if members of your family have had skin cancer or if you’ve already had melanoma or other skin cancers. A major risk factor for melanoma is having a large number of moles, or having large flat moles with irregular shapes. Sunburns, especially during childhood, may also raise your risk for melanoma.

“If you’ve had skin cancers in the past, then you’re at a particularly high risk for developing another skin cancer,” Kramer says. “Over the long run, there is a high rate of new lesions developing.”

“One of the major factors affecting skin health is genetics, which determines the pigment content of your skin. This affects how much protection you have from natural sunlight,” explains Katz. Although darker-skinned people have a lower risk for sun-related damage and disease, people of all races and skin color can still get skin cancer.

“Certain genetic mutations contribute to melanoma onset in certain people. You find much less non-melanoma skin cancer in African Americans, people from the Middle East, or even Asians from the Near East,” Katz says.

The best way to protect skin health and prevent skin cancer is to limit sun exposure. Avoid prolonged time in the sun, and choose to be in the shade rather than in direct sunlight. Wear protective clothing and sunglasses, and use sunscreen between 10 a.m. and 4 p.m. Sunscreen is especially important at that time, when the sun’s rays are most intense.

“The time to really start sun protective behavior is not when you reach adulthood, but years before,” Kramer says. “The message to parents is, now is the time to start protecting your child against skin damage from sun overexposure, when your child is developing sun exposure habits and when they have many more years of potential sun exposure ahead of them.” Among other skin-protecting habits, teach children and teens to avoid the use of tanning beds.

Sunscreens come labeled with a sun protection factor (SPF), such as 15, 30, or 50. A sunscreen labeled SPF 15 means it will take you 15 times as long to get a sunburn as it would if you had no sunscreen on. A sunscreen labeled SPF 30 means it would take you 30 times as long to burn.

The effectiveness of sunscreens is affected by several factors. A sunscreen’s active ingredients can break down over time, so be sure to check the expiration date on the container. The amount of sunscreen you use and how often you use it affects your protection from the sun. Perspiration and time spent in the water can also reduce sunscreen effectiveness.

Some people look to the sun as a source of vitamin D, but it takes just a brief time in the sun to do the trick. “You need very little exposure—something like 10 to 15 minutes a day to the backs of your hands, arms, and face—to get enough,” Katz says.

Several factors—like cloudy days or having dark-colored skin—can reduce the amount of vitamin D your skin makes. But you can also get vitamin D from foods or dietary supplements. Check with your health care provider about whether you should be taking vitamin D supplements.

Limit time in the sun to protect your skin against early wrinkles, damage, and disease. “Being sun smart is a good thing,” Katz says. And if you spot a suspicious mark on your skin, Kramer advises, be sure to get it checked out.
v Source: newsinhealth.nih.gov