1 00:00:01,400 --> 00:00:04,120 Speaker 1: Welcome to Willness. I'n mass I'm doctor Nicole Saffire and 2 00:00:04,200 --> 00:00:08,440 Speaker 1: this is your weekly rundown. We are tackling two big topics. First. 3 00:00:08,600 --> 00:00:11,760 Speaker 1: The second Make America Healthy Again or MAHA Report is 4 00:00:11,880 --> 00:00:14,280 Speaker 1: due out any day now, and there's a lot of 5 00:00:14,360 --> 00:00:18,079 Speaker 1: chatter about what it might say, because, well, let's be honest, 6 00:00:18,160 --> 00:00:21,360 Speaker 1: the last one, while it contained a lot of good information, 7 00:00:21,480 --> 00:00:25,920 Speaker 1: it focused a lot on childhood obesity and chronic illness 8 00:00:25,920 --> 00:00:28,560 Speaker 1: when it came to our kids. There were a lot 9 00:00:28,560 --> 00:00:31,320 Speaker 1: of flaws in this report. In fact, it was pretty embarrassing. 10 00:00:31,800 --> 00:00:35,400 Speaker 1: There were fake citations, a lot of it seemed ai generated. 11 00:00:35,920 --> 00:00:39,479 Speaker 1: Bottom line, it would not pass the sniff test when 12 00:00:39,520 --> 00:00:42,720 Speaker 1: it came to academics when it comes to any sort 13 00:00:42,720 --> 00:00:45,760 Speaker 1: of publishing. I was very excited for this first report 14 00:00:45,800 --> 00:00:48,400 Speaker 1: to come out because finally we were talking about something 15 00:00:48,560 --> 00:00:51,960 Speaker 1: that needs to be addressed. It really is a medical emergency, 16 00:00:52,000 --> 00:00:55,440 Speaker 1: the health of our kids. But the report itself, unfortunately, 17 00:00:55,560 --> 00:00:58,680 Speaker 1: was a little embarrassing from medical standards. So I am 18 00:00:58,720 --> 00:01:01,240 Speaker 1: hoping that they will pay a little bit more attention 19 00:01:01,280 --> 00:01:04,280 Speaker 1: to detail in this next report. So what do we 20 00:01:04,360 --> 00:01:06,880 Speaker 1: think is actually going to be in this report? Well, 21 00:01:07,360 --> 00:01:08,959 Speaker 1: my guess is we're going to hear a little bit 22 00:01:09,000 --> 00:01:12,480 Speaker 1: more about childhood illness again. I think they're also going 23 00:01:12,520 --> 00:01:15,760 Speaker 1: to do a deeper dive into adult chronic disease trends 24 00:01:15,840 --> 00:01:19,440 Speaker 1: like obesity, diabetes, and autoimmune conditions, which I've told you 25 00:01:19,480 --> 00:01:22,200 Speaker 1: before I also have one of them. I think we're 26 00:01:22,200 --> 00:01:25,840 Speaker 1: going to see some recommendations for the whole federal food policy. 27 00:01:26,000 --> 00:01:29,600 Speaker 1: Remember decades ago when they came out with the food pyramid, 28 00:01:29,840 --> 00:01:32,520 Speaker 1: you know, fruits, vegetables, grains, blah blah blah blah blah. 29 00:01:32,800 --> 00:01:35,679 Speaker 1: We all had those pictures of food pyramids and schools. 30 00:01:35,920 --> 00:01:38,399 Speaker 1: I have a feeling that they are going to revamp 31 00:01:38,480 --> 00:01:41,840 Speaker 1: that because the reality is that food pyramid is part 32 00:01:41,840 --> 00:01:44,440 Speaker 1: of the reason we are where we are today with 33 00:01:44,520 --> 00:01:47,480 Speaker 1: all of our illness, because at the bottom it had 34 00:01:47,520 --> 00:01:51,960 Speaker 1: all of the whole grains and breads and carbohydrates. And sure, 35 00:01:52,080 --> 00:01:54,280 Speaker 1: while maybe if we live in the blue zones all 36 00:01:54,280 --> 00:01:57,920 Speaker 1: across the world where it is pure bread, someone is 37 00:01:58,440 --> 00:02:01,040 Speaker 1: back in the back rolling out the dough and not 38 00:02:01,200 --> 00:02:04,400 Speaker 1: the ultra processed crap that we consume on a daily 39 00:02:04,440 --> 00:02:07,080 Speaker 1: basis here in the United States, then maybe it would 40 00:02:07,080 --> 00:02:10,000 Speaker 1: have been okay. But the reality is the grains and 41 00:02:10,040 --> 00:02:13,600 Speaker 1: breads that we are consuming is not not the kind 42 00:02:13,639 --> 00:02:15,840 Speaker 1: that was entended with that food pyramid. So I think 43 00:02:15,880 --> 00:02:18,639 Speaker 1: we're going to see some changes in that. They're probably 44 00:02:18,680 --> 00:02:22,600 Speaker 1: going to mention some environmental health proposals, you know, removing 45 00:02:22,680 --> 00:02:26,320 Speaker 1: more of the dies and the chemicals. All these little 46 00:02:26,360 --> 00:02:30,360 Speaker 1: things can contribute together to really make America healthy again. 47 00:02:30,440 --> 00:02:33,440 Speaker 1: Not one thing is going to be the saving grace, 48 00:02:33,600 --> 00:02:35,560 Speaker 1: but it will take a lot of little things and 49 00:02:35,760 --> 00:02:39,680 Speaker 1: especially people taking it seriously and making some changes to 50 00:02:40,120 --> 00:02:43,960 Speaker 1: overall decrease the chronic illness in our country. Now, the 51 00:02:44,000 --> 00:02:47,040 Speaker 1: next thing something that came out recently new twenty twenty 52 00:02:47,040 --> 00:02:51,040 Speaker 1: five blood pressure guidelines. This week, the American Heart Association 53 00:02:51,160 --> 00:02:54,840 Speaker 1: in American College of Cardiology released their first major update 54 00:02:54,919 --> 00:02:58,480 Speaker 1: to blood pressure guidelines since twenty seventeen. And there's a 55 00:02:58,480 --> 00:03:00,520 Speaker 1: lot here that can change how we die, diagnose, and 56 00:03:00,600 --> 00:03:05,119 Speaker 1: treat hypertension also known as high blood pressure. They're emphasizing 57 00:03:05,200 --> 00:03:09,800 Speaker 1: prevention and treatment before blood pressure spiles upward, which is 58 00:03:10,160 --> 00:03:12,400 Speaker 1: shouldn't we have been doing that all along? We shouldn't 59 00:03:12,440 --> 00:03:14,560 Speaker 1: just say, okay, well, once your blood pressure gets here, 60 00:03:14,639 --> 00:03:16,440 Speaker 1: this is what we need to do. They're putting a 61 00:03:16,480 --> 00:03:19,440 Speaker 1: little bit more emphasis on what we're going to do 62 00:03:19,960 --> 00:03:23,280 Speaker 1: before that top systolic number gets to one hundred and thirty. 63 00:03:23,639 --> 00:03:25,880 Speaker 1: This isn't just for your heart health, but it's also 64 00:03:25,919 --> 00:03:29,440 Speaker 1: to help other things like your brain health, because good 65 00:03:29,480 --> 00:03:32,560 Speaker 1: blood pressure reduces your risk for dementia later on in life. 66 00:03:32,760 --> 00:03:36,040 Speaker 1: Outgoes the old risk calculator. Now there's a new risk 67 00:03:36,200 --> 00:03:40,520 Speaker 1: tool which takes a broader look at the overall cardiovascular risk, 68 00:03:40,680 --> 00:03:44,320 Speaker 1: which includes more of family history and helps tailor treatment 69 00:03:44,360 --> 00:03:47,400 Speaker 1: specific to the individual. And they are also emphasizing on 70 00:03:48,000 --> 00:03:52,520 Speaker 1: lifestyle first, but you know, with backup, they still want diet, exercise, 71 00:03:52,560 --> 00:03:56,360 Speaker 1: weight management, and stress control front and center. But they're 72 00:03:56,400 --> 00:04:01,360 Speaker 1: also encouraging earlier use of medications when needed, including some 73 00:04:01,400 --> 00:04:04,920 Speaker 1: of those weight loss injections like GLP ones for people 74 00:04:04,920 --> 00:04:08,280 Speaker 1: with both high blood pressure and obesity. There's been a 75 00:04:08,280 --> 00:04:11,240 Speaker 1: new study out this week that actually shows that people 76 00:04:11,280 --> 00:04:15,280 Speaker 1: who are regularly using those GLP ones have actually shaved 77 00:04:15,280 --> 00:04:20,240 Speaker 1: off years of debilitating illness and may actually increase not 78 00:04:20,279 --> 00:04:22,560 Speaker 1: only their quality of life, but how long they actually 79 00:04:22,560 --> 00:04:24,800 Speaker 1: may be living. So there's going to be more to 80 00:04:24,800 --> 00:04:27,720 Speaker 1: come on these GLP ones. I don't recommend everyone goes 81 00:04:27,720 --> 00:04:30,080 Speaker 1: out and gets on them. But certainly if you are 82 00:04:30,080 --> 00:04:32,839 Speaker 1: someone who is overweight has some medical conditions, you should 83 00:04:32,839 --> 00:04:35,799 Speaker 1: talk to your doctor about it because they are proving 84 00:04:35,839 --> 00:04:39,880 Speaker 1: to have some significant benefit. Recommendations are also expanding guidance 85 00:04:39,920 --> 00:04:43,160 Speaker 1: for managing high blood pressure during pregnancy and aforte delivery 86 00:04:43,200 --> 00:04:45,880 Speaker 1: with women, with an emphasis on early treatment and close 87 00:04:45,920 --> 00:04:49,320 Speaker 1: follow up. Cardiovascular disease or heart disease and stroke remain 88 00:04:49,360 --> 00:04:51,560 Speaker 1: the number one killer in women, so I'm very happy 89 00:04:51,560 --> 00:04:55,560 Speaker 1: to see them focusing more on women. It's also encouraging 90 00:04:55,600 --> 00:04:58,600 Speaker 1: healthcare providers to work together for patients to monitor the 91 00:04:58,680 --> 00:05:02,200 Speaker 1: blood pressure at home and doctors to prescribe combination pills 92 00:05:02,200 --> 00:05:05,640 Speaker 1: when possible to make things simpler. In short, well these 93 00:05:05,640 --> 00:05:10,040 Speaker 1: guidelines are pushed to catch problems sooner, individualized care and 94 00:05:10,200 --> 00:05:12,719 Speaker 1: make treatment easier to stick with. And this is all 95 00:05:12,760 --> 00:05:15,240 Speaker 1: good news if we want to keep both our hearts 96 00:05:15,440 --> 00:05:18,560 Speaker 1: and our brains healthy. Thank you so much for tuning in. 97 00:05:18,640 --> 00:05:21,440 Speaker 1: I'm doctor Nicole Sapphire and this has been your Wellness 98 00:05:21,480 --> 00:05:24,080 Speaker 1: Unmass Weekly Rundown. We are going to keep a close 99 00:05:24,120 --> 00:05:26,080 Speaker 1: eye on the MAHA report when it drops, and in 100 00:05:26,120 --> 00:05:28,640 Speaker 1: the meantime maybe check your blood pressure at home. When 101 00:05:28,640 --> 00:05:31,000 Speaker 1: you go to the pharmacy, sometimes they have those machines. 102 00:05:31,360 --> 00:05:33,919 Speaker 1: You might be surprised what you find. Make sure you 103 00:05:34,040 --> 00:05:36,800 Speaker 1: listen to Wellness on Mass with doctor Nicole Sapphire on 104 00:05:36,880 --> 00:05:40,360 Speaker 1: iHeartRadio or wherever you get your podcasts, and we will 105 00:05:40,400 --> 00:05:41,360 Speaker 1: see you next time.