The GLP-1 medication trend has taken the health and wellness world by storm, largely hailed as a game-changer for weight loss.
Now, new research suggested the benefits of the drugs extend beyond shedding pounds. They could also be powerful tools for improving heart health, particularly for individuals at risk of cardiovascular conditions such as heart disease, stroke and heart failure.
Heart disease remains the leading cause of death worldwide, including among Hispanic Americans, prompting experts to seek innovative ways to reverse the trend. GLP-1 receptor agonists, originally developed to manage Type 2 diabetes, now offer promising cardiovascular benefits by addressing multiple risk factors at once.
Dr. Francisco Parrilla, a cardiologist at Orlando Health, described GLP-1 medications as a game-changer in managing both diabetes and heart health.
"These benefits can be achieved through several mechanisms, improving the glycemic and lipid level control through weight reduction, lowering the blood pressure and decreasing the inflammation in the blood vessels," Parrilla outlined. "The control of all of these factors is fundamental to decreasing the development of cholesterol plaques in the arteries."
The potential of GLP-1s to address health disparities is particularly relevant for Hispanic communities, where rates of Type 2 diabetes and cardiovascular disease exceed national averages.
The link between weight loss and heart health underscores the significance of GLP-1 medications.
Gayle Smith, a bariatric dietitian at Orlando Health, said losing excess weight often brings additional health benefits.
"Because as you lose weight, you improve your heart health and other functions in your body as well as having more energy, ability to get out and exercise, eat healthy," Smith emphasized. "All of that goes together."
Despite their benefits, GLP-1 medications remain out of reach for some patients. The high cost can be a significant obstacle, although Parrilla noted more insurance companies are beginning to cover these drugs as evidence of their cardiovascular benefits grows.
"The benefits from the cardiovascular standpoint are amazing, so in the long term, that will continue to improve, I'm pretty sure about that, and the access will be easier in the future for all the patients. "
Parrilla stressed GLP-1s are not a replacement for traditional heart-disease treatments but rather a complement to established therapies such as cholesterol-lowering drugs, blood pressure medications and lifestyle changes. For patients considering the medications, the advice from both Parrilla and Smith is the same: Consult a health care provider to weigh the risks and benefits.
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People who are part of the Deferred Action for Childhood Arrivals program, known as DACA, will be dropped from their CoveredCA health plans at the end of August.
The move comes after the Trump administration changed a Biden-era definition of "lawfully present" to revoke health care eligibility for thousands of immigrants.
Christine Smith, policy and legislative advocate for the nonprofit Health Access California, said people only have a few weeks to get medical appointments in before their coverage ends.
"If you're enrolled in Covered California and you're a DACA recipient, the Trump administration just ended your coverage," Smith emphasized. "People should use as much of your health care as you can before the August 31st deadline."
The Centers for Medicare and Medicaid Services defended the move, saying it will save taxpayers money. CoveredCA estimated the change affects about 2,400 DACA recipients in the state who make too much to qualify for Medi-Cal and have jobs not providing health insurance. They can still buy private insurance but it is much more expensive. People who prepaid for their coverage can seek a refund.
Smith predicted it will be a blow not just to those who lose coverage but to the state's health care system as a whole.
"The lines in the ERs are going to be longer because people are not going to be able to get affordable preventive care," Smith projected. "They're just going to get sicker and then end up in the ERs. People will overall incur more medical debt. Hospitals will have more uncompensated care."
The change is nationwide. As of mid-July, about 538,000 people in the DACA program across the U.S. are ineligible to enroll in any state-based insurance marketplace and are unable to access premium subsidies or cost-sharing assistance.
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Artificial intelligence is appearing more prominently in many aspects of life and research suggests older populations are curious, yet remain wary of using the technology in their everyday lives.
According to Stats Indiana, there are more than 1.5 million Hoosiers aged 65 and older, or 18% of the state's population. Experts said it is likely the demographic will use AI in some form in the next few years, either by choice or necessity.
Dr. Shaun Grannis, vice president of data and analytics for the Regenstrief Institute on Aging, said AI offers real benefits.
"It can reduce loneliness through conversation, provide reminders for medications and appointments," Grannis outlined. "It can support cognitive stimulation via games, storytelling, news updates."
The technology can also offer a low-pressure way to access information on public services, he added, which is valuable for those with mobility issues or those who feel intimidated by technology.
Grannis cautioned any tool which can be used for good can also lead to problems. He noted AI can create a false sense of companionship and mask social isolation. Overdependence is a legitimate concern, he argued, if the technology becomes a "crutch" for all forms of interaction.
"All cognitive activities or decision-making, it can actually lead to and create a negative feedback loop, lead to a decline in engagement and even basic self-management skills," Grannis explained. "This is risky."
Grannis believes one solution is designing AI systems to complement, not replace, human interaction. He stressed it can be done though building broader support ecosystems including family, friends, caregivers and community services. Grannis emphasized it would encourage real-world activity, prompting the user to go for a walk, call a grandchild or attend a local senior event.
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If you have an extra five minutes, you can save a life because you can learn cardiopulmonary resuscitation at no cost from a new mobile, hands-only CPR kiosk.
The new kiosk is in the lobby of Saint John's Health Center in Santa Monica. The machine's touch screen gives a brief overview of hands-only CPR and you can practice right there, on a mannequin.
Dr. Rigved Tadwalkar, cardiologist at St. John's, said it is an easy way for people to get more comfortable giving chest compressions in an emergency.
"It's a lot like a video game but of course, a lot more important than a video game," Tadwalkar pointed out. "It gives real-time feedback about the depth and rate of compressions, proper hand placement, which are all factors that influence the effectiveness of CPR."
The American Heart Association operates the St. John's mobile kiosk and a stationary model at L-A-X with support from the hospital. Santiago Canyon College in Orange County also has a mobile hands-only C-P-R kiosk now through September, sponsored by Edwards Lifesciences.
Steven Munatones, an Orange County business owner, said he survived what's known as a "widowmaker" heart attack which led to cardiac arrest nine years ago, thanks to his 17-year-old son, who gave him immediate CPR with instructions from a 911 operator.
"You don't have to put your mouth to anybody's mouth," Munatones explained. "You just put your hand on their chest and pump. He saved me, and others can do the same, anywhere. So, it's absolutely a lifesaving, heroic act that anybody can do."
Statistics show 350,000 Americans suffer from cardiac arrest outside a hospital each year and about 90% die, in part because they do not receive CPR. About 70% of those cardiac arrests happen at home, so people often depend on family or friends to give CPR before an ambulance arrives.
Disclosure: The American Heart Association Western States Region contributes to our fund for reporting on Health Issues. If you would like to help support news in the public interest,
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