Garlic 'remedy for hypertension'

Garlic may be useful in addition to medication to treat high blood pressure, a study suggests.

Australian doctors enrolled 50 patients in a trial to see if garlic supplements could help those whose blood pressure was high, despite medication.

Those given four capsules of garlic extract a day had lower blood pressure than those on placebo, they report in scientific journal Maturitas.

The British Heart Foundation said more research was needed.

Garlic has long been though to be good for the heart.

Garlic supplements have previously been shown to lower cholesterol and reduce high blood pressure in those with untreated hypertension.

In the latest study, researchers from the University of Adelaide, Australia, looked at the effects of four capsules a day of a supplement known as aged garlic for 12 weeks.

They found systolic blood pressure was around 10mmHg lower in the group given garlic compared with those given a placebo.

Researcher Karin Ried said: "Garlic supplements have been associated with a blood pressure lowering effect of clinical significance in patients with untreated hypertension.

"Our trial, however, is the first to assess the effect, tolerability and acceptability of aged garlic extract as an additional treatment to existing antihypertensive medication in patients with treated, but uncontrolled, hypertension."

Experts say garlic supplements should only be used after seeking medical advice, as garlic can thin the blood or interact with some medicines.

Ellen Mason, senior cardiac nurse at the British Heart Foundation, said using garlic for medicinal purposes dates back thousands of years, but it is essential that scientific research proves that garlic can help conditions such as raised blood pressure.

She said: "This study demonstrated a slight blood pressure reduction after using aged garlic supplements but it's not significant enough or in a large enough group of people to currently recommend it instead of medication.

"It's a concern that so many people in the UK have poorly controlled blood pressure, with an increased risk of stroke and heart disease as a consequence. So enjoy garlic as part of your diet but don't stop taking your blood pressure medication."

Iron in Coronary Artery Plaque Is a Marker of Heart Attack Rick

Newswise — Plaque in a heart artery looks threatening, but cardiologists know that many of these buildups will not erupt, dislodge and block a vessel, causing a heart attack that can be fatal. Some will, however, and the challenge is to figure out atherosclerotic plaque that is dangerous and treat or remove it.

Now, researchers at Mayo Clinic have shown that iron, derived from blood, is much more prevalent in the kind of plaque that is unstable and is thus more likely to promote a myocardial infarction (MI) - heart attack - and possibly sudden death.

The team of researchers has demonstrated through a variety of experiments that iron buildup may be suitable as a marker of risk for a future MI, they reported today at the American Heart Association’s Scientific Sessions 2010 in Chicago.

For example, they have found that Dual Energy Computed Tomography (DECT) and three-dimensional computerized tomography (CT) micro scans can detect excess iron in plaque, thus holding promise that in the future a scanning device might be able to noninvasively detect dangerous plaque formations in patients.

“We know that 70 percent of heart attacks are caused by unstable plaque, so what we really need for our patients is a way to identify the plaque that turns evil and puts them at jeopardy,” says cardiologist Birgit Kantor, M.D., the study’s lead researcher. “The scans we use now just show narrowing of heart arteries from plaque buildup but that doesn’t tell us if the plaque inside those vessels walls is imminently dangerous.”

“We think it is possible, based on these findings, to use iron as a natural marker for risk,” she says. Dr. Kantor predicts that probably 5-10 years will pass before novel diagnostic scanners to identify these plaques become available in cardiology clinics.

Testing iron as a marker in human arteries

Excess iron in atherosclerotic plaque was noticed decades ago, but little research followed up on that observation, Dr. Kantor says. “The hypothesis then was that iron was the poison that created the plaque, but that was never proven and is in fact unlikely.”

Cardiologists now know that plaque can be classified as stable or unstable. Mayo Clinic researchers believe that the amount of iron in the plaque can be seen as a “readout” of prior hemorrhagic, or bleeding, events that put a person at risk for plaque eruption.

In normal heart arteries, small blood vessels known as vasa vasorum bring nutrients to the vessel wall, and when plaque starts to build up inside the artery wall, some of these tiny vessels grow as well to feed them. These vessels can rupture, depositing iron, a component of blood, into the growing plaque. This unstable plaque, which has a large core of dead cells covered by a thin fibrous cap, can eventually rupture, forming a big blood clot that can shut down a heart artery.

“This kind of plaque can bleed and heal, bleed and heal, depositing iron into the buildup,” Dr. Kantor says. “This plaque is at risk of breaking up and causing a heart attack.”

To conduct this study, the researchers used samples from a unique Mayo Clinic biobank of heart arteries collected over time from autopsies of 400 patients who died from a suspected heart attack. Small sections (1–1.5 inches) from the three main coronary arteries of each patient have been preserved.

In this study, pathologists examined 97 artery samples and separated them into stable and unstable groups based on their appearance under a microscope (dead zones and fiber cap). They classified 31 plaques as stable, 24 as “vulnerable,” and 22 as normal and then linked them to patient clinical records to see which patients died from a heart attack.

Then Yu Liu, M.D., Ph.D., the study’s first author, applied a stain to the samples to detect iron content. She found iron content in the unstable plaque group was significantly higher than in the other groups. Iron was absent in normal arteries.

In a third step, the researchers scanned a subset of the artery segments using a benchtop micro-CT scanner, and created 3-D images to look for iron deposits in plaque. The CT could identify iron in plaque without the need for staining. “There was a high correlation between the vulnerability of the plaque and the quantity of iron in it,” says Dr. Kantor.

Still, non-invasive imaging for plaque does not yet have the necessary resolution to differentiate high risk from low risk plaque in patients, she says, and so the research team is testing other imaging modalities such as photon counting that can overcome these barriers.

Vitamin C: A potential life-saving treatment for sepsis

Physicians caring for patients with sepsis may soon have a new safe and cost-effective treatment for this life-threatening illness. Research led by Dr. Karel Tyml and his colleagues at The University of Western Ontario and Lawson Health Research Institute have found that vitamin C can not only prevent the onset of sepsis, but can reverse the disease.

Sepsis is caused by a bacterial infection that can begin anywhere in your body. Your immune system goes into overdrive, overwhelming normal processes in your blood. The result is that small blood clots form, blocking blood flow to vital organs. This can lead to organ failure. Babies, the elderly and those with weakened immune systems are most likely to get sepsis. But even healthy people can become deathly ill from the disease.

According to Dr. Tyml, a professor at Western's Schulich School of Medicine & Dentistry, patients with severe sepsis have a high mortality rate, nearly 40 percent, because there is no effective treatment.

"There are many facets to sepsis, but the one we have focused on for the past 10 years is the plugging of capillaries," says Dr. Tyml. Plugged capillaries prevent oxygenation and the supply of life-supporting materials to your organ tissue and stop the removal of metabolic waste product. Plugged capillaries are seen in organs of septic patients. These organs may eventually fail, leading to multiple organ failure and death. Dr. Tyml's lab was the first to discover this plugging by using intravital microscopy, a technique Dr. Tyml pioneered in Canada.

According to Dr. Tyml's most recent publication, oxidative stress and the activated blood clotting pathway are the major factors responsible for the capillary plugging in sepsis. Through his research, Dr. Tyml has discovered that a single bolus of vitamin C injected early at the time of induction of sepsis, prevents capillary plugging. He has also found that a delayed bolus injection of vitamin C can reverse plugging by restoring blood flow in previously plugged capillaries.

"Our research in mice with sepsis has found that early as well as delayed injections of vitamin C improves chance of survival significantly," explains Dr. Tyml. "Furthermore, the beneficial effect of a single bolus injection of vitamin C is long lasting and prevents capillary plugging for up to 24 hours post-injection."

Dr. Tyml and his colleagues are eager to find appropriate support to move this research from the bench to the bedside to see if these findings translate to patients with sepsis.

The potential benefit of this treatment is substantial. "Vitamin C is cheap and safe. Previous studies have shown that it can be injected intravenously into patients with no side effects," says Dr. Tyml. "It has the potential to significantly improve the outcome of sepsis patients world-wide. This could be especially beneficially in developing countries where sepsis is more common and expensive treatments are not affordable."

Alcohol Damages Much More Than The Liver

Newswise — Alcohol does much more harm to the body than just damaging the liver. Drinking also can weaken the immune system, slow healing, impair bone formation, increase the risk of HIV transmission and hinder recovery from burns, trauma, bleeding and surgery.

Researchers will release the latest findings on such negative effects of alcohol during a meeting Nov. 19 of the Alcohol and Immunology Research Interest Group at Loyola University Medical Center.

At Loyola, about 50 faculty members, technicians, post-doctoral fellows and students are conducting alcohol research. Studies at Loyola and other centers could lead to therapies to boost the immune system or otherwise minimize the effects of alcohol, said Elizabeth J. Kovacs, PhD, director of Loyola's Alcohol Research Program and associate director of Loyola's Burn & Shock Trauma Institute.

"Of course, the best way to prevent the damaging effects of alcohol is to not drink in the first place," Kovacs said. "But it is very difficult to get people to do this."

Sessions at the conference include Alcohol and Infection, Alcohol and Oxidative Stress and Alcohol and Organ Inflammation. Findings will be presented by researchers from centers around the country, including Loyola, Cleveland Clinic, University of Iowa, University of Colorado, University of Massachusetts, Mississippi State University, Chicago State University and the National Institute on Alcohol Abuse and Alcoholism (NIAAA).

The conference is supported by Loyola's Alcohol Research Program and Department of Surgery at Loyola University Chicago Stritch School of Medicine, the Society for Leukocyte Biology and the NIAAA.

Exercise May Reduce Rick of Edometrial Cancer

Newswise — Women who exercise for 150 minutes a week or more may see a reduced risk of endometrial cancer, despite whether or not they are overweight, according to data presented at the Ninth Annual AACR Frontiers in Cancer Prevention Research Conference, held here Nov. 7-10, 2010.

“This study is consistent with other studies that strongly support the association between physical activity and lower risk of endometrial cancer,” said Hannah Arem, a doctoral student at Yale School of Public Health.

Arem and colleagues examined data collected from a case-control study led by Herbert Yu, M.D., M.Sc., Ph.D., associate professor at Yale School of Public Health. The study included 668 women with endometrial cancer and compared them to 665 age-matched control women.

Those who exercised for 150 minutes a week or more had a 34 percent reduced risk of endometrial cancer compared with those women who were inactive.

This association was more pronounced among active women with a body mass index (BMI) less than 25, or underweight women, where the reduction in risk was 73 percent compared with inactive women with a BMI more than 25, or what is commonly considered overweight.

Although BMI showed a strong association with endometrial cancer, even women who were overweight, but still active, had a 52 percent lower risk.

“Clearly, programs should be in place to increase the level of physical activity in women,” said Arem.

Eating vegetables, seafood may cut breast cancer risk - study

The National Breast Cancer Awareness Month or the pink month, which is October, does not seem over yet. We continue to publish reports on new research to help readers to understand how a healthy diet or lifestyle may modify the risk of breast cancer.

A new study published in the Nov 2010 issue of Nutrition and Cancer suggests eating lots of vegetables and seafood may reduce risk of breast cancer in women.

The study led by Cho Y.A. and colleagues of the National Cancer Center in Goyang-si, Gyeonggi-do, South Korea found an inverse association between a vegetable-seafood pattern and breast cancer risk.

The researchers analyzed dietary data from 357 Korean women with breast cancer and 357 age-matched controls to determine the association between dietary patterns and breast cancer risk and the effect of menopause and hormone receptor statuses on the association.

They identified two dietary patterns, vegetable-seafood and meat-starch pattern after analysis of 39 food groups surveyed via a food frequency questionnaire.

Using multivariate logistic regression, Cho et al. found those who ate highest amounts of vegetables and seafood were 86 percent less likely to be diagnosed with breast cancer, compared with those with the lowest intake.

However, there was no association between meat-starch pattern and breast cancer risk.

The researchers also found the correlation between dietary patterns and beast cancer risk was not affected by the menopausal status and combined hormone receptor status.

They concluded that a diet high in vegetables and seafood is linked with decreased risk of breast cancer in Korean women.

Many other studies have associated intake of vegetables with reduced risk of breast cancer. Although the study results may also be applicable to women in other ethnic groups, the protection may vary.

Breast cancer is diagnosed in more than 175,000 women and kills about 50,000 each year in the United States, according to the National Cancer Institute. The disease is expected in one in seven women in their lifetime.

The National Breast Cancer Awareness Month is an annual campaign organized by interest groups and drug companies to encourage women to receive breast cancer screening.

Chocolate eaters may have healthier hearts: study

(Reuters Health) - Older women who eat more chocolate are less likely to develop heart problems over a nearly 10-year-period, new study findings report.

The authors found that women older than 70 who ate chocolate at least once per week were 35 percent less likely to be hospitalized or die from heart disease over the course of the study, and nearly 60 percent less likely to be hospitalized or die from heart failure.

What's nice, study author Dr. Joshua Lewis told Reuters Health, is that women did not have to eat a ton of chocolate to see benefits.

"We would therefore caution against people eating foods with high sugar and fat regularly and believe our findings support moderate rather than frequent chocolate consumption," said Lewis, based at Sir Charles Gairdner Hospital in Australia.

But it is probably too early to begin recommending people eat more chocolate, cautioned Dr. Brian Buijsse at the German Institute of Human Nutrition, who did not participate in the study. And even if additional large studies confirmed its benefits, doctors still may not want to prescribe chocolate, he added.

"The danger is that many people will start eating more of it than is necessary, without cutting back in calories from other snacks, which will result in weight gain and will counteract any beneficial effects of chocolate," Buijsse said.

This is not the first study to tout chocolate's potential benefits: in 2008, Italian researchers found that eating dark chocolate regularly may help lower levels of inflammation, which is strongly associated with heart and blood vessel disease.

The previous year, another study showed that foods rich in antioxidants known as flavonoids - including dark chocolate and apples and red wine -- may help shield postmenopausal women from coronary heart disease, cardiovascular disease and stroke.

Flavonoids are thought to reduce the risk of heart disease, the leading cause of death in many industrialized countries, by helping to increase nitric oxide, which in turn helps boost the functioning of blood vessels and lower blood pressure.

To investigate further, the authors reviewed data collected from 1216 older women, who estimated how often they ate chocolate, and the amount. One serving consisted of the equivalent amount of cocoa in 1 cup of hot cocoa. The authors tracked the women for almost a decade, noting who was hospitalized or died from heart disease.

Roughly half of the women said they ate less than one serving of chocolate per week. Nearly 90 of those who ate chocolate rarely were hospitalized or died from heart disease during the study period, versus 65 women who ate chocolate more frequently.

Another 35 of the infrequent consumers experienced heart failure, while only 18 women who reported eating chocolate at least once per week were hospitalized or died from the same condition, the authors report in the Archives of Internal Medicine.

Although they grouped women who ate chocolate daily and weekly together, the authors also looked at each separately, and found that both appeared to fare equally well, suggesting that only one serving per week might suffice to get heart benefits.

The study's nature means researchers can't prove any cause-effect relationship. Given the growing body of evidence suggesting the benefits of chocolate, the next step should be a large clinical trial that vigorously tests chocolate's benefits, Lewis said in an e-mail.

Buijsse agreed that more research is needed, in part because other factors in the current study may explain its results. For instance, he said in an e-mail, elderly women with early signs of heart disease may have reduced their chocolate intake, perhaps because their doctors told them to adopt a healthy diet.

"For now, I would say that if people want to eat chocolate to improve their health, they should keep it to low amounts and replace it for other energy-dense snacks," Buijsse said

Dr Kevin Lau in November issue of Shape Magazine

Health In Your Hands - Your Plan for Natural Scoliosis Prevention and Treatment

The central premise of my book is how to diagnosis and correct scoliosis non- invasively at any stage in order to arrest it progress before it’s too late.

Scoliosis, is a widespread condition in the world. According to available statistics, the spinal disorder, that leads to an curvature of the spine, strikes nearly two to three percent of all adolescents and becomes noticeable between the age of 10 and 15, when an adolescent is very image conscious.

Nearly, one in 10 Singaporeans suffers from lumbar scoliosis, according to a recent study conducted by a team of spine surgeons led by Professor Wong Hee Kit, chairman of the Orthopedics and Hand & Reconstructive Microsurgery Cluster at the National University Health System (NUHS). Worse, the study also revealed that the condition is 1.6 times more prevalent in women and that it occurs twice more often in Chinese and Malays than in Indians.
Conventional scoliosis treatment involves braces that patients have to wear passively through the day; while surgical procedures carry significant, other risks. My book in contrast draws heavily upon my own experiences as a Chiropractor and Nutritionist, and how I have helped hundreds of scoliosis patients with nothing more elaborate than a highly customized nutritional plan and a structured exercise/stretch program that I’ve explained at length with illustrations in this book.

Among other things, the book explains in simple, layman's language the anatomy and functioning of of the human spine and its relationship to food and exercise. The book is based is painstaking research collected over years of practice with scoliosis patients of all demographics. Testimonials of some of these patients are also appended in the book.

It's my firm conviction that this book will prove a valuable informational resource to the parents, who have children afflicted with scoliosis, as well as adults who suffer from the condition.

Vitamin D Deficit Doubles Risk of Stroke in Whites, but Not in Blacks, Study Finds

Low levels of vitamin D, the essential nutrient obtained from milk, fortified cereals and exposure to sunlight, doubles the risk of stroke in whites, but not in blacks, according to a new report by researchers at Johns Hopkins.

Stroke is the nation's third leading cause of death, killing more than 140,000 Americans annually and temporarily or permanently disabling over half a million when there is a loss of blood flow to the brain.

Researchers say their findings, to be presented Nov. 15 at the American Heart Association's (AHA) annual Scientific Sessions in Chicago, back up evidence from earlier work at Johns Hopkins linking vitamin D deficiency to higher rates of death, heart disease and peripheral artery disease in adults.

The Hopkins team says its results fail to explain why African Americans, who are more likely to be vitamin D deficient due to their darker skin pigmentation's ability to block the sun's rays, also suffer from higher rates of stroke. Of the 176 study participants known to have died from stroke within a 14-year period, 116 were white and 60 were black. Still, African Americans had a 65 percent greater likelihood of suffering such a severe bleeding in or interruption of blood flow to the brain than whites, when age, other risk factors for stroke, and vitamin D deficiency were factored into their analysis.

"Higher numbers for hypertension and diabetes definitely explain some of the excess risk for stroke in blacks compared to whites, but not this much risk," says study co-lead investigator and preventive cardiologist Erin Michos, M.D., M.H.S., an assistant professor at the Johns Hopkins University School of Medicine and its Heart and Vascular Institute. "Something else is surely behind this problem. However, don't blame vitamin D deficits for the higher number of strokes in blacks."

Nearly 8,000 initially healthy men and women of both races were involved in the latest analysis, part of a larger, ongoing national health survey, in which the researchers compared the risk of death from stroke between those with the lowest blood levels of vitamin D to those with higher amounts. Among them, 6.6 percent of whites and 32.3 percent of blacks had severely low blood levels of vitamin D, which the experts say is less than 15 nanograms per milliliter.

"It may be that blacks have adapted over the generations to vitamin D deficiency, so we are not going to see any compounding effects with stroke," says Michos, who notes that African Americans have adapted elsewhere to low levels of the bone-strengthening vitamin, with fewer incidents of bone fracture and greater overall bone density than seen in Caucasians.

"In blacks, we may not need to raise vitamin D levels to the same level as in whites to minimize their risk of stroke" says Michos, who emphasizes that clinical trials are needed to verify that supplements actually do prevent heart attacks and stroke. In her practice, she says, she monitors her patients' levels of the key nutrient as part of routine blood work while also testing for other known risk factors for heart disease and stroke, including blood pressure, glucose and lipid levels.

Michos cautions that the number of fatal strokes recorded in blacks may not have been statistically sufficient to find a relationship with vitamin D deficits. And she points out that the study only assessed information on deaths from stroke, not the more common "brain incidents" of stroke, which are usually non-fatal, or even mini-strokes, whose symptoms typically dissipate in a day or so. She says the team's next steps will be to evaluate cognitive brain function as well as non-fatal and transient strokes and any possible tie-ins to nutrient deficiency.

Besides helping to keep bones healthy, vitamin D plays an essential role in preventing abnormal cell growth, and in bolstering the body's immune system. The hormone-like nutrient also controls blood levels of calcium and phosphorus, essential chemicals in the body. Shortages of vitamin D have also been tied to increased rates of breast cancer and depression in the elderly.

Michos recommends that people maintain good vitamin D levels by eating diets rich in such fish as salmon and tuna, consuming vitamin-D fortified dairy products, and taking vitamin D supplements. She also promotes brief exposure daily to the sun's vitamin D-producing ultraviolet light. And to those concerned about the cancer risks linked to too much time spent in the sun, she says as little as 10 to 15 minutes of daily exposure is enough during the summer months.

If vitamin supplements are used, Michos says that daily doses between 1,000 and 2,000 international units are generally safe and beneficial for most people, but that people with the severe vitamin D deficits may need higher doses under close supervision by their physician to avoid possible risk of toxicity.

The U.S. Institute of Medicine (IOM) previously suggested that an adequate daily intake of vitamin D is between 200 and 600 international units. However, Michos argues that this may be woefully inadequate for most people to raise their vitamin D blood levels to a healthy 30 nanograms per milliliter. The IOM has set up an expert panel to review its vitamin D guidelines, with new recommendations expected by the end of the year. Previous results from the same nationwide survey showed that 41 percent of men and 53 percent of women have unhealthy amounts of vitamin D, with nutrient levels below 28 nanograms per milliliter.

Funding for this study was provided by the American College of Cardiology and the P.J. Schafer Cardiovascular Research Fund.