Clinical interventions that involved a prenatal and postpartum component had the highest increases in any breast-feeding among Latina mothers, compared with those in the usual care group, according to a study in Pediatrics. The findings, based on 14 different studies of 17 interventions published between 2004 and 2014, showed that interventions that used a lactation consultant were slightly more effective on any breast-feeding.
One-third of children between 5 and 15 years of age have an iron deficiency, and it is reported that obese children may be more susceptible to iron deficiency than normal-weight children. The authors used a multicenter, randomized, parallel control trial to implement a nutrition-based comprehensive intervention childhood obesity program. Weight and BMI in the intervention group were significantly lower than in the control group at 6-week follow-up. When compared with controls, the children in the intervention group showed improved iron status as well as reduced inflammation biomarkers.
Does transcatheter aortic valve implantation (TAVI) improve quality of life in octagenarians? In a study of 73 octagenerians in France who had TAVI and were followed for six months, the majority indicated their quality of life improved in the domains of performing their usual activities, anxiety/depression and pain/discomfort. While aortic stenosis is the most frequent valve disease in the elderly, in high-risk patients TAVI may provide a viable alternative to surgical valve replacement. (Free abstract only.)
In patients with low prevalence of rheumatic heart disease and preserved left ventricular ejection fraction, pulmonary artery systolic pressure increase and permanent atrial fibrillation were the most powerful risk factors for tricuspid regurgitation (TR) progression, and progression to severe TR was an independent predictor of subsequent mortality.
Women with signs of postpartum depression were more likely to have had problems breast-feeding, according to a study in the journal Obstetrics & Gynecology. And women who said they disliked breast-feeding during the first week had a 42% increased risk of postpartum depression. The study doesn't prove a causal relationship, but health care providers should be aware that trouble with breast-feeding and postpartum depression can go together, researchers said.