1 month ago

Study highlights link between depressive symptoms and stroke risk

People with multiple depressive symptoms have an increased risk for stroke, according to findings recently published in Neurology: Clinical Practice. The collaborative study led by investigators at the University of Alabama at Birmingham and the University of Alabama showed that individuals who scored higher on a test designed to measure depressive symptoms had a higher stroke risk than those with lower scores.

The study involved 9,529 Black and 14,516 white stroke-free participants, age 45 and older, enrolled in the UAB-led REGARDS study. REGARDS is a national, population-based longitudinal study designed to examine risk factors associated with racial and regional disparities in stroke incidence and mortality.

Depressive symptoms were assessed using the four-item version of the Center for Epidemiologic Studies Depression Scale, known as CES-D-4, administered during a baseline evaluation of each participant. The four-item scale evaluates a subset of symptoms and assesses how often respondents felt depressed, sad or lonely or had crying spells.

There were 1,262 strokes over an average follow-up of nine years among the study cohort. Compared to participants with no depressive symptoms, participants with CES-D-4 scores of one to three had a 39 percent increased stroke risk after demographic adjustment. Participants with CES-D-4 scores of more than four experienced a 54 percent higher risk of stroke after demographic adjustment. There was no evidence of a differential effect by race.

“There are a number of well-known risk factors for stroke, such as high blood pressure, diabetes and heart disease; but we are beginning to understand that there are nontraditional risk factors as well, and having depressive symptoms looms high on that list,” said Virginia Howard, Ph.D., professor in the Department of Epidemiology in the UAB School of Public Health and senior author of the paper. “These nontraditional risk factors need to be in the conversation about stroke prevention.”

One goal of the study was to see if depressive symptoms might help explain the increased risk that Black populations have for stroke, especially in the southern United States.

“The traditional risk factors don’t explain all the difference in stroke risk between races,” said Cassandra Ford, Ph.D., R.N., Capstone College of Nursing at the University of Alabama and the study’s first author. “The results have been mixed among the few studies that enrolled Black participants and examined race and depressive symptoms in relation to stroke. Depression often goes undetected and undiagnosed in Black patients, who are frequently less likely to receive effective care and management. These findings suggest that further research needs to be conducted to explore nontraditional risk factors for stroke. The implications of our findings underscore the importance of assessing for this risk factor in both populations.”

The takeaway, according to Howard, is that medical professionals need to recognize that stroke risk from depressive factors is high.

“The standard questions asked in the typical physician/patient encounter need to be updated to include questions regarding depressive symptoms,” she said. “Physicians in primary care, internal medicine and geriatrics need to consider asking their patients about depressive symptoms.”

“As nurses, we care for the entire person,” Ford said. “When a patient has a particular condition, such as diabetes, hypertension or stroke, that is the focus of diagnosis and care. Our study provides support for considering nontraditional risk factors during patient assessment, particularly conducting some mental health screenings.”

The study was funded by grant No. U01 NS041588 co-funded by the National Institute of Neurologic Disorders and Stroke and the National Institute on Aging, part of the National Institutes of Health. Additional support was provided by the Deep South Resource Center for Minority Aging Research grant P30AG031054.

In addition to Ford and Howard, co-authors on the paper are Martha R. Crowther, Ph.D., University of Alabama; and Marquita S. Gray, MSPH, Virginia G. Wadley, Ph.D., and Michael G. Crowe, Ph.D., University of Alabama at Birmingham. Additional co-authors are Audrey L. Austin, Ph.D., Tuscaloosa Veterans Affairs Medical Center; LeaVonne Pulley, Ph.D., and Frederick Unverzagt, Ph.D., Indiana University School of Medicine; and Dawn O. Kleindorfer, M.D., and Brett M. Kissela, M.D., University of Cincinnati School of Medicine.

(Courtesy of UAB)

4 hours ago

Ivey lights official state Christmas tree – ‘Merry Christmas to each of you’

MONTGOMERY – Alabama Governor Kay Ivey on Friday took part in the traditional annual lighting of the official State of Alabama Christmas Tree located on the steps of the capitol.

“Let this be a year you do a little bit more, and give a little bit more,” said Governor Ivey to those assembled.

“Merry Christmas to each of you and to all families across Alabama,” she added.

Montgomery Mayor Steven Reed introduced Ivey at the ceremony and praised her “steady leadership” during a tumultuous year. Ivey later thanked him for his “dedicated leadership” of Alabama’s capital city.

269

Around 200 citizens braved temperatures in the mid-40s to take in the lighting ceremony. Due to the coronavirus pandemic, masks were required for attendance at the ceremony.

“I’m incredibly grateful we’re able to safely keep this Christmas tradition alive,” Ivey said of the circumstances.

Alabama’s 2020 tree was donated by Robbins Taylor, Sr. of Lowndes County. The Eastern Red Cedar is 35 feet tall and required a crew from the Alabama Department of Transportation for its installation.

Major General David J. Francis, commanding general of the U.S. Army Aviation Center of Excellence and Fort Rucker, reminded the crowd in attendance that the Christmas standard “I’ll Be Home For Christmas” was written from the perspective of a soldier forced to be away from home during World War II.

“This is a great reminder to remember all our service members, including the members of the greatest generation, the deployed members who will not be with their loved ones this holiday season, and the many who made the ultimate sacrifice for our freedom,” Francis added.

“Christmas is a direct reminder of the hope we find in Jesus Christ,” mentioned the governor, who makes her Christian faith a mainstay of her public persona.

“Through the birth of a baby boy over two thousand years ago, we can find salvation, peace, and purpose in our lives,” Ivey continued.

“For many of us, including myself, that hope and faith has been what has guided us through these difficult challenges of 2020,” she told the public.

“May God continue to bless our state,” the governor concluded.

Watch:

Henry Thornton is a staff writer for Yellowhammer News. You can contact him by email: henry@yellowhammernews.com or on Twitter @HenryThornton95.

7 hours ago

Palmer: Pelosi, Democrats prioritize pot legalization over COVID-19 relief

U.S. House Speaker Nancy Pelosi (D-CA) raised eyebrows this week by calling the House of Representatives into session and pushing through votes on legislation that would legalize marijuana and ban private ownership of exotic animals — known as the “Tiger King” bill.

Congressman Gary Palmer (AL-06) released a scathing statement on Friday decrying Pelosi’s prioritization of these bills over much-needed COVID-19 relief for the American people.

“Speaker Pelosi and her clueless Democrat colleagues have proven over and over again that their top priorities do not include the hardworking Americans who need help to get through this pandemic,” Palmer said.

“This week, their prioritization of pot legalization while people are struggling is a stunning display of partisan politics and shows just how out of touch Democrats are with the American people,” he continued. “The timing of this bill not only reflects a disregard for the businesses that need further relief funding, but also for the rampant mental health and drug overdose issues exacerbated by the pandemic.”

255

Entitled the Marijuana Opportunity Reinvestment and Expungement Act (MORE Act), the marijuana legalization passed the House on Friday by a vote of 228-164. The only Alabama representative to support the measure was Congresswoman Terri Sewell (AL-07), a Democrat.

“Federal surveys show that since the coronavirus arrived in the U.S., depression and anxiety have been on the rise, with a concerning 75% of young adults now struggling with at least one mental health or drug problem,” Palmer explained. “The Center for Disease Control has also predicted that the U.S. could see 75,500 drug overdose deaths in 2020 if recent trends hold. Pelosi’s pot bill is even more unconscionable with these concerning facts in mind, especially as it ignores common sense safety measures around marijuana use, and also funnels taxpayer dollars to the marijuana industry and convicted drug dealers. In short, the bill would grant easier access to a gateway drug for already vulnerable and struggling people.”

The Central Alabama congressman concluded, “Furthermore, at a time when we should be helping people with employment opportunities, this bill would move us in the wrong direction. Companies with drug-free work environments, many of them also hazardous work environments, should not and will not employ people who might come to work drug-impaired, endangering themselves and others. I hope we don’t waste more opportunities next week for needed relief.”

Palmer, as the chair of the Republican Policy Committee, is the fifth-highest ranking member of the House GOP.

Sean Ross is the editor of Yellowhammer News. You can follow him on Twitter @sean_yhn

7 hours ago

WWII vet finishes fight with COVID-19, turns 104 the next day

A World War II veteran in Alabama was released from the hospital this week after a battle with the coronavirus. He turned 104 years old on his first day back home.

Major Wooten, the veteran in question, has become something of a minor celebrity in recent years for his joyful approach to life at his advanced age.

Wooten turned heads in recent years during his trip to Normandy to celebrate the 75th anniversary of D-Day. Similar lines cheered his return to the airport and his exit from the hospital earlier this week.

183

An ardent Alabama fan, Wooten again made headlines earlier this year when Nick Saban gave him a call after a health scare in the spring.

RELATED: Nick Saban surprises 103-year-old WWII veteran with Facetime call

Wooten is from Cullman and was cared for at Madison Hospital during his fight with COVID-19.

His exit from the hospital has garnered attention across the nation, with the Associated Press publishing a widely circulated story and ABC’s World News Tonight featuring Wooten in a segment.

Watch employees of Madison Hospital sing Happy Birthday to Major Wooten:

 

Major Wooten turns 104!

Mr. Major Lee Wooten won his battle with COVID-19 in time to be home to celebrate his 104th birthday. Mr. Wooten, who is a veteran and warmly known as “Pop Pop,” is described by his granddaughter as “their family’s treasure.” Please join us in wishing Mr. Wooten a very, happy birthday!

Posted by Madison Hospital on Tuesday, December 1, 2020

Henry Thornton is a staff writer for Yellowhammer News. You can contact him by email: henry@yellowhammernews.com or on Twitter @HenryThornton95.

8 hours ago

Alabama receives over $50M from Dept. of Interior for energy produced in state

The State of Alabama is receiving $50.29 million from the federal government as a disbursement for energy that was produced in a federally owned area of the state.

Alabama’s funds come as part of a $1.81 billion payout to 34 states announced by U.S. Secretary of the Interior David L. Bernhardt on Friday.

The revenue sent to states Friday “was collected from oil, gas and mineral production on federal lands within the states’ borders and from offshore oil and gas tracts in federal waters adjacent to their shores,” according to a release from the department.

Virtually all of Alabama’s portion of the money was generated by offshore drilling, per the data available on an Interior Department web portal.

144

Alabama’s payment was ninth highest in the nation. New Mexico took the top spot with $706.96 million followed by Wyoming, Louisiana, Texas, North Dakota, Colorado, Utah and Mississippi.

American Indian Tribes received $1 billion as part of the process; 100% of the revenue from the energy generated on their lands.

“[T]hese disbursements also go right back to the states and Tribes where the energy was produced, providing critical funding for schools, public services, conservation improvements and infrastructure projects that create good-paying American jobs,” said Bernhardt on Friday.

The over $50 million announced as on its way to Alabama on Friday is the state’s total for fiscal year 2020 that ended September 30. It is the largest amount the state has received under the disbursement policy in the last decade.

Henry Thornton is a staff writer for Yellowhammer News. You can contact him by email: henry@yellowhammernews.com or on Twitter @HenryThornton95.

10 hours ago

Aderholt tests positive for COVID-19, is asymptomatic

Congressman Robert Aderholt (AL-04) on Friday announced that he has tested positive for COVID-19 but is displaying no symptoms.

Aderholt originally went into quarantine on November 15 after learning he had been in close contact with someone who subsequently tested positive for COVID-19. Right after completing his 10-day quarantine period, Aderholt’s wife, Caroline, tested positive and he once again went into quarantine.

Under new CDC guidelines that allow for a seven-day quarantine if followed by a negative test result, Aderholt on Thursday received a COVID-19 test to ascertain if he could exit quarantine and resume voting on the House floor.

“I fully expected to receive a negative test, because I have felt, and continue to feel fine, and have no symptoms. Unfortunately, I received word Friday morning that my test came back positive. After speaking with the Attending Physician for Congress, I will continue to isolate,” he advised in a statement.

92

Aderholt also said that his wife has recovered from the virus after experiencing mild symptoms.

During his original quarantine, Aderholt had isolated himself away from his wife and the rest of his family.

The dean of Alabama’s U.S. House delegation, Aderholt is a senior member of the Committee on Appropriations, including serving as the ranking member of the Subcommittee on Commerce, Justice and Science and as a member of the Agriculture and Rural Development Subcommittee and the Defense Subcommittee.

Sean Ross is the editor of Yellowhammer News. You can follow him on Twitter @sean_yhn