Weight Loss Surgery May Boost Problem Drinking

Almost 10% of patients undergoing bariatric surgery to combat obesity had symptoms of an alcohol use disorder 2 years after surgery, a large prospective cohort study showed.

The prevalence of alcohol use disorders increased from 7.6% before surgery to 9.6% 2 years after the procedure, as reported online in the Journal of the American Medical Association.

via Medical News: Weight Loss Surgery May Boost Problem Drinking – in Primary Care, Obesity from MedPage Today.

Have surgery, lose weight, become alcoholic!

Vitamin D Plus Calcium May Cut Mortality Risk

Patients receiving both calcium and vitamin D had a 9% lower mortality rate through 3 years of treatment than those not receiving vitamin D (HR 0.91, 95% CI 0.84 to 0.98), according to Lars Rejnmark, MD, PhD, of Aarhus University in Aarhus, Denmark, and colleagues.

via Medical News: Vitamin D Plus Calcium May Cut Mortality Risk – in Primary Care, Diet & Nutrition from MedPage Today.

How about a non-prescription supplement and vitamin questionnaire?

Six Minute Walk Test May Help Predict Cardio Risk

The 6-minute walk test may improve cardiovascular risk prediction in patients with stable coronary heart disease, researchers found.

Even after adjustment for traditional cardiovascular risk factors and measures of cardiac disease severity, each standard deviation decrease in walk distance was associated with a 30% greater risk of MI, heart failure, or death (HR 1.30, 95% CI 1.10 to 1.53), according to Alexis Beatty, MD, of the University of California San Francisco, and colleagues.

via Medical News: Walk Test May Help Predict Cardio Risk – in Cardiovascular, Atherosclerosis from MedPage Today.

New underwriting requirement for applicants with known heart disease.  Take a walk.

Kidney Disease = Possible Risk for MI

In a large cohort study, patients with only CKD had a significantly higher rate of myocardial infarction (MI) than those who only had diabetes (5.4 versus 6.9 per 1,000 person-years, P

Those who’d already had an MI had the highest overall rate of MI (18.5 per 1,000 person-years), they reported online in The Lancet.

via Medical News: Kidney Disease May Point to Risk for MI – in Cardiovascular, Myocardial Infarction from MedPage Today.

Drawing Test Predicts Stroke Mortality Risk

Poorer performance on Trail Making Test-A (TMT-A) almost doubled the risk of death during a median poststroke follow-up of 2.5 years (HR 1.88 per SD, 95% CI 1.31 to 2.71, P=0.001). Patients who performed the worst on the TMT-A had almost a three times greater mortality risk compared with patients who had the best scores on the test prior to stroke (HR 2.90 per SD, 95% CI 1.24 to 6.77, P=0.014).

via Medical News: Drawing Test Predicts Stroke Mortality Risk – in Cardiovascular, Strokes from MedPage Today.

Any life insurance companies out there using this test?

Medical News: Diabetes May Speed Cognitive Decline – in Neurology, General Neurology from MedPage Today

Over 9 years, those who had diabetes had significantly worse cognitive decline on two separate tests compared with those who didn’t have the disease (P=0.008 and P=0.001), Kristine Yaffe, MD, of the University of California San Francisco, and colleagues reported online in the Archives of Neurology.

via Medical News: Diabetes May Speed Cognitive Decline – in Neurology, General Neurology from MedPage Today.

ADHD Drugs Top Rx for Kids

Prescription drug use in the pediatric population fell from 2002 to 2010, but the use of birth control and attention-deficit/hyperactivity disorder (ADHD) medications rose, the FDA reported.

Outpatient contraceptive prescriptions jumped 93% from 2002 to 2010 among kids 17 and younger, Grace Chai, PharmD, of the agency’s Center for Drug Evaluation and Research in Silver Spring, Md., and colleagues found.

ADHD drug scripts rose 46% over the same period in the national analysis of prescription databases reported in the July issue of Pediatrics.

via Medical News: FDA: ADHD Drugs Top Rx for Kids – in Pediatrics, General Pediatrics from MedPage Today.

Birth control and chronic sedation have replaced traditional parenting.