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Moderate Drinking Can Be Beneficial For Middle-Aged Women

Middle-aged women who drink alcohol moderately yet regularly throughout the week may age more healthfully, according to data from the Nurses’ Health Study.

Photo by  Sigfrid Lundberg via Flickr and a Creative Commons licenseAfter adjusting for variables such as smoking, women who drank light or moderate amounts of alcohol had a modestly increased chance of successful ageing compared to nondrinkers. For example, compared to nondrinkers, women who drank 5 to 15 g of alcohol per day (between one-third and one drink per day) at middle age had about a 20% higher chance of successful ageing, defined as being free of 11 major chronic diseases and having no major cognitive, physical or mental health limitations at age 70.

Independent of total alcohol intake, women who drank alcohol regularly had a better chance of successful ageing than occasional drinkers. Thus, compared to nondrinkers, women who drank five to seven days a week had nearly a 50% greater chance of successful ageing whereas women who drank only one or two days a week had a similar likelihood of successful ageing.

Researchers measured alcohol consumption at midlife using Read more »

*This blog post was originally published at ACP Internist*

Preventive Effects Of Aspirin Compared To Outcomes Of Major Bleeding

aspirin by foolsplay07 via Flickr and a Creative Commons license

Treating 1,000 people with preventive aspirin for five years prevents 2.9 major cardiovascular events (nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death) and causes 2.8 major bleeds, according to a meta-analysis.

Nine primary prevention trials compared results for aspirin alone for the primary prevention of cardiovascular disease, and reported data on myocardial infarction, stroke and cardiovascular deaths. Aspirin doses ranged from 100 mg every other day to 500 mg/d, and seven of them studied doses from 75 mg/d to 162.5 mg/d. No dose-dependent effects were noted, the researchers said. Results appeared in the July issue of the American Heart Journal.

A total of 2,029 major cardiovascular events occurred among 52,145 (3.86%) patients allocated to aspirin compared with 2,099 major cardiovascular events among 50,476 (4.16%) patients assigned to placebo or control. Over a mean follow-up of nearly 7 years, aspirin was Read more »

*This blog post was originally published at ACP Internist*

Does Your Doctor Look Up Information Online In Front Of You?

Nearly three-quarters of survey respondents said they look up information online in front of a patient sometimes or often, and another 11% said they do when absolutely needed. Only 13% deliberately avoid it.

ACP Internist polled its readers in relation to its story on computers in medicine, in which it focused on whether doctors should look up information in front of a patient. From this, 362 readers responded in August that: Read more »

*This blog post was originally published at ACP Internist*

Psychiatrist Suggests More Active Treatment For Major Depression

Most patients with major depression require a second medication. A psychiatrist suggests that exercise could fulfill that need, too.

Because most patients with major depression don’t fully respond to just one drug, it’s common to try a second drug or cognitive behavioral therapy. But the rate of non-response in this group is prompting researchers to look for an intervention that most patients could do and that would add to current therapies.

Moderate and intense levels of daily exercise can work as well as administering a second antidepressant drug, as long as Read more »

*This blog post was originally published at ACP Internist*

Chocolate’s Effect On Your Health: The Good, The Bad, And The Ugly

Eating a lot of chocolate was associated with a 37% reduction in cardiovascular disease and a 29% reduction in stroke compared eating less, researchers reported. But, people are trending toward record obesity by the year 2030, which is a cardiometabolic risk in its own right.

Chocolate Melting by peter pearson via Flickr and a Creative Commons license

Willie Wonka’s factory wasn’t the only risky place for those with a sweet tooth.

In the first study, to evaluate the association of chocolate with the risk of developing cardiometabolic disorders, researchers performed a meta-analysis of randomized trials, six cohort and one cross-sectional, which reported the association between chocolate and the risk of cardiovascular disease (coronary heart disease and stroke), diabetes, and metabolic syndrome for about 114,000 people.

Because the studies reported chocolate consumption differently, researchers Read more »

*This blog post was originally published at ACP Internist*

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