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Are some painkillers safer for your heart than others?

Despite new research, the answer is unclear. Use caution when taking any pain medication on a routine basis.


Image: iStock

People with aching joints from arthritis—which affects nearly one in four adults—often rely on drugs known as NSAIDs to ease the pain of this often-debilitating condition. These popular medications also relieve headaches, cool fevers, and dampen inflammation. But with the exception of aspirin, most NSAIDs pose a risk to the cardiovascular system, notes Harvard professor Dr. Elliott Antman, a cardiologist at Brigham and Women's Hospital.

"Taking NSAIDs routinely over a long time period can raise the risk of blood clots, increase blood pressure, and accelerate cardiovascular disease," says Dr. Antman. While the danger is greatest in people with heart disease, it's also present in people without any signs of the disease.

For Valentine’s Day: More cheers for chocolate

Cocoa flavanols, which are plant-based nutrients found in cocoa beans, seem to have beneficial effects on risk factors for heart disease. 

Healthy lifestyle may ease genetic risk for heart disease

Lifestyle habits such as not smoking, avoiding obesity, exercising, and following a healthy diet may cut a person’s risk of heart disease in half, even if they have genes that put them at a high risk of cardiovascular disease. 

Any benefits to intermittent fasting diets?

Ask the doctor


Image: bopa/Thinkstock

Q. I have read about diets that involve fasting for one day, followed by normal eating for the rest of the week. Are there any benefits to this kind of diet??

A. Most diets achieve weight loss through the same equation—a reduction in total daily calories consumed in relation to the calories needed to maintain your weight.

Another way to think about dementia

Vascular dementia is a less prevalent type of memory loss that nonetheless affects many older men.


 Image: Mike Watson Images/Thinkstock

While Alzheimer's disease continues to be the most recognized type of dementia, older men should also be mindful about the second most common: vascular dementia.

In vascular dementia, memory problems result from damage to large and small blood vessels in the brain. It develops when cholesterol-clogged blood vessels can't deliver enough oxygen to the brain. Small blockages deprive some brain cells of oxygen, which causes a series of small strokes that kill brain cells. This can lead to episodes of confusion, slurred speech, and problems thinking or remembering.

The secret to an easier allergy season

Fighting back against tiny allergens before they strike can help you avoid or reduce symptoms.


Image: iStock

The spring allergy season begins next month, and if you want to avoid symptoms, you must act now. "Pretreating allergies will lead to better control of symptoms, and maybe prevent symptoms from showing up," says Dr. Ahmad Sedaghat, an ear, nose, and throat specialist at Harvard-affiliated Massachusetts Eye and Ear Infirmary.

Automatic defenses

When spring allergens—typically pollen from oak, elm, birch, poplar, or maple trees, depending on where you live—float through the air and reach the nose, the body sometimes overreacts. Mast cells in the lining of the nose mistake the harmless tree particles for dangerous invaders, and summon help by releasing chemicals such as histamine and tryptase, which then recruit more immune system cells to the battle.

Should I restrict calories for longevity?

Some potential medicines appear capable, in animals, of producing the same changes in body chemistry that calorie restriction does. 

Where the worst type of fat is hiding in supermarket foods

Trans fats are undeniably bad for health, and they're still in many foods.


 Image: GPointsStudio/Thinkstock

Lurking on supermarket shelves, within colorful, seemingly harmless packages, is something that can cause serious harm to your health: trans fat. "No amount of trans fat is acceptable, from a health standpoint," says registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.

About trans fat

Still a danger

Meanwhile, food manufacturers are allowed to use partially hydrogenated oils in their products, and so are restaurants. And if you're not savvy about reading Nutrition Facts labels, you may not detect the trans fat in your food. "The FDA doesn't require trans fat to be listed until there's a half gram or more per serving," explains McManus, "so the label may show zero grams of trans fat, even if a serving contains almost half a gram."

Are small amounts of trans fat dangerous? "It adds up, especially if you eat several foods with trans fat each day," says McManus. Based on FDA estimates, researchers at the CDC report it is possible that eliminating trans fats in the diet may prevent as many as 10,000 to 20,000 heart attacks and 3,000 to 7,000 deaths from heart disease each year.

Become a detective

What about other fats?

All fat is high in calories (nine calories per gram of fat, versus four calories per gram of carbohydrate, for example). A high-calorie diet can lead to weight gain, which can lead to chronic health problems.

An excess of saturated fats (such as those found in whole milk, butter, and red meat) can increase "bad" LDL cholesterol and lead to heart disease. Limit saturated fats to less than 7% of your total daily calories or less than 12 grams in a 1,500-calorie diet.

Some fats, within calorie limits, are good for you. Such "good" fats include monounsaturated fat (such as those in olive and canola oils, most nuts, peanut butter, and avocados) and polyunsaturated fat (for instance, in salmon, mackerel, walnuts, and safflower oil). Both are associated with lower LDL cholesterol and total cholesterol when substituted for saturated fats.

Surprising sources of trans fat that list 0 grams on the Nutrition Facts label

Product type

Brand

Identifying ingredient

Frozen fish fillets

Sea Cuisine Potato-Crusted Cod

Partially hydrogenated soybean oil

Coffee drink mix

Hills Bros. Double Mocha Cappuccino

Partially hydrogenated coconut oil

Breakfast cereal

Kellogg's Apple Jacks

Partially hydrogenated soy-bean and/or cottonseed oil

Seasoned bread crumbs

Vigo

One or more partially hydrogenated oils (soybean, cottonseed, corn, canola)

 

 

 

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