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Irregular Menstrual Cycles Tied to Shorter Lifespans

Irregular menstrual cycles may be associated with an early death, a new study suggests.

Researchers followed 79,505 women participating in a large long-term health study. The women reported on the length and regularity of their cycles at ages 14 to 17, 18 to 22, and 29 to 46 years. At the start, none had a history of cardiovascular disease, cancer or diabetes. The study is in BMJ.

Over 24 years of follow-up, there were 1,975 deaths before age 70, including 894 from cancer and 172 from cardiovascular disease.

At all ages, compared with women with regular periods of average length (26 to 31 days), those with irregular or longer cycles were at higher risk for early death. For example, women who always had irregular periods at ages 18 to 22 had a 37 percent increased risk of early mortality, and those with cycle lengths of 40 days or more had a 34 percent increased risk.

Younger women had an increased risk for death from cancer but not from cardiovascular disease, while in older women the risk for cardiovascular disease death was higher.

“Importantly, these associations are not restricted to polycystic ovary syndrome or other gynecological or endocrine conditions that might result in irregular menstrual periods,” said the senior author, Dr. Jorge E. Chavarro, an associate professor of medicine at Harvard.

The study controlled for diet, physical exercise, anxiety, depression, and age at menarche or menopause.

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Women’s Reproductive Health Tied to Later Heart Disease | Health News

By Robert Preidt, HealthDay Reporter

(HealthDay)

FRIDAY, Oct. 9, 2020 (HealthDay News) — Pregnancy complications, including preeclampsia and miscarriage, may be linked to an increased risk of heart disease later in life, a new study suggests.

For the study, the researchers analyzed 32 reviews that assessed women of childbearing age and their subsequent risk of heart disease. The women in those papers were followed for an average of seven to 10 years.

Several reproductive factors were linked with an up to twofold risk of heart disease later in life: starting periods early; use of combined oral contraceptives; polycystic ovary syndrome; miscarriage; stillbirth; preeclampsia; diabetes during pregnancy; preterm birth; low birth weight; and early menopause.

In addition, preeclampsia was associated with a fourfold risk of heart failure.

Family medical history, genetics, weight, high blood pressure and cholesterol levels, and chemical imbalances from use of hormonal contraceptives are among the possible explanations for these associations, according to study author Krishnarajah Nirantharakumar, a senior clinical lecturer at the University of Birmingham in the United Kingdom, and colleagues.

There was no association between heart disease risk and current use of progesterone-only contraceptives, use of non-oral hormonal contraceptive agents or fertility treatment, the study authors noted.

More time breastfeeding was associated with a lower risk of heart disease, according to the report published online Oct. 7 in the BMJ.

Previous research has suggested that women may have specific risk factors for heart disease and stroke, but there were questions about the quality of evidence, the study authors said in a journal news release.

The new report doesn’t prove cause and effect, but the findings indicate that reproductive factors do influence women’s future risk of heart disease. The researchers suggest that women’s health care guidelines be updated to include reproductive risk factors as part of the risk assessment for heart disease.

Copyright © 2020 HealthDay. All rights reserved.

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Reproductive Health Tied to CVD in Women

Pregnancy complications and fertility issues that occur throughout the course of life may increase a woman’s risk of developing cardiovascular disease (CVD) later on in life, according to an umbrella review.

A wide range of female sex-specific reproductive health factors from first menstruation to menopause were associated with increased risk of composite CVD, stroke, ischemic heart disease, and heart failure (HF), reported Krishnarajah Nirantharakumar, MD, of the University of Birmingham in England, and colleagues.

Preeclampsia, gestational diabetes, stillbirth, and preterm birth had the strongest associations with cardiovascular illness later on in life, with women who had history of preeclampsia at four times the risk of developing HF (relative risk 4.19, 95% CI 2.09-8.38), they wrote in The BMJ.

Breastfeeding reduced the risk of poor cardiovascular health. There were also no observed associations between CVD and use of progesterone-only birth control, non-oral hormonal contraceptives, or fertility treatment, according to the authors.

“Our review increases awareness of female sex-specific risk factors for cardiovascular disease among women and health care workers,” Nirantharakumar told MedPage Today in an email. “It calls for multi-disciplinary collaboration between primary care doctors and specialists (obstetricians, gynecologists, cardiologists, and stroke physicians) in the evaluation and follow-up of women with a history of reproductive risk factors for cardiovascular disease.”

Christopher Nau, MD, a maternal-fetal medicine specialist at University Hospitals in Cleveland, said that while this review does not quantify individualized risk, it highlights a wide range of female-specific reproductive health factors that all physicians should pay attention to when screening patients.

“Pregnancy is a window into the long-term health risks for a woman,” Nau, who was not involved in the study, said in an interview. “A lot of issues with women’s reproductive health can have an impact on other parts of their health, and we need to keep that in mind.”

Recent age and sex-specific trends have shown some increases in cardiovascular illness risk among younger age groups, and specifically women, Nirantharakumar said. Although many studies have investigated female sex-specific cardiovascular risk factors, gaps in the current literature make public health implications unclear.

Nirantharakumar and colleagues conducted an umbrella review to synthesize existing systematic reviews and meta-analyses. They searched databases for studies about women, CVD, and risk factors related to fertility and pregnancy occurring from first menstruation to menopause. The group investigated several cardiovascular health outcomes, including ischemic heart disease, coronary artery disease, stroke, HF, composite CVD, and others.

Narrative reviews, literature reviews, genetic studies, duplicate analyses, and reviews that looked into atherosclerosis, venous thromboembolism, and hormone replacement treatment were excluded from the review. The researchers accepted articles published up to August 2019.

There were 32 articles included in the umbrella review, a majority of which were meta-analyses. The studies that investigated fertility outcomes followed patients for a median of 10 years, while those that looked into adverse pregnancy outcomes followed patients for around 7.5 years.

Women with moderate preeclampsia, stillbirth, and preterm birth were more than twice as likely to develop composite CVD. Those who had preeclampsia, gestational

Coronavirus outbreak at North Carolina hair salon tied to at least 1 death: officials

At least one person has died following an outbreak of the novel coronavirus at a hair salon in North Carolina, officials announced this week.

Haywood County Health and Human Services in a news release on Tuesday announced that the person died on Oct. 1 at a local hospital.

At least one person has died following an outbreak of the novel coronavirus at a hair salon in North Carolina, officials announced this week.

At least one person has died following an outbreak of the novel coronavirus at a hair salon in North Carolina, officials announced this week.
(iStock)

“The death certificate lists pneumonia due to COVID-19 infection as an underlying cause of death (the disease that initiated the events resulting in death.) The individual was elderly and had several underlying medical conditions,” officials said, noting that no other information will be released to protect the family’s privacy.

The coronavirus cluster is linked to Enchanting Hair Fashions salon in Canton, said officials, who did not reveal how many COVID-19 cases are linked to this specific cluster.

UNIFORM USE OF CORONAVIRUS FACE MASKS MAY HAVE PREVENTED OUTBREAK AT MISSOURI HAIR SALON: REPORT

“We extend our deepest sympathy to the family and loved ones. This is a sad reminder that COVID-19 is a serious and sometimes deadly illness. We urge all citizens to do their part by observing social distancing, wear masks and practice good hygiene,” said Health Director Patrick Johnson, in a statement.

It’s not clear if the stylists or salon patrons were wearing masks, though North Carolina Gov. Roy Cooper mandated them in June.

The news comes after a review from the Centers for Disease Control and Prevention (CDC) in July found that uniform mask-wearing at a hair salon in Missouri may have prevented nearly 140 clients from contracting the novel coronavirus from two hairstylists infected with COVID-19.

In May, two hairstylists at Great Clips in Springfield, Mo., tested positive for COVID-19 after seeing clients at the salon located at 1864 S. Glenstone Ave. The stylists treated some 139 clients between the two of them.

However, none of the clients were sickened with COVID-19. Experts are crediting the use of face maks, at least in part, for preventing what could have been a significant outbreak of the deadly virus.

OKLAHOMA MOM WARNS OF CARBON MONOXIDE POISONING AFTER SON, 9, DIES ON BOATING TRIP

“Among 139 clients exposed to two symptomatic hair stylists with confirmed COVID-19 while both the stylists and the clients wore face masks, no symptomatic secondary cases were reported; among 67 clients tested for SARS-CoV-2, all test results were negative,” the report published in the CDC’s Morbidity and Mortality Weekly Report reads. “Adherence to the community’s and company’s face-covering policy likely mitigated [the] spread of SARS-CoV-2.”

“The citywide ordinance and company policy might have played a role in preventing [the] spread of SARS-CoV-2 during these exposures,” the authors added in the report. “These findings support the role of source control in preventing transmission and can inform the development of public health policy during the COVID-19 pandemic.”

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Northern California evangelical school tied to ‘very large’ spike in virus cases

SAN FRANCISCO (AP) — A Northern California county will face greater restrictions as it grapples with a surge in coronavirus cases, many of them tied to an evangelical college where more than 120 students and staff have tested positive in the last two weeks, health officials said Tuesday.

Shasta County health officials say that an outbreak of cases among students and staff at the Bethel School of Supernatural Ministry contributed to a recent spike in COVID-19 cases that bumped the county on Tuesday into a new level of regulations on restaurants, bars, theaters and businesses.

“We have been fortunate enough to have a relatively low number of cases throughout the course of the pandemic,” said Kerri Schuette, spokeswoman for Shasta County Health and Human Services. “But we’ve had a very large increase in cases over the past two to three weeks, with 123 being associated with the Bethel School of Supernatural Ministry.”

A school spokesman declined to comment Tuesday but forwarded a statement from earlier this month saying that the school was aware its students and staff accounted for “a portion” of Shasta County’s new cases and the school was taking “swift action” to minimize further spread.

In its statement the school said it shifted to online instruction last week and canceled in-person church services for Oct. 4 and Oct. 11 that have been held outdoors on a sports field. It also asked anyone who came in contact with someone who contracted COVID-19 to quarantine at home.

“This has led to a large number of people staying home as a precaution,” the statement said, adding that staff and students have been required to wear face coverings, socially distance on campus and do daily temperature checks at the door since classes started in early September.


On its website, the school describes itself as “a ministry training center” that is not an accredited university “where our students embrace their royal identity, learn the values of the kingdom, and walk in the authority and power of the King.”

The school does not provide housing for students, saying on its website that it welcomes hundreds of international and U.S. students each year and “it is our hope that our students ‘infiltrate’ the neighborhoods of Redding.”

Shasta County recorded more than 500 new coronavirus cases in the past two weeks, pushing its total number of cases since March to 1,158.

Another cluster was traced to an assisted living facility, called the Windsor Care Facility, where 60 residents and 20 staff have tested positive for the virus since the start of the outbreak, with most of those cases occurring in the past three weeks, Schuette said.

State health officials announced Tuesday that Shasta County was getting bumped to the “red tier” of a color-coded framework for business and school reopenings. It means that restaurants, churches and other businesses can open with limits on the numbers of people allowed inside. Other nonessential businesses like bars must close.

Schuette said the county has been working closely with Bethel

Albany County says spike in COVID-19 cases likely tied to schools

ALBANY — Another county resident died from the coronavirus and the county is experiencing an increase in cases likely tied to the resumption of school, Albany County officials said Friday.

The victim, a man in his 70s with underlying health issues, is the county’s 135th known death from COVID-19. He was the 346th confirmed victim in the eight-county Capital Region.

At a morning briefing with reporters, Albany County Executive Dan McCoy said the percentage of new cases tied to outbreaks at the University at Albany are dropping but county officials warned they were seeing a slight increase in cases potentially tied to cases that have emerged since local school districts opened their doors in September..


On Sept. 17, 84 percent of the county’s new daily diagnoses were tied to the college. The following week, it dropped to 61 percent and it stood at just over 13 percent on Thursday, he said.

The surge in local coronavirus cases in August and early September was tied to social gathering among college students, a factor in the state’s decision to implement caseload limits that could ultimately lead to an end to in-person classes at the university. SUNY Oneonta took that step after a large outbreak at the very beginning of the fall semester.

“The students had to learn, right?,” McCoy said of the UAlbany situation. “Students came, got a little freedom and some of them didn’t do the right thing so that number went up. Now, I think they’re getting it.”

Still, County Health Commissioner Elizabeth Whalen said the county is starting to see “a little bit” of an uptick in cases. There were 28 new cases of the virus overnight, bringing the county’s five-day average of new daily cases to 14.8. That number was 8.4 at the start of September.

The uptick is likely tied to the resumption of school. At least 15 school districts in the eight-county area have announced positive cases since in-person learning began again this fall. Seven of them have suspended in-person learning to allow for tracing, testing and cleaning.

Additionally, on Tuesday, the county warned that it had seen a 12.5 percent increase in positive cases among 10- to 19-year-olds over the past week, compared to a 5.1 percent increase in 20- to 29-year-olds — who fueled much of the county’s cases over the summer.

“There was a concern that there would be a second surge of COVID in the fall,” Whalen said. “I don’t know whether what we’re seeing is constituting a surge but it is constituting a caution. So it’s important for people to know that COVID is still out there, there is still transmission in Albany County and people are still at risk.”

Earlier: An Albany elementary’s pre-k moves online after COVID-19 diagnosis

Third student tests positive for COVID-19 in East Greenbush

Hadley-Luzerne schools go all-virtual after sixth COVID-19 case

Queensbury closes two schools amid coronavirus cases

A number of test sites throughout the region offer testing for children, McCoy said. The state Department