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Health is Easy to Reach - Know Before You Decide

 
Medicine is to heal from the inside

Childhood obesity as a Risk factor for Cardiovascular disease

How big is the problem?
Obesity itself is a medical condition in which excess body fat accumulated to the extent and it may have effect to the heart. Early obesity alone, is linked to certain abnormalities in the blood that can predispose individuals to developing cardiovascular disease early in adulthood.

Based on US government statistics, almost 32% of US nation's children and adolescents are obese or overweight. Of that 32%, 20% of kids 6- to 11-years-old and 18% of those between 12 and 19 are actually obese.
Or in the other words is the obese children are quite large in numbers.


The upward shifts in population body-fat distributions. Shown, by the increase in obesity has been particularly marked in children. There is strong evidence that adult obesity is a risk factor for atherosclerotic disease, cardiovascular events, and cardiac dysfunction, and partly a consequence of its strong association with the risk of developing type 2 diabetes. Until now, cardiovascular's disease is the leading cause of death in the world, not only death but also cause significant numbers of morbidity.

Raising in childhood obesity, gives a substantial challenges for clinicians and those concerned with public health. It maybe related to widespread decline in physical activity and energy expenditure, without a compensatory decline in dietary energy intake. As an example: the usage of motorized transport has replaced physical modes of transport such walking and cycling. Also, calorie density of many foods and drinks, make calorie intake excess the daily needs. As result, accumulation body fat can't be avoided.
Sedentary lifestyle


Health effects
Obesity is associated with cardiovascular disease and also metabolic syndrome.
Childhood obesity, it will cause a widespread increase in body fat from early life, so it increases the burden of obesity of longer duration, and will lead to certain circumstances such greater risk of cardiovascular disease.

Childhood obesity carries a greatly increased risk of adult obesity, which is likely to be accentuated as adult obesity prevalence increases.
Adult obesity investigations may find out several informations about health behaviors, diet and exercise from childhood period.
Obese children

Childhood obesity has the same effects on the cardiovascular system as adult obesity but the changes occurs earlier., including impaired endothelial function, diminished arterial distensibility, adverse changes in intimamedia thickness and increased risk of atherosclerosis.

From Health Central study, obese children experienced fatty deposits in their arteries earlier by age of 7, and developed stages of arteries hardening in their teens. This may become the first generation of kids whose life expectancy will be shorter than those of their parents.

American Heart Association found in 2008, that obese children and teens or have high cholesterol have the thickness of artery walls as 45-year-olds. The researchers at Nemours Children's Clinic in Jacksonville, Florida also found that obese children are showing higher levels of the clotting factor fibrinogen, as well as ten times higher levels of the inflammation marker C-reactive protein as early as age seven.

In summary, that obese children as young as seven, are at an increased risk of cardiovascular disease, even before others medical condition appears such as metabolic syndrome.

Suggestions
From those findings, we need to do more aggressive interventions for weight control in obese children, even for those who do not have the co-morbidities of the metabolic syndrome.

In the last two decades, we have seen a drop in mortality from cardiovascular disease attributed to better risk factors control. Such as cigarette smoking prohibition, aggressive treatment of high cholesterol and blood pressure and improvements in diagnosis and treatment modalities.
However, that increasing levels of obesity, type 2 diabetes, insulin resistance and metabolic syndrome components will reverse the current favorable mortality trends. Moreover, the current social distribution of obesity, which is more prevalent in lower social groups, suggests that the increasing importance of obesity as a determinant of cardiovascular risk could exacerbate social inequalities in cardiovascular disease in the West.
obese person

American Academy of Pediatrics develops a simple steps known as the 5, 2, 1, 0 plan, in order to prevent childhood obesity and take care of obese children.

• 5: Eat at least five fruits and vegetables a day.

• 2: Limit screen time (TV, video games, computer) to two hours or less a day.

• 1: Get one hour or more of physical activity a day.

• 0: Drink fewer sugar-sweetened beverages.

But, for more complete evaluations and solutions about childhood obesity, you can contact your doctor.
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When to Drink Blood Pressure Drugs?

High Blood Pressure
Hypertension has been increasing in incidence, recently. About one in every four adults, around 50 million people in the USA alone have high blood pressure. But many people are unaware that they have the condition. Because it doesn't cause significant symptoms.

Just like what i had been described in my previous post, untreated chronic hypertension can lead to heart disease and stroke. And those are the first and third commonest causes of death in the USA. Hypertension can also damage the kidneys and increase the risk of blindness and dementia. That is why hypertension is referred to as a "silent killer."
measuring blood pressure

In reading of blood pressure, Systolic pressure is the first number in a blood pressure reading and is an indicator of blood pressure when the heart contracts. The second number, the diastolic pressure, reflects pressure when the heart relaxes between beats.

High blood pressure also associates with other major disease such as diabetes and high levels of cholesterol and them, amplify the risk of heart attack and stroke. Changes in lifestyle can therefore help us achieve blood pressure goals besides early treatment.

Treatment for hypertension must begin as early as possible to prevent organ damage and the target of hypertension based on the latest recommendation is at the lowest level possible without any complication related to low blood pressure.
Taking Pills

Time To Take Those Pills
Hypertension drugs has been developed from time to time, to get the best regiment for treatment. This disease is long term disease and maybe lifelong disease. So, the compliance of taking drugs maybe low.
Therefore, when your doctor decides what drugs, he/she also arrange the suitable frequency for you in order to get optimal compliance and effect.
Especially for combination drugs or multidrugs regiments.

Recently, there are several researches about time to take hypertension medications. And their results said that taking blood-pressure pills at night, rather than in the morning, may better control hypertension and significantly reduce the risk of heart attack and stroke.

Is that true? Well, The study was five-year study is done by switching morning dose to bedtime dose in patient with hypertension and kidney disease. And some results show that bedtime dose, make tension lower.

Why at night?
From that study, researchers highlighted about the importance of sleep-time blood pressure. Normally. in healthy people, blood pressure lower at night, by 10% to 20%, and higher at early morning, by unknown mechanism, maybe related our body daily rhythm that make arteries more relax.

There were some trial about sleep time blood pressure, and most conclude that sleep time blood pressure as the most sensitive predictor of a person's risk of death from cardiovascular disease over a five-year period. And those that nondippers blood pressure at night are more vulnerable to cardiovascular events.

So, Sleep-time blood pressure is best reduced when medication is taken at bedtime. Thus, it makes the proper timing for dosing.

After more than five years of follow-up of trial, those who took at least one of their blood-pressure pills at night seemed to reap significant benefits. Sixty-two percent had controlled blood pressure over the 24-hour period, compared to 53% of those who took all their pills in the morning. Moreover, only 34% of this group were "nondippers," vs. 62% of the morning-medications group, the study authors said.

And not only lower blood pressure, patients who take pills at night also have lower risk of cardiovascular events such as angina, heart attack, and stroke compare to morning dose.

People most likely to benefit from taking their pills at night include those whose high blood pressure occurs secondary to another condition, such as metabolic syndrome, type 2 diabetes, sleep apnea or other sleep disorders, heart failure or kidney disease and they are most likely to be nondippers.
Bedtime

Things to be aware
First there are lot of kind of hypertension drugs. Some of those drugs maybe is better used in the morning related to physical activity such as diuretic.
When taking diuretics, you will experience increase of urination, it will give a discomfort when taking at night compare at morning.
So, it's better to consult your doctor about this your conditions.
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