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After hospitalization for heart disease: Avoid opioid drugs?

Research we're watching

People with heart disease who leave the hospital with a prescription for opioids may be more likely to miss follow-up care than those not prescribed opioids, a new study finds.

The study included nearly 2,500 people (mostly white men with an average age of 60) who were discharged from a university medical center after a heart attack or sudden heart failure. One in five were prescribed the powerful pain relievers known as opioids. Those people were less likely to follow up with their health care provider or to participate in cardiac rehabilitation than those not prescribed opioids.

Diabetes? Go nuts to lower your heart risk

Research we're watching

A near-daily serving of nuts may lower the risk of cardiovascular disease in people with type 2 diabetes, new research suggests. The study, published online February 19 by Circulation Research, relied on diet surveys from more than 16,000 people before and after they were diagnosed with type 2 diabetes, a condition that elevates the risk of heart disease. Researchers asked them about their nut-eating habits over a period of several years. People who ate five servings of nuts per week had a 17% lower risk of cardiovascular disease compared with those who ate less than a serving per week.

Chock full of unsaturated fat, fiber, and minerals, nuts can help control blood sugar, blood pressure, and cholesterol. Tree nuts, which include walnuts, almonds, and pistachios, seemed to offer the strongest benefits in the study. Peanuts, which aren't technically nuts but legumes, weren't quite as healthy. While this study can't prove cause and effect, eating a small handful of unsalted nuts on most days will likely help your heart, even if you don't have diabetes.

Can blood pressure medications interfere with my sex drive?

On call

Q. I know that erectile dysfunction can be a common side effect of blood pressure medications, but can they also lower my sex drive?

A. Sexual issues are a side effect of many medications, including ones prescribed to lower blood pressure. You're correct that erectile dysfunction (ED) is mentioned most frequently. But blood pressure medicines also can decrease sexual drive or make it more difficult to reach orgasm.

Get healthy for vacation

Don't neglect healthy habits when planning your summer travels.

Before you leave for summer vacation, don't forget to pack some good health.

"While you should follow healthy habits year-round, you should give extra attention to certain areas when you travel, since you are often more active than usual," says Dr. Wynne Armand, a primary care physician at Harvard-affiliated Massachusetts General Hospital.

Eating more ultra-processed foods may shorten life span

In the journals

Need another reason to monitor your intake of ultra-processed foods? Cutting down on your amounts could help you live longer.

In an observational study published online Feb. 11, 2019, by JAMA Internal Medicine, almost 45,000 adults ages 45 and older completed several dietary assessments over a two-year period. On average, ultra-processed foods made up about 15% of their daily diet as measured in grams.

Taking osteoporosis drugs shouldn't prevent you from getting oral surgery

A drug holiday is one recommendation to reduce the risk of a rare bone condition that affects the jaw.

A dentist refers a woman to an oral surgeon because she needs a tooth pulled. But upon reviewing her chart, the oral surgeon turns her away.

The reason? She's taking a common medication to treat her osteoporosis, a condition that causes bones to become thin, brittle, and prone to fracture.

Fried foods linked to earlier death

Healthier options, such as baking, can offer similar taste without the health drawbacks.

Fried foods are crunchy, crispy, and tasty, but as tempting as they are, eating them too often might shave years off your life.

A study published online January 23 by The BMJ found that women who ate one or more servings of fried chicken daily were 13% more likely to die prematurely from any cause and 12% more likely to die from heart-related causes than women who didn't eat any fried food.

Phytonutrients: Paint your plate with the colors of the rainbow

Phytonutrients in fruits and vegetables can protect us from chronic diseases if we eat enough of them. Because different produce contains different phytonutrients, consuming as much of a variety as possible is the best way to benefit from this protection.

Eating breakfast won’t help you lose weight, but skipping it might not either

Eat breakfast? Skip breakfast? Newer research fails to link eating breakfast with eating less or weight loss. So, will skipping breakfast shave off weight?

By the way, doctor: Does carbonated water harm bones?

ARCHIVED CONTENT: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date each article was posted or last reviewed. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Q. I've heard that club soda, seltzer water, and sparkling mineral waters rob the bones of calcium. Is this true?

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