Tighter high blood pressure guidelines for children might better spot those at risk for heart disease in adulthood, a new study suggests. Compared to 2004 guidelines, the updated 2017 guidelines from the American Academy of Pediatrics increased the number of children considered to have high blood pressure. But it wasn’t known if the new guidelines would help predict children who were at higher risk for premature heart disease. “We concluded that compared with children with normal blood pressure, those reclassified as having elevated or high blood pressure were more likely to develop adult high blood pressure, thickening of the heart muscle wall and the metabolic syndrome — all risk factors for heart disease,” said senior study author Dr. Lydia Bazzano. She is an associate professor of epidemiology at the Tulane School of Public Health and Tropical Medicine, in New Orleans. For the study, her team tracked data from the Bogalusa Heart Study, which enrolled nearly 4,000 participants at ages 3 to 18, and has followed them for 36 years. The researchers found that 11% of participants were identified as having high blood pressure using the 2017 guidelines, compared with 7% under the 2004 guidelines. In addition, the findings showed that 19% of those with high blood pressure under the 2017 guidelines developed thickening of the heart muscle during the follow-up period, compared with 12% of…  read on >

You might have seen fennel in the produce section of your market without knowing what exactly it was. Fennel is a fragrant bulb that can be a food lover’s dream ingredient, because it has a refreshing taste, similar to anise or licorice, and pairs well with other ingredients to create gourmet dishes. Many cooks miss out because they aren’t sure how to prepare it, especially when it’s sold with its long feathery leaves intact. But fennel is surprisingly easy to prepare and can be enjoyed raw as well as lightly sauteed, or even slow-cooked as a soup or stew flavoring. Fennel bulbs come in male and female types. The female bulbs are rounder and also sweeter. Both work equally well in this salad with tomatoes and cumin seeds. It calls for trimming off the stalks. Save them for another dish — they can be used much the way you would celery stalks. Always choose bulbs that feel heavy in your hand and are free of cracks and brown spots. Shaved Fennel Salad With Tomatoes and Cumin 1 pound plum tomatoes 1/2 cup extra virgin olive oil, divided Seasoning salt of your choice 2 fennel bulbs, trimmed 1 tablespoon balsamic vinegar 1/2 teaspoon lemon pepper 1 tablespoon cumin seeds Quarter the tomatoes and squeeze out the seeds using your hands or scoop them out with a…  read on >

You might be surprised to learn that food allergies can start in adulthood and involve a food you’ve eaten without a problem for your entire life. For adults as well as kids, the top — but not the only — food culprits are eggs, milk, peanuts, tree nuts, fish and shellfish, wheat and soy, according to the American College of Allergy, Asthma and Immunology. Just as with childhood food allergies, you’ll need to do your best to avoid these foods and be prepared in case you inadvertently come into contact with one of them. Signs of a Severe Allergic Reaction Hives or pale/bluish skin tone. Cramps and/or vomiting. Trouble swallowing or swelling of the tongue. Weak pulse. Feeling dizzy or faint. Shortness of breath, wheezing or coughing. Inability to breathe, and drop in blood pressure. The most serious reaction is called anaphylaxis, an extreme inability to breathe that can lead to shock. It is a life-threatening emergency. Keep in mind that allergic reactions can be unpredictable. Most happen within a few hours of contact, but some are instantaneous. It could take only a small amount of the allergen to cause swelling, hives or anaphylaxis. Also, your body could experience more than one type of reaction — your skin, gastrointestinal tract, heart and/or breathing could be affected. So it’s important to call your doctor and ask…  read on >

When you eat during the day could influence your chances of surviving a heart attack, a new study finds. Specifically, skipping breakfast and eating dinner late in the evening were associated with poorer recovery and increased risk of death, scientists report. “Our research shows that the two eating behaviors are independently linked with poorer outcomes after a heart attack, but having a cluster of bad habits will only make things worse,” said study author Dr. Marcos Minicucci, from Sao Paolo State University in Brazil. “People who work late may be particularly susceptible to having a late supper and then not being hungry in the morning,” he noted. The study included 113 heart attack patients, average age 60, who were asked about their eating habits when being admitted to a coronary intensive care unit. Those with a pattern of skipping breakfast and eating dinner late in the evening had a four to five times higher risk of death, another heart attack or angina (chest pain) within 30 days after leaving the hospital. A pattern of breakfast skipping was defined as eating nothing before lunch — other than beverages such as coffee and water — at least three times per week. A pattern of late dinners was defined as having a meal within two hours before bedtime at least three times per week. Of the patients in…  read on >