STROKES HAPPEN,B E F A S T

A stroke is a disease that affects the arteries leading to and within the brain

A stroke occurs when a bloodvessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts (or ruptures). When that happens, part of the brain cells die. This is different than an aneurysm, which is caused by a weakness in a blood vessel that begins to bulge.

80% of strokes are preventable! Prevention best practices include:

#1 risk factor for strokes. Get an annualcheck up to know your numbersand be in control.

Controlling Blood Pressure

5thLeading cause of death

75% of strokes occur over theage of 65 years. Risk of stroke2x every decade after age 55.

Every 40 seconds, someonein the US has a stroke.

30% decline in stroke deathrates between 1995 to 2005.

Smoking is a leading risk factor forstrokes. Quitting tobacco can decreasethe risk of strokes.

Tobacco CessationNutritional approach to modify hypertensionand stroke risks. Click here to learn about theDietary Approaches to Stop Hypertension.

Get More ActiveMoving helps control blood pressure and cholesterol. Get blood flowing and your heart pumping! Aim for 30 min per day!

D.A.S.H. Approach

B.E.-F.A.S.T, recognize the signs of a Stroke and know when to call 9-1-1

BE

FAST

Ischemic:Occurs as a result of anobstruction within a bloodvessel supplying blood to the brain. Accounts for 87%of all stroke cases.

TIA:Transient Ischemic Attack

Caused by a temporary clot.Often called a “mini stroke.”

Hemorrhagic:Occurs when a weakened blood

vesses ruptures. Two types ofweakened blood vessels usually cause

stroke: aneurysm and arteriovenousmalformations (AVMs). Common

cause of hemorrhagic stroke is uncontrolledhypertension (high blood pressure).

3 types of strokes:

Balance -- Sudden loss of balance or coordination

Eyes -- Trouble seeing or sudden blurred or double vision

Face Drooping -- One side of the face droops or is numb

Arm Weakness -- One arm weakness or numbness

Speech Di˛cult y -- Slurred speech

Time to Call 9-1-1 -- Call 9-1-1 if these symptoms are observedIf you have had a stroke, you can prevent another one by continuing with

preventive care, being aware of the signs of a stroke, and checking in with your provider annually.The Internet Stroke Center. (n.d.). Retrieved March 22, 2018, from http://www.strokecenter.org/patients/about-stroke/stroke-statistics/

Types of Strokes. (n.d.). Retrieved March 22, 2018, from https://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/Types-of-Stroke_UCM_308531_SubHomePage.jspWhat is stroke? (2016, March 16). Retrieved March 22, 2018, from http://www.stroke.org/understand-stroke/what-stroke

SleepApena

ap ne a [ap-nee-uh]: Greek word meaning “want of breath”

6,000,00038,000

Americans currently diagnosed with Sleep Apnea. Roughly 30,000,000 areestimated to be undiagnosed.

Deaths occur on an annual basis that relate to cardiovascular problems that are connected to sleep apnea. Risk for strokes are higher and those untreated are as likely to have heart disease.

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Obstructive Sleep Apnea (OSA) is a sleep disorder in which breathing is brie˜y and r epeatedly interrupted during sleep.The “apnea” in sleep apnea referrs to a breathing pause that lasts at least ten seconds. Obstructive Sleep

Apnea occurs when the muscles in the back of the throat fail to keep the airway open, despite e° orts to breathe.

TakeAction

F., & S. (n.d.). Hidden Health Crisis Costing American Billions: Underdiagnosing and undertreating Obstructive Sleep Apnea Draining Healthcare System(Rep.). doi:https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content /uploads/2017/10/sleep-apnea-economic-crisis.pdf

Kim, S. E., Park, B. S., Park, S. H., Shin, K. J., Ha, S. Y., Park, J., & Park, K. M. (2015). Predictors for Presence and Severity of Obstructive Sleep Apnea in SnoringPatients: Signiÿcance of Neck Circumference. Journal of Sleep Medicine,12(2), 34-38. doi:10.13078/jsm.15007

Sleep Apnea. (n.d.). Retrieved May, 2018, from https://sleepfoundation.org/sleep-disorders-problems/sleep-apnea

Sleep apnea. (2018, March 09). Retrieved May, 2018, from https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631

Sleep Apnea. (2018, April 03). Retrieved May, 2018, from https://medlineplus.gov/sleepapnea.html

Sleep Apnea Information for Individuals. (2017). Retrieved May, 2018, from https://www.sleepapnea.org/learn/sleep-apnea/

3Types of Sleep Apnea

Obstructive: More common form,occurs when throat muscles relax.

Living a healthy lifestyle canhelp prevent and manage mild

sleep apnea.

30 minutes of activity per day, eatingnutritious foods, developing healthysleep habits, and quitting tobacco.

Central: Occurs when the brain doesn’tsend proper signals that control breathing.

Complex syndrome: also called treatment-emergent sleepapnea, occurs when someone has both obstructive

and central sleep apnea.

Sleep apnea can increase your risk of:

High Blood pressure

Working/Driving Accidents

Heart Attack

Stroke

Diabetes

Heart Failure

Care

Risk

A person with sleep apnea stopsbreathing repeatedly during sleep,sometimes hundreds of times and

often for a minute or more.

Recognize SignsSleep Apnea can leave you feeling tired and

sluggish when you wake after a full night’s rest.

Choking or gasping sounds during sleepthat is paired with snoring.

Loud and frequent snoringis a common symptom

of sleep apnea.

Limiting tobacco andalcohol intake can decreasethe susceptibility and severityof Obstructive Sleep Apnea.

Lack of awareness is a common cause for undiagnosed sleep apnea. Monitor loved ones and contact a medical professionalif the signs and symptoms of sleep apnea are observed.

Many people do not think of snoring as a sign of something serious, and not everyone who has sleep apnea will snore.

American Sleep ApneaAssociation’s SnoreScore Quiz:

Snore Score Quiz Scoring:

1: Are you a loud and/orregular snorer?

2: Have you ever been observed to gasp or stopbreathing during sleep?

3: Do you feel tired orgroggy upon awakening,or do you awaken witha headache?

4: Are you often tired orfatigued during wakinghours?

5: Do you fall asleep sitting,reading, watching TV or driving?

6: Do you often have problems withmemory or concentration?

Your answers to this quiz will help youdecide whether you may su° erfrom sleep apnea.

If you have one or more of these symptoms, you are at higher risk for having

obstructive sleep apnea. If you are alsooverweight, have a large neck and/or

have high blood pressure the riskincreases even further.

If you or someoneclose to you answers “yes” to any

of these questions, youshould discuss your symptoms

with your physician or a sleepspecialist. Or turn to the

American Sleep ApneaAssociation for more

information on the diagnosisand treatment of sleep apnea.

Di° erent treatment optionsexist; the appropriate treatment

choice for you depends uponthe severity of your apnea and

other aspects of the disorder.

Talk to your doctor about choices.Untreated, obstructive sleep apnea

can be extremely serious andcannot be ignored.

Allergies and AsthmaFAQ’s

Stats

Q:

A:

What are allergies? Q: What is asthma? Q: How are they related?

Allergies are an overreaction of the immunesystem to substances thatgenerally do not a�ect other individuals. These substances,or allergens, can causesneezing, runny nose & eyes,and itching.

A: Asthma is a chronic lungcondition that in�ames andnarrows the airways. Asthmacauses recurring periods ofwheezing, chest tightness,shortness of breath andcoughing.

A: The same substances thattrigger allergy symptoms, suchas pollen, dust mites, and petdander, may also causeasthma signs and symptoms.

More than 50,000,000Americans experience various

types of allergies each year.

About 1 in 12 people (about 25,000,000) have asthma.

The rise in prevalence of allergic conditionshas continued for more than 50 years.

Annual cost of allergiesexceeds $18 billion.

Asthma costs are estimated tobe around $56 billion per year.

• AAFA. (n.d.). Retrieved from http://www.aafa.org/page/allergy-facts.aspx• Allergies and asthma. (2016, February 13). Retrieved from https://www.mayoclinic.org/diseases-conditions/asthma/in-depth/allergies-and-asthma/art-20047458• Allergies. (2017, September 15). Retrieved from https://www.cdc.gov/healthcommunication/toolstemplates/entertainmented/tips/Allergies.html• Allergy Statistics | AAAAI. (n.d.). Retrieved from https://www.aaaai.org/about-aaaai/newsroom/allergy-statistics• Asthma. (n.d.). Retrieved from https://www.nhlbi.nih.gov/health-topics/asthma• Asthma in the US. (2011, May 03). Retrieved from https://www.cdc.gov/vitalsigns/asthma/index.html• Asthma’s Impact on the Nation. (n.d.). https://www.cdc.gov/asthma/impacts_nation/asthmafactsheet.pdf• Pollen count and allergy info for Salt Lake City, UT - Pollen forecast. (2018, May 23). Retrieved from https://weather.com/forecast/allergy/l/Salt Lake City UT USUT0225:1:

Resources If you are a�ected by asthma or allergies, utilize allergy and air quality tracking resources to stay informed on daily conditions.

TreePollen

Very High Moderate None

GrassPollen

RagweedPollen

Outdoor MoldSpore Level:

GoodHigh

BreathingComfort:

Allergy treatment options include avoidance of allergens, medication options, and/or allergyshots (a treatment to train your immune system not to overreact).

Asthma Action Plan Stages:

Green Zone: Yellow Zone: Red Zone:Doing well.

No coughing, wheezing, chest tightness,or shortness of breath; can do all usual

activities.Take prescribed longtermcontrol medication such as

inhaled corticosteroids.

Getting Worse.Coughing, wheezing, chest tightness

or shortness of breath; waking atnight; can do some but not all of usual

activities. Add quick-relief medicine.

Medical Attention needed.Very short of breath; quick-relief

medicines don’t help; cannot do usualactivities; if symptoms are not improving

after 24 hours in Yellow zone,seek medical help.

Take charge! Get symptoms under control:Know what triggers your allergy and asthma symptoms and learn how to limit your exposure to them. Work with your doctor to �nd the besttreatment to manage your symptoms. Know that allergy and asthma symptoms can change over time and you may need to adjust yourtreatment plan accordingly. Learn the signs that your asthma may be �aring up -- and know what to do when it does.

Dental HygieneThe Statistics

Fluoridated Water

Home Oral Care Recommendations

Visit your dentist regularly for preventative care.See your dentist regularly for prevention and treatment of oral disease. Dental care includes actionto treat complications, reduce disease risk, and provide information about lifestyle behaviors and / orservices that can aid in overall oral health.

Brush Clean Between Teeth Nutrition Lifestyle#1 #2 #3 #4

Brush your teeth twice aday with a �uoride toothpaste for two minutesper whole mouth or 30 sec.per quadrant.

At an increased risk for gumdisease or cavities, considerusing a mouth rinse.

Clean between your teethdaily.

Use dental �oss, interdentalbrushes, or oral irrigators for interdental cleaning.

Consistency is importantwhen deciding on dental care products & processes.

Prolonged exposureto sugars on the teeth canlead to bacteria causingplaque, contributing todemineralization.

Foods rich in minerals suchas calcium may lead to remineralization.

Using tobacco products canhave adverse e�ects on gum health, erosion, andenamel discoloration.

Maintaining control ofchronic conditions such asdiabetes can help preventgum disease.

Community water �uoridation began in1945 as a way to prevent tooth decay.Though studies have shown its e�ectiveness,some in the dental community note that itis di�cult to control dose due to variabilityin the quantity of water consumed and arguethat dental decay is multicasual.

Despite concerns, the U.S. Surgeon General hasexpressed the view that community water

�uoridation is an important component for thedevelopment of a culture of disease prevention

and for helping to ensure health equity for all.Annual return on investment for �uoridated

communities is between $5 and $32 per person.

By age 34, more than 80% ofpeople have had at least one cavity.

Oral health has been linked withother chronic conditions likediabetes and heart disease.

More than 40% of adults havefelt pain in their mouth at sometime

in the last 12 months.

The US spends more than $113 billionper year on costs related to dental care.

One in four people haveuntreated tooth decay.

$$$

• Adult Oral Health. (2017, October 23). https://www.cdc.gov/oralhealth/basics/adult-oral-health/index.html• Carstairs, C. (2015). Debating Water Fluoridation Before Dr. Strangelove. American Journal of Public Health,105(8), 1559-1569. doi:10.2105/ajph.2015.302660• Home Oral Care. (2018, January 18). https://www.ada.org/en/member-center/oral-health-topics/home-care• Oral Health Basics. (2015, October 08). https://www.cdc.gov/oralhealth/basics/index.html• Oral Health Tips. (2016, October 28). https://www.cdc.gov/oralhealth/basics/adult-oral-health/tips.html• Riva Touger-Decker, Cor van Loveren; Sugars and dental caries, The American Journal of Clinical Nutrition, Volume 78, Issue 4, 1 October 2003, Pages 881S–892S

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