Chronic inflammation and your joints

The immune system sometimes launches a chronic inflammatory response in certain joints. That leads to pain, stiffness, and joint damage known as inflammatory arthritis. It’s usually unknown what triggers the conditions. Types of inflammatory arthritis include rheumatoid arthritis, gout, and psoriatic arthritis. Treatments include medications, such as biologic or nonbiologic disease-modifying antirheumatic drugs (DMARDs), and lifestyle habits, such as exercising, avoiding processed foods, reducing stress, not smoking, and getting enough sleep. Wearing a splint or brace on affected joints and seeking physical therapy may also help ease pain.

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Baby, it’s cold inside

Some older adults feel cold frequently. This may result from age-related physical changes or an underlying condition. Examples of underlying conditions that might make a person feel cold include anemia, an underactive thyroid, diabetic neuropathy, peripheral artery disease, or Raynaud’s phenomenon. People who experience coldness that interferes with their daily activities or sleep should talk to a doctor about it.

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Autoimmune conditions and heart disease

People with systemic inflammatory conditions such as rheumatoid arthritis, lupus, and psoriasis are more likely to have heart attacks and to die of cardiovascular disease than people in the general public. The 2019 expert guidelines for preventing heart disease says these conditions should be considered “risk enhancers” when estimating heart attack risk. But this added risk may be underrecognized and undertreated.

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More clues about the healthiest carb choices

Diets that contain low-quality, highly refined carbohydrates (such as sugary drinks, candy, white rice, and foods made with white flour) have a high glycemic index and are linked to an increased risk of cardiovascular disease. Whole and minimally processed carbs that contain fiber and resistant starch (whole grains, legumes, nuts, and fruits and vegetables) have a lower glycemic index and are better for cardiovascular health.

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COVID-19 and cardiovascular concerns: An evolving story

Physicians’ understanding of how a COVID-19 infection affects the heart is still evolving. More definitive answers require long-term, randomized clinical trials that control for different factors (including varied medical histories and medication use) to study how COVID-19—and possible therapies—affect people who have or are at risk for heart disease. Like other infectious organisms, SARS-CoV-2 (the virus that causes COVID-19) can increase the risk of blood clots and may damage the heart, but the danger is less common than initial reports suggested.

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