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Air pollution linked to more severe heart disease in women

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Long-term air pollution exposure is linked to more advanced heart disease, with notable differences between women and men, a large-scale study has found.

The findings show that even levels of pollution below or near regulatory standards are associated with early signs of disease, often before symptoms appear.

Felipe Castillo Aravena, study lead author and cardiothoracic imaging fellow at the University of Toronto, said: “Even at low exposure levels, air pollution is associated with more plaque in the coronary arteries.

“Overall, higher long-term exposure to air pollution was associated with more coronary artery disease on cardiac CT in both women and men.

“In women, long-term exposure to fine particulate matter was linked to higher calcium scores and more severe narrowing of the arteries.

“In men, higher long-term exposure to fine particulate matter was associated with higher calcium scores and higher plaque burden.”

Researchers analysed data from more than 11,000 adults who had undergone cardiac CT exams from 2012 through 2023 across three major hospitals in Toronto.

They linked patients’ residential postal codes with air quality data to estimate each person’s average exposure over the 10-year period prior to CT.

The study examined exposure to two common pollutants: fine particulate matter (PM2.5), tiny particles from vehicle exhaust, industrial emissions and wildfire smoke that can penetrate deep into the lungs and bloodstream, and nitrogen dioxide (NO2), a harmful gas produced mainly by burning fossil fuels.

For each increase in long-term PM2.5 of 1 microgram per cubic metre, there was an 11 per cent increase in calcium build-up in the coronary arteries, 13 per cent greater odds of more plaque and 23 per cent greater odds of obstructive disease.

Exposure to nitrogen dioxide showed similar trends, though with smaller effect sizes for every 1 part per billion increase.

Kate Hanneman, study senior author and cardiac radiologist at the University of Toronto, said: “Heart disease is the number one cause of death globally.

“The results of this study add to the growing body of evidence that air pollution is a modifiable cardiovascular risk factor and reinforce the need for further research to understand why these associations differ between men and women.”

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Mediterranean diet lowers stroke risk in women, study finds

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Following a Mediterranean diet is linked to a lower risk of stroke in women, a large cohort study suggests.

Women with the highest adherence were 18 per cent less likely to experience any stroke, including a 16 per cent lower risk of ischaemic stroke and a 25 per cent lower risk of haemorrhagic stroke.

Ischaemic stroke happens when blood flow to part of the brain is blocked. Haemorrhagic stroke is caused by bleeding in the brain.

Study author Sophia Wang of City of Hope Comprehensive Cancer Center said: “Our findings support the mounting evidence that a healthy diet is critical to stroke prevention.

“We were especially interested to see that this finding applies to haemorrhagic stroke, as few large studies have looked at this type of stroke.”

The study involved 105,614 women, average age 53 at the start, with no history of stroke.

Participants completed a diet questionnaire and received a score from zero to nine based on adherence.

Researchers at City of Hope Comprehensive Cancer Center in Duarte, California followed participants for an average of 21 years.

During that time, 4,083 strokes occurred, including 3,358 ischaemic and 725 haemorrhagic events.

The Mediterranean pattern features high intake of vegetables, legumes, fruits, fish and healthy fats such as olive oil, and a lower intake of dairy products, red meat and saturated fats.

After adjusting for smoking, physical activity and high blood pressure, those in the highest adherence group were 18 per cent less likely to have a stroke than those in the lowest group.

They were 16 per cent less likely to have an ischaemic stroke and 25 per cent less likely to have a haemorrhagic stroke.

Wang said: “Stroke is a leading cause of death and disability, so it’s exciting to think that improving our diets could lessen our risk for this devastating diseas.

“Further studies are needed to confirm these findings and to help us understand the mechanisms behind them so we could identify new ways to prevent stroke.”

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Pregnancy and breastfeeding linked to higher cognitive ability in postmenopausal women

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Pregnancy and breastfeeding are linked to stronger cognition in postmenopausal women, a long-term study suggests.

Greater cumulative time spent pregnant and time spent breastfeeding correlated with higher overall scores in the study, including verbal and visual memory, in later life.

Researchers analysed annual assessments of more than 7,000 women aged about 70 for up to 13 years using data from the Women’s Health Initiative Memory Study and the Women’s Health Initiative Study of Cognitive Aging.

On average, those who were pregnant for around 30.5 months were expected to have a 0.31 per cent higher global cognition score than those who had never been pregnant.

A lifetime average of 11.6 months of breastfeeding was linked to a 0.12 per cent higher global score.

Each additional month spent pregnant was associated with a 0.01-point rise in overall ability.

Each extra month of breastfeeding showed the same increase, and a 0.02-point gain in verbal and visual memory. Although small, these effects are similar to known protective factors such as not smoking and high physical activity.

The work was led by Molly Fox, an anthropology professor at the University of California, Los Angeles.

Fox said: “Any ways in which we can focus public health outreach or clinical interventions towards higher-risk populations leads to more effective and efficient efforts.”

Participants who had ever been pregnant scored, on average, 0.60 points higher than those who had never been pregnant.

Those who had breastfed scored 0.19 points higher overall and 0.27 points higher for verbal memory than those who had never breastfed.

Women are disproportionately affected by Alzheimer’s disease, a progressive condition that impairs memory and thinking skills, and this is not fully explained by life expectancy differences.

The authors say biology and social factors may both play roles.

They noted that more adult children could contribute to cognitive health by buffering stress, supporting wellbeing or encouraging healthy behaviour.

“If we can figure out, as a next step, why those reproductive patterns lead to better cognitive outcomes in old age, then we can work towards figuring out how to craft therapies, for example, new drugs, repurposed drugs or social programmes, that mimic the naturally occurring effect we observed,” said Fox.

The study team is now working to identify the mechanisms that link reproductive histories to cognitive resilience.

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‘Rejuvenated’ eggs raise hopes for improved IVF outcomes

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Scientists say they have ‘rejuvenated’ human eggs, in work that could improve IVF success rates for older women.

The team reports that an age-related defect causing genetic errors in embryos may be reversed by supplementing eggs with a key protein.

In eggs donated by fertility patients, microinjection of the protein cut the share showing the defect from 53 per cent to 29 per cent.

The findings were presented at the British Fertility Conference in Edinburgh by researchers from the Max Planck Institute for Multidisciplinary Sciences in Göttingen.

The technique is being commercialised by Ovo Labs, co-founded by professor Melina Schuh, who led the research.

The approach targets problems in meiosis, the process where eggs halve their genetic material before fertilisation.

In older eggs, chromosome pairs can loosen and separate too soon, leading to embryos with too many or too few chromosomes, known as aneuploidy.

The researchers found levels of a protein called Shugoshin 1, which helps hold chromosome pairs together, decline with age. Microinjections appeared to restore this “molecular glue” and reduce errors.

Professor Schuh said: “Overall we can nearly halve the number of eggs with [abnormal] chromosomes. That’s a very prominent improvement.

“Most women in their early 40s do have eggs, but nearly all of the eggs have incorrect chromosome numbers. This was the motivation for wanting to address this problem.

“What is really beautiful is that we identified a single protein that, with age, goes down, returned it to young levels and it has a big effect.

We are just restoring the younger situation again with this approach.

Declining egg quality is a major reason IVF success rates fall steeply with age.

UK figures show an average birth rate of 35 per cent per embryo transferred for patients under 35, dropping to 5 per cent for women aged 43 to 44.

Dr Agata Zielinska, co-founder and co-chief executive of Ovo Labs, said: “Currently, when it comes to female factor infertility, the only solution that’s available to most patients is trying IVF multiple times so that, cumulatively, your likelihood of success increases.

“What we envision is that many more women would be able to conceive within a single IVF cycle.”

The approach would not extend fertility beyond menopause.

The team is in talks with regulators about a clinical trial.

Dr Güneş Taylor, of the University of Edinburgh, who was not involved, said: “This is really important work because we need approaches that work for older eggs because that’s the point at which most women appear.

“If there’s a one-shot injection that substantially increases the number of eggs with properly organised chromosomes, that gives you a better starting point.”

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