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Study finds risk factors for severe COVID-19 cases in children

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UT Southwestern researchers show living in the Southern U.S., having preexisting conditions linked to more serious illness

Newswise — DALLAS – Nov. 21, 2023 – Children who had preexisting health problems or who lived in the Southern United States had a higher risk for severe health outcomes from acute COVID-19 infections, according to researchers at UT Southwestern Medical Center. The results, reported in the journal Hospital Pediatrics that is published by the American Academy of Pediatrics, also showed the importance of vaccinations in reducing the severity of illness for those who became infected.

“While receiving the COVID-19 vaccines did not mean that our little patients would not get sick from the virus, vaccines did protect them from more severe outcomes such as death and intensive care admissions. Protecting your children by immunizing them is a good thing, especially if your child has a preexisting condition, such as heart disease or asthma,” said one of the study’s authors, Christoph Lehmann, M.D., Professor of Pediatrics and in the Lyda Hill Department of Bioinformatics, Director of the Clinical Informatics Center, and a member of the Peter O’Donnell Jr. School of Public Health at UT Southwestern.

The national study analyzed records from 165,437 children age 18 and younger who tested positive for COVID-19 between January 2020 and January 2022. About 1.8% were hospitalized without complication, 1.8% were admitted to intensive care or needed intensive respiratory support, and 31 children died.

The researchers found that children in the Southern United States were more than three times as likely to have more severe complications compared with other areas of the country.

“It matters where you live,” Dr. Lehmann noted. “While we do not know what causes children in the South to have worse outcomes, our findings call for an exploration of possible causes – such as weather and climate, immunization rates, public health or government messaging, mandates, and closures.”

The study also found that among children under age 5, those younger than 2 years old were at the highest risk for severe outcomes. This finding contradicts initial anecdotal observations suggesting that infants were not as prone to severe disease with COVID-19 as they were from other respiratory viruses such as respiratory syncytial virus (RSV).

“While this wasn’t surprising to us – smaller airways are disproportionately affected by respiratory illness – it does mean that we have to be more vigilant when the little ones acquire COVID-19,” Dr. Lehmann added.

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Finally, the study found that those with multiple chronic medical conditions, such as heart disease and lung disease, were more than twice as likely to have severe complications following COVID-19 infection, and the more chronic conditions they had, the higher the risk.

Other UTSW researchers who contributed to this study include lead author Robert W. Turer, M.D., Assistant Professor of Emergency Medicine; first author and medical student Milan Ho, B.S.; Trish M. Perl, M.D., M.Sc., Professor of Internal Medicine; Zachary M. Most, M.D., M.Sc., Assistant Professor of Pediatrics; Bhaskar Thakur, Ph.D., Assistant Professor of Family and Community Medicine, Emergency Medicine, and Physical Medicine & Rehabilitation and a member of the O’Donnell School of Public Health; John J. Hanna, M.D., Assistant Instructor of Internal Medicine; Marlon I. Diaz, B.S., Sameh Saleh, M.D., Madison Pickering, M.S., and Richard J. Medford, M.D., all with the Clinical Informatics Center; medical student Julia A. Casazza, B.S.; and Postdoctoral Research Fellow Alexander P. Radunsky, Ph.D.

Dr. Lehmann holds the Willis C. Maddrey, M.D. Distinguished Professorship in Clinical Science. Dr. Perl, a member of the O’Donnell School of Public Health, holds the H. Ben and Isabelle T. Decherd Chair in Internal Medicine in Honor of Henry M. Winans, Sr., M.D.

This study was funded by the National Center for Advancing Translational Sciences of the National Institutes of Health (UL1 TR003163).

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About UT Southwestern Medical Center 

UT Southwestern, one of the nation’s premier academic medical centers, integrates pioneering biomedical research with exceptional clinical care and education. The institution’s faculty members have received six Nobel Prizes and include 26 members of the National Academy of Sciences, 20 members of the National Academy of Medicine, and 13 Howard Hughes Medical Institute Investigators. The full-time faculty of more than 3,100 is responsible for groundbreaking medical advances and is committed to translating science-driven research quickly to new clinical treatments. UT Southwestern physicians provide care in more than 80 specialties to more than 120,000 hospitalized patients, more than 360,000 emergency room cases, and oversee nearly 5 million outpatient visits a year.

Journal Link: Hospital Pediatrics

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Source: UT Southwestern Medical Center

Health

Take a Rest from Stress

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5 strategies to combat stressful triggers

(Family Features) Stress, the physical or mental response to external causes like overwhelming work assignments or difficult life moments, can add unnecessary pressure to your day to day. While everyone feels stress from time to time, when left untreated or unrecognized, it can begin to wreak havoc in the form of anxiety.

In honor of National Stress Awareness Month, consider these strategies to combat stress from the National Institutes of Mental Health.

Learn Your Triggers
Different events and situations cause stress for different people. Knowing what triggers your stress to kick in – mounds of office paperwork, important financial decisions or hectic mornings, for example – can help you plan and prepare for stress-inducing moments.

Exercise and Eat Right
Maintaining physical health can be beneficial for mental health, too. Find time to do exercises you enjoy like walking, jogging, yoga or playing a sport. Identifying activities that bring you joy can make it easier to fit 30-60-minute workouts into your schedule without adding even more stress. Complement your workout routine with nutritional meals that help you stay on track with your fitness goals.

Practice Relaxation
Whether you find inner peace through journaling, breathing exercises, reading or some other form of slowing down, find what works for you and prioritize fitting it into your daily schedule. Relaxing activities help you slow down the pace of life, providing a chance to reset by doing something you enjoy.

Get Enough Sleep
A lack of quality sleep can add to stress. Creating a bedtime routine can increase your sleep habits and help you achieve the expert-recommended 7-9 hours per night. Put away electronics, which can interfere with your ability to calm your mind, and find an activity that puts you at ease like reading a book or listening to relaxing music. Ensure your bedroom is optimized for comfort by making it cool, dark and quiet.

Create a Network of Support
Everyone experiences stress. Reach out to family members and close friends you can lean on in stressful and frustrating moments. Share your feelings and encourage others to do the same, which can increase trust and help everyone in your circle cope in a positive way.

Find more ways to combat stress and care for your mental health at eLivingtoday.com.

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Photo courtesy of Unsplash


SOURCE:
eLivingtoday.com

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Health

Managing Asthma Triggers

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(Family Features) For those with asthma, understanding what can trigger symptoms is a part of getting the condition under control. Some of the same things that cause allergies can worsen symptoms, but not every allergen is a trigger for everyone with asthma. The places where you live, learn, work and play can expose you to common asthma triggers like pet dander, dust mites, pests like rodents and cockroaches, mold, cigarette smoke, pollen, air pollution and more. Managing triggers is just one part of controlling asthma, however. Work with your health care provider to make an asthma action plan and keep track of your symptoms and where you are when they occur. Learn more at nhlbi.nih.gov/BreatheBetter.


SOURCE:
National Heart, Lung, and Blood Institute

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Food and Beverage

The 10 Best Healthiest Seafood Options: Nutrient-Rich and Sustainable Choices

“From sardines to salmon, discover the top 10 healthiest and sustainable seafood options for a nutrient-rich diet. 🐟🌱 #Seafood”

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Free seafood boil image. "Selection of fresh and nutritious seafood options on a wooden table"


Seafood is a treasure trove of essential nutrients and beneficial compounds that can significantly contribute to a healthy diet. From the omega-3 fatty acids that promote heart health to the abundance of vitamins and minerals, incorporating seafood into your meals can have a positive impact on your overall well-being. In this blog post, we will delve into the ten best healthiest seafood options, considering their nutritional content, sustainability, and potential contaminants.

  1. Sardines:
    These small fish are incredibly nutritious, packed with omega-3 fatty acids, vitamin B12, vitamin D, and calcium. Sardines are also low in contaminants and are considered one of the most sustainable seafood options available.
  2. Salmon:
    Salmon is well-known for its impressive omega-3 content. It also provides high-quality protein, vitamin D, vitamin B12, and selenium. Opt for wild-caught Alaskan salmon for the best nutritional benefits and sustainability.
  3. Oysters:
    Oysters are a true nutritional powerhouse, rich in vitamins B12, D, and zinc. They are a sustainable choice and an excellent source of lean protein. Including oysters in your diet not only benefits your health but also supports local marine ecosystems due to their ability to filter water.
  4. Mackerel:
    Mackerel is another fish that boasts high levels of omega-3 fatty acids, along with vitamin D, vitamin B12, and selenium. This flavorful fish is considered a sustainable choice and offers numerous health benefits.
  5. Rainbow Trout:
    Rainbow trout is a deliciously mild-flavored fish that is packed with omega-3 fatty acids, protein, vitamin B12, and iron. It is a sustainable choice, particularly when sourced from responsible fish farms.
  6. Clams:
    Clams are an excellent source of protein, vitamin B12, iron, and selenium. They are sustainable, low in contaminants, and make a versatile addition to dishes like pasta, chowders, and stir-fries.
  7. Herring:
    Herring is an oily fish that delivers a healthy dose of omega-3 fatty acids, vitamin D, and vitamin B12. It is an eco-friendly choice and can be enjoyed smoked, pickled, or grilled.
  8. Cod:
    Cod is a lean white fish that provides protein, vitamin B12, selenium, and phosphorus. It is known for its mild flavor and versatility in cooking methods.
  9. Shrimp:
    Shrimp is low in calories and rich in protein, vitamin D, and selenium. Choose sustainably sourced shrimp to minimize environmental impact and ensure a healthier choice.
  10. Anchovies:
    Anchovies may be small in size, but they are big in nutritional value. These tiny fish deliver omega-3 fatty acids, calcium, and vitamins D and E. They are also a sustainable choice when sourced responsibly.


When it comes to the healthiest seafood options, there is an abundance of choices that offer an array of essential nutrients while also being environmentally responsible. Sardines, salmon, oysters, mackerel, rainbow trout, clams, herring, cod, shrimp, and anchovies are all fantastic choices to boost your overall health while supporting sustainable fishing practices. Incorporate these nutrient powerhouses into your diet and savor the benefits they provide for your well-being and the planet.

What are the Risks of Eating Seafood?

Although seafood is a nutritious option to fulfill dietary nutrient gaps, there are some environmental and health concerns related to its consumption.

Seafood may contain toxins, viruses, parasites, and bacteria that can be harmful if consumed. To avoid getting sick, it is essential to cook fish and shellfish thoroughly. As per the USDA guidelines, most seafood should be cooked to an internal temperature of 145 degrees Fahrenheit.

Contaminants, including Mercury and Others

Overconsumption of certain seafood varieties can have negative health effects due to the presence of contaminants. For instance, specific fish species contain high levels of mercury, a heavy metal that can be easily absorbed by the body. Mercury accumulation is more common in larger fish, as they consume smaller fish that have ingested mercury-rich plankton. Consequently, larger and older fish are typically the most mercury-contaminated.

Regularly consuming foods high in mercury can result in mercury accumulation in the body, leading to health problems like high blood pressure, heart attack, and developmental delay in offspring. Mercury is toxic and can have detrimental effects on the body.

Mercury can have a greater impact on certain groups, such as pregnant and breastfeeding women, as well as children, who are more susceptible to its effects.

To reduce the amount of mercury in your diet, avoid consuming seafood like shark, certain types of tuna, swordfish, tilefish, and king mackerel as they have high mercury levels. Instead, opt for low-mercury options such as trout, cod, oysters, clams, herring, salmon, and sardines.

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Recommendations for Incorporating Seafood into Your Eating Plan

Eating seafood can boost the quality of your diet and support and protect your health. However, it’s important to consider the nutrition and environmental impact of seafood when narrowing down options to add to your diet.

Adding seafood to your diet can boost its nutritional quality and promote your overall health. However, it is essential to consider the nutritional composition and environmental impact of various seafood options before including them in your meals.

Read the article in Health titled Healthiest Seafood Options, Ranked for further insight into the topic. https://www.health.com/healthiest-seafood-8630471

https://stmdailynews.com/category/food-and-beverage/

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