30 The Jewish Herald • Friday, March 22, 2013 37 HEAL TH
Personal Stress Leads To Heart Risks NYC Plan Would Keep Tobacco Products Some 8 million Americans have PTSD, in which heart disease has shown increased rate
M A R IL Y N N M A R C H I ONE SAN FRANCISCO — Stress
does bad things to the heart. New studies have found high-
er rates of cardiac problems in veterans with PTSD, New Or- leans residents six years after Hurricane Katrina and Greeks struggling through that coun- try’s financial turmoil. Disasters and prolonged stress
can raise “fight or flight” hor- mones that affect blood pressure, sugar and other things in ways that make heart trouble more likely, doctors say. They also pro- voke anger and helplessness and spur heart-harming behaviors like eating or drinking too much. “We’re starting to connect emo-
tions with cardiovascular risk markers” and the new research adds evidence of a link, said Dr. Nieca Goldberg, a cardiologist at NYU Langone Medical Cen-
Colorectal Cancer
Screening Saves Lives Colorectal cancer is the 2nd
leading cancer killer in the U.S. But it can be prevented.
Screening helps find precancerous polyps so they can be removed before they turn into cancer.
Screening can also find colorectal cancer early, when treatment is most effective.
If you’re 50 or older—don’t wait. Talk to your doctor and get screened.
“I don’t have symptoms.”
FACT: Colorectal cancer doesn’t always cause symptoms, especially early on.
“Why Should I Get Screened?”
www.cdc.gov/screenforlife
1-800-CDC-INFO (1-800-232-4636) U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention
“ It doesn’t run in my family.”
FACT: Most colorectal cancers occur in people with no family history.
ter and an American Heart As- sociation spokeswoman. She had no role in the stud-
ies, which were discussed at an American College of Cardiology conference in San Francisco. The largest, involving 207,954
veterans in California and Ne- vada ages 46 to 74, compared those with PTSD, or post-trau- matic stress disorder, to those without it. They were free of ma- jor heart disease and diabetes when researchers checked their Veterans Administration medi- cal records from 2009 and 2010. Checked again about two
years later, 35 percent of those with PTSD but only 19 percent of those without it had devel- oped insulin resistance, which can lead to diabetes and hard- ening of the arteries. Doctors also saw higher rates
of metabolic syndrome — a col- lection of heart-disease risk fac-
tors that include high body fat, cholesterol, blood pressure and blood sugar levels. About 53 per- cent of veterans with PTSD but only 37 percent of those without it had several of these symptoms. The numbers are estimates
and are not as important as the trend — more heart risk with more stress, said one study leader, Dr. Ramin Ebrahimi, a cardiologist at the Greater Los Angeles VA Medical Center and a professor at UCLA. It shows that PTSD can cause physical symptoms, not just the mental ones com- monly associated with it. “Twenty or 30 years ago PTSD
was a term reserved for combat veterans. We have come to real- ize now that PTSD is actually a much more common disorder and it can happen in veterans who did not undergo combat but had a very traumatic experience” such as losing a friend, he said. That goes for others who suf-
fer trauma such as being raped, robbed at gunpoint or in a seri- ous accident, he said. Nearly 8 million Americans have PTSD, the National Institute of Men- tal Health estimates. They include survivors of Hur-
ricane Katrina. Tulane Medi- cal Center doctors led a study of their hospital’s patients that suggests heart-attack incidence is three times higher in New Or- leans than it was in the two years before the 2005 storm. o
“But that test...”
FACT: There are several kinds of screening tests for colorectal cancer.
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“Smoking remains the leading preventable cause of death among New Yorkers”
B A R R would require New York M E G H A N
City retailers to keep tobacco products out of sight under a first-in-the-nation proposal aimed at reducing the youth smoking rate, Mayor Michael Bloomberg said Monday. The legislation would require
NEW YORK — A new proposal
stores to keep tobacco products in cabinets, drawers, under the counter, behind a curtain or in other concealed spots. They could only be visible when an adult is making a purchase or during restocking. Bloomberg said similar pro-
hibitions on displays have been enacted in other countries, in- cluding Iceland, Canada, Eng- land and Ireland. “Such displays suggest that
smoking is a normal activity,” Bloomberg said. “And they in- vite young people to experi- ment with tobacco.” Stores devoted primarily
to the sale of tobacco products would be exempt from the dis- play ban. The mayor’s office said re-
tail stores could still adver- tise tobacco products under the legislation. “We have made tremendous
strides in combating smoking in New York City but this lead- ing killer still threatens the health of our children,” said Dr. Thomas A. Farley, the health commissioner. Farley said the city’s compre-
hensive anti-smoking program cut adult smoking rates by nearly
OUT OF SIGHT
a third — from 21.5 percent in 2002 to 14.8 percent in 2011 — but the youth rate has remained flat, at 8.5 percent, since 2007. Smoking remains the lead-
ing preventable cause of death among New Yorkers, Farley said. The legislation, introduced
in the City Council on Wednes- day, is comprised of two separate bills that Farley called “logical, important next steps to further protect our teens from tobacco.” The second bill, called the
“Sensible Tobacco Enforce- ment” bill, strengthens en- forcement of discounted and smuggled cigarettes. It would prohibit the sale of discounted tobacco products, impose pack- aging requirements on cheap cigars and create a price floor for cigarette packs and small cigars. The city would have the authority to seal premises where there are repeat violations. The bill would also increase
penalties for retailers who evade tobacco taxes or sell to- bacco without a license. The bill would also prohibit
retailers from redeeming cou- pons for tobacco products. Bloomberg has backed a num-
ber of public health measures, including a crackdown on large sizes of sugary drinks and add- ing calorie counts to menus. A judge blocked the drinks ban but the city is appealing. “People always say, ‘Oh,
you’re doing these health things to raise money,’” Bloomberg said. “No, that is not the rea- son. We’re doing these health things to save lives.”
o
PHYSICAL THERAPY 571228
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