Health
Sepsis a top killer in US behind heart disease, cancer: What to know, how to avoid the condition
“Real Housewives of Orange County” star Vicki Gunvalson, 62, is sharing her recent health scare after she was hospitalized with sepsis, a potentially deadly disease that results from the body’s response to an infection.
“This entire health scare came unannounced — with no warning,” Gunvalson told Fox News Digital.
As Sepsis Awareness Month kicks off this September, Gunvalson’s timely story is helping to raise awareness of the illness.
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“Sepsis awareness can and does save lives, yet only 65% of American adults have ever heard of it,” Selena A. Gilles, clinical professor and associate dean at New York University Rory Meyers College of Nursing, told Fox News Digital.
Gilles is on the advisory board of the Sepsis Alliance, a California-based organization that works across the country to decrease suffering from sepsis.
Sepsis kills 350,000 American adults each year and is a leading cause of death in U.S. hospitals, statistics show. (iStock)
“Prompt recognition and treatment can be of great importance in preventing significant illness and even mortality,” Dr. Aaron Glatt, chief of infectious diseases at Mount Sinai South Nassau Hospital on Long Island, New York, told Fox News Digital.
Gunvalson’s diagnosis
Gunvalson shared the details of her sepsis diagnosis with Fox News Digital.
“Two weeks ago, when I was heading to my office, I was very delirious and unclear on where I was going,” Gunvalson said via email.
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“Once I got into the office, my staff realized I was not acting normal,” she went on. “My assistant thought that I was possibly having a stroke.”
The emergency room diagnosed Gunvalson with a “sinus disease” and sent her home, but by the next morning, she was “extremely incoherent” — so her boyfriend took her back to the hospital.
“Real Housewives of Orange County” star Vicki Gunvalson, 62, is sharing her recent health scare after she was hospitalized with sepsis, a potentially deadly disease that results from the body’s response to an infection. (Amanda Edwards/Getty Images)
“I was admitted for six days with sepsis and pneumonia,” she said.
Gunvalson was treated with a course of antibiotics and is now recovering at home, while staying in regular contact with the sepsis team at the hospital.
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The reality TV star has experienced some memory loss and difficulty concentrating, but said she hopes the “brain fog” will improve over time.
In retrospect, the sepsis may have stemmed from a sinus infection two months ago that was treated by multiple rounds of antibiotics, Gunvalson said.
Symptoms and dangers
Common symptoms of sepsis include fever, chills, rapid heart rate, confusion, shortness of breath, extreme pain, and clammy or sweaty skin, according to Gilles.
A high fever – especially in those who are at increased risk of infection and are feeling extremely unwell – should warrant seeking medical attention as soon as possible, Glatt added.
“Sepsis awareness can and does save lives, yet only 65% of American adults have ever heard of it.”
“Fatigue and lethargy in the setting of infection can be a sign of pneumonia and potential sepsis, even without overt pulmonary symptoms,” Dr. Marc Siegel, Fox News’ senior medical analyst and clinical professor of medicine at NYU Langone Medical Center, told Fox News Digital.
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As sepsis can start within hours, Gilles suggested following the acronym “TIME” to remember that time is of the essence when it comes to seeking treatment.
T – Temperature (higher or lower than normal)
I – Infection (know the signs and symptoms)
M – Mental decline (confusion, sleepiness and difficulty awakening)
E – Extremely ill (severe pain, discomfort and shortness of breath)
Approximately 1.7 million adults are diagnosed with sepsis every year in the U.S., according to the Centers for Disease Control and Prevention (CDC).
Approximately 1.7 million adults are diagnosed with sepsis every year in the U.S., according to the Centers for Disease Control and Prevention. (iStock)
The illness kills 350,000 American adults each year and is a leading cause of death in U.S. hospitals, Gilles noted.
It is the third-leading killer behind heart disease, which takes just over 700,000 lives each year, and cancer, which causes more than 600,000 annual deaths, per CDC data.
“Sepsis takes a life every 90 seconds — that’s more lives than opioids, breast cancer, prostate cancer and stroke combined,” she said.
Common myths about sepsis
Many people mistakenly assume that sepsis is an infection.
“Sepsis is the body’s overwhelming and life-threatening response to infection, which can lead to tissue damage, organ failure and death,” Gilles said.
The condition can come after any infection — whether just a scrape or cut, a dental procedure or surgery, or even a [bacteria], fungus or parasite — triggers a “chain reaction” in the body, the doctor added.
Treatment of sepsis will vary based on the underlying infection, but it often involves administering antibiotics as soon as possible. (iStock)
Another common myth is that sepsis only occurs in those who are (or were recently) hospitalized.
Most cases of sepsis, around 87%, start before a patient enters the hospital, Gilles said.
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“Community-acquired infections, such as urinary tract infections, pneumonia and even simple cuts or scrapes can lead to sepsis if not treated properly,” Gilles noted.
Many people also think sepsis only affects immunocompromised people.
Older adults, infants and those with chronic illnesses or weakened immune systems are at a higher risk of sepsis. (iStock)
“Sepsis can strike almost anyone at almost any time,” Glatt said.
“While certain individuals are at higher risk of getting a severe infection that can even be deadly, serious infections can strike even a perfectly healthy young person with rare but potentially fatal consequences,” he went on.
Older adults, infants and those with chronic illnesses or weakened immune systems are at a higher risk, however.
Treatment and prevention
The first step is discovering the underlying cause of the infection, according to the CDC.
Sepsis often starts in the gastrointestinal tract, lungs, skin or urinary tract.
“Sepsis is the body’s overwhelming and life-threatening response to infection, which can lead to tissue damage, organ failure and death,” a doctor said. (iStock)
Treatment will vary based on the underlying infection, but often involves administering antibiotics as soon as possible.
“While antibiotics are crucial for treating an underlying bacterial infection, managing sepsis often requires a comprehensive approach — including fluids, medications to support blood pressure, and sometimes surgery or [a ventilator], depending on the severity,” said Gilles.
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Surgery is sometimes necessary to remove tissue damaged by the infection, the CDC states.
It’s also important to maintain blood flow to the organs, often with fluids.
“Sepsis can strike almost anyone at almost any time.”
“If you suspect sepsis, seek medical attention right away,” Gilles advised.
The risk can be reduced by quickly identifying and managing infections, according to the doctor.
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Added Gilles, “It can also be prevented by practicing good hygiene, staying current with vaccinations, staying in good health, keeping cuts clean and dry, and promptly seeking treatment when infections are suspected.”
Health
Brain Health Challenge: Try a Brain Teaser
Welcome back! For Day 4 of the challenge, let’s do a short and fun activity based around a concept called cognitive reserve.
Decades of research show that people who have more years of education, more cognitively demanding jobs or more mentally stimulating hobbies all tend to have a reduced risk of cognitive impairment as they get older.
Experts think this is partly thanks to cognitive reserve: Basically, the more brain power you’ve built up over the years, the more you can stand to lose before you experience impairment. Researchers still don’t agree on how to measure cognitive reserve, but one theory is that better connections between different brain regions corresponds with more cognitive reserve.
To build up these connections, you need to stimulate your brain, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. To do that, try an activity that is “challenging enough that it requires some effort but not so challenging that you don’t want to do it anymore,” he said.
Speaking a second language has been shown to be good for cognition, as has playing a musical instrument, visiting a museum and doing handicrafts like knitting or quilting. Reading is considered a mentally stimulating hobby, and experts say you’ll get an even bigger benefit if you join a book club to make it social. Listen to a podcast to learn something new, or, better yet, attend a lecture in person at a local college or community center, said Dr. Zaldy Tan, the director of the Memory and Healthy Aging Program at Cedars-Sinai. That adds a social component, plus the extra challenge of having to navigate your way there, he said.
A few studies have found that playing board games like chess can be good for your brain; the same goes for doing crossword puzzles. It’s possible that other types of puzzles, like those you find in brain teaser books or from New York Times Games, can also offer a cognitive benefit.
But there’s a catch: To get the best brain workout, the activity should not only be challenging but also new. If you do “Wordle every day, it’s like well, then you’re very, very good at Wordle, and the Wordle part of your brain has grown to be fantastic,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School. “But the rest of your mind might still need work.”
So play a game you’re not used to playing, Dr. Selwa said. “The novelty seems to be what’s driving brain remodeling and growth.”
Today, we want you to push yourself out of your cognitive comfort zone. Check out an online lecture or visit a museum with your challenge partner. Or try your hand at a new game, below. Share what novel thing you did today in the comments, and I’ll see you tomorrow for Day 5.
Health
Popular intermittent fasting diets may not deliver the health benefits many expect
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Time-restricted eating has gained popularity in recent years, but a recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits.
The small German study found that participants who were placed on two different time-restricted eating schedules lost weight, but experienced no improvement in blood glucose, blood pressure, cholesterol or other key cardiometabolic markers.
The participants included 31 overweight or obese women. One group ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake, according to a press release.
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The findings, which were published in the journal Science Translational Medicine, suggest that the widely touted cardiometabolic benefits of intermittent fasting may be a result of eating fewer calories rather than meal timing, the researchers say.
The participants also showed a shift in their circadian rhythms (sleep/wake cycles) when they were placed on the time-restricted eating schedules, but the associated health impacts are not known.
A recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits. (iStock)
The study did have some limitations. Some researchers have cast doubt on the significance of the study due to its small size.
“It is severely underpowered to detect any difference, considering how gentle the intervention is,” Dr. Dr. Jason Fung, a Canadian physician, author and researcher, told Fox News Digital. He also noted that the participants were fasting for 16 hours a day instead of the normal 12 to 14 hours.
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Lauren Harris-Pincus, a registered dietitian nutritionist in New Jersey, agreed that the findings could be due to the fact that there was no intentional caloric restriction, and reiterated that the sample size is “quite small.”
“As a registered dietitian, I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day,” Harris-Pincus, who was not involved in the study, told Fox News Digital.
One group in the study ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake. (iStock)
“Only one in 10 Americans consumes the recommended number of fruits and veggies, and 93% miss the mark on fiber goals. Restricting an eating window necessitates more careful meal planning to ensure adequate intake of macro- and micronutrients.”
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The expert also cautioned that skipping breakfast to enable a later eating window may result in lower intake of the “nutrients of concern” in the American diet, including calcium, potassium, fiber and vitamin D.
Looking ahead, the researchers said more studies are needed to explore the effects of time-restricted eating over longer time periods. It also remains to be seen how the combination of caloric restriction and time-restricted eating may affect outcomes. Future research could also explore how different populations may respond.
“I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day.”
Dr. Daryl Gioffre, a gut health specialist and celebrity nutritionist in New York, noted that the study didn’t account for critical factors like chronic stress, sleep quality, medications, hormone status and baseline metabolic health.
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“All of these can significantly blunt fat loss and cardiometabolic improvements,” Gioffre, who also was not involved in the research, told Fox News Digital.
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“Cortisol, the body’s primary stress hormone, is naturally highest in the morning, which overlaps with one of the fasting windows studied,” he went on. “If stress is elevated, cortisol alone can block fat burning, disrupt blood sugar regulation, and mask cardiovascular improvements, regardless of calorie intake or eating window.”
Growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health, an expert said. (iStock)
Gioffre did agree, however, that growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health.
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“These are outcomes that simply cannot be captured in a short, stress-blind study like this,” he added.
Fox News Digital reached out to the researchers for comment.
Health
Brain Health Challenge: Workouts to Strengthen Your Brain
Today, you’re going to do perhaps the single best thing for your brain.
When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.
“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.
Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.
Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.
Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.
All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.
The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.
The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.
Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.
Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.
If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”
For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.
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