Health

Image from TOB

Check out some of the Town of Brookhaven’s upcoming fall programs at your local recreation centers.

Henrietta Acampora Recreation Center

39 Montauk Highway, Blue Point, NY 11715

(631) 451-6163

Yoga

This class includes standing postures, strengthening exercises on a mat, seated stretches and guided relaxation. Our practice supports strength, agility, flexibility, and balance, while reducing stress and having fun. Please bring a yoga mat, yoga blocks or a rolled towel.

Date: Mondays, October 23, November 20,27, December 4, 11,18

(Pre-register by Friday, October 20, 2023)

Time: 1pm – 2pm

Fee: $35.00 per 6-week session

 

New Village Recreation Center

20 Wireless Road, Centereach, NY 11720

(631) 451-5307

Zumba

This high-energy cardio aerobics class combines Latin and international beats with salsa, merengue, cha-cha, samba, hip-hop and belly dancing.

Date: Mondays, October 30, November 6, 13, 20, 27, December 4

Fridays, October 20, 27, November 3, 10, 17, December 1

(Pre-register by Wednesday, October 18, 2023)

Time: Mondays 10:30am – 11:30am

Fridays 5:30pm – 6:30pm

Fee: $40.00 per 6-week session

 

Robert E. Reid, Sr. Recreation Center

Defense Hill Road & Route 25A, Shoreham, NY 11786  

(631) 451-5306

 Jump Bunch Jr. (ages 3-5)

Learn a new sport each week. Sports include soccer, football, lacrosse and volleyball. No equipment necessary. Just bring water.

Date: Fridays, October 20, 27, November 10, 17, December 1, 8

(Pre-register by Wednesday, October 18, 2023)

Time: 4pm – 5pm

Fee: $60.00 per 6-week session

 

Jump Bunch (ages 6-9)

Learn a new sport each week. Sports include soccer, football, lacrosse and volleyball. No equipment necessary. Just bring water.

Date: Fridays, October 20, 27, November 10, 17, December 1, 8

(Pre-register by Wednesday, October 18, 2023)

Time: 5:15pm – 6:15pm

Fee: $60.00 per 6-week session

Dr. Susan Hedayati, right, and Dr. Peter Igarashi attend the ASCI/AAP meeting in Chicago Spring 2023. Photo courtesy Hedayati

She is bringing two important parts of an effective team back together.

Dr. Susan Hedayati — pronounced heh-DYE-it-tee — recently joined the Renaissance School of Medicine at Stony Brook University as vice dean for research. Hedayati was most recently a professor of medicine and associate vice chair for research at the University of Texas Southwestern Medical Center.

Hedayati plans to help improve Stony Brook Medical School’s national and international reputation by coupling frontline research with translational and patient-oriented care and studies.

The combination of a research and clinical care focus will provide for the “betterment of the health of Long Island population of patients,” Hedayati said.

In addition to enhancing clinical care, such an approach would “facilitate funding of investigator-initiated [National Institute of Health] grants and aid in the recruitment and retention of excellent M.D.-investigators,” she explained in an email.

She said she is eager to build an institutional clinical trials infrastructure that would involve a dedicated research support team.

Adding Hedayati to the medical school faculty at Stony Brook University, where she will also serve as the Lina Obeid chair in biomedical sciences, also brings two prominent kidney specialists who have different approaches to their work back together again.

Dr. Peter Igarashi, dean of the Renaissance School of Medicine and a nationally recognized nephrologist, had recruited and collaborated with Hedayati when she joined the University of Texas Southwestern Medical Center after winning first place in a clinical research award at the Southern Society for Clinical Investigation Young Investigator Forum.

When Igarashi first met Hedayati as a judge of the fellowship competition, he suggested that her expertise stood out clearly.

“She has enormous content expertise in the field of nephrology and internal medicine more broadly,” he said.

He was also impressed with her “passion” for research and her “devotion to patients and research,” which has also made her a “perfect fit” for her current position at Stony Brook University.

Combining research and clinical care will enable SBU to provide one-stop shopping at facilities like the specialty practices in Commack and the one recently opened in Lake Grove in the former Sears building at the Smith Haven Mall, he said.

Patients can receive clinical care at the same time that they can enroll in clinical trials for potential treatments of some conditions.

Hedayati “set that up at the University of Texas at Southwestern, and I’m hoping she’ll be able to grow that capability here,” Igarashi said.

Igarashi also described Hedayati, who was offered the job after a committee conducted the search, as “personable and likable.”

Complementary strengths

Igarashi described the different research approaches he and Hedayati take as “complementary” strengths.

Igarashi’s research is basic, wet lab science, while Hedayati has focused on translational and clinical research.

Their backgrounds will “be very helpful for elevating the entire research enterprise, not only in basic science but also in clinical and translational research,” Igarashi noted.

For her part, Hedayati suggested that her short-term goal is to build the physical infrastructure for clinical research and clinical trials.

Such efforts will require a clinical research staff infrastructure composed of research coordinators, research managers, regulatory personnel and biostatisticians.

“I’m hoping that, within a year, we’re going to be making some big strides in those directions,” Hedayati said.

She also hopes to build upon the existing medical scientist training program for M.D./Ph.D. students to establish a physician training program for residents to retain M.D. investigators in academic and biomedical research careers. That, she suggested, is a pool that is dwindling nationally.

Ongoing research

Hedayati, who is transferring most of her grants to Stony Brook, plans to continue conducting her own research.

She has been studying the link between chronic kidney disease, which affects about one in seven people, and other conditions, such as premature cardiovascular disease, susceptibility to depression and the role of inflammation.

“This is an area that’s prevalent, but understudied,” said Igarashi. 

She is searching for nontraditional biomarkers associated with kidney function decline, especially in patients with heart failure.

Patients with heart failure are at increased risk of acute and chronic kidney failure.

Igarashi is confident that Stony Brook’s new vice dean for research will serve patients on Long Island and beyond.

“She would not have taken this job unless we assured her that she would be able to continue to see patients in the clinic as well as in the hospital,” said Igarashi. “That is a core value for her.”

Echoing those sentiments, Hedayati suggested she has a “patient-centered approach in everything I do.”

Quality years are achievable. METRO photo

By David Dunaief, M.D.

Dr. David Dunaief

On Sunday, former U.S. President Jimmy Carter celebrated his 99th birthday. While he is currently in hospice care, most of his last decade, he has been healthy and active.

Living into your 90s is becoming more common. According to the National Institutes of Health, those in the U.S. 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 they all have in common, other than age? According to one study, they tend to have fewer chronic medical conditions or diseases. Because of this, they tend to have greater physical functioning and mental acuity, along with a better quality of life (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 lifestyle choices. Let’s look at the research.

How important is exercise?

We’re repeatedly nudged to exercise. Why? Results of one study with over 55,000 participants from ages 18 to 100 showed that five-to-ten minutes of daily running, regardless of the pace, can significantly impact our life span by decreasing cardiovascular and all-cause mortality (4).

Amazingly, even if participants ran fewer than six miles a 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 limited amount of time and modest pace potentially added three years to their life span.

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).

A study presented at the European Society of Cardiology Congress in 2022 found that those 85 and older reduced the risk of all-cause mortality 40 percent by walking just 60 minutes a week at a pace that qualified as physical activity, not even exercise (6).

Does reducing animal protein consumption help?

A long-standing dietary paradigm has been that we need to eat sufficient animal protein. However, many are questioning the value of this, especially as it relates to longevity.

In an observational study of 7,000 participants from ages 50 to 65, results show that those who ate a high-protein diet with greater than 20 percent of their calories from protein had a had a 75 percent increase in overall mortality, a four-times increased risk of cancer mortality, and a four-times increased risk of dying from diabetes during the following 18 years (7). 

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 these findings. 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 (8). This was an observational trial with over 73,000 participants and a median age of 57 years old.

What effect does systemic inflammation have?

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’ healthy longevity (9). 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. It 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 consuming more plant protein than animal 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. Your doctor can test to see if you have an elevated IL-6. If you do, 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) European Society of Cardiology Congress, Aug. 28, 2022. (7) Cell Metab. 2014;19:407-417. (8) JAMA Intern Med. 2013;173:1230-1238. (9) 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 or consult your personal physician.

School of Dental Medicine academic leaders during a panel session at the School’s first Dental Educators Day. From left: Sri Myeni, DDS, MS, PhD; Rekha Reddy, DMD; Christine Valestrand, DMD, and Thomas Manders, DDS. Photo by Brett Mauser

Event is designed to highlight an academic career path to fill a national need  

Driven by the shortage of dental school faculty in New York and across the United States, Stony Brook School of Dental Medicine hosted its inaugural Dental Educators Day on October 5. The event was held in conjunction with World Teachers’ Day, and will be celebrated at Stony Brook on the first Thursday in October each year.

“By sharing the innumerable benefits of being a dental educator, we hope to inspire students to pursue such a pathway, whether their career is here at Stony Brook or elsewhere,” said Patrick M. Lloyd, DDS, MS, Dean of the Stony Brook School of Dental Medicine. “We also hope that other dental schools – in the U.S. and beyond – recognize the value of such a forum and that they consider hosting a dental educators event in the coming years.”

With the increase in class size of many dental schools as well as the emergence of more than a dozen new dental schools in the last 15 years, the need to reinforce the faculty workforce has never been greater. According to an article in the Journal of Dental Education, over 40 percent of full-time dental faculty in the United States reported to be over 60 years of age. Recruitment of faculty is challenged as well by private practice opportunities that often provide greater levels of compensation.

Stony Brook is uniquely positioned to help dental students interested in an academic career get a head start. It is one of few institutions where students can earn an education degree — a Master of Arts in Higher Education Administration — while in dental school with no additional tuition costs. Furthermore, Stony Brook’s general practice residents may complete a second year of training that is focused on developing their skills as didactic and clinical instructors.

“There are many tangible and intangible rewards that I have enjoyed as a faculty member at Stony Brook,” said Thomas Manders, DDS, Director of Stony Brook’s Division of Endodontics, who was one of four panelists to speak with students attending the afternoon’s question-and-answer session with dental faculty. “Dental Educators Day has been a great opportunity to share what motivated me to stay in education at my alma mater, as well as advice for current students who are considering a similar path.”

METRO photo

By David Dunaief, M.D.

Dr. David Dunaief

Obesity is an ongoing struggle for many in the United States. If you, like many, are struggling to shed those extra “COVID-era pounds,” I’m sure you can relate.

Obesity is defined as a BMI (body mass index) of >30 kg/m2. More importantly, obesity can also be defined by excess body fat, which is more important than BMI.

While the medical community has known for some time that excess body fat contributes to poor health outcomes, it became especially visible during the first few rounds of COVID-19.

In the U.S., poor COVID-19 outcomes have been associated with obesity. In a study involving 5700 COVID-19 patients hospitalized in the New York City area, 41.7 percent were obese. The most common comorbidities contributing to hospitalization were obesity, high blood pressure and diabetes (1). In other words, obesity contributed to more severe symptoms.

In a study in China, results showed that those who were overweight were 86 percent more likely to have severe COVID-19 pneumonia, and that percentage increases to 142 percent when patients qualify as obese (2).

And though age is a risk factor for COVID-19, among those younger than 60 and obese, there is a two-times increased risk of being admitted to the hospital, according to a 3,615-patient study at NYU Langone Health (3).

While these studies were on early variants of COVID, the attention and wide-ranging research provide us with an interesting series of studies in how excess weight might impact progression of other acute respiratory diseases.

Why is the risk for severe COVID-19 higher with obesity? 

According to the prevailing theory, obesity may interfere with mechanical aspects of breathing, thus increasing airway resistance and making gas in exchange more difficult in the lung. It may also impede lung volume by exerting pressure on the lungs and may involve weaker muscles necessary for respiration (4).

Why does excess fat affect health outcomes? 

First, some who have elevated BMI may not have a significant amount of fat; they may have more innate muscle, instead. These people are not necessarily athletes. It’s just how they were genetically put together.

More than 25 percent of my patient population is “solidly built,” which means they have greater muscle mass, but also too much excess fat. Visceral fat, which is wrapped around the organs, including the lungs, is the most important.

Fat cells have adipokines, specific cell communicators that “talk” with other fat cells but also other systems such as the brain, immune system, muscles, and liver. Adipokines can be mediators of both inflammation and insulin resistance (5). It’s the inflammation among obese patients that could be the exacerbating factor for hospitalizations and severe illness, according to the author of a 4000-patient COVID-19 study (6). 

How can you reduce inflammation and lose excess fat?

In a randomized controlled trial with 75 participants comparing a plant-based diet to a control diet, there was a greater than 14 lbs. weight reduction and roughly 10 lbs. fat reduction over a 14-week period (7). Of the weight lost, about 70 percent was excess fat. Remember, excess body fat, through adipokines, may be inflammatory and increase the risk of severe disease. 

Weight reduction with a plant-based approach may be results of dietary fiber increases and dietary fat reductions with plant-based diets, according to Physician’s Committee for Responsible Medicine (PCRM) (8). You also want a diet that has been shown to reduce inflammation.

We published a study involving 16 patients from my clinical practice in 2020. It shows that those who ate a whole food plant-based LIFE (low inflammatory foods everyday) diet over a seven-day period had a significant decrease in inflammation measured by hsCRP (high sensitivity c-reactive protein). This occurred in those who completely changed their diets to the LIFE diet, but also occurred in those who simply added a daily greens-and-fruit-based smoothie to their existing diet (9).

In my practice, I have seen many patients lose substantial amounts of weight over a short period. More importantly, they also lost body fat. For instance, a 70-year-old male lost 19 lbs. of weight and 12 lbs. of body fat over a six-week period. His inflammation, which was very high to start, dropped substantially to the border of optimal levels. This patient and many others have seen tandem reductions in both weight and inflammation. To boot, this was a cardiac patient whose cardiologist had considered a stent, but later said he did not need it after reducing his inflammation.

The most recent health crisis shone a spotlight on the importance of losing excess fat. It’s not just about COVID-19 or other respiratory disease severity, although those are concerning. It’s also about excess fat’s significant known contributions to many other chronic diseases, like cardiovascular disease, high blood pressure, and high cholesterol.

References:

(1) JAMA. online April 22, 2020. (2) Clin Med (Lond). 2020 Jul; 20(4): e109–e113. (3) Clin Infect Dis. 2020 Jul 28;71(15):896-897. (4) Chron. Respir. Dis. 5, 233–242 (2008). (5) Front Endocrinol (Lausanne). 2013; 4:71. (6) MedRxiv.com. (7) Nutr Diabetes. 2018; 8: 58. (8) Inter Journal of Disease Reversal and Prevention 2019;1:1. (9) Amer J Lifestyle Med. 2022;16(6):753-764.

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 or consult your personal physician.

Paint Port Pink, Mather Hospital’s annual month-long breast cancer community awareness outreach, kicks off Sunday, October 1 with the lighting of pink lights by community partners in Port Jefferson, Port Jefferson Station, and surrounding communities. Paint Port Pink’s goal is to raise awareness about breast cancer, encourage annual mammograms, and bring the community together to fight this disease.

Lamp posts along Main Street in Port Jefferson will glow with pink lights, along with the Theatre Three marquee and many store windows. Many related events will be held throughout the month.

“Pints for Pink,” hosted by Po’Boy Brewery, 200 Wilson Street in Port Jefferson, returns on Thursday, Oct. 5 to celebrate the survivors and educate the community. Attendees can sample craft beers and ciders while receiving health information. The $25 fee includes registration for the 2024 Northwell Health Walk at Port Jefferson. Proceeds support the 2024 Walk for the benefit of the Fortunato Breast Health Center at Mather Hospital. Register at matherhospital.org/pints-for-pink.

Decorate your business window for a chance to win tickets to a 2024 concert at Jones Beach. Send photos of your window by Sunday, October 15 to [email protected]. 

The EmpowerHER: Navigating Women’s Wellness symposium on Thursday, Oct. 19 from 6 to 8 p.m. at the Port Jefferson Village Center, 101 East Broadway, Port Jefferson features a panel of Mather physicians discussing different aspects of women’s health and well being. Co-sponsored by Decision Women in Commerce and Professions, the $20 admission fee includes the symposium, a buffet dinner, a glass of wine and registration for the 2024 Northwell Health Walk at Port Jefferson. Register at matherhospital.org/EmpowerHer.

Friday, October 20 is Wear Pink Day/National Mammography Day and everyone — including your pets — are encouraged to get their pink on. Post photos on social media with #paintportpink and send them to [email protected] to be posted on the hospital’s Facebook page.

You could win a $100 gift card for best pumpkin.
Photo from Mather Hospital

The ever popular “Pink Your Pumpkin” contest returns and encourages everyone to get creative with their pumpkins for a cause. Photos should be emailed to [email protected] by Tuesday,  Oct. 24 and posted on social media with #paintportpink. The winner will receive a $100 gift card.

A full calendar of events and a list of Paint Port Pink community partners offering promotions to benefit The Fortunato Breast Health Center is available at www.paintportpink.org. Call 631-476-2723.

Paint Port Pink is sponsored by Decision Women in Commerce and Professions, Riverhead Toyota, Lippencott Financial Group, New York Cancer & Blood Specialists, Precision Lawn Irrigation, Po’ Boy Brewery and Tuscany Gourmet Market.

Five things everyone should know about breast health

Breast cancer is the most common cancer in women in the U.S., except for skin cancers, representing about 30 percent (or one in three) of all new female cancers each year. Breast cancer is the second leading cause of cancer deaths for women in the U.S. after lung cancer, according to the American Cancer Society (ACS). Every two minutes someone is newly diagnosed with invasive breast cancer according to the Breast Cancer Research Foundation. Only one in three women over 40 have an annual mammogram.

“It is important to maintain breast health and the easiest way to do that is to obtain your annual screening mammogram,” said Lan Chan, MD, radiologist at Mather Hospital’s Fortunato Breast Health Center. “You should not ignore your breasts just because there is no family history of breast cancer. In fact, three out of four women diagnosed with breast cancer have no family history of breast cancer.”

According to Dr. Chan, five things everyone should know about breast health are:

1. Major health organizations including the American Cancer Society, American College of Radiology and Society of Breast Imaging recommend starting screening mammography at age 40. 

The ACS reports that the chance of a woman having invasive breast cancer in her life is about one in eight. That is why increased awareness, education and early detection are important parts of breast health care. A mammogram can reveal a tumor as much as two years before you or your healthcare professional can feel it. That’s why it’s important to schedule your mammogram. 

2. Obesity has been linked to breast cancer. Maintaining a healthy weight can decrease the risk of breast cancer. 

Having more fat tissue can increase your chance of getting breast cancer by raising estrogen levels, according to the ACS. Also, women who are overweight tend to have higher levels of insulin, which have been linked to some cancers, including breast cancer.

3. Breastfeeding has health benefits for mothers. It has been shown that breastfeeding decreases the risk of breast cancer. Many studies suggest that breastfeeding for a year or more slightly reduces a woman’s overall risk of breast cancer, with longer duration associated with greater reduction, according to the ACS.

4. Women at high risk for breast cancer can obtain supplementary screening MRI as another form of imaging to detect breast cancer. 

5. Men should not ignore lumps on their chest. Men can also develop breast cancer.

The ACS notes that while breast cancer occurs mainly in women, men can get it, too. Men have breast tissue and can develop breast cancer. Cells in nearly any part of the body can become cancer and can spread to other areas. The American Cancer Society estimates for men in the United States for 2023 about 2,800 new cases of invasive breast cancer will be diagnosed and about 530 men will die from breast cancer

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. 

To find out if you are eligible for free screenings or to schedule your annual mammogram, call 631-476-2771. 

 

Mary Ellen McCrossen, Community Relations Manager at St. Catherine, has Suffolk County Legislator Rob Trotta complete the required forms before getting his flu shot. Photo courtesy of Leg. Trotta's office

The rain and the wind did not stop Suffolk County Legislator Rob Trotta, other elected officials and residents from attending St. Catherine of Siena Medical Center’s free drive-thru flu vaccination on Saturday, September 23. Throughout the event, there was a steady stream of cars coming with people to get their flu shot.

According to the Center for Disease Control and Prevention, a flu vaccine is the best protection against getting the flu, and everyone six months and older should get one. Such vaccinations are available from your local health care provider and pharmacies, and it is best to check with your doctor before getting the shot. “I commend St. Catherine’s and its staff for offering free flu shots last weekend, and think this is a great public service particularly when we are still dealing with COVID,” said Suffolk County Legislator Rob Trotta.

Additional information about the flu and other health related issues is on the Suffolk County Health Department’s website at www.suffolkcountyny.gov/health

 

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Diet may have a significant impact on heart failure risk and outcomes

By David Dunaief, M.D.

Dr. David Dunaief

Unlike a heart attack, which is acute, heart failure develops slowly and may take years to become symptomatic. Heart failure (HF) occurs when the heart’s pumping is not able to keep up with the body’s demands for blood and oxygen and may decompensate. According to the American Heart Association, over six million Americans are affected, and the numbers are projected to increase significantly by 2030 (1).

There are two types of heart failure, systolic and diastolic. The basic difference is that the ejection fraction, the output of blood with each contraction of the left ventricle of the heart, is more or less preserved in diastolic HF, while it can be significantly reduced in systolic HF.

Fortunately, both types can be diagnosed with the help of an echocardiogram, an ultrasound of the heart. The signs and symptoms of both include shortness of breath on exertion or when lying down, edema or swelling, reduced exercise tolerance, weakness and fatigue. Each of these can impact quality of life significantly.

Major lifestyle risk factors for heart failure include obesity; smoking; poor diet, including consuming too much sodium; being sedentary; and drinking alcohol excessively. Conditions that increase your risk include diabetes, coronary artery disease and high blood pressure.

Typically, heart failure is treated with blood pressure medications, such as beta blockers, ACE inhibitors and angiotensin receptor blockers. We are going to look at how diet and iron levels can affect heart failure outcomes.

Can diet improve heart failure?

If we look beyond the usual risk factors mentioned above, oxidative stress may play an important role as a contributor to HF.

In a population-based, prospective study, the Swedish Mammography Cohort, results show that a diet rich in antioxidants reduces the risk of developing HF (2). In the group that consumed the most nutrient-dense foods, there was a significant 42 percent reduction in the development of HF, compared to the group that consumed the least. According to the authors, the antioxidants were derived mainly from fruits, vegetables, whole grains, coffee and chocolate. Fruits and vegetables were responsible for the majority of the effect.

What makes this study so impressive is that it is the first of its kind to investigate antioxidants from the diet and their impacts on heart failure prevention.

This was a large study, involving 33,713 women, with good duration — follow-up was 11.3 years. There are limitations to this study, because it is observational, and the population involved only women. Still, the results are very exciting, and it is unlikely there is a downside to applying this approach to the population at large.

More recently, the REGARDS (REasons for Geographic and Racial Differences in Stroke) Trial examined the impact of five dietary patterns on later development of HF in over 16,000 patients followed for a median of 8.7 years. 

The dietary patterns included convenience, plant-based, sweets, Southern, and alcohol/salads (3). Researchers found that a plant-based dietary pattern was associated with a significantly lower risk of HF.

Does iron supplementation improve heart failure outcomes?

An observational study that followed 753 heart failure patients for almost two years showed that iron deficiency without anemia increased the risk of mortality in heart failure patients by 42 percent (4).

In this study, iron deficiency was defined as a ferritin level less than 100 μg/L (the storage of iron) or, alternately, transferrin saturation less than 20 percent (the transport of iron) with a ferritin level in the range 100–299 μg/L.

The authors conclude that iron deficiency is potentially more predictive of clinical outcomes than anemia, contributes to the severity of HF and is common in these patients. However, studies of oral iron supplementation has not been shown to improve results, while intravenous supplementation has been shown to reduce hospitalizations and mortality (5).

These studies suggest that we should try to prevent heart failure through dietary changes, including high levels of antioxidants, because it is not easy to reverse the disease. Those with HF should have their ferritin and iron levels checked, because these can be addressed with medical supervision.

References:

(1) Circulation. 2020;141:e139–e596. (2) Am J Med. 2013 Jun:126(6):494-500. (3) J Am Coll Cardiol. 2019 Apr 30; 73(16): 2036–2045. (4) Am Heart J. 2013;165(4):575-582. (5) Eur J Heart Fail. 2018;20(1):125–133.

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 or consult your personal physician.

The statue of St. Charles outside the hospital. Photo by Marilyn Fabbricante

By Fr. Francis Pizzarelli

Father Frank Pizzarelli

September is National Substance Use Disorder Awareness Month. Saint Charles Hospital in Port Jefferson began substance abuse awareness month by acknowledging International Overdose Day.

People from our local school communities and local elected officials were present, as well as our town supervisor, Edward Romaine. Representatives from other treatment and support programs were also present. The program was simple but to the point. Fentanyl and heroin overdoses are out of control across the country and locally. It is a growing epidemic in every town and village across the nation. I was asked to share a reflection that day as someone who has spent more than four decades living and working with people battling substance use disorders and mental health issues.

Saint Charles Hospital has been a leader in the field of detox and rehabilitation treatment for decades. Their dedicated professional staff has done and continues to do an extraordinary job with those battling addiction. Saint Charles continues to give voice to this epidemic need but unfortunately due to the insurance industry and politics, addiction treatment still gets buried in the weeds because it does not break even.

They have the space to increase the number of beds desperately needed for treatment. As a community, we need to stand up and give support to these vital services for our local and larger community. Saint Charles is leading our region in partnering with our school communities, and other not-for-profit resources that support people battling substance use disorder and mental health issues.

Every morning when I get up, I look out my bedroom window on the grounds of Little Portion Friary. I am greeted by the 120 crosses representing the 120 young people from our community that have died due to an overdose since the pandemic. Our Garden of Remembrance has become a safe place for a growing number of families who feel so displaced and shunned because they buried a son or daughter due to addiction.

It is scandalous that insurance companies have so much power when it comes to authorizing vital treatment for people who are battling addiction and mental health issues. The insurance protocols that determine whether or not someone will be approved for detox, residential treatment and outpatient treatment services are ridiculous. It’s not about the person in need of services, but rather about how much it will cost; that attitude is shameful and out of control.

In the past 10 days, I buried two young people who overdosed and one young woman who killed herself due to addiction. These senseless deaths are not decreasing, they are escalating. We do not have enough treatment services to keep up with the epidemic need.

We must stand up and support programs like Saint Charles, and other programs that are going the distance and so much more to protect the quality of life for the growing number of young people that are struggling with substance use disorders and mental health issues.

Every day I see firsthand the miracles of change and transformation for those struggling with addiction and mental health issues, who have the opportunity to work on themselves and reclaiming their lives; we can do better in this regard. People do get better and reclaim their lives; families are healed and renewed.

Father Francis Pizzarelli, SMM, LCSW-R, ACSW, DCSW, is the director of Hope House Ministries in Port Jefferson.

 

The Town of Smithtown hosted its Annual Tree Lighting Ceremony in Recognition of Childhood Cancer Awareness Month on Sept. 7. Photo from Town of Smithtown

On Thursday September 7, local officials joined together with Smithtown Central School District, local parent advocate and Solving Kids Cancer partner; Amy Beach, families and friends to kick off Childhood Cancer Awareness Month with the annual ‘Go Gold’ Tree lighting ceremony at Town Hall.

The tree at Town Hall is adorned in gold bows, bearing the names of local children who are actively fighting cancer, in remission or have since passed away. The lights and ribbons on the Tree were originally donated to the Town courtesy of Katia Conte, founder of the Daniela Conte foundation in 2021.

Additionally, life size gold awareness ribbons, donated by the Thomas Scully Foundation are on display at the Smithtown Bull Monument, at Town Hall, the Parks Department and at the Highway Department through the month of September. Local mom and advocate of Solving Kids Cancer; Amy Beach distributed gold laces as a part of the “Lace up for Kids” partnership, in honor of her son Dylan. Additionally the Town distributed and donated approximately 200 gold ribbon charms for the School to distribute with the “Lace up for Kids” initiative on September 22nd.

“Many of the families here with us tonight will tell you, cancer doesn’t take a day off. That is why we are all here tonight as one community, one family… to let every parent, or caregiver, with a child diagnosed with cancer know that you are not alone. We are here to fight for you, cry with you, laugh with you, pray with you and hopefully work to discover more humane treatments and an eventual cure. Only then can we truly celebrate with you,” said Supervisor Ed Wehrheim.

Each year, the Town of Smithtown raises awareness for Childhood Cancers in the month of September through various activities and events. These efforts are intended to help fund and raise awareness, identify breakthroughs and fill gaps in the treatment landscape, and direct research to the areas with the greatest need.

“The mission of the Thomas Scully Foundation is to bring A Little Bit of Happiness to children with cancer today, while supporting a cure for tomorrow. The foundation delivers care packages to bring comfort and joy to children, while they’re in local NY hospitals. They also support a cure for tomorrow, by providing A Little Bit of Hope grants. These are given to families seeking innovative treatments for their child… The Thomas Scully Foundation would like to thank the Town of Smithtown, for helping to bring awareness to childhood cancer by going gold for the third year in a row. Not only are you helping to bring awareness but you’re also letting everyone know that you support those children and families who have been affected. We thank you for that,” added Debbie Scully, Thomas Scully Foundation (Read by Amy Beach on Behalf of Debbie Scully)

“One in five children diagnosed with Cancer in the United States will not survive. And for the ones that do the battle is never over. The majority of childhood cancer survivors have chronic health problems because of the treatments they had as kids. Childhood cancer research is consistently under funded, with less than 4% of the federal budget for cancer research in the United States of America is dedicated to childhood cancer. Solving Kids Cancer is an organization that finds, funds and advocates for breakthrough treatment options to cure children with the most fatal pediatric cancers. They help accelerate new, next generation treatments, including immunotherapy, cancer vaccines and new drugs, by applying an understanding of the entire childhood cancer landscape to wisely invest in innovative treatments,” said Amy Beach of Solving Kids Cancer Childhood Cancer Research Advocate, and a Smithtown Parent.

“All September long, Smithtown Schools will be swapping out our regular shoe laces for gold ones. The Smithtown Central School District students will receive gold laces at each of their respective school buildings. Fall sports teams will be participating in the lace up for kids campaign. And on Friday September 22nd, we will have a district wide Go Gold day. We invite all of you as well to care, wear and share your gold throughout this month of September… We look forward to many more years of partnership, awareness and advocacy until one day, there is a cure. Be Bold. Go Gold. Because every kid deserves a chance to grow up.”