For older adults, it's not 'just the flu'

3/25/2019

Flu vaccination helps protect more than just the people who receive them – they help prevent the spread of influenza to their family, friends, colleagues and communities, and especially those more vulnerable to the flu such as infants and young children and those with weakened immune systems.

(BPT) - “I’m not the same person. The person before just kind of took life for granted. And now I cherish every moment I have because I know it can be taken away very quickly.”

Lisa Pellerin, a mother and a nurse, shared these words as she recounted an experience so devastating to her health that it changed her entire perspective on life. It wasn’t cancer. It wasn’t a heart attack.

It was the flu.

Surprisingly, the flu is a source of worry for only 8 percent of adults 50 years of age and older, according to a recent survey. And, even if they were to get the flu, the majority (80 percent) only saw themselves as being at average or below average risk for flu-related complications. For some, these misperceptions could be dangerous.

Adults 50 years of age and older are more likely than younger age groups to have a chronic illness, such as asthma or other lung disease, heart disease or diabetes. Flu can exacerbate symptoms of these conditions and lead to serious complications, like pneumonia – or sometimes even death.

Flu and chronic health conditions

According to the CDC, about 70 percent of adults ages 50 to 64 have at least one chronic illness. Lisa is among this group, living with both asthma and diabetes. All it took was one day for the flu to land her in the hospital. “I just kept getting worse. I was in the hospital for three weeks. Everyone thought I was going to die,” she said. Lisa continues to struggle with shortness of breath and a persistent cough, but she’s grateful to be alive.

After receiving a chronic obstructive pulmonary disease (COPD) diagnosis, Jim Piette still enjoyed fishing, hunting and woodworking – until he got the flu. “Now, I’m on oxygen 24/7,” he said. “I can’t do much without running out of air.” After a year and a half, Jim still hasn’t been able to resume all his usual activities.

Take the precaution: Get the shot

Vaccination is the best way to help protect people, including older adults, from the flu and help reduce the risk of flu-related hospitalization and death. That’s why the American Lung Association created the MyShot campaign in collaboration with Sanofi Pasteur. The campaign helps educate adults 50 years of age and older about the potential dangers of flu and the critical importance of getting a flu shot every year.

The CDC recommends that people get a flu vaccine by the end of October. However, getting vaccinated later can still be beneficial and vaccination continues to be offered throughout flu season.

For adults, it’s important to know that there are multiple options depending on your age and whether you have one or more chronic health conditions. A doctor can advise which option may be right for each individual, taking into consideration age and other factors such as chronic health conditions.

It’s not about one person – it’s about everyone in your life

Flu vaccination helps protect more than just the people who receive them – they help prevent the spread of influenza to their family, friends, colleagues and communities, and especially those more vulnerable to the flu such as infants and young children and those with weakened immune systems. JoJo O’Neal’s bout with the flu turned into a family issue, infecting not only JoJo, but her sister who has COPD, and her niece. “I started to realize my health decisions can impact others,” she said. Now, she does everything she can to help protect herself and others from the flu, which always includes getting her annual flu vaccination.

If you or someone you love is 50 years of age or older, go to GetMyShot.org to learn more and speak with your healthcare provider about flu vaccine options that may be right for you.

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How to Reduce Health Risks by Understanding AFib

3/21/2019

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One common condition to be aware of is atrial fibrillation (AFib), which is a quivering or irregular heartbeat that can lead to blood clots, stroke, heart failure and other heart-related complications. The first step toward managing AFib and preventing serious health complications is gaining knowledge about the condition. Increase your awareness with these facts.

How to Reduce Health Risks by Understanding AFib

(Family Features) Oftentimes, seeking to improve your health starts at your core – your heart. One common condition to be aware of is atrial fibrillation (AFib), which is a quivering or irregular heartbeat that can lead to blood clots, stroke, heart failure and other heart-related complications.

Currently impacting up to 6.1 million Americans, AFib is projected to double by 2030, according to the American Heart Association. One in three individuals is at risk for developing AFib over the course of his or her lifetime, and the likelihood of developing the condition increases by almost 40 percent after the age of 55.

The average person living with AFib has a five-fold increase of experiencing a stroke than someone with a regular heartbeat. However, proper diagnosis and treatment can help reduce the chances of associated heart health complications, including stroke.

The first step toward managing AFib and preventing serious health complications is gaining knowledge about the condition. The experts at the American Heart Association are working to elevate awareness with these facts:

Causes
While in some cases the cause is unknown, AFib can be the result of damage to the heart's electrical system from other conditions such as longstanding, uncontrolled high blood pressure, obesity, smoking and heart disease. For example, smokers are 20 percent more likely to develop AFib than nonsmokers.

Symptoms and signs
A person living with AFib may have symptoms like a fluttering heartbeat, but he or she may not have symptoms at all. Nearly 80 percent of people who report having AFib note they did not experience symptoms, which can lead to the condition being overlooked or confused with other conditions, such as anxiety.

“Atrial fibrillation can be challenging to diagnose,” said Dr. Georgeanne Freeman, a board-certified family medicine doctor and American Heart Association volunteer expert. “If you are feeling out of the ordinary, whether it's a racing pulse or irregular heartbeat associated with shortness of breath and fatigue, it’s time to speak with your doctor to learn your risk for AFib and lower your chance for stroke.”

Other common symptoms include dizziness, weakness, faintness or confusion; fatigue when exercising; sweating and chest pain or pressure.

At-risk populations
Anyone, at any age, can develop AFib. People over age 50, those with high blood pressure or other forms of heart disease and those with a family history of the condition are at highest risk and should discuss their medical history with their doctors.

People of African, Asian or Hispanic ancestry are typically less likely to suffer from AFib. However, research suggests that those with African or Hispanic ancestry living with AFib have a higher risk of death when the condition is combined with another factor such as heart failure or high blood pressure.

Risk factors
While some people living with AFib are unaware of the condition due to not experiencing symptoms, it causes the heart to beat erratically, stops blood from moving through the heart efficiently and may result in pooling or clotting. The clot may block blood flow to the brain, causing a stroke. Risk factors such as age, high blood pressure, heart failure, diabetes or medical history contribute to individuals’ five-fold risk of stroke.

Treatment options
Although most primary care providers claim to have general knowledge of AFib, there are still challenges in their abilities to diagnose it. The treatment goals start with a proper diagnosis through an in-depth examination performed by a medical professional, health care provider or cardiologist. The exam usually includes questions about the individual’s medical history and often a test such as an EKG or ECG to determine heart rate, rhythm and other information. If you have AFib, understand your options for medications and discuss with your doctor. Anyone on anticoagulants should carry information and be able to alert medical professionals in an emergency that he or she is on blood thinners.

To learn more and to access AFib tools and resources, visit heart.org/AFib.

Photo courtesy of Getty Images

SOURCE:
American Heart Association

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Breathing Matters: The Importance of Understanding COPD

4/3/2017

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(BPT) - Breathe in. Breathe out. Just take a moment to inhale and exhale. We too often take breathing for granted, but what if taking a breath was a challenge?

If you’re someone living with Chronic Obstructive Pulmonary Disease (COPD), the third leading cause of death in the United States (US), or know someone living with this chronic respiratory disease, breathing challenges may impact how you live your life. As of 2010, there were more than 14 million people identified as having COPD in the US, and another estimated 12 million people who remain undiagnosed.

In an effort to celebrate life and the important role that breathing plays within it, AstraZeneca has partnered with New York City-based filmmaker Erlendur Sveinsson to produce Ode to Breathing. Ode to Breathing is a documentary-style short film that strings together brief vignettes, providing a moving look at people doing an ordinary yet profound thing: breathing. It can be found online at www.odetobreathing.com.

People living with COPD or their caregivers can consider the following tips when thinking about respiratory health.

1. Keep an eye on symptom changes. Early COPD detection can impact disease management, which makes it important to monitor for changes in your breathing and recognize symptoms such as shortness of breath while performing daily activities, chronic cough, fatigue and wheezing.

2. Remember, COPD in many cases is preventable. Risk factors to be aware of may include smoking tobacco (including second-hand or passive exposure); indoor air pollution (such as solid fuel used for cooking and heating); outdoor air pollution; occupational dusts and chemicals (vapors, irritants and fumes); and frequent lower respiratory infections during childhood.

3. Stay inspired and educated. Visit Ode to Breathing at www.odetobreathing.com and watch the inspirational video and access available helpful resources for COPD patients. One such resource is a free e-book that may help people with respiratory illnesses breathe easier with breathing exercises, tips for making day-to-day activities like chores easier, and ways to manage breathing challenges while at work or traveling.

4. Don’t be afraid to speak with your doctor. If you think you or a loved one may be experiencing COPD symptoms, speak to a healthcare provider to determine what options are available to help you breathe easier to help you enjoy life’s simple moments.

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Kicking off the New Year with a heart healthy start

12/31/2016

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(BPT) - It is almost time to ring in the New Year, which means it is an opportune time to focus on your health and wellness. If you or a loved one is living with cardiovascular disease (CVD), you may be dealing with many burdens, including access to medications - an increasingly common problem.

When prescribed a medication by a physician, most individuals expect to receive the medication without jumping through hurdles. However, for many people affected by cardiovascular disease across the country, this is increasingly not always the case. According to Symphony Health Solutions, commercial payers deny up to 90 percent of initial claims submissions for patients with CVD, with the final rejection rate for patients at 73 percent.

Many of these patients who are rejected have high cholesterol and/or familial hypercholesterolemia (FH), which is an inherited form of significantly high cholesterol and one of the most common genetic diseases, affecting at least one in every 200 to 500 people.

Thus, these patients are exploring new treatment regimens because they have not been able to get their low-density lipoprotein cholesterol (LDL-C), or "bad" cholesterol, under control despite treatment with a statin - the current standard of treatment. Additionally, many patients living with atherosclerotic cardiovascular disease (ASCVD), which is caused by a build-up of cholesterol-rich plaque in the arteries, are unable to get their LDL-C under control with current treatment options.

With CVD being a major public health concern in the U.S, it is imperative to lower bad cholesterol for patients who have already had a cardiovascular event, like a heart attack or stroke, as well as patients with FH who require additional treatment options to lower their LDL-C levels along with their statin. Yet, there is a growing concern that many patients with uncontrolled LDL-C levels continue to face challenges in accessing PCSK9 inhibitors their physicians have prescribed based on the approved indication. PCSK9 (or proprotein convertase subtilisin/kexin type 9) inhibitors are human monoclonal antibodies that block the protein PCKS9, which prevents the body's natural system from eliminating "bad" cholesterol (low-density lipoprotein cholesterol or LDL-C) from the blood.

While the U.S. Food and Drug Administration carefully determined which patients would be appropriate for PCSK9 therapy given the clinical trial information, many payers have implemented restrictive prior authorization processes using stringent utilization management criteria, which is resulting in many patients being denied access. This is not unique to PCSK9s though; we have seen these restrictive authorization practices affecting patients seeking Hepatitis C and heart failure treatments as well.

Being denied access to the medicine you are prescribed is tremendously frustrating and can leave patients feeling hopeless.

However, it is important to know that, as a patient, there are certain things you can do to take action if this happens to you:
* Talk to Your Doctor: If you are denied access to vital treatment, talk with your physician about what you can do to receive the therapy you need.
* Share Your Story: Patients and physicians should feel empowered to speak out and engage with their networks, sharing their stories to help drive attention and awareness to the issue.
* Engage Advocates: Seek out advocacy groups and patient networks that have resources.

Make your health a priority for 2017. If you (or a loved one) suffers from CVD, make sure to talk to your physician - or encourage your friends and family - to ensure you or a loved one are receiving the appropriate medical care. For more information, visit www.advancecardiohealth.org.

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Maintaining heart health

12/28/2016

(BPT) - As we approach the holiday season, conversations about health, wellness and access to medicines may be an important and frequent topic addressed around the dinner table. It seems that access to new and innovative medicines is an increasingly common problem, and engaging in discussions with friends and family can help shed light on potential solutions.

When prescribed a medication by a physician, most individuals expect to receive the medication without jumping through hurdles. However, for many people affected by cardiovascular disease across the country, this is increasingly not always the case. According to Symphony Health Solutions, commercial payers deny up to 90 percent of initial claims submissions for patients with cardiovascular disease (CVD), with the final rejection rate for patients at 73 percent.

Many of these patients who are rejected have high cholesterol and/or familial hypercholesterolemia (FH), which is an inherited form of significantly high cholesterol and one of the most common genetic diseases, affecting at least one in every 200 to 500 people. Thus, these patients are exploring new treatment regimens because they have not been able to get their low-density lipoprotein cholesterol (LDL-C), or "bad" cholesterol, under control despite treatment with a statin - the current standard of treatment. Additionally, many patients living with atherosclerotic cardiovascular disease (ASCVD), which is caused by a build-up of cholesterol-rich plaque in the arteries, are unable to get their LDL-C under control with current treatment options.

With CVD being a major public health concern in the U.S, it is imperative to lower bad cholesterol for patients who have already had a cardiovascular event, like a heart attack or stroke, as well as patients with FH who require additional treatment options to lower their LDL-C levels along with their statin. Yet, there is a growing concern that many patients with uncontrolled LDL-C levels continue to face challenges in accessing PCSK9 inhibitors their physicians have prescribed based on the approved indication. PCSK9 (or proprotein convertase subtilisin/kexin type 9) inhibitors are human monoclonal antibodies that block the protein PCKS9, which prevents the body's natural system from eliminating "bad" cholesterol (low-density lipoprotein cholesterol or LDL-C) from the blood.

While the U.S. Food and Drug Administration carefully determined which patients would be appropriate for PCSK9 therapy given the clinical trial information, many payers have implemented restrictive prior authorization processes using stringent utilization management criteria, which is resulting in many patients being denied access. This is not unique to PCSK9s though; we have seen these restrictive authorization practices affecting patients seeking Hepatitis C and heart failure treatments as well.

Being denied access to the medicine you are prescribed is tremendously frustrating and can leave patients feeling hopeless. However, it is important to know that, as a patient, there are certain things you can do to take action if this happens to you:
* Talk to your doctor. If you are denied access to vital treatment, talk with your physician about what you can do to receive the therapy you need.
* Share your story. Patients and physicians should feel empowered to speak out and engage with their networks, sharing their stories to help drive attention and awareness to the issue.
* Engage advocates. Seek out advocacy groups and patient networks that have resources on what to do if you are denied as well as help to enact change, locally and nationally.

The holiday season is an opportune time to evaluate your well-being and share important health updates and advice with family and friends. If you (or a loved one) suffer from CVD, make sure to talk to your physician - or encourage them to find support - to ensure they are receiving the appropriate medical care. For more information, visit www.advancecardiohealth.org.

Health Alert: 10 ways to be more active during the work day

5/9/2016

10 ways to be more active during the work day

(BPT) - We're sitting too much and it's dangerous. The average American spends more than seven hours sitting every day, and the more time you sit, the higher your risk of serious, potentially life-threatening health problems such as obesity, type 2 diabetes and heart disease. So, what can you do about it?

Fortunately, there are simple changes you can make during the day - anywhere, even at the work place - to improve your wellness and reduce your risk of type 2 diabetes. As part of the American Diabetes Association's(R) Wellness Lives Here(SM) initiative, the Association encourages everyone to get active for National Get Fit Don't Sit Day(SM) with these 10 tips for the workplace and beyond.

Park a few blocks away from the office each morning and walk to work.

This allows you to start off your mornings energized and ready to take on the workday. If you take public transportation, get off one stop earlier to squeeze in some light exercise before 8 a.m.

Take the stairs instead of the elevator.

Waiting for the elevator often takes just as long as walking up the stairs, so why not use this opportunity to get your heart rate up? Plus, you'll get the chance to work your leg muscles.

Get up and move around the office once every 90 minutes.

When you're nose-deep in work, it's easy to lose track of time. Set up reminders on your phone or email every 60-90 minutes to get up and do a quick lap around the office. You can use this time to fill up your water bottle, go to the bathroom or catch up with coworkers.

Ask questions and discuss issues face-to-face.

Rather than sending an email every time you have a question, go to your coworker's office to discuss the issue face-to-face. This gives you a good excuse to get moving and a chance to more effectively hash out solutions in person.

Use your lunch break to move around outside.

So many Americans today work through their lunch break. When possible, take advantage of this time to walk outside and soak in the nice weather. Fresh air and vitamin D are often all you need to stay focused and push through the afternoon slump.

Stand up and stretch.

If you don't have time to walk around the office every 90 minutes, use the opportunity to stand up and stretch instead. Stretching is a great way to increase energy levels, reduce muscle tension and get your body moving.

Pace around the office during conference calls.

Conference calls are the perfect time to be active. Put clients and coworkers on speaker, or use your mobile phone during meetings to move around without any trouble.

Do chair exercises at your desk.

You've been wanting to tone your arms for the summer - why not achieve your goals at the office? When you need a break, do a few reps of chair sits. You can even alternate between chair exercises and push ups!

Hold standing or walking meetings.

Many coworkers will welcome the opportunity to stand and stretch their legs for a moment. If you have a two-person meeting, consider going for a walk.

Fidget when you work.

Small movements and quick exercise breaks add up, especially in a sedentary work place, so challenge yourself to stand, stretch or even tap a foot to bring motion into otherwise still parts of your day. Just remember to keep it professional!

Making a point to move throughout the day puts you on the right track toward wellness. For more ideas on how to increase physical activity and maintain a healthy lifestyle, download the Association's e-tool kit today to incorporate the principles and activities of National Get Fit Don't Sit Day into the workday and beyond.

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Why your favorite foods may soon be changing

5/1/2016

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(BPT) - The Federal Government's push for reduced sodium in American foods will likely affect your favorite foods within the next few months. Food manufacturers will be pushed to change their recipes, which will change the taste and texture of many foods made in the U.S.

Government officials have indicated that they will be announcing a "voluntary" sodium reduction scheme as early as this summer, although the voluntary aspect of it may be lost on the millions of Americans whose favorite foods will be changing without their consent.

When the Federal Government posted their plans to reduce sodium years ago in the Federal Register, Americans rose up with a resounding, "Hands off our salt!" The public comments on the federal site were overwhelmingly against sodium reduction.

The government's plan has also become contentious with medical researchers who increasingly are presenting scientific evidence that population-wide sodium reduction is unnecessary and/or potentially harmful.

The latest evidence, including a 2014 study published in the New England Journal of Medicine, demonstrates that there is a safe "range" of salt consumption that results in a lower risk to the overall population. According to this research, the lower end of this safe range begins around 3,000 mg and extends up to 6,000 mg sodium. Americans consume about 3,400 mg sodium on average - at the lower end of this safe range. But the U.S. Department of Agriculture's Dietary Guidelines recommend a level of 2300 mg a day, a number below the safe range.

Dr. Michael Alderman, editor of the American Journal of Hypertension and former president of the American Society of Hypertension, has repeatedly cited his concern that a population-wide sodium reduction campaign could have unintended consequences. "They want to do an experiment on a whole population without a good control," Alderman says.

The government points to the U.S. Department of Agriculture's Dietary Guidelines as the basis for pushing sodium reduction; however the Dietary Guidelines on sodium have been in dispute for years. Critics of the government guidelines remind us that the USDA has been admittedly wrong in the past. Most recently the USDA changed its view on eggs finding that they are part of a healthy diet after 40 years of saying they were bad.

For decades, Americans have also been told that they need to drastically reduce their salt intake. However, latest research indicates, including a report from the Journal of the American Medical Association, low-salt diets can lead to insulin resistance, congestive heart failure, cardiovascular events, iodine deficiency, loss of cognition, low birth weights, and higher rates of death. Studies show dangerous side effects from lowering sodium below 3,000 mg/day.

Critics of the government's sodium reduction plans have encouraged people to sign a petition called Hands Off Our Salt on the White House website and have encouraged people to email Secretary Sylvia Burwell of U.S. Health and Human Services. On the other side, some activist groups have been pushing for the government to force changes to almost every recipe in the U.S. It remains to be seen which voices the government will heed.

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10 heart-healthy foods that you'll actually want to eat

4/25/2016

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(BPT) - What does oatmeal, beans and skinless chicken have in common? They are all heart healthy foods, yet don't do a whole lot to tantalize the taste buds. Fortunately, eating for heart health doesn't mean a life sentence of bland foods or boring flavors.

By thinking beyond the oatmeal box, you can reinvent your meals while keeping heart health top of mind. This is important for everyone because heart disease - which includes stroke and other cardiovascular diseases - is the No. 1 cause of death in the United States, according to the American Heart Association.

Mindful eating is one of the best ways to maintain heart health. With these 10 heart-healthy foods, you won't mind sitting down to a wholesome meal that supports the hardest working muscle in your body.

Berries
Munch on blueberries and strawberries - your heart will thank you. By eating three or more servings of these berries a week, women can reduce their risk of heart attack by 32 percent, according the journal Circulation.

Sprouted grain English muffins
Ezekiel 4:9 Sprouted Grain Flax English Muffins are made with heart healthy flax seeds loaded with omega 3 and 6 essential fatty acids. Just pop them in the toaster for a rich nutty taste that excites the taste buds! Sprouted to maximize nutrition and digestibility, each muffin provides an impressive amount of plant protein, too. Learn more at www.foodforlife.com.

Potatoes
Spuds get a bad rap for being a starch, but they actually are a positive part of a heart-healthy diet. Rich in potassium, potatoes can help lower blood pressure. Remember to avoid frying potatoes and try baking or boiling instead.

Tofu
Looking for a great meat alternative? Because tofu is made from soy protein, it is believed to help lower levels of bad cholesterol (LDL), making it fantastic for heart-healthy eating. Explore new recipes or use it as a substitute in current favorites.

Red wine
Say cheers to good heart health with a glass of red wine. The Mayo Clinic notes alcohol and antioxidants in red wine may help prevent heart disease by increasing levels of the good high-density lipoprotein cholesterol (HDL) and protecting against artery damage.

Spinach
Popeye was right - spinach is an amazing food that packs a heart-healthy punch. Full of vitamins, fiber and carotenoids that act as antioxidants, spinach is a mean, green superfood. Add to sandwiches, salads and smoothies regularly.

Dark chocolate
Have a sugar tooth? Indulge it while bettering your heart. A square or two of dark chocolate may be good for your heart, just make sure the bar is 70 percent cocoa or higher.

Salmon
It's easy to cut down on red meat consumption with versatile salmon. Its meaty consistency is satisfying while offering endless options for grilling, steaming or baking. Loaded with omega-3 fatty acids, salmon will make your heart jump with joy.

Tomatoes
Packed with lycopene, vitamin C and alpha- and beta-carotene, tomatoes are a smart addition to any heart-healthy meal. Eat them fresh or sundried to enjoy the many benefits. Plus, because they're low in calories and sugar, they make an ideal guilt-free snack.

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The Health IDEA

For older adults, it's not 'just the flu'

Flu vaccination helps protect more than just the people who receive them – they help prevent the spread of influenza to their family, friends, colleagues and communities, and especially those more vulnerable to the flu such as infants and young children and those with weakened immune systems.

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How to Reduce Health Risks by Understanding AFib

How to Reduce Health Risks by Understanding AFib

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Breathing Matters: The Importance of Understanding COPD

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Kicking off the New Year with a heart healthy start

Maintaining heart health

Health Alert: 10 ways to be more active during the work day

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Why your favorite foods may soon be changing

10 heart-healthy foods that you'll actually want to eat

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