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Heavy Workouts Not Linked to High Mortality

A US prospective observational study showed that high levels of physical activity are associated with prevalent coronary artery calcification (CAC) but are not associated with increased all-cause or cardiovascular disease (CVD) mortality after a decade of follow-up, even in the presence of clinically significant CAC levels. The study included 21 […]


Optimal Duration of Cardiac Monitoring Following Syncope

A prospective Canadian cohort study suggested that serious underlying arrhythmia was often identified within the first 2-hours of emergency department (ED) arrival for low-risk patients, and within 6-hours for medium- and high-risk patients. Outpatient cardiac rhythm monitoring for 15-days for selected medium-risk patients and all high-risk patients discharged from the […]


Blood Neurofilament Light Chain, a Biomarker of Neurodegeneration

A cohort study revealed that blood neurofilament light chain (NfL) changes predict disease progression and brain neurodegeneration more than a decade before the onset of familial Alzheimer’s disease (AD). The study included 243 participants with an early-onset genetic variant known to cause dominantly inherited AD and 162 unaffected relatives as […]


Dietary Fiber Linked to Health

A  series  of  systematic  reviews  and  meta-analyses  of  prospective  studies  and  randomized  controlled  trials with relatively high intakes of dietary fiber and whole grains revealed complementary findings, and striking dose-response evidence indicates that the relationships to several non-communicable diseases could be causal. The analyses included about 135 million person-years of […]


Genetics May Influence the Effects of Vitamin E

A US study suggested that genetic variations may be at play with vitamin E, increasing cancer risk in some individuals while decreasing risk for others. Multiple pathways may link the enzyme catechol-O-methyltransferase (COMT) to the vitamin E supplement, alpha-tocopherol, and cancer. The most extensively studied variant in COMT comes in […]


More Warnings with Fluoroquinolones

A U.S. Food and Drug Administration (FDA) review found that fluoroquinolone antibiotics can increase the occurrence of rare but serious events of ruptures or tears in the main artery of the body, so called aortic dissections or aneurysm. Systemic use given by mouth or through an injection of fluoroquinolones should […]


Exercise Lowered High Blood Pressure

A network meta-analysis of 391 randomized controlled trials (RCTs) confirmed modest but consistent reductions in systolic blood pressure (SBP) in many studied exercise interventions across all populations but individuals receiving medications generally achieved greater reductions than those following structured exercise regimens. The analysis included 197 RCTs of exercise interventions (10 461 […]


Red Meat Increases Trimethylamine N-oxide

An US randomized crossover study showed that chronic dietary red meat increases systemic trimethylamine N-oxide (TMAO) levels through enhanced dietary precursors, increased microbial trimethylamine (TMA)/TMAO production from carnitine, but not choline, and reduced renal TMAO excretion. Discontinuation of dietary red meat reduces plasma TMAO within 4 weeks. There were 113 healthy […]


Sleep Pattern Matters

A prospective global cohort study suggested that total sleep duration of 6–8 h per day is associated with the lowest risk of deaths and major cardiovascular events (MCEs). Daytime napping is associated with increased risks of MCEs and deaths in those with >6 h of nighttime sleep but not in those sleeping […]


Colorectal Adenomas Prevention with Aspirin and EPA?

An UK multicenter, randomized, double-blind, placebo-controlled trial suggests that aspirin and omega-3 polyunsaturated fatty acid eicosapentaenoic acid (EPA) might have chemopreventive effect on colorectal adenomas. Between Nov 11, 2011, and June 10, 2016, 709 patients aged 55–73 years who were identified during colonoscopy as being at high risk were randomly […]