Health24.com | Here’s what to do if your heart is racing more than usual

A pounding ticker after a 5-K is par for the course, but what about sudden palpitations – racing, skipped, or intense pulses that feel jarringly different? Here’s how to read that off-beat beat – and what to do if your heart is racing.

Is it rare? Pinpoint the cause

Alcohol, caffeine, intense exercise, and some cold and flu drugs can cause funky flutters, so if it’s only happened once or twice, and you can trace it to one of the above, you’re probably in the clear.

Read more: 5 heart attack symptoms in women that are super common (and scary)

Does this happen often?

Do you have irregular beats on the regular? Not sure what’s to blame, or notice a not-right rhythm often (say, twice a month)? See a doc to rule out high blood pressure, thyroid issues, or other heart problems.

Read more: 5 women share exactly what it feels like to have a heart attack

What are the other symptoms?

If your heart is racing, but you’re also dizzy, weak, or short of breath or feel chest pressure, book it to the ER. These are signs of serious heart problems that can raise your risk for blood clots, stroke, and heart attack by up to five times.

Read more: 3 major things your resting heart rate can tell you about your health

Try these tips to keep your heart health in check:

Eat fish

Eating fish four times a week could reduce your risk of coronary heart disease by 40%, according to a study in Nutrition, Metabolism & Cardiovascular Diseases.

Tame your boozing

If you regularly binge drink, time-travel forward a couple of decades and your past boozy nights may have put you at risk of heart disease. Research in the Journal of the American College of Cardiology found that downing multiple drinks in a short time on the reg can cause changes in circulation that increase an otherwise healthy adult’s risk of cardiovascular problems as they age.

Start running

Just five minutes of steady running, performed daily, will give you up to a 45% lower risk of death from cardiovascular disease than non-runners.

This article was originally published on www.womenshealthmag.

Image credit: iStock

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Yellowstone elk don’t budge for wolves, say scientists

Elk roam the winter range that straddles the northern boundary of Yellowstone National Park with little regard for wolves, according to a new study illustrating how elk can tolerate living in close proximity to the large predator.

The study offers new insight into how wolves can have negligible impacts on elk movements, and how elk may simply ignore the risk of wolf predation while navigating the landscape in search of forage. It also adds to a growing body of evidence that changes in elk distribution and vegetation conditions in northern Yellowstone since wolf reintroduction in the mid-1990s are not caused by wolves altering elk movement behavior.

Utah State University researchers Dan MacNulty and Michel Kohl co-led the study, published in the Journal of Animal Ecology, with Jeremy Cusack (University of Stirling), Tim Coulson (University of Oxford), Matt Metz (University of Montana), Doug Smith and Dan Stahler (Yellowstone National Park). Several organizations funded the research, including the National Science Foundation, Natural Environment Research Council, Yellowstone Forever, The Tapeats Fund, Perkins-Prothro Foundation, and the National Park Service. The Park-led wolf and elk monitoring programs provided data for the project.

The team used global positioning system (GPS) radio-collars to track the movements of elk and wolves across four winters between 2012 and 2016. They tracked 34 adult female elk and at least one member of each dominant wolf pack. The collars recorded the location of the animals every 1-3 hours, providing comprehensive data on how they used the landscape. The team tested if elk avoided wolves that were in close proximity, and if elk avoided ‘risky areas’ where they might be killed by wolves, including where wolf densities were high; where wolves had previously killed elk; and open grasslands where wolves often hunted.

“We compared recorded elk movements with those from a simulation that described how elk would move if they completely ignored wolves and risky areas” says MacNulty, who has studied wolf-elk interactions in northern Yellowstone since 1995 and is an associate professor in USU’s Department of Wildland Resources and Ecology Center. “In 90% of cases, there was no difference between real and simulated elk movements, indicating that our sample of real elk mostly ignored the risk of wolf predation.”

According to Cusack, the lead author of the study, most elk did not alter the location and configuration of their annual winter home ranges to minimize overlap with wolves and risky areas, and none bothered to steer around wolves that were in the immediate vicinity. “A few elk avoided open grasslands during daylight hours when wolves were most active, which mirrors the result of a separate recent study that examined finer-scale elk movements in the early 2000s when wolves and elk were more numerous,” explained Cusack.

The findings are also in line with other studies of northern Yellowstone elk, including one that compared elk movements before and after wolf reintroduction and found that “in winter, elk did not spatially separate themselves from wolves.” Another study reported that “elk did not grossly modify their migration timing, routes, or use areas after wolf restoration.”

Why don’t elk budge for wolves? “A main reason is that elk tend to be philopatric, which means they have an inherent tendency to habitually return to the same wintering and summering areas year after year,” says MacNulty. “Familiarity with an area helps them find the high quality forage they need, and this outweighs the small chance they encounter and fall prey to wolves.”

MacNulty and Cusack estimated that elk in their study encountered wolves once every 7 to 11 days, and previous research found that elk frequently survive their encounters with wolves. Low risk of predation was also reflected in relatively high rates of annual survival, particularly among younger adults. “Elk in their prime do not have a massive incentive to avoid wolves, especially in winter when forage is scarce,” explains MacNulty.

He says that elk intransigence towards wolves is a reminder that altered movement behavior is not the only way prey species avoid predation.

“Antipredator behaviors during encounters — including fighting back, grouping, and running — are effective ways for large-bodied, philopatric prey like elk to avoid predation without abandoning or reconfiguring their home ranges,” he says.

“This has implications for understanding how wolves and other predators, including humans, affect the distribution of philopatric prey like elk. Predators removing different numbers of elk in different areas is the main way they affect elk distribution. Elk movement away from risky areas, if it happens, is secondary.”

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Ancient Caribbean children helped with grocery shopping in AD 400

Researchers have long thought that snail and clam shells found at Caribbean archaeological sites were evidence of “starvation food” eaten in times when other resources were lacking. Now, a University of Florida study suggests these shells may be evidence of children helping with the grocery shopping — A.D. 400 style.

Researchers found thousands of discarded shells at a site in downtown St. Thomas in the U.S. Virgin Islands, likely evidence of ancient Saladoid children foraging for shellfish. Adult foragers typically would discard shells immediately after extracting the meat, meaning few shells made it back to archaeological sites, said William Keegan, curator of Caribbean archaeology at the Florida Museum of Natural History. This site, however, was littered with them.

“It’s not that people were starving. It’s that children were contributing to their own subsistence in a meaningful and very efficient way,” Keegan said. “We need to think of children as active members that influence site materials and their distribution. It changes the whole attitude about the collection in the archaeological site.”

For the most part, children have remained invisible to archaeologists until now, Keegan said. This study, the first to document child labor in an archaeological context, provides an important model for identifying children in the past and their contributions to their communities.

“Children are really the last group to receive any attention because to archaeology, they sort of look like little adults,” he said. “Efforts to identify children so far have emphasized badly made objects, miniatures and things that look like toys — it isn’t a complete perspective.”

Children may have had a role in foraging, which for the Saladoid people meant collecting mollusks for food.

“If your parent needs to go to the grocery store, you have to go with them,” Keegan said. “If you can do more than pull candy off the shelf, then you’re that much more helpful.”

Shells deposited in middens — mounds of shells and sediment that were once ancient garbage dumps — led Keegan’s research team to believe that shellfish had been intentionally brought to the site, eaten and the shells then thrown away. The team also developed seven criteria to help determine if shellfish at archaeological sites were collected by children.

Shellfish collected by children are most easily identified by variety and size, Keegan said. Child foragers tend to be generalists, meaning that they’re more likely to collect small shells indiscriminately. This research suggests that small, easy to transport and low-yield mollusks found in high amounts on a site indicate the presence of child foragers, he said.

“It looked like someone had sent a biology student with a one meter square and told them, ‘Collect everything,'” Keegan said. “You can certainly collect a whole bucket of these things and you’ve got a good meal, but it’s a waste of time for an adult to focus on those really small resources when they could be out collecting specific snails and clams that they know they can get a certain nutritional return on.”

Recent construction has disturbed much of the site, and researchers were only able to excavate a snapshot of what was once there, Keegan said.

Because the Caribbean is a largely understudied area in archaeology, Keegan and his team had few ethnographic descriptions of the Saladoid’s lifestyles to draw from. They chose to compare their findings with current research in the Pacific Islands, where foraging habits and available resources have remained virtually unchanged for millennia.

“It’s not a direct application,” Keegan said. “It’s an analogy that shows what we’re seeing in the living population is consistent with what we see in an archaeological population.”

Evidence suggests that foraging together was a way Saladoid people built kinship, a practice still seen today in the Pacific Islands. The Saladoid people were a matrilocal society, meaning familial lineage was traced through women and men were frequently absent from day-to-day life.

“The women would often go on trips with children to collect things farther away,” Keegan said. “The community functions holistically. By about age 15, children are involved in fully adult activities.”

Keegan’s work suggests that in some respects, children could actually outperform adults at certain tasks. Whereas adults focused on collecting larger shellfish from deeper waters, children were able to scour shallow areas for smaller shellfish that would be difficult for adult fingers to grasp.

“Children like being included. The same sorts of things children need in traditional societies are basically what we still need today to grow up to be healthy, useful adults,” Keegan said. “In fact, it wasn’t uncommon for children to collect small animals as pets.”

Because the site is located on St. Thomas’ main street, Keegan and his team were able to engage bystanders in their discoveries.

“What I think is unusual is that the road caps the site. Below the pipes, everything was completely intact,” Keegan said. “The archaeologists were fenced in — all day long people were coming up to the fence, and we were showing them what we had, but that’s all part of it. We want people to get excited about what we’re doing.”

Excavation was a collaborative effort that included several experts from different disciplines, lending a broader perspective to the team’s findings, Keegan said. The team was assembled by David Hayes, a founding member of the St. Croix Archaeological Society and project collaborator.

“For us, it’s always a new puzzle, trying to get the pieces to fit together. One of the real joys of this project was that even though there were specialists for each area, we were all together in the field,” Keegan said. “We were all working on the issues together, talking about things and getting a broad picture of what was going on rather than just a narrow focus of one archaeological material.”

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30 Days of 16/8 Intermittent Fasting

On Sunday I finished a 30-day trial of intermittent fasting, testing the variation where one fasts for 16 hours and eats only during an 8-hour window each day. In this post I’ll share what the experience was like.

Of the various 30-day trials I’ve done, this was one of the easiest, especially after the first few days of adjustment. I messed up on one day for logistics reasons, eating in about a 10.5-hour window that day, but otherwise it was pretty smooth sailing. Some days I got the eating window below 7 hours. The tightest eating window I tried was about 6 hours.

I’ve had some previous fasting experience, including a 17-day water fast in 2016 and and 40-day water fast in 2017, so I’ve gone for longer stretches without food before. In each case it didn’t take much discipline except for the first few days. The same was true of intermittent fasting, although I still had to be watchful of the eating window each day.

Calibrating the Eating Window

I started this trial by figuring that I’d just skip breakfast each day, so my first eating window was 12 – 8pm. That was a decent place to start, but in practice it would be shifted later. When noon rolled around, I’d wrap up whatever work I was doing first, and then I’d also have to make something to eat. So when I used this window mentally, I didn’t actually start eating till 12:30pm or later.

That was okay, but I disliked the long morning stretches with no food, and I didn’t need to have dinner so late since I normally go to bed by 10:30pm. I got used to skipping breakfast, but I felt that I operated better with some food in the morning, especially when getting up early and exercising.

I tried moving the eating window earlier to 9am – 5pm. That was okay too, but coordinating with Rachelle to have such an early dinner didn’t work well. I didn’t feel like eating the last meal around 4:30pm. By the time I tested this earlier window, I’d already gotten used to waiting longer till breakfast, so I found it hard to stick with an earlier window, and my first meal naturally drifted later anyway.

Eventually I settled into a pattern I liked, although I still varied it a little. I’d simply wait till after 10am for the first meal. By the time I took the first bite of food, it was usually around 10:30am, which gave me till 6:30pm to finish dinner. That was a nice window, and it didn’t feel like such a long wait when getting up early. If I was hungry in the morning, I might eat shortly after 10am. But if I wasn’t feeling as hungry or if I was deep into my morning work, I might not get around to eating till 11am or later.

So after some testing and practice, instead of thinking about the window, I found it easier to just think about the start time and not go any earlier than 10am for the first bite of food. When 10am came around, I could easily make a game of pushing it back a little – by 15 minutes, 30 minutes, or sometimes an hour or more. The benefit of pushing it back was that I could eat a later dinner that day if I wanted.

The Experience

I can’t say that this trial was too beneficial, but it wasn’t bad either. I had heard a lot of hype about this way of eating, but my experience seemed pretty bland compared to some.

Some days I felt like I could really use something to eat in the morning, but most of the time those thoughts were easily dismissed. I just had to occupy my mind with something other than food. Getting wrapped up in a creative project did the trick.

When the first meal finally came around each day, I appreciated it more than usual. It really felt like breaking a fast, even though it had only been 16 hours with no food.

I also felt more conscious about what I was eating, especially for that first meal of each day. When eating around 10:30am, I’d think about whether I wanted to call it breakfast and have some steel cut oats with fresh berries and coconut milk… or call it lunch and have a salad with air-baked tofu or tempeh.

Since this experience broke my previous eating routine, it made me think about when to eat and to pay more attention to how hungry I was, instead of just eating because it was the usual meal time.

Mentally I didn’t notice any meaningful improvement from eating this way – no gains in mental clarity that I can discern, but no decline either. By not having an early breakfast though, I save time on food prep and eating, so I’ve been able to get started on my workday earlier when I want.

Weight Loss

I lost a little bit of weight during the 30 days, just 1.6 pounds. But that was mainly in the last 10 days. Throughout the first 3 weeks, I was close to my starting weight the whole time. Even so, if that rate of weight loss was extended for a whole year, it would be 19 pounds, which isn’t bad for an approach that’s fairly easy to maintain.

Eating in an 8-hour window didn’t seem particularly beneficial if I just ate the same amount of food that I previously would. It was surprisingly easy to still eat about the same amount – for those first few weeks. But then I gradually noticed that I was eating less food than before. And that’s when I started seeing my weight nudging down. In the long run then, I think this form of intermittent fasting could make it easier to lose weight because you’ll likely eat less food this way. After a while it began feeling more effortful to try to pack in the same amount of food into an 8-hour window.

I think the key here was to relax into this way of eating and not to be to controlling with it. Initially I focused on that 8-hour window and thought about when I should eat my meals during that window, as if I had to pre-decide when to eat. Later I just focused on getting past 10am and letting my appetite dictate when to eat, and that’s when this experience became easier, and I began losing a little weight.

Sometimes I just didn’t seem as hungry as before. One evening I only ate a banana with some peanut butter for dinner, and I didn’t want more than that. Other days I noticed myself going for longer stretches without eating. I’d feel empty inside, but I wasn’t hungry per se.

Final Thoughts

For the first 20 days, this experiment felt pretty useless. I couldn’t discern any benefits, and I was still calibrating to find the right eating window for me. It was only in the last 10 days that I began to notice some shifts. By then I had aligned with an eating window that worked well (roughly 10:30am to 6:30pm), and I stuck with a simple rule: Wait till after 10am before having any food.

Overall I think that 30 days was too little time to draw any conclusions about what the long-term effects of this way of eating may be. The effects were slight relative to other dietary experiments I’ve done over the years. The shifts from going vegan were far more profound and noticeable (like losing 7 pounds in the first week when my body finally shed years of dairy clog).

This experience made me curious about intermittent fasting though, so I’ll likely continue to experiment with it. Some people have suggested shortening the eating window even more, like to 4 hours or less. And there are many other variations to try as well.

I like flexibility, so I don’t expect to be as strict about intermittent fasting when traveling or on a busy schedule, but the simplicity of not eating till after 10am has been working reasonably well, and it seems fairly easy to continue.

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Coroners could investigate stillbirths, say ministers

Coroners may be given new powers to investigate stillbirths so that each death is independently assessed.

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Health24.com | How stigma continues to threaten SA’s battle against TB

Local tuberculosis patients are getting the latest drugs but they still have to struggle with discrimination from families and even health workers. 

“Our people need not feel bad about getting TB,” said Deputy President David Mabuza barely a week ago speaking at the launch of a TB prevention initiative in Durban.

A cocktail of potent drugs

But these are hollow words for the many patients facing discrimination. 

“It felt like my entire family just dumped me in the hospital to die,” Nomasonto Lubisi from eMalahleni in Mpumalanga after being diagnosed with multi-drug resistant TB (MDR-TB). 

Shortly after her diagnosis in December 2017, Lubisi was admitted to a provincial hospital and placed on a treatment regimen consisting of a cocktail of potent drugs. 

One of these medicines was the first anti-TB drug developed in almost half a century called bedaquiline.

This makes Lubisi one of just 28 700 people on the entire planet with access to the life-saving drug.

‘My family were scared’

More than two-thirds of these patients live in South Africa, which is one of the number of reasons the country has received widespread praise for its anti-TB policies. 

But Lubisi didn’t feel that fortunate: “My family were scared of getting TB from me and made me live in isolation before I went into hospital. I was in there a year and they didn’t visit me, not even once.”

Last year, the South African government became the first to introduce bedaquiline as the first-line option for treatment of patients with resistant forms of TB, which, up until that point, had entailed two years of toxic treatment that causes permanent hearing loss in up to a third of patients.

Bedaquiline is estimated to improve cure rates from 50 to around 80%. Ingrid Schoeman, a TB survivor and dietitian with the local organisation, TB Proof, said that it is not enough to introduce new drugs, as the stigma surrounding the disease prevents many of these patients from going to health facilities and testing for TB. 

“Imagine how lonely it must be to be sick and fear losing your friends, your job or relationships because you got sick with TB. TB stigma causes people to avoid seeking healthcare and, without treatment, you cannot be cured,” she said.

Poor attitude of nurses

Around 160 000 people with active TB in South Africa are not on treatment and are spreading the disease in their communities. And even if patients are lucky enough to have supportive families, discrimination from healthcare workers is also rife. 

Twenty-four-year-old Siphiwe Buthelezi, also from Mpumalanga is currently being treated for MDR-TB but his treatment has been threatened on more than one occasion due to fear. 

“At times, if I couldn’t get my treatment when I was supposed to, I wouldn’t get it because I was afraid that the nurses will shout at me because that’s what happened before,” he said. Buthelezi has “struggled a lot to take my treatment because I do not have a strong support system on my side and then the problem caused by the poor attitudes from nurses to me as a patient”. 

Currently undergoing MDR-TB treatment, the miner told Health-e News he has witnessed “people not seeking professional help for TB because of the stigma and discrimination they experience in society”. 

He said: “If I didn’t get the support I have from my family I wouldn’t have been able to accept that I have MDR-TB. I probably would have died before I even got diagnosed.” – Health-e News 

Image credit: iStock

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Health24.com | ‘Male pill’ makes another advance, researchers say study shows libido will be preserved

A male contraceptive pill, long a goal of men – and women – everywhere, may be one step closer to reality, US researchers report.

They say their experimental pill appears to be safe while reducing levels of hormones key to sperm production.

Available in about 10 years

“Our results suggest that this pill, which combines two hormonal activities in one, will  decrease sperm production while preserving libido,” said study co-senior investigator Dr Christina Wang. She’s professor of medicine at Los Angeles Biomed Research Institute at Harbor-UCLA Medical Center in Torrance, California.

But no one should hold their breath while waiting for the pill to reach the market: “Safe, reversible hormonal male contraception should be available in about 10 years,” Wang said in a news release from the Endocrine Society.

Her team presented the findings at the society’s annual meeting in New Orleans.

The study “shows promise for a future reversible male contraceptive,” agreed Dr Tomer Singer, who directs reproductive endocrinology and infertility at Lenox Hill Hospital in New York City. He wasn’t involved in the new research, and stressed that “more studies, including prospective randomised trials, are needed in order to confirm these initial findings.”

The new research involved 40 healthy men who received either a placebo or the experimental birth control pill, which is for now called 11-beta-MNTDC.

As Wang’s group explained, the pill is a modified form of testosterone that delivers the combined actions of both a male hormone and a female hormone (progesterone).

No severe side effects

The men took the placebo or drug once a day for 28 days.

Among the men who took the birth control pill, average circulating testosterone levels dropped as low as that which occurs in a state of androgen (male hormone) deficiency.

However, the men did not experience any severe side effects, such as major loss of libido, as can occur in a typical state of androgen deficiency.

Any side effects that did occur were few and mild, and included fatigue, acne or headache, Wang’s group reported.

Five of the men who took the birth control pill reported slight declines in their sex drive, while two reported mild erectile dysfunction. However, none of this affected their sexual activity, which did not decrease. None of the men stopped taking the drug because of side effects, and they all passed safety tests.

In men who took the birth control pill, levels of two hormones required for sperm production dropped greatly compared to those who took the placebo. And the drug’s effects were reversible after the men stopped taking the pill.

Larger, longer trials needed

Wang stressed that the drug would take at least three 60- to 90-day regimens to begin to affect sperm production, so the 28 days of treatment in the study was too short to achieve maximum sperm suppression.

However, her team plans longer studies and – if they show that the drug is effective – the next phases will be larger studies. Finally, the pill would be tested in sexually active couples, Wang said.

Singer agreed that longer trials are key to knowing if this pill will be successful.

“We know that in order to produce a healthy sperm – which has a life cycle for approximately three months – there has to be secretion of both FSH and LH, which are two hormones secreted by the pituitary gland,” he explained. Those two hormones “act on the testicular cells to produce sperm in one [type of cell] and secrete testosterone in the other,” Singer added.

However, “the main challenge is that suppressing the hormones – testosterone, LH and FSH – by taking hormonal treatment may result in a decrease in libido, erection and ejaculation,” Singer said. This early, phase 1 clinical trial shows promise, he said, but only larger, longer trials will prove if 11-beta-MNTDC is both safe and effective.

Because the findings were presented at a media meeting, they should also be considered preliminary until published in a peer-reviewed journal.

Image credit: iStock

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Male pill – why are we still waiting?

Another male pill passes human safety tests – but it won’t be widely available any time soon, experts say.

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Breast ironing awareness ‘needed in school’

The practice involves ironing a girl’s chest with hot objects to delay breasts from growing

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Using a fitness ball? Pick the right size

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