Chief Medical Officer at Northwestern Medicine Central DuPage Hospital Dr. Kevin Most joins the Steve Cochran Show to talk about the heart attack symptoms in men versus women, what foods can help you kick your blood pressure medicine, and he explains why doctors are changing the way they treat pediatric obesity.
Lisa Marie Presley- Died Thursday at 54 of a reported Cardiac Arrest.
- Cause of the cardiac arrest is not known or reported.
- Paramedics called to the house for an unresponsive patient
- Unclear if CPR had been started in the home before paramedics arrived, they did CPR and transferred her with signs of life
- Unclear as to the cause- as we have discussed in the past women have different symptoms of cardiac disease
Pediatric Obesity- The American Academy of Pediatrics has updated its recommendations for the first time in 15 years and they are major changes.
- Since the 1980s obesity rates have tripled in children and quadrupled in adolescents
- The Covid pandemic made things worse, as we swathe rate of weight gain double in 2020
- The covid impact is thought to be due to an increase in sedentary lifestyles, lack of organized sports, no gym class, and loss of peer interactions
- CDC data shows 15 million children and teenagers in US are obese.
- One big concern is that we are seeing an increase in diabetes, high blood pressure, as well as mental health issue
- The new guidelines continue to reinforce diet and healthy eating behaviors as the first line, but now have more aggressive and data-driven steps for specific patients
- Doctors now look at the comorbidities and understand that more aggressive treatment may be needed
- New guidelines recommend that any child 12 and older with obesity be offered and discussed the option of weight loss medication in addition to ongoing lifestyle changes, including exercise and healthy eating
- The new philosophy also starts to bring bariatric surgery into consideration if the child is 13 years and above
- They highlighted that physicians never should stigmatize the child or imply they are to blame for their weight
- Physicians need to understand that the patient’s condition is a combination of biological and social factors, including living in a food desert, where healthy food options are not available, or healthy food options are not economically feasible
- Physicians are now being told to measure BMI after the age of 2, and see where they fall
- Monitoring Blood pressure, cholesterol, and glucose screening is now being looked at from age 10 on
High Blood pressure – Can diet help?
- Bananas- these are high in potassium- which reduces the effect of sodium and decreases tension in walls of blood vessels
- Dark Chocolate- flavonoids found in dark chocolate may help reduce blood pressure
- Kiwis-have been found to help manage mildly high blood pressure – they are high in Vit C,, but also have other bioactive substances
- Watermelon-contains a compound that helps relax blood vessels and makes arteries more flexible
- Oats- not only do Oats help lower blood pressure but also help lower cholesterol
- Pomegranates- contain antioxidants that help lower BP and help prevent artery blockage
- Cinnamon- recent study has shown that daily use of cinnamon, especially in obese patients
- Nuts- walnuts, hazelnuts and pistachios- all improve blood vessel wall function
- Oily fish- anchovies, sardines, tuna- studies have shown these fish actually help those with moderate to severe high blood pressure
- Citrus fruits- high in antioxidants as well as Vit C
- 8 GLASSES OF WATER A DAY
