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A Genetic Connection to Kidney Disease

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How APOL1-mediated kidney disease can impact you, your kidneys and your family

(Family Features) A genetic condition that can cause kidney failure, APOL1-mediated kidney disease (AMKD) represents a group of kidney diseases associated with mutations (changes or variants) in the apolipoprotein L1 (APOL1) genes.

Typically, the APOL1 genes – of which every person has two, one from each parent – create proteins that play a role in immunity. However, some people are born with mutations in one or both genes, and having mutations in both can increase the risk of developing kidney disease and even kidney failure.

In honor of National AMKD Awareness Day on April 30, consider this information from the experts at the American Kidney Fund to better understand the disease and become APOL1 aware.

Understanding Risk Factors
Research shows Black people with kidney disease are more likely to develop kidney failure than any other racial or ethnic group. The reasons for these health disparities include social determinants of health, a higher burden of diabetes and high blood pressure in the Black community, barriers to health care access and genetics.

The APOL1 gene mutations evolved over the past 3,000-10,000 years in people who lived in western and central Africa and are associated with increased protection from a parasite carried by the tse tse fly that causes African sleeping sickness. While protecting from one disease, the mutation – if inherited in both APOL1 genes – is more likely to lead to kidney disease in those of certain African descent, including people who identify as Black, African American, Afro-Caribbean or Latina or Latino.

In fact, an estimated 13% of Black Americans have two APOL1 gene mutations, according to the American Kidney Fund. While not everyone who has two APOL1 mutations will get kidney disease, there is a 1 in 5 chance they will go on to develop AMKD.

Identifying Symptoms
If you have kidney damage, symptoms may not occur until your kidneys are close to failing. As kidney damage worsens, one or more of these symptoms may occur:

  • Protein in urine
  • Swelling in legs or weight gain
  • Feeling weak or tired
  • High blood pressure

Should these symptoms occur and you have a family history of kidney disease, talk to a doctor about getting tested for kidney disease, as testing is the only way to determine kidney function. AMKD can cause damage to parts of the kidney that filter blood or, in some cases, cause cells in the kidneys to die, which can lead to damage and scarring that may eventually lead to kidney failure.

Getting a Diagnosis
The only way to know if you have APOL1 gene mutations is to do genetic testing via a blood or saliva sample. Genetic testing may be considered if you have kidney disease and don’t know the cause or if you’re considering donating a kidney. Testing may also be considered if a family member is a carrier for the mutation. If you have questions about genetic testing, discuss your options with a doctor or ask for a referral to a genetic counselor.

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Taking Steps to Prevent Kidney Disease
There are currently no treatments available for AMKD. However, there are steps you can take to protect your kidneys and promote general health. Work with your doctor to create a plan to prevent or delay the progression of kidney disease, which may include:

  • Doctor visits to check how your kidneys are working through urine and blood tests
  • Checking for and managing diabetes and high blood pressure
  • A healthy eating plan, which may involve limiting things like sodium (salt)
  • Taking prescription medications as directed
  • Being active at least 30 minutes each day of the week
  • Quitting smoking or using tobacco

If you have the APOL1 gene mutations, you may be able to take part in clinical trials. Trials could provide an opportunity for researchers to develop and test safe treatments for AMKD. Also speak with family members about having genetic testing done if you have the mutation as they may also have it.

Learn more and find additional resources at kidneyfund.org/APOL1aware.

Photo courtesy of Shutterstock

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SOURCE:
American Kidney Fund

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Tips for a Safe and Festive Holiday Season

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(Family Features) As people prepare to gather with family and friends this holiday season, it’s important to think about health and safety.

“With the holidays just around the corner, now is the perfect time to think about how you can help protect yourself from serious illness from flu, COVID-19 and RSV – and support your loved ones in doing the same,” said Dr. Rachel Levine, assistant secretary for health at the U.S. Department of Health and Human Services (HHS). “Vaccination is an important step in having a happy and healthy celebration.”

While preparing for holiday festivities, keep these recommendations in mind to help protect yourself from severe flu, COVID-19 and RSV.

Flu: Flu season usually peaks during the winter months, so now is a great time to get the 2024-25 flu vaccine. It’s recommended for people 6 months and older to lower their risk of infection or serious illness from the flu. In fact, people who skipped their flu shot last year were twice as likely to need medical help for the flu. The best time to get vaccinated is at least a couple of weeks before a holiday gathering. But getting vaccinated later in the season can still help. Encourage your family and friends to get the flu vaccine, too. Together you can create safer holiday celebrations.

COVID-19: Getting vaccinated against COVID-19 is also important for everyone ages 6 months and older. The updated COVID-19 vaccines offer the best protection against serious illness from the virus, especially for those at higher risk. This includes people with certain health conditions or older adults, which may include parents, grandparents and great aunts or uncles. By getting vaccinated, people of all ages can lower their risk of getting severely sick. In fact, young adults are at higher risk of developing Long COVID than older adults. However, staying up to date on your COVID-19 vaccines lowers your risk of Long COVID, too.

RSV: RSV can be especially risky for older adults and babies. That’s why everyone 75 and older, people 60-74 with certain health conditions or who live in a nursing home and pregnant people should get the RSV vaccine. Pregnant people should get the RSV vaccine at 32-36 weeks of pregnancy to help protect their newborns from severe RSV during their first six months of life.

As you prepare for the holidays, remember that prevention is the best way to keep from getting seriously sick from flu, COVID-19 and RSV. By getting vaccinated now, you can enjoy the holiday season with greater confidence and less risk of missing time together. Being vaccinated helps keep your symptoms milder if you get infected after vaccination so you can do the things you want to do with less risk of spreading infection.

Talk with your doctor about which vaccines are right for you as well as for any loved ones you help care for. Visit cdc.gov/RiskLessDoMore for more information on vaccines, or visit vaccines.gov to get started.

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The Effects of Flu, COVID-19 and RSV on Different Populations

People who are Black, Hispanic or who live in rural areas may be at higher risk of severe illness from flu, COVID-19 and RSV than others. Getting vaccinated is the best protection from getting seriously sick from these viruses. According to the Centers for Disease Control and Prevention (CDC):

  • Last flu season, Black adults were more than twice as likely as white adults to be hospitalized for flu.
  • Last flu season, Hispanic adults were more likely than white adults to be hospitalized for flu.
  • One in 3 adults living in rural areas have never been vaccinated against COVID-19. For people living in rural areas, health services may be far away. That can mean it takes some planning to get vaccinated. But being far from medical care also means it’s even more important to lower your risk of serious illness by getting vaccinated.

Photos courtesy of Shutterstock

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SOURCE:
United States Department of Health and Human Services

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.


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8 maneras de vivir de manera más saludable en 2025

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Tome medidas para limitar el riesgo de enfermedad cardiovascular

(Family Features) En la última década se ha producido un aumento de factores de riesgo cardiovascular, como la hipertensión arterial no controlada, la diabetes y la obesidad, cada uno de los cuales aumenta el riesgo de desarrollar enfermedades cardíacas y accidentes cerebrovasculares. Estas tendencias están llevando a los investigadores a concluir que la prevalencia de las enfermedades cardiovasculares (ECV) seguirá aumentando.

Más del 60 % de los adultos estadounidenses tendrán algún tipo de ECV para 2050, según las proyecciones previstas de la American Heart Association, que celebra 100 años de servicio salvando vidas como la principal organización mundial sin fines de lucro dedicada a la salud del corazón y el cerebro de todos. Además, se espera que los costos totales relacionados con las ECV casi se tripliquen en ese período hasta alcanzar más de 1.8 trillones de dólares.

El aumento será impulsado por una población más anciana y diversa, pero estos factores de riesgo están aumentando incluso entre niños y adultos.

“Reconocemos que el panorama de la salud cardiovascular cambiará en las próximas tres décadas debido al tsunami que se avecina de aumentos en los costos de la atención médica, una población de mayor edad que vive más tiempo y un número cada vez mayor de personas de poblaciones de pocos recursos”, dijo la voluntaria de la American Heart Association, Karen E. Joynt Maddox, M.D., M.P.H., FAHA. “Aun así, estas siguen siendo las principales causas de muerte y discapacidad en Estados Unidos”.

Si bien se necesitan cambios sistemáticos continuos en la ciencia, las políticas y la atención de salud, la mayoría de las ECV se pueden prevenir a nivel individual. Usted puede ayudar a cambiar el rumbo de las terribles perspectivas de la ECV y, al mismo tiempo, mejorar su propia salud siguiendo y alentando a otros a seguir los “Life’s Essential 8” de la American Heart Association.

Coma mejor. Intente seguir un patrón de alimentación saludable en general que incluya alimentos integrales, frutas y verduras, proteínas magras, frutos secos, semillas y cocinar con aceite de oliva y de canola.

Manténgase activo. Los adultos deben realizar 2 horas y media de actividad física moderada o 75 minutos de actividad física vigorosa por semana. Los niños deben tener 60 minutos cada día, incluidos juegos y actividades estructuradas.

Deje el tabaco. El uso de productos que suministran nicotina por inhalación, que incluyen cigarrillos tradicionales, cigarrillos electrónicos y vaporizadores, es la principal causa de muerte evitable en los EE. UU.

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Duerma bien. La mayoría de los adultos necesitan dormir entre 7 y 9 horas cada noche. Los niños de 5 años o menos necesitan entre 10 y 16 horas, incluidas las siestas; de 9 y 12 horas, en niños de 6 y 12 años, y entre 8 y 10 horas, entre los 13 y 18 años.

Controle el peso. Lograr y mantener un peso saludable tiene muchos beneficios. El índice de masa corporal es un indicador útil. El IMC óptimo es menor de 25, pero menor de 18.5 se considera bajo peso. Puede calcularlo en línea o consultar a un profesional de la salud.

Controle el colesterol. Los niveles altos de colesterol no HDL, o “malo”, pueden provocar enfermedades cardíacas. Su profesional de atención médica puede considerar el colesterol no HDL como el número preferido para monitorear, en lugar del colesterol total, porque se puede medir sin ayuno previo y se calcula de manera confiable entre todas las personas.

Controle el nivel de azúcar en sangre. La mayor parte de los alimentos que consume se convierten en glucosa (o azúcar en sangre) que su cuerpo utiliza como energía. Con el tiempo, los niveles altos de azúcar en sangre pueden dañar el corazón, los riñones, los ojos y los nervios.

Controle la presión arterial. Mantener su presión arterial dentro de rangos aceptables puede ayudarle a mantenerse saludable por más tiempo. Los niveles inferiores a 120/80 mmHg son óptimos. La presión arterial alta se define como una presión sistólica de 130 a 139 mm Hg (el número superior en una lectura) o una presión diastólica de 80 a 89 mm Hg (el número inferior).

Encuentre más formas de cuidar su salud en el nuevo año y más allá en heart.org.

Foto cortesía de Shutterstock

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SOURCE:
American Heart Association

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Lifestyle

Why winter makes you more vulnerable to colds – a public health nurse explains the science behind the season

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Respiratory viruses rise in the wintertime, but not because people are outside in the cold. gilaxia/E+ via Getty Images

Libby Richards, Purdue University

You’ve probably heard “Don’t go outside in the winter with your hair wet or without a coat; you’ll catch a cold.”

That’s not exactly true. As with many things, the reality is more complicated. Here’s the distinction: Being cold isn’t why you get a cold. But it is true that cold weather makes it easier to catch respiratory viruses such as the cold and flu.

Research also shows that lower temperatures are associated with higher COVID-19 rates.

As a professor of nursing with a background in public health, I’m often asked about infectious disease spread, including the relationship between cold and catching a cold. So here’s a look at what actually happens.

Many viruses, including rhinovirus – the usual culprit for the common cold – influenza, and SARS-CoV-2, the virus that causes COVID-19, remain infectious longer and replicate faster in colder temperatures and at lower humidity levels. This, coupled with the fact that people spend more time indoors and in close contact with others during cold weather, are common reasons that germs are more likely to spread.

The flu and respiratory syncytial virus, or RSV, tend to have a defined fall and winter seasonality. However, because of the emergence of new COVID-19 variants and immunity from previous infections and vaccinations decreasing over time, COVID-19 is not the typical cold-weather respiratory virus. As a case in point, COVID-19 infection rates have surged every summer since 2020.

Virus transmission is easier when it’s cold

More specifically, cold weather can change the outer membrane of the influenza virus, making it more solid and rubbery. Scientists believe that the rubbery coating makes person-to-person transmission of the virus easier.

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It’s not just cold winter air that causes a problem. Air that is dry in addition to cold has been linked to flu outbreaks. That’s because dry winter air further helps the influenza virus to remain infectious longer. Dry air, which is common in the winter, causes the water found in respiratory droplets to evaporate more quickly. This results in smaller particles, which are capable of lasting longer and traveling farther after you cough or sneeze.

How your immune system responds during cold weather also matters a great deal. Inhaling cold air may adversely affect the immune response in your respiratory tract, which makes it easier for viruses to take hold. That’s why wearing a scarf over your nose and mouth may help prevent a cold because it warms the air that you inhale. https://www.youtube.com/embed/7JQ78oLFV9A?wmode=transparent&start=0 Cold weather can affect nasal immunity.

Also, most people get less sunlight in the winter. That is a problem because the sun is a major source of vitamin D, which is essential for immune system health. Physical activity, another factor, also tends to drop during the winter. People are three times more likely to delay exercise in snowy or icy conditions.

Instead, people spend more time indoors. That usually means more close contact with others, which leads to disease spread. Respiratory viruses generally spread within a 6-foot radius of an infected person.

In addition, cold temperatures and low humidity dry out your eyes and the mucous membranes in your nose and throat. Because viruses that cause colds, flu and COVID-19 are typically inhaled, the virus can attach more easily to these impaired, dried-out passages.

What you can do

The bottom line is that being wet and cold doesn’t make you sick. That being said, there are strategies to help prevent illness all year long:

Person's hands covered with suds under a running faucet.
Handwashing is a time-tested strategy for reducing the spread of germs at any time of year. Mike Kemp/Tetra Images via Getty Images

Following these tips can ensure you have a healthy winter season.

This is an updated version of an article originally published on Dec. 15, 2020.

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Libby Richards, Professor of Nursing, Purdue University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.

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