There aren't any shortcuts to living healthily; and life comes with no guarantees - but here is an interesting infographic from Confused.com that illustrates some ideas that might see you living a healthier, longer life.
A clinical trial of 75 patients hospitalized with acute decompensated heart failure (ADHF) suggests that aggressive fluid and sodium restriction has no effect on weight loss or clinical stability at three days but was associated with an increase in perceived thirst, according to a study published Online First by JAMA Internal Medicine, a JAMA Network publication.
Sodium and fluid restrictions are nonpharmacologic measures widely used to treat ADHF despite a lack of clear evidence of their therapeutic effect, the authors write in the study background.
"We conclude that sodium and water restriction in patients admitted for ADHF are unnecessary," Graziella Badin Aliti, R.N., Sc.D., of the Hospital de Clìnicas de Porto Alegre, Brazil, and colleagues comment in the study.
The clinical trial compared the effects of a fluid-restricted (maximum fluid intake, 800 mL/d) and sodium-restricted (maximum dietary intake, 800 mg/d) diet in an intervention group (IG) versus a diet with no such restrictions in a control group (CG). The main outcomes the authors measured were weight loss and clinical stability at the three-day assessment, as well as daily perception of thirst and readmissions within 30 days.
According to the results, weight loss was similar in both groups (between-group difference in variation of 0.25kg) as well as the change in clinical congestion score (between-group difference in variation of 0.59 points) at three days. Thirst was increased in the IG, but there were no significant between-group differences in the readmission rate at 30 days, the results indicate.
"In summary, this RCT contributes to the field of HF [heart failure] research by showing that, in patients with ADHF, aggressive fluid and sodium restriction had no effect on weight loss or clinical stability compared with a diet with liberal fluid and sodium intakes. Furthermore, this aggressive intervention was associated with significantly higher rates of perceived thirst," the study concludes. SOURCE
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Hot flashes as the name suggest is the subjective feeling of unbearable heat followed by sweating and irritability due to changes in the concentration of estrogen within the body of females and is reportedly the most common symptom of menopause experienced by women during peri-menopausal years and after menopause.
What causes hot flashes?
Hot flashes are caused by withdrawal of estrogen from the bodily systems due to cessation of ovarian cycles. Females achieve their ability to become pregnant and procreate after puberty that is achieved around 12 to 13 years of age. This is marked by onset of monthly ovarian cycles in which one or more eggs are released and matured and if unprotected intercourse is performed, there are fair chances of conception. However, when females approach 50, the cycles get irregular and infrequent (known as peri-menopausal period), ultimately reaching to a complete cessation of menstruation due to lack of estrogen in mid-40s to mid-50s.
What factors influence the severity of symptoms?
Moderate to severe hot flashes are experienced by women who develop abrupt estrogen withdrawal as a result of:
- Surgeries like hysterectomy
- History of smoking and alcohol dependence (2)
- Women of low socio-economic status
- African American descent
- Women with a history of breast cancer or chemotherapy with tamoxifen (Nolvadex).
What are some natural remedies to manage hot flashes?
Following are some common home remedies that are mostly employed by women to manage or treat hot flashes:
Lifestyle modifications:
Women who are physically active and dynamic experience less severe menopausal symptoms and hot flashes. Researchers suggest that stress relieving exercises and posture help in management of depression, anxiety and hot flashes in most women. Speak to a trainer to learn more about yoga, aerobics, meditation and stress- relieving exercises and postures. Other helpful tips are:
- Alcohol is strongly associated with hot flashes and reducing (or eliminating) alcohol from your daily routine helps in most cases.
- Healthcare providers suggest smoking cessation for management of hot flashes.
- Weight reduction by regular physical activity and diet modification decreased the intensity and severity of hot flashes.
- Wearing loose and dressing in layers keeps the core body temperature low, a strategy that helps in decreasing intensity of hot flashes.
- Research conducted by Vered Stearns (1) suggest that behavioral therapy and holistic methods of care like acupuncture helps tremendously in improving overall health and decreasing the symptoms of menopause (especially hot flashes).
Diet modifications:
Diet has a strong influence on the secretion, synthesis and release of chemical mediators. In addition, it also helps in supplying estrogen from exogenous sources that decrease the intensity of menopausal symptoms. Helpful diet modifications tips for management of hot flashes are:
- Limiting the intake of caffeinated beverages and hot/ spicy foods.
- Identify your own triggers and limit the exposure for best results. Use of nutritional supplements:
Various clinical studies have revealed that intensity and severity of hot flashes is more in malnourished or undernourished women. A research conducted by Barton (3) suggested that consumption of nutritional supplements like Vitamin E in a dose of 800 IU/day can decrease the frequency of hot flashes significantly as compared to the placebo control group. Other helpful remedies are:
- Soy and soy products:
So far, almost 10 randomized clinical trials have proved the efficacy and effectiveness of soy products in decreasing the intensity of hot flashes in women after menopause due to its high isoflavones content. However, prolonged use is associated with an increased risk of breast cancer due to estrogen like activity of soy.
- Magnesium:
Magnesium has long been known to support micro-metabolic processes and decrease the symptoms due to abnormal hormonal concentrations in the body. Magnesium supplements decreases the symptoms of PMS in reproductive aged women and decreased the severity of hot flashes in menopausal women.
Use of herbal supplements:
Herbal and nutritional supplements are helpful in improving the menopausal symptoms by replacing endogenous estrogen or by improving systemic detoxification that alleviates the symptoms. Most common herbal supplements that are effective for hot flashes are:
- Phytoestrogens
Phytoestrogens are special compounds that are obtained from plant sources and mimic estrogen when gain access inside the female body. Research and statistical data indicates that women who consume more plant sources like red clover experience less severe symptoms
- Black cohosh:
Black cohosh is one of the popular supplements that has proven efficacy in the management of hot flashes and other menopausal symptoms. It is however suggested to avoid over- consumption in those with known liver disease.
- Ginseng:
Ginseng is one of the ancient Asian supplements that is used all over the world for optimal health and well- being. It is generally well tolerated by individuals of all age groups and has known efficacy in improving the sleep quality and to relieve anxiety, agitation and irritability (along with other mood disturbances that follow hot flashes in menopausal woman).
In addition to Ginseng, primrose oil ad gingko biloba also helps in decreasing post- menopausal symptoms. It is recommended to seek assistance from a healthcare provider before starting any herbal or medicinal agent for the management of hot flashes.
Although, most women respond to over the counter supplements, dietary managements and lifestyle modifications; however, you can always consult a healthcare provider for the optimal management of symptoms by hormone replacement therapy (HRT). HRT (medroxyprogesterone acetate is consumed in a dose of 2.5 mg/day along with (conjugated equine estrogen in a dose of 0.625 mg/day) increases the risk of breast cancer significantly and therefore not a preferred treatment in most cases.
(NAPSI)If you are among the nearly 75 percent of menopausal women who suffer from hot flashes,1 it can be tough to enjoy the sunny weather worrying about a sudden hot flash in summertime. And since hot weather tends to be a common hot flash trigger,2 these sudden feelings of warmth can be exacerbated. But, with just a little planning and preparation you can get on the right track to an enjoyable summer.
Here are some tips that can help temper those seasonal hot flashes:
Learn your hot flash triggers. Every woman can learn how to help stay cool by paying attention to her own individual triggers. Keeping a journal to record your findings can help identify underlying triggers.2
Layer, layer! Dress in layers so that they can be removed when feeling warm; use a fan or open a window to keep air flowing; decrease the room temperature; or sip a cold drink.3
Say yes to the cool pool and no to the hot tubs. Both hot tubs and saunas can cause your body temperature to rise and trigger a hot flash. Its best to avoid these if youre sensitive.2
Watch what you eat and drink. Hot and spicy foods, caffeinated drinks and alcohol can trigger a hot flash.3
Relax. Yoga, meditation or other helpful relaxation techniques may provide some relief.3
Don't smoke. Smoking is linked to an increase in hot flashes.3
Improve your diet. Some women may find relief if they improve their diet.2
Hormone therapy. Prescription estrogen continues to be the most effective option for relieving the discomfort of hot flashes and night sweats associated with menopause.1 The FDA recommends the lowest effective dose with any estrogen therapy for the shortest amount of time to achieve personal treatment goals.4
When simple lifestyle changes arent enough to control hot flashes, you and your physician may decide to explore hormone therapy treatment options. Your physician may prescribe Divigel, a bioidentical5, transdermal estrogen gel with the lowest FDA-approved dose of transdermal estradiol gel or spray (0.25 mg/day estradiol) for hot flashes.6-9 Divigel is used to treat moderate to severe hot flashes due to menopause. Generally, women should be started at 0.25 mg/day of Divigel.
For patients who are prescribed Divigel, saving money is easy and just a few clicks away at divigel.com. Patients can print the Patient Savings Coupon, bring it to their local pharmacy, and pay no more than $25 on their Divigel co-pay amount. The Patient Savings Coupon is for eligible patients only and limited to a maximum savings of $25 each on four Divigel prescriptions. Offer expires on December 31, 2013.
Divigel (estradiol gel) 0.1% is indicated for the treatment of moderate to severe hot flashes due to menopause.
Important Safety Information for Patients
What is the most important information I should know about Divigel (an estrogen hormone)?
Using estrogen-alone increases your chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using Divigel. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual bleeding to find out the cause.
Do not use estrogen-alone to prevent heart disease, heart attacks, strokes or dementia (decline of brain function)
Using estrogen-alone may increase your chances of getting strokes or blood clots
Using estrogen-alone may increase your chance of getting dementia, based on a study of women 65 years of age or older
Do not use estrogens with progestins to prevent heart disease, heart attacks, strokes or dementia
Using estrogens with progestins may increase your chances of getting heart attacks, strokes, breast cancer, or blood clots
Using estrogens with progestins may increase your chance of getting dementia, based on a study of women 65 years of age or older
You and your healthcare provider should talk regularly about whether you still need treatment with Divigel
Divigel should not be used if you have unusual vaginal bleeding, currently have or have had certain cancers, including cancer of the breast or uterus, had a stroke or heart attack; currently have or have had blood clots, currently have or have had liver problems, have been diagnosed with a bleeding disorder, are allergic to Divigel or any of its ingredients, or think you may be pregnant.
Tell your healthcare provider about all of your medical problems and the medicines you take, if you are going to have surgery or will be on bedrest, and if you are breastfeeding.
Call your healthcare provider right away if you get any of the following symptoms: new breast lumps, unusual vaginal bleeding, changes in vision or speech, sudden new severe headaches, or severe pains in your chest or legs with or without shortness of breath, weakness and fatigue.
Common side effects that may occur with Divigel include headache; breast pain; irregular vaginal bleeding or spotting; stomach or abdominal cramps, bloating; nausea and vomiting; hair loss; fluid retention and vaginal yeast infection.
Serious but less common side effects include heart attack, stroke, blood clots, dementia, breast cancer, cancer of the uterus, ovarian cancer, high blood pressure, high blood sugar, gallbladder disease, liver problems, and enlargement of benign uterus tumors (fibroids).
Alcohol-based gels are flammable. Avoid fire, flame or smoking until the gel has dried.
Please see Patient Information for Divigel at www.divigel.com and talk to your healthcare provider. For more information, call 1-888-650-3789 or visit www.divigel.com.
You are encouraged to report negative side effects to Upsher-Smith Laboratories, Inc. at 1-855-899-9180, or to the FDA by visiting www.fda.gov/medwatch or calling 1-800-FDA-1088.
For more information about hot flashes, talk to your doctor, and visit www.divigel.com to learn more about this treatment.
Divigel is marketed in the U.S. by Upsher-Smith Laboratories, Inc.
2013 Upsher-Smith Laboratories, Inc., Maple Grove, MN 55369
References
1. Shanafelt TD, Barton DL, Adjei AA, Loprinzi CL. Pathophysiology and treatment of hot flashes. Mayo Clin Proc. 2002;77(11):1207-1218.
2. Hot Flashes. Listen to Your Body. http://www.drnorthrup.com/womenshealth/healthcenter/topic_details.php?topic_id=130. Accessed April 18, 2013.
3. Mayo Clinic. Hot Flashes: Definition. http://www.mayoclinic.com/health/hot-flashes/DS01143. Accessed April 18, 2013.
4. US Food and Drug Administration. Menopause and Hormones. http://www.fda.gov/ForConsumers/ByAudience/ForWomen/ucm118624.htm. Accessed April 18, 2013.
5. The North American Menopause Society. Menopause Guidebook. 7th ed. Mayfield Heights, OH: The North American Menopause Society; 2012.
(Reuters Health) - Despite evidence suggesting that women whose uterus has been removed may be more likely to experience heart troubles, a new study finds that the usual signs of heart disease risk are not more severe in middle-aged women after hysterectomy.
After following more than 3,000 women for about 11 years, researchers found that heart risk factors like cholesterol, markers of inflammation and blood pressure were not significantly worse in women in the years following an elective hysterectomy, compared to women who did not have the procedure.
"I think it's encouraging to women and clinicians that this is not something they have to worry about if they're considering hysterectomy (in) midlife," said Karen Matthews, the study's lead author from the University of Pittsburgh.
Hysterectomy, the surgical removal of the uterus, is the second most common surgery among U.S. women, after cesarean-section deliveries.
Often the procedure is used to remove or prevent cancer, especially among younger women. But many women may elect to have the surgery for other reasons, including to treat painful benign growths in the uterine wall known as fibroids or to staunch heavy bleeding.
Hysterectomies can involve removal of the uterus only, or the ovaries as well. Ovary removal in particular has been linked to increased cardiovascular risk because it takes away the main source of estrogen in a woman's body and plunges her abruptly into menopause.
Even the gradual decline of estrogen following natural menopause has been linked to women's increased heart risks, so researchers have investigated whether hysterectomy raises those risks.
But studies of the connection have produced mixed results (see Reuters Health story of April 27, 2011 here: reut.rs/1291uap).
For the new study, Matthews and her colleagues used data from the Study of Women's Health Across the Nation, which followed a large, multiethnic group for more than a decade to understand the experience of American women during and after menopause.
The 1,952 women included in the study were between 42 and 52 years old and not yet in menopause when tracking began. They were followed from 1996 through 2008, receiving annual checkups that recorded information about their health, surgeries and whether or not they had started menopause.
Specifically, the researchers looked at physical measurements that are markers for heart and cardiovascular disease. They included various components of cholesterol, blood pressure, blood clotting factors and molecules that are signals of inflammation.
Overall, the researchers report in the Journal of the American College of Cardiology that none of those measurements in the 183 women who chose to have their uterus removed - with or without their ovaries - were significantly worse, compared to the 1,769 women who went through menopause naturally.
Matthews said their findings apply to women who are finished having children, in their forties and are considering a hysterectomy to help with excessive bleeding or other factors that cause a quality of life problem.
She said they couldn't make a conclusion for women who need to have their uterus and ovaries removed because of cancer.
"Our study really couldn't examine that question because we had too few women who had gynecological cancers, and the equation changes when you have gynecological cancer," said Matthews.
But Dr. JoAnn Manson, who has researched women's health after hysterectomy but was not involved in the new study, suggested the results don't mean that women who have hysterectomies are in the clear, because past studies only saw a difference in heart risks after 10 to 15 years.
Manson, who is chief of preventive medicine at Brigham and Women's Hospital in Boston, told Reuters Health that the abrupt transition to menopause after a hysterectomy may only reverberate years later because "atherosclerosis takes a while to develop… That seems to take up to 10 and 15 years for clear differences to emerge."
For that reason, "This isn't totally surprising that there wasn't a difference in risk factors during the follow up period," Manson said.
Matthews said that's one potential explanation for why their results differ from previous studies, but she said there could be other reasons, including that modern women are somehow different from women included in past research.
"It may be that it's emerging much later, but I would be surprised," Matthews said.
SOURCE: bit.ly/11AIhhY Journal of the American College of Cardiology, online May 14, 2013.
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What Ingredients does Raspberry Ketone Force Contain?
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Does Raspberry Ketone Force Work?
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"Once the power of love overcomes the love of power, the world will know peace"
Oh-hey, I'm David Gomes. ♥
Health Geek and Fitness Freak ♥
David owns a
self-business, based just outside of CA. He loves to write on a variety
of topics such as weight loss, beauty and skin care for blogs and online
publications sites, also loves fashion and style best.
In his spare time,
when he's not writing, He enjoys watching action movies, listening
music, reading anything that comes into his hands and planning his dream
vacation. He also takes pleasure in riding bikes, likes to eat,
especially the fresh veggies and herbs.