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Swapping out eggs, white bread for oatmeal linked to lowered stroke risk: study – Montreal Gazette

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‘This study provides additional support of a Mediterranean diet, which includes daily consumption of whole grains.’


They look good don’t they? But if you swap eggs for oatmeal in the morning, you’ll live longer to see more lovely photos like this.


Joern Pollex / GETPICS

People who eat oatmeal for breakfast instead of eggs and white toast may be lowering their risk of stroke, a Danish study suggests.

Consuming breakfast every day, and oatmeal in particular, has long been linked to reduced stroke risk. But research to date hasn’t offered a clear picture of how substituting oatmeal for common breakfast foods like eggs, toast and yogurt might impact stroke risk, the study team notes in the journal Stroke.

Researchers examined dietary data on about 55,000 adults in Denmark who were 56 years old, on average, with no history of stroke. At the start, each week, participants consumed an average of 2.1 servings of eggs, 3 servings of white bread, 1 serving of yogurt, and only 0.1 serving of oatmeal.

Researchers followed half of the participants for at least 13.4 years. During the follow-up, 2,260 people had a stroke.

Using a statistical model, the researchers calculated that a person who replaced one serving of eggs or white bread with oatmeal would have a 4 per cent lower risk of stroke compared to someone who stayed with eggs or bread for breakfast. Eating oatmeal instead of yogurt didn’t appear to impact stroke risk.

“Our results indicate that shifting more people to choose oatmeal instead of white bread or eggs might be wise for population-level prevention of stroke, but the modest association means that for individuals, it is quite possible that other factors might be more important,” said senior study author Christina Dahm of Aarhus University in Denmark.

While the study wasn’t designed to prove whether or how oatmeal might lower stroke risk, oats may do this by helping to lower cholesterol, Dahm said by email.

“Cholesterol is a risk factor for ischemic strokes, and our results were stronger for ischemic stroke, which could indicate that the cholesterol-lowering effect of eating oats may have long-term impact on risk of ischemic stroke,” Dahm added.

Most ischemic strokes occur when a clot blocks an artery carrying blood to the brain.

To minimize that risk, the American Heart Association (AHA) recommends not smoking, getting regular exercise, maintaining a healthy weight, keeping blood pressure, cholesterol and blood sugar in check, and eating a diet rich in whole grains, fruits, vegetables and lean protein with limited sweets and fats.

Replacing one weekly serving of eggs or white bread with oatmeal was specifically associated with a 5 per cent lower risk of ischemic stroke from blockages in small arteries, the researchers note.

Overall, study participants who ate more eggs and white bread tended to have less healthy eating habits than people who ate more oatmeal.

“Perhaps patients who eat oatmeal take better care of themselves in other ways, and this accounts for the observed effect,” said Dr. Michael D. Hill, a researcher at the University of Calgary, in Alberta, Canada, who wasn’t involved in the study.

“If true, this would mean that eating oatmeal just identifies a population of people who are healthy, rather than having a direct effect on the pathological processes leading to stroke,” Hill said by email.

Portion sizes and diet quality are also important for stroke prevention, said Dr. Amytis Towfighi of the Keck School of Medicine at the University of Southern California, in Los Angeles.

The AHA recommends the Dietary Approaches to Stop Hypertension (DASH) diet or a Mediterranean-style diet to help prevent cardiovascular disease. Both diets emphasize cooking with vegetable oils with unsaturated fats, eating nuts, fruits, vegetables, low-fat dairy products, whole grains, fish and poultry, and limiting red meat and added sugars and salt.

“This study provides additional support of a Mediterranean diet, which includes daily consumption of whole grains,” Towfighi, who wasn’t involved in the study, said by email.

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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