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May 11

VCU to Study Effects of Stress on Heart Health – Public News Service

Diets that Work Comments Off on VCU to Study Effects of Stress on Heart Health – Public News Service

Virginia Commonwealth University will be researching chronic psychosocial stress' effects on heart health as part of an American Heart Association grant.

University researchers will work collaboratively with Ohio State University and the University of California-Davis for the $15 million project.

Dr. Greg Hundley, director of the Pauley Heart Center and chair of the Cardiology Division at the Virginia Commonwealth University School of Medicine, said while some risk factors for heart disease include smoking, high blood pressure and diabetes, some social stressors can increase cardiovascular events.

"Stress can take many forms," Hundley pointed out. "It can be financial stress, it can be personal stress, it can be an event or series of events that occurs in one's life. And those stressors also promote the cardiovascular events - heart attack, strokes and heart failure."

He noted a central question for the research is examining how something in a person's brain can lead to poor heart health. It goes beyond examining how everyday stress affects the heart. It will also look at stress in cancer survivors who received treatments that can affect heart health.

Amy Ladd, associate director of the Pauley Heart Center, noted the research is still in its infancy, and one particular challenge is coordinating a team to accomplish the goals.

"We've got laboratory experts, so that people that are going to be measuring the molecular changes in patients' blood, and animal studies in the blood," Ladd outlined.

She added behavioral experts will also work with cancer patients to see if an exercise intervention will help reduce stress and affect heart function, and nutritionists will analyze the diets of human and animal participants to see how heart function is affected.

Fadi Salloum, professor and associate chair for Research in the Department of Medicine, said another focus will be how defects in the heart's ability to produce energy can result in early aging. He describes how this can occur.

"The heart is an organ that's constantly working," Salloum emphasized. "It doesn't get a break; it needs a lot of energy. Sometimes, those specific compartments that generate energy become defective. Could be because of inflammation, could be because of something else impacted by stress as well."

Based on the findings of the research from all three schools, the hope is to create a better screening process aimed at preventing more serious occurrences of heart disease in all people.

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As Connecticut addresses health equity, additional work needs to be done, experts warn. From 2016 to 2022, one third of the state's residents did not visit a primary care physician, according to data from Connecticut Health Policy. This is part of a trend throughout the U.S. to address disparities in medical care. A recent study finds cancer care can be subject to similar inequities.

Angela Starkweather, a co-author of the study, said inequities in care stem from the country's long history of racism and discrimination, through policies and structural barriers.

"That trickles down from education of healthcare providers to a lot of the policies that we use in our society for funding these type of things; not allowing people to have time off to get screening tests and things like that," she said.

In Connecticut, some factors of cancer care inequity are the lack of transportation to medical facilities and lack of health insurance. She noted one solution is the National Cancer Institute's Equity and Inclusion Program, and added the program aims to help cancer centers keep their care equitable through a slew of initiatives like community engagement and outreach.

On a state and federal level, Starkweather said increased public funding is one way to make cancer care more equitable. Along with reducing disparities, she added this funding can increase accessibility of cancer care across all areas.

"Investment in our cancer centers and being able to provide those types of services such as patient navigation, free services, expanding some of the hours for our screening services, things like that, " she explained.

Starkweather added helping people working throughout the week to have alternative options for getting a cancer screening could prove beneficial. In 2022, the U-S Department of Health and Human Services made $5 million dollars in grants available to community health centers to improve equity in cancer care screenings.

The latest Centers for Disease Control and Prevention data show Kentucky continues have among the worst cancer rates in the nation - with lung, colorectal, breast and cervical cancer making up the majority of cancer deaths.

More than 30,000 Kentuckians will be diagnosed with cancer this year, according to the American Cancer Society.

Groups that are part of the Kentucky Partnership for Health Improvement say they're working to identify gaps and barriers that may cause people to miss recommended cancer screenings.

Allison Adams - chief operating officer of the Foundation for a Healthy Kentucky - said lack of insurance and high co-pay costs, along with transportation, pose challenges.

"Some people don't live near medical offices," said Adams. "That makes it more difficult to get cancer screenings. And also, locations are usually only open during traditional workday hours."

The CDC says the number of Americans screened for cancer decreased from, about 27% in 2012 to around 21% in 2020 - a more than five percentage point decrease that represents nearly 4 million people.

Adams pointed to policies that should help increase screening, including a new law establishing biomarker-testing coverage requirements for health-benefit plans - tests that help doctors customize cancer treatment.

"Breast cancer, colorectal cancer and lung cancer, cervical cancer," said Adams, "those cancers that are caught earlier have the best opportunity for treatment. The Partnership for Health Improvement wants to focus on those barriers."

The American Association for Cancer Research estimates the nation's total cancer-care costs will reach more than $245 billion by 2030.

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Caregivers in Connecticut are calling on state officials for better conditions and higher pay.

They're seeking a $25 an hour minimum wage, paid time off, affordable healthcare, and a pension for retirement planning.

Chase Bolling is a Personal Care Attendant and member of 1199 Service Employees International Union Northeast.

Originally, he was a machinist, but became a PCA because it wasn't easy to juggle caregiving for his mother-in-law with his full time job.

Bolling said any improvements to caregiver's working conditions must begin with better funding.

"I think the foremost thing would be increasing our budget," said Bolling. "You know, nothing happens in this world without money and you kind of can't take any steps forward or any initiatives towards improving our conditions without first improving our pay, and providing access to benefits."

He added that better funding will be able to provide long-term job security.

Along with PCA's, unpaid family caregivers are facing similar challenges.

According to an AARP report, unpaid family caregivers across the U.S. provided care valued at $600 billion in 2021. That's a $130 billion increase over 2019.

During the Covid-19 pandemic, PCA's - like many of Connecticut's healthcare workers - were dealing with strained working conditions.

During the first few months of the pandemic, there was a shortage of personal protective equipment.

While many healthcare providers have fought for and seen changes in their working conditions, Deidre Murch - vice president and homecare director for SEIU 1199 Northeast - said it hasn't been the same for PCA's.

"What we see is that there are a lot of examples where PCA's have been treated, literally, as invisible," said Murch, "without any of the same recognition or support in wages and benefits as other healthcare providers have."

From here, Murch added that it's now up to state elected officials to take bold steps in uplifting this workforce out of poverty-inducing wages and lacking benefits.

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VCU to Study Effects of Stress on Heart Health - Public News Service

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