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RN Sandra Lindsay (center) with staff members. Photo from Northwell Health

Pfizer-BioNTech vaccine booster shot available to frontline health care workers

More than nine months after she became the first American to receive the Pfizer-BioNTech vaccine, Sandra Lindsay, RN, director of nursing critical care at Northwell Health’s Long Island Jewish Medical Center (LIJ), today received a booster shot to increase her immunity against coronavirus disease 2019 (COVID-19).

RN Sandra Lindsay gets her booster shot. Photo from Northwell Health

Ms. Lindsay enthusiastically held high three fingers moments after Michelle Chester, DNP, director of Northwell Health Employee Health Services, administered the booster shot in front of reporters. The U.S. Food and Drug Administration approved an additional shot of Pfizer’s COVID-19 vaccine on September 22 for those 65 and older, individuals at high risk of severe disease and those whose work may lead to frequent exposure to the virus.

“I am delighted to receive the booster today as yet another chapter in the fight against COVID-19,” said Ms. Lindsay, who was honored by President Joe Biden in a White House ceremony and served as grand marshal of NYC’s Hometown Heroes Parade, both in July. “For me, personally, it’s been an incredible journey and a privilege. It’s my belief that if I can change one person’s mind who is hesitating to become vaccinated and help encourage them to follow the science, it’s been a good day.”

Ms. Lindsay became a household name on December 14, 2020, when she was shown receiving the first Pfizer dose in the United States as part of a video conference call with then-New York Gov. Andrew Cuomo. Items used as part of her vaccination were donated to the Smithsonian’s National Museum of American History.

On Wednesday, Ms. Lindsay was back in front of cameras, one of five frontline health care workers who publicly received their booster shot. The others were: Yves Duroseau, MD, chief of emergency medicine at Lenox Hill Hospital in Manhattan and the second American vaccinated; Elyse Isopo, NP, North Shore University Hospital in Manhasset; Richard Schwarz, MD, medical director at LIJ; and Andrew Adesman, MD, chief of behavioral pediatrics at Cohen Children’s Medical Center in New Hyde Park.

“We are all so proud of each member of our Northwell family who agreed to participate in getting vaccinated to help us fight the battle of this pandemic,” said David Battinelli, MD, senior vice president and chief medical officer. “During this year, we saw the true heroism of each member of our staff – doctors, nurses, therapists, dietary, environmental services – all doing their best to fight this unknown disease, at their own risk. During this last year-and-a-half, we truly saw fear morph into courage. And now, after this most difficult year, we are delighted to be able to offer our team members a booster shot of the Pfizer vaccine. We urge everyone to follow the science and get their booster shot when they become eligible.”

Northwell Health, the largest health system and private employer in New York State, announced on Monday that its staff is now 100 percent vaccinated, in compliance with New York State Governor Kathy Hochul’s mandate that all health care workers be vaccinated.

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It’s that time of year again! Get your flu shot at Comsewogue Public Library, 170 Terryville Road, Port Jefferson Station on Tuesday, Oct. 5 between 11 a.m. and 2 p.m. or Tuesday, Oct. 12 from 10 a.m. to 2 p.m. Bring a copy of your ID and your insurance card. Open to ages 18 and older. For more information, please call 928-1212, option #3.

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Fracture risk is not linked to steroid use

By David Dunaief, M.D.

Dr. David Dunaief

Eczema is a common skin condition in both children and adults. It’s estimated that over seven percent of the U.S. adult population is afflicted (1), with twice as many females as males affected (2). Ranging in severity from mild to moderate to severe, adults tend to have moderate to severe eczema.

The causes of eczema are unknown, but it is thought that nature and nurture are both at play (3). Essentially, it is a chronic inflammatory process that involves symptoms of itching, pain, rashes and redness (4).

While there is no cure, treatments for eczema run the gamut from over-the-counter creams and lotions to prescription steroid creams to oral steroids and injectable biologics. Some use phototherapy for severe cases, but the research on its effectiveness is scant. Antihistamines are sometimes used to treat the itchiness. Interestingly, lifestyle modifications, specifically diet, may play an important role.

Two separate studies have shown an association between eczema and fracture risk, which we will investigate further. Let’s look at the evidence.

Not just skin deep

Eczema may be related to broken bones, according to several studies. For example, one observational study of 34,500 patients showed that those with eczema had a 44 percent increased risk of injury causing limitation and an even more disturbing 67 percent risk of bone fracture and bone or joint injury for those 30 years and older (5).

And if you have both fatigue or insomnia and eczema, you are at higher risk for bone or joint injury than having one or the other alone. The researchers postulated that the use of corticosteroids in treatment could be one reason for increased fracture risk, in addition to chronic inflammation, which may also contribute to the risk of bone loss.

Steroids may weaken bone, ligaments and tendons and may cause osteoporosis by decreasing bone mineral density.

A recently published study of over 500,000 patients tested this theory and found that the association between major osteoporotic fractures and atopic eczema remained, even after adjusting for a range of histories with oral corticosteroids (6). Also, fracture rates were higher in those with severe atopic eczema.

For those who have eczema, it may be wise to have a DEXA (bone) scan.

Do supplements help?

There are two well-known supplements for helping to reduce inflammation, evening primrose oil and borage oil. Are these supplements a good replacement for – or addition to – medications? The research is really mixed, leaning toward ineffective – and with some concerns.

In a meta-analysis of seven randomized controlled trials, evening primrose oil was no better than placebo in treating eczema (7).

The researchers also looked at eight studies of borage oil and found there was no difference from placebo in terms of symptom relief. While these supplements only had minor side effects in the study, they can interact with other medications. For example, evening primrose oil in combination with aspirin can cause clotting problems (8).

But don’t look to supplements for significant help.

Injectable solutions

Dupilumab is a biologic monoclonal antibody (9). In trials, this injectable drug showed good results, improving outcomes for moderate to severe eczema sufferers when topical steroids alone were not effective. Like any drug therapy, it does have side effects.

Topical probiotics

There are also potentially topical probiotics that could help with atopic dermatitis. In preliminary in-vitro (in a test tube) studies, the results look intriguing and show that topical probiotics from the human microbiome (gut) could potentially work as well as steroids (10). Currently, additional trials are underway in children with the atopic dermatitis form of eczema (11). This may be part of the road to treatments of the future. However, this is in very early stage of development.

Dietary possibilities

In a Japanese study involving over 700 pregnant women and their offspring, results showed that when the women ate either a diet high in green and yellow vegetables, beta carotene or citrus fruit there was a significant reduction in the risk of the child having eczema of 59 percent, 48 percent and 47 percent, respectively, when comparing highest to lowest consumption quartiles (12).

Elimination diets may also play a role. One study’s results showed when eggs were removed from the diet in those who were allergic, according to IgE testing, eczema improved significantly (13).

From an anecdotal perspective, I have seen very good results when treating patients who have eczema with dietary changes. My patient population includes about 15 to 20 percent of patients who suffer some level of eczema. For example, a young adult had eczema mostly on the extremities. When I first met the patient, these were angry, excoriated, erythematous and scratched lesions. However, after several months of a vegetable-rich diet, the patient’s skin had all but cleared.

Eczema exists on a spectrum from annoying to significantly affecting a patient’s quality of life (14). Supplements may not be the solution, at least not borage oil or evening primrose oil. However, there may be promising topical probiotics ahead and medications for the hard to treat. It might be best to avoid long-term systemic steroid use, because of the long-term side effects. Lifestyle modifications appear to be very effective, at least at the anecdotal level.

References:

(1) J Inv Dermatol. 2017;137(1):26-30. (2) BMC Dermatol. 2013;13(14). (3) Acta Derm Venereol (Stockh) 1985;117 (Suppl.):1-59. (4) uptodate.com. (5) JAMA Dermatol. 2015;151(1):33-41. (6) J Allergy Clin Immunol Pract. 2021 Sep 24;S2213-2198(21)01018-7. (7) Cochrane Database Syst Rev. 2013;4:CD004416. (8) mayoclinic.org (9) Medscape.com. (10) ACAAI 2014: Abstracts P328 and P329. (11) nih.gov. (12) Allergy. 2010 Jun 1;65(6):758-765. (13) J Am Acad Dermatol. 2004;50(3):391-404. (14) Contact Dermatitis 2008; 59:43-47.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com. 

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The staff at Mather Hospital's Wound Treatment Center in 2020.
Owner Nancy Hendrick in front of TAAG during Paint Port Pink in 2020.
Message of Hope at Shine Dance Studio during last year's Paint Port Pink.
Salsa Salsa presented a $400 check in 2020.
Port Jeff Brewing Company participated in last year's Paint Port Pink.
The Port Jefferson Chamber decorated for Paint Port Pink in 2020.
One of the entries of the Pink Your Pumpkin Contest in 2020.
Comsewogue Public Library's Paint Port Pink display from last year.
One of the entries of the Pink Your Pumpkin Contest in 2020.
The staff at Accelerated Heating and Cooling wore pink during Paint Port Pink's Wear Pink Day last year.

Paint Port Pink, Mather Hospital’s annual month-long breast cancer awareness community outreach, kicks off on Oct. 1 with a lighting of pink lights by community partners in Port Jefferson, Port Jefferson Station and the surrounding communities. Lamp posts along main street in Port Jefferson will be lit up with pink lights, as will the Theatre Three marquee and many store windows.

Paint Port Pink’s goal is to raise awareness about breast cancer and the importance of early detection, encourage annual mammograms and bring the community together to help fight this disease.

One in eight women will develop breast cancer during their lifetime. In 2021, an estimated 281,550 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 49,290 new cases of non-invasive (in situ) breast cancer. About 2,650 new cases of invasive breast cancer are expected to be diagnosed in men in 2021. As of January 2021, there are more than 3.8 million women with a history of breast cancer in the U.S. This includes women currently being treated and women who have finished treatment. 

Mather Hospital’s HealthyU webinar series will present two free educational programs — The Role of Genetics in Breast Cancer on Tuesday, Oct. 5, and Common Breast Cancer Myths and Screening Options on Tuesday Oct. 12. Both webinars begin at noon. Register for these webinars at matherhospital.org/healthyu.

Oct. 15 is Wear Pink Day, and everyone is encouraged to dress themselves — and their pets — in pink and post their photos on social media with #paintportpink. Then send those photos to [email protected] and they will be included in a collage on the hospital’s Facebook page.

The popular Pink Your Pumpkin Contest returns this October. Get creative and post photos of “pinked” pumpkins on social media with #paintportpink. Send those photos to [email protected] by Oct. 25 for the contest. The winner will be chosen Oct. 26 and will receive a $100 gift card. 

Paint Port Pink community sponsors will again be offering special promotions to raise money for the Fortunato Breast Health Center’s Fund for Uninsured. Redefine Fitness, 5507 Nesconset Hwy #2, Mt Sinai, will host a fitness class on Oct. 24, from 10 to 11 a.m., for $20 per person. Month long promotions include Fedora Lounge (404 Main St, Port Jefferson) offering pink hair extensions — $15 for one, $25 for two. The Soap Box (18 Chandler Square, Port Jefferson) will donate 10 percent of sales of all pink products on display at the main counter. And Chick-fil-A, 5184 Nesconset Hwy, Port Jefferson Station will donate 10 percent of sales on strawberry milkshakes. More information on these and other promotions can be found at www.paintportpink.org 

A complete calendar of events, more promotions and a list of Paint Port Pink community partners is available at www.paintportpink.org. For more informaton, call 631-476-2723.

Schedule a mammogram

The Fortunato Breast Health Center at Mather Hospital, 75 North Country Road, Port Jefferson uses state-of-the-art breast imaging technology in a warm and assuring environment with a commitment to giving you personalized breast healthcare. 

Their staff of professionals provides 3D mammograms and offers individualized follow-up care, education for patients, families, and the community, as well as breast cancer support groups. 

Their Breast Center radiologists are specialists who only read breast imaging studies and look back as far as possible at your history of breast images for any subtle changes or abnormalities to provide the most accurate reading.

The Breast Health Center has also partnered with the Suffolk Cancer Services Program (CSP) to provide free breast cancer screenings to individuals who qualify. The CSP provides breast cancer screenings to women age 40 and older without health insurance in Suffolk. If any follow-up testing is needed, the CSP will provide those tests too. If cancer is found, CSP will help enroll people who are eligible in the NYS Medicaid Cancer Treatment Program for full Medicaid coverage during treatment. 

Patients can find out if they are eligible for free screenings or schedule your annual mammogram by calling 631-476-2771. 

 

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Dr. Sharon Nachman, chief of Division of Pediatric Infectious Diseases at the Renaissance School of Medicine at Stony Brook University. Photo from Stony Brook Medicine

Dr. Sunil Dhuper’s actions speak as loudly as his words.

The chief medical officer at Port Jefferson’s St. Charles Hospital is planning to get a booster for the COVID-19 vaccine this Thursday, after the Centers for Disease Control and Prevention authorized Friday, Sept. 24, the additional shot for a range of adults, including those in jobs that put them at an increased risk of exposure and transmission, such as frontline health care workers.

Earlier, the U.S. Food & Drug Administration announced Sept. 22 that “a single booster dose” was allowed “for certain populations” under the emergency use authorization, although the EUA “applies only to the Pfizer-BioNTech COVID-19 vaccine.” 

Dhuper received his first vaccination in January and would like to raise his immunity.

“I am very eager to get the booster dose,” he said in an interview. “I reviewed scientific data from all over the world — from the United States, Israel, the United Kingdom — and I had reflected that, after six months after the second dose, it’s time to get a third dose.”

While St. Charles and other hospitals haven’t required a booster, Dhuper believes that state and national guidance will likely recommend it before too long.

“Over time, I do anticipate people may begin to get severe infections or get hospitalized” if they haven’t enhanced their immunity with a booster, he said. “It would be prudent to get the booster dose in the arms of those who are fully vaccinated.”

Stony Brook University Hospital is providing boosters to employees and to eligible members of the public.

Meanwhile, Northwell Health and Huntington Hospital are deliberating how to proceed and will announce a decision soon, according to Dr. Adrian Popp, chair of infection control at Huntington Hospital.

While boosters are available for education staff, agriculture and food workers, manufacturing workers, corrections workers, U.S. Postal Service employees, grocery store workers, public transit employees and a host of others, the overall infection rate in Suffolk County has stabilized over the past few weeks.

Decline in infections

As of Sept. 25, the seven-day average rate of positive tests in the county fell below 4% for the first time since Aug. 15, dropping to 3.9%, according to data from the New York State Department of Health.

“We think the numbers might have plateaued,” Dhuper said. That decline coincides with the increasing number of people who are vaccinated. In Suffolk as at Sept. 29, 1,043,478 people (70.7%) have received at least one dose and 950,058 (64.3%) are fully vaccinated, according to Covid Act Now. Anybody who is at least 12 years old is eligible to be vaccinated.

The number of COVID Patients from Huntington Hospital has fallen in the last month, dropping to 20 from about 30, according to Popp. Five patients are in the intensive care unit at the hospital with COVID.

Dr. Sharon Nachman, chief of pediatric infectious diseases at Stony Brook Children’s Hospital, described the downward trend in the seven-day average as “great news,” but added that such an infection rate is “not close to where we need to be to say we have turned a corner.”

The current infected population includes children, as “more kids are getting infected,” she said, with children currently representing 25.7 percent of all new COVID cases nationwide.

With the FDA and CDC considering approving the emergency use authorization that provides one-third of the dosage of the adult shot for children ages 5 to 11, Nachman urged residents to vaccinate their children whenever the shot is available to them.

“There is no advantage to picking the right age or dose for a child,” she explained in an email. “If they are 12 now, get that dose. If they are 11 and 8 months [and the CDC approves the vaccine for younger children], don’t wait until they are 12 to get a different dose. Get the dose now that is available for that age.”

When younger children are eligible for the lower amount of the vaccine, Dhuper also urged them to get that lower dose, which he feels “offers a good level of protection for the foreseeable future.”

Nachman said she sees the issue of weight or age bands regularly in pediatrics.

“The take-home message is to not play any games and treat the child at the age or weight that they are now and not wait for them to be older or heavier,” she suggested.

As for the next month, Dhuper cautioned that the county may show another peak, particularly with the increase of indoor activities where the spread of the more transmissible Delta variant is more likely. At this point, concerns about the Mu variant, which originated in South America and was much more prevalent in the United States and in Suffolk County in June, has decreased.

“We were seeing 5% of the cases in New York state were Mu variants and the remaining were Delta,” Dhuper said.

Popp estimated that the Mu variant constitutes between 0.1% and 0.3% of cases.

The World Health Organization has urged wealthier nations like the United States not to administer boosters to their populations widely before the rest of the world has an opportunity to vaccinate their residents.

Dhuper said the United States has contributed 500 million doses to the rest of the world this year and plans to donate about 1.1 billion doses to the rest of the world in 2022.

“I hope that other upper and middle income nations can do the same, so we can get [the shots] in the arms of those who need them,” he said.

Popp urged people to recognize that COVID is a global disease.

“We in the U.S. will not be safe until the epidemic is cleared in other parts of the world as well,” he explained in an email. “I believe it is in our national interest to help other countries fight the COVID epidemic.”

 

Popp said the United States has plenty of vaccine, with enough for boosters and to vaccinate those who haven’t gotten a shot.

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Anne Marie and Edward Walters with baby Brianna
Brianna Elizabeth Walters
Brianna Elizabeth Walters

After 27 days in Stony Brook University Hospital’s Neonatal Intensive Care Unit (NICU), Brianna Elizabeth Walters is heading home. On August 25, 2021 the baby girl was born premature at 32 weeks.

Before leaving the hospital on September 20, Brianna’s parents Edward and Anne Marie Walters had a special gift for the physicians and nurses who cared for their daughter for the past month. A wooden American flag, handmade by Edward and his uncle, now sits in Stony Brook’s NICU as a thank you. The NYPD police officer said he wanted to express his heartfelt thanks to the staff who supported his family.

“We just wanted to do something for the doctors and nurses who stood by our side during what was a rough time for my wife and I,” said Edward. “We thought about bringing donuts or bagels to show thanks but agreed this handmade gift was more special for the staff who went above and beyond for us.”

Edward, Anne Marie and their daughter are happy to be together at home. This is the first child for the new mom and dad.

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From left, Tahmid Rahman, MD, Cardiologist and Associate Director, Center for Advanced Lipid (Cholesterol) Management and Associate Director, Quality and Safety in Cardiology; On Chen, MD, Interventional Cardiologist and Director, Center for Advanced Lipid (Cholesterol) Management; Director, Outpatient Services; and Director, Cardiac Care Unit (CCU) and Telemetry; and Sahana Choudhury, AGPCNP-C, MSN, CMSRN, Adult Cardiology Nurse Practitioner. Photo from Stony Brook Medicine

Specialty heart care is once again expanding at Stony Brook Medicine with the addition of the Center for Advanced Lipid (Cholesterol) Management at the Stony Brook University Heart Institute, the first of its kind in Suffolk County. Lipids are fatty substances in the blood that can lead to blockages in heart arteries. The new center will use testing tailored to each patient to get a complete understanding of inflammatory markers, lipid profile, apolipoprotein B levels and more. From there, Stony Brook experts can develop a cardiac disease prevention and cholesterol management plan.

“Our goal is to provide earlier diagnosis so that our patients can be proactive and prevent premature heart disease,” said Lipid Center Director On Chen, MD, who is also the Director of the Cardiac Care Unit (CCU) at Stony Brook Medicine. “As an interventional cardiologist, I treat patients with severe disease and blockages to the heart, and I’d much rather see patients early to be aggressive with prevention. Today, there is so much we can do to get ahead of heart disease.”

With clinic hours available in East Setauket and Commack, the Lipid Center is staffed with cardiologists who have specialized training and certification through the American Board of Clinical Lipidology. The opening coincides with September’s National Cholesterol Education Month, which aims to raise awareness about cardiovascular disease, high cholesterol levels, and stroke.

“At Stony Brook Heart Institute, our cardiac specialists work to fight heart disease from every angle, and the new Center for Lipid Management is an important part of bringing advanced management of cholesterol disorders to our patients in a holistic and comprehensive way,” said Hal A. Skopicki, MD, PhD, Co-Director, Stony Brook Heart Institute; Chief, Cardiology; and Ambassador Charles A. Gargano Chair, Cardiology, Renaissance School of Medicine at Stony Brook University. “Our clinicians are not only involved in the treatment but are also actively involved in the science of lipids and the role they play in our health and disease — so that we can be on the forefront of bringing best-in-class knowledge to our patients and community.”

High cholesterol is a major risk factor for heart disease, which is the leading cause of death in the United States. High cholesterol has no symptoms, so patients might not know that their cholesterol is too high – unless it’s measured by a doctor with a blood test.

“While there are risk factors that are not within our control — such as age or family history — there are many crucial factors that we can influence,” said Tahmid Rahman, MD, Associate Director of the Center for Advanced Lipid (Cholesterol) Management. “Even if you already have cardiovascular disease, it’s not too late to lower your risk. In fact, an effective lipid-lowering treatment plan can be lifesaving.”

“For patients who have already suffered a heart attack, had coronary artery bypass surgery or received stenting of their arteries, the need for optimum cholesterol management may even be higher as the consequences of a heart attack in these patients may be even more dangerous,” adds Dr. Chen.

About Stony Brook University Heart Institute:

Stony Brook University Heart Institute is located within Stony Brook University Hospital as part of Long Island’s premier university-based medical center. The Heart Institute offers a comprehensive, multidisciplinary program for the prevention, diagnosis and treatment of cardiovascular disease. The staff includes full-time and community-based, board-certified cardiologists and cardiothoracic surgeons, as well as specially trained anesthesiologists, nurses, physician assistants, nurse practitioners, respiratory therapists, surgical technologists, perfusionists, and other support staff. Their combined expertise provides state-of-the-art interventional and surgical capabilities in 24-hour cardiac catheterization labs and surgical suites. And while the Heart Institute clinical staff offers the latest advances in medicine, its physician-scientists are also actively enhancing knowledge of the heart and blood vessels through basic biomedical studies and clinical research. To learn more, visit www.heart.stonybrookmedicine.edu.

 

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Studies show that running just 5 to 10 minutes each day may help reduce your risk of death from heart attacks, strokes, and other common diseases. Pixabay photo
Add quality years with modest lifestyle changes

By David Dunaief, M.D.

Dr. David Dunaief

The number of 90-year-olds is growing in the U.S. According to the National Institutes of Health, those who were more than 90 years old increased by 2.5 times over a 30-year period from 1980 to 2010 (1). This group is among what researchers refer to as the “oldest-old,” which includes those aged 85 and older.

What do these people have in common? According to one study, they tend to have fewer chronic morbidities or diseases. Thus, they tend to have a better quality of life with greater physical functioning and mental acuity (2).

In a study of centenarians, genetics played a significant role. Characteristics of this group were that they tended to be healthy and then die rapidly, without prolonged suffering (3). In other words, they grew old “gracefully,” staying mobile and mentally alert.

Factors that predict one’s ability to reach this exclusive club may involve both genetics and life-style choices. Let’s look at the research.

Get modest exercise

We are told repeatedly to exercise. Here’s one reason. Results of one study showed that 5 to 10 minutes of daily running, regardless of the pace, can have a significant impact on life span by decreasing cardiovascular and all-cause mortality (4).

Amazingly, even if participants ran fewer than six miles per week at a pace slower than 10-minute miles, and even if they ran only one to two days a week, there was still a decrease in mortality compared to nonrunners. Those who ran for this very short amount of time potentially added three years to their life span. There were 55,137 participants ranging in age from 18 to 100 years old.

An accompanying editorial to this study noted that more than 50 percent of people in the United States do not meet the current recommendation of at least 30 minutes of moderate exercise per day (5).

Reduce animal protein

A long-standing paradigm has been that we need to eat sufficient animal protein. However, cracks have developed in this theory, especially as it relates to longevity.

In an observational study using NHANES III data, results show that those who ate a high-protein diet (greater than 20 percent of calories from protein) had a twofold increased risk of all-cause mortality, a four-times increased risk of cancer mortality, and a four-times increased risk of dying from diabetes (6). This was over a considerable duration of 18 years and involved almost 7,000 participants ranging in age at the start of the study from 50 to 65.

However, this did not hold true if the protein source was plants. In fact, a high-protein plant diet may reduce the risks, not increase them. The reason, according to the authors, is that animal protein may increase insulin growth factor-1 and growth hormones that have detrimental effects on the body.

The Adventists Health Study 2 trial reinforced this data. It looked at Seventh-day Adventists, a group that emphasizes a plant-based diet, and found that those who ate animal protein once a week or less had a significantly reduced risk of dying over the next six years compared to those who were more frequent meat eaters (7). This was an observational trial with over 73,000 participants and a median age of 57 years old.

Reduce systemic inflammation

In the Whitehall II study, a specific marker for inflammation was measured, interleukin-6. The study showed that higher levels did not bode well for participants’ longevity (8). In fact, if participants had elevated IL-6 (>2.0 ng/L) at both baseline and at the end of the 10-year follow-up period, their probability of healthy aging decreased by almost half.

The good news is that inflammation can be improved significantly with lifestyle changes.

The takeaway from this study is that IL-6 is a relatively common biomarker for inflammation that can be measured with a simple blood test offered by most major laboratories. This study involved 3,044 participants over the age of 35 who did not have a stroke, heart attack or cancer at the beginning of the study.

The bottom line is that, although genetics are important for longevity, so too are lifestyle choices. A small amount of exercise and replacing animal protein with plant protein can contribute to a substantial increase in healthy life span. IL-6 may be a useful marker for inflammation, which could help predict healthy or unhealthy outcomes. Therefore, why not have a discussion with your doc-tor about testing to see if you have an elevated IL-6? Lifestyle modifications may be able to reduce these levels.

References:

(1) nia.nih.gov. (2) J Am Geriatr Soc. 2009;57:432-440. (3) Future of Genomic Medicine (FoGM) VII. Presented March 7, 2014. (4) J Am Coll Cardiol. 2014;64:472-481. (5) J Am Coll Cardiol. 2014;64:482-484. (6) Cell Metab. 2014;19:407-417. (7) JAMA Intern Med. 2013;173:1230-1238. (8) CMAJ. 2013;185:E763-E770.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com. 

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Comsewogue Public Library, 170 Terryville Road, Port Jefferson Station will host a Shed the Meds event on Thursday, Sept. 23 from 10 a.m. to 1 p.m. Drop by with any unused prescriptions and they will be safely discarded by the Suffolk County Sheriff’s office. Open to all. No registration required. For more information, call 631-928-1212, option 3.

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