logo
$6.8 million grant to expand stroke care in Hawaii

$6.8 million grant to expand stroke care in Hawaii

( NewMediaWire) - April 10, 2025 - HONOLULU – Cardiovascular disease, including heart and stroke conditions, is the leading cause of death in Hawaii. [1] The American Stroke Association, a division of the American Heart Association devoted to changing the future to a world of healthier lives for all, is leading a statewide initiative to strengthen the full spectrum of stroke care across Hawaii with a new multi-million dollar commitment for its Mission: Lifeline Stroke supported by a $5.8 million grant from The Leona M. and Harry B. Helmsley Charitable Trust and a commitment of $1 million from the American Heart Association.
Stroke is the No. 3 cause of death in Hawaii and is the number one cause of disability across the islands. [2] The acute nature of strokes is particularly deadly and requires time-sensitive treatment to save lives and reduce lasting disability. Mission: Lifeline Stroke focuses on connecting all components of acute stroke care into a smoothly integrated system that reinforces the use of evidence-based guidelines to timely and effectively treat stroke patients. It brings together hospitals, emergency medical services and first responders, rehabilitation facilities, communications and regulatory agencies, and state and local government to forge a proactive system of stroke care that saves and improves lives.
'When it comes to stroke, every second counts,' stated Governor Josh Green, M.D. 'As governor and a physician, I am deeply committed to improving healthcare for all our residents. This initiative is a transformative step in ensuring that even our most rural communities have access to lifesaving stroke care. By enhancing coordination among emergency responders, hospitals, and healthcare providers, we can deliver timely and effective treatment to every stroke patient, including rehabilitation and access to post-acute care facilities, no matter where they live.'
This is the latest in a series of Helmsley grants in Mission: Lifeline's system of care model for cardiac and stroke care.
'We believe this program is the best way to significantly enhance stroke care, especially in underserved rural communities,' said Walter Panzirer, a trustee for the Helmsley Charitable Trust.
The stroke program in Hawaii builds upon the success of similar initiatives funded by the Helmsley Charitable Trust across the country. Since 2010, Helmsley has committed more than $96.7 million to the American Heart Association's mission, playing a foundational role in strengthening statewide systems of care. Their support has advanced Mission: Lifeline STEMI and Stroke projects in South Dakota, North Dakota, Nebraska, Wyoming, Montana, Minnesota and Iowa. These efforts are strengthening statewide networks and implementing quality standards in post-acute facilities, ultimately improving patient outcomes and access to lifesaving care for rural and culturally and linguistically diverse communities.
'The Mission: Lifeline Stroke initiative is a groundbreaking effort to enhance stroke care across the Hawaiian Islands, reinforcing our commitment to advancing equitable health for all,' said Nancy Brown, CEO of the American Heart Association. 'We are proud to lead this initiative in collaboration with Hawaii's leaders, ensuring that patients—regardless of where they live—have access to timely, high-quality stroke care.'
As a key component to Mission: Lifeline Stroke Hawaii, the Association will increase coordination among 24 hospitals across Hawaii, including the seven certified stroke centers, six additional community hospitals and nine critical access hospitals. Additionally, 18 facilities will implement Post-Acute Stroke Care Quality Standards to improve recovery outcomes. The initiative also focuses on increasing awareness of hypertension and stroke through culturally authentic education resources, addressing higher stroke mortality rates among Native Hawaiians and Pacific Islanders.
Mission: Lifeline Stroke will further strengthen the collaboration with diverse stakeholders across the state representing local hospitals, the Hawaii Stroke Coalition, the Hawaii Department of Health and Emergency Medical Services (EMS) champions to guide a statewide stroke system of care, including:
Improved public awareness of the risk factors and symptoms of a stroke and the need to call 911, with focused attention on diverse ethnic populations disproportionately impacted by cardiovascular risk factors and disease
A coordinated EMS network, well-trained to identify and treat suspected stroke patients quickly and transport them to the most appropriate facility, and early activation of downstream care teams;
Well-trained hospital staff who are prepared to properly treat stroke patients and transfer, when appropriate, to higher levels of care and high-quality rehabilitation services;
Coordination and collaboration among hospitals across the islands;
Seamless discharge to high-quality, post-acute stroke rehabilitation and recovery care;
Guideline-directed, standardized care in post-acute stroke care facilities to improve recovery and quality of life and skilled nursing facilities certified in post-acute stroke care;
A sustainable statewide quality improvement data system to monitor patient care, identify successes and areas in need of further improvement and support;
Robust, collaborative infrastructure for long-term attention to stroke outcomes across the state; and a report to guide future stroke efforts for key stakeholders across the state.
Additional Resources:
###
About the American Heart Association
The American Heart Association is a relentless force for a world of longer, healthier lives. Dedicated to ensuring equitable health in all communities, the organization has been a leading source of health information for more than one hundred years. Supported by more than 35 million volunteers globally, we fund groundbreaking research, advocate for the public's health, and provide critical resources to save and improve lives affected by cardiovascular disease and stroke. By driving breakthroughs and implementing proven solutions in science, policy, and care, we work tirelessly to advance health and transform lives every day. Connect with us on heart.org, Facebook, X or by calling 1-800-AHA-USA1.
About the American Stroke Association
The American Stroke Association is a relentless force for a world with fewer strokes and longer, healthier lives. We team with millions of volunteers and donors to ensure equitable health and stroke care in all communities. We work to prevent, treat and beat stroke by funding innovative research, fighting for the public's health, and providing lifesaving resources. The Dallas-based association was created in 1998 as a division of the American Heart Association. To learn more or to get involved, call 1-888-4STROKE or visit stroke.org. Follow us on Facebook and X.
About the Helmsley Charitable Trust
The Leona M. and Harry B. Helmsley Charitable Trust aspires to improve lives by supporting exceptional efforts in the U.S. and around the world in health and select place-based initiatives. Since beginning active grantmaking in 2008, Helmsley has committed more than $4.5 billion for a wide range of charitable purposes. Helmsley's Rural Healthcare Program funds innovative projects that use information technologies to connect rural patients to emergency medical care, bring the latest medical therapies to patients in remote areas, and provide state-of-the-art training for rural hospitals and EMS personnel. To date, this program has awarded more than $800 million to organizations and initiatives in the states of Hawaii, Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, Wyoming, and two U.S. Pacific territories, American Samoa and the Commonwealth of the Northern Mariana Islands. For more information, visit www.helmsleytrust.org.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Study: Seniors neglect steps to protect heart health
Study: Seniors neglect steps to protect heart health

UPI

time7 hours ago

  • UPI

Study: Seniors neglect steps to protect heart health

Seniors with high blood pressure have been neglecting Life's Essential 8 --which recommends that people eat healthy, exercise, avoid smoking, sleep better, lose excess weight and manage their cholesterol, blood sugar and blood pressure levels. Photo by Adobe Stock/HealthDay News Seniors with known heart-related problems aren't doing a very good job taking steps to protect their health, a new study says. Older folks with high blood pressure, stroke survivors and heart failure patients in the United States all have been neglecting Life's Essential 8 -- a checklist of lifestyle factors that can protect heart health, researchers found. "On average, participants with one cardiovascular disease had a Life's Essential 8 score 9 points lower than those without cardiovascular disease," lead researcher James Walker, a medical student at Northwestern University in Chicago, said in a news release. Life's Essential 8 recommends that people eat healthy, exercise, avoid smoking, sleep better, lose excess weight, and manage their cholesterol, blood sugar and blood pressure levels, according to the American Heart Association. For this study, researchers analyzed a sample of more than 3,000 adults 65 and older who participated in the U.S. National Health and Nutrition Examination Survey between 2013 and 2018. The team used people's responses to estimate their adherence to Life's Essential 8. Results showed that people with one or more heart-related health problems had an average score below 60 out of 100, while those without heart problems had an average score of 68. This gap was mainly due to differences in blood pressure control and exercise, Walker said. "Physical activity and blood pressure scores tended to be very low for people with cardiovascular disease," Walker said. What's more, people's scores tended to decline with each additional heart-related problem they had, researchers found. And over time, patients' adherence to Life's Essential 8 dropped by: 4% among people with high blood pressure. 12% among stroke survivors. 15% among heart failure patients. The results indicate that doctors could be doing more to promote healthy behaviors among people with known heart risks, researchers said. "Health care professionals and physicians should seek to provide support earlier in life to help our elderly population stay healthier for longer," Walker said. The AHA "urges everyone to get their best start at good health by following the elements of Life's Essential 8 early in life, even as young as childhood," Dr. Stacey Rosen, volunteer president of the American Heart Association, said in a news release. Rosen was not involved in the study. "It's also critical that we recognize that our aging population is quickly growing," added Rosen, who is senior vice president of women's health and executive director of the Katz Institute for Women's Health of Northwell Health in New York City. "The last of the Baby Boomers will reach 65 in the next 5 years, and more people are living longer, even after a heart attack or stroke, thanks, in part, to medical advances and improved diagnosis and treatment." "We must identify ways to support these older individuals with information and resources to maintain a healthy lifestyle in every way they can, because good health is important at every age," Rosen concluded. The new study appears in the Journal of the American Heart Association. More information The American Heart Association has more on Life's Essential 8. Copyright © 2025 HealthDay. All rights reserved.

Are UPFs Bad for Weight Loss and Health? It's Complicated
Are UPFs Bad for Weight Loss and Health? It's Complicated

Medscape

time16 hours ago

  • Medscape

Are UPFs Bad for Weight Loss and Health? It's Complicated

Hardly a day goes by without one or more studies or news stories about ultraprocessed foods (UPFs), most of them negative. The studies often demonize UPFs and urge the public to cut back on them or avoid them entirely. Emerging research suggests a more nuanced approach may be needed. Many researchers warn that UPFs are associated with a higher risk for adverse health outcomes and may even contribute to premature death; however, the 'healthiness' (often undefined in studies) of such foods is not always clearcut. Some studies, as well as a recent advisory from the American Heart Association (AHA), advise cutting back on UPFs with high fat, sugar, and salt content but also acknowledge that certain UPFs can be healthy, are often affordable, and could be part of a high-quality diet. These developments seem to indicate that not all UPFs are the same and that the effect on weight gain and health may be tied to the nutritional value of the food and not just its level of processing. The UPF category is 'so broad it borders on useless,' wrote Nicola Guess, PhD, a registered dietitian at the University of Oxford in Oxford, England, in a recent essay. 'It lumps store-bought whole-grain bread and hummus in with cookies, potato chips, and soda,' she added. Are UPFs an Obesity Culprit? There is general agreement that diets consisting primarily of UPFs are associated with increased energy intake and weight gain, but some experts question whether all UPFs cause people to put on weight. 'Epidemiological and experimental evidence consistently links UPF dietary patterns to increased energy intake, weight gain, and indicators of excess weight,' Filippa Juul of SUNY Downstate Health Sciences University, Brooklyn, New York, and the University of Sao Paulo, Sao Paulo, Brazil, and colleagues wrote in a recent Nature Reviews Endocrinology article. UPFs' negative effects may arise from their 'evolutionarily novel nutritional, physical, and chemical characteristics,' which could influence multiple biological pathways, including food reward systems, appetite and/or satiety regulation, and the microbiome, they added. 'To stem the global rise in obesity, multipronged policy efforts are needed to reduce UPF consumption and create health-promoting food systems,' the researchers concluded. A 2024 evidence review concluded that greater UPF consumption has been a key driver of obesity and that the 'obesogenic environment' must be changed to support efforts to reduce UPF intake. The lead author of that review, Samuel Dicken, PhD, of the Centre for Obesity Research, University College London, London, England, was also the lead author of a recent randomized controlled trial pitting a UPF diet against a minimally processed food (MPF) diet in an 8-week crossover trial. Food in both diets was provided to participants and was nutritionally matched in accordance with the UK's official government advice on how to eat a healthy, balanced diet. The MPF diet was more effective for weight loss than the UPF diet, yielding a 2% average reduction in weight compared with 1% for the UPF diet. Self-reported craving control was also significantly improved with the MPF diet, which may have helped support the lower calorie consumption, the authors suggested. 'Though a 2% reduction may not seem very big, that is only over eight weeks and without people trying to actively reduce their intake,' Dicken said at the time. 'If we scaled these results up over the course of a year, we'd expect to see a 13% weight reduction in men and a 9% reduction in women on the minimally processed diet, but only a 4% weight reduction in men and 5% in women after the ultraprocessed diet. Over time this would start to become a big difference.' However, in comments on the study for the UK's Science Media Centre, several experts pointed out that regardless of the difference in diet, both groups lost weight, calling into question the idea that all UPFs cause weight gain. 'The study suggests that a diet meeting current dietary recommendations is not detrimental to weight maintenance, whether it is ultraprocessed or not,' Gunter Kuhnle, professor of nutrition and food science, University of Reading, Reading, England, noted in his response. In addition, experts noted, the crossover design of the trial, which had both groups following both diets, with a washout period in between, led to an 'order effect,' in which weight loss was less on the second diet across both trial arms. In his response, Kevin McConway, PhD, emeritus professor of applied statistics, The Open University, Milton Keynes, England, took issue with the researchers' methodology for extrapolating the diets' effect over the course of a year and questioned whether the MPF diet would lead to greater weight loss over time. Are All UPFs Unhealthy? If UPFs' effects on weight loss may depend on the foods' quality, could the same be true about the health impacts? Researchers often rely on definitions in the NOVA classification system, which groups foods into four categories ranging from unprocessed/minimally processed to ultraprocessed, in studies evaluating the health effects of UPFs. NOVA warns that the processes and ingredients used to manufacture UPFs typically make them nutritionally unbalanced and liable to be over-consumed and to replace foods that involve less processing. Dietary guidelines, by contrast, focus less on how food is processed and instead emphasize nutritional content, caloric intake, and avoidance of too much added sugar, saturated fat, and salt. Certain foods may be considered healthy by government nutritional standards but not so by NOVA, and vice versa. A recent large study of data from more than 200,000 US adults found that, after adjustment, participants who consumed the most UPFs, as defined by NOVA, were 11% more likely to develop cardiovascular disease (CVD) and 16% more likely to develop coronary heart disease (CHD) during the study period compared with those who consumed the least UPFs. After researchers combined the results with those from 19 other studies, they found that participants who consumed the most UPFs were 17% more likely to develop CVD, 23% more likely to develop CHD, and 9% more likely to have a stroke compared with those who consumed fewest UPFs. But that wasn't the whole story. 'Of note, divergent associations were observed for specific UPF groups in our cohorts,' the authors wrote. 'Sugar-sweetened beverages, processed meats, and artificially sweetened beverages were associated with higher [cardiovascular disease] and [coronary heart disease] risk. Conversely, ultraprocessed savory snacks, cold cereals, and yogurt/dairy-based desserts were inversely associated with CVD and CHD risk. Ultra-processed bread and cold cereals were associated with lower stroke risk, and hard liquors with lower CHD risk.' Similarly, a large study of data from the Nurses' Health Study found that 'high-quality meta-evidence shows that total UPF consumption is associated with higher T2D [type 2 diabetes] risk.' However, the authors wrote, among subgroups of UPFs, 'cereals; dark and whole-grain breads; packaged sweet and savory snacks; fruit-based products; and yogurt and dairy-based desserts were associated with lower T2D risk.' Moreover, in a proof-of-concept study, researchers developed a sample menu that included ≥80% calories from UPFs, as defined by NOVA, yet followed the recommendations for a healthy dietary pattern outlined in the 2020 Dietary Guidelines for Americans. A total of 91% of the calories ended up coming from UPFs, but the menu still scored 86 out of a possible 100 points on the 2015 Healthy Eating Index. 'This sample menu did not achieve a perfect score due primarily to excess sodium and an insufficient amount of whole grains,' the authors wrote. 'This menu provided adequate amounts of all macro- and micro-nutrients, except vitamin D, vitamin E, and choline.' A narrative review poses a key question: Just what might make UPFs bad? Is it the nutrient content or the processing that the food undergoes? The authors concluded that we don't know — which is pretty much the case today. The AHA's scientific advisory and many recent studies call for more research on the health impacts of food additives and processing techniques, as well as research to clarify the impact of UPFs that have better nutrition profiles. In her recent essay, Guess called the focus on UPFs 'a distraction from what we already know about nutrition.…We consume too much fast food, too many sugary beverages, too many cakes, doughnuts and chips. And we consume too few legumes, fruits and vegetables. We need better food and nutrition policies that make it easier for people to purchase and consume a healthier diet.' Dicken reported being funded by the National Institute for Health and Care Research (NIHR) University College London Hospitals (UCLH) Biomedical Research Center, a partnership between the UK NIHR and the UCLH National Health Service Foundation Trust; the Rosetrees Trust; and a UK Medical Research Council grant. Dicken reported receiving royalties from Amazon for a self-published book that mentions UPF, payments from Red Pen Reviews as a contributor, consultancy work for Consensus and Androlabs, and travel fees from a USDA National Institute of Food and Agriculture grant to present a workshop on food processing classifications.

Study finds heart health declining in older adults with certain cardiovascular diseases
Study finds heart health declining in older adults with certain cardiovascular diseases

Associated Press

time17 hours ago

  • Associated Press

Study finds heart health declining in older adults with certain cardiovascular diseases

Research Highlights: Embargoed until 4 a.m. CT/5 a.m. ET Wednesday, August 20, 2025 ( NewMediaWire ) - August 20, 2025 - DALLAS — U.S. adults, ages 65 and older, with high blood pressure, heart failure or stroke had significant declines in cardiovascular health, according to new research published today in the Journal of the American Heart Association, an open-access, peer-reviewed journal of the American Heart Association. The cardiovascular scores calculated in the analysis were based on participants' health data in relation to the American Heart Association's Life's Essential 8 health metrics for optimal cardiovascular health. Life's Essential 8 measures eight components for ideal heart and brain health — four health behaviors and four health factors, including: diet, physical activity, smoking status, sleep, body mass index, cholesterol, blood sugar and blood pressure. 'During the COVID-19 pandemic, it became evident that older adults were disproportionately impacted by cardiovascular disease. We aimed to examine the state of cardiovascular health among older adults before the pandemic, establishing a baseline that would allow us to assess the changes that occurred during and after the pandemic,' said study co-author James M. Walker, B.A., a fourth-year M.D./M.B.A. student at Northwestern University's Feinberg School of Medicine and Kellogg School of Management in Chicago. 'This study provides new information about the cardiovascular health of older adults before the pandemic. It shows that overall heart health scores were getting worse, particularly for those with heart failure, stroke or high blood pressure,' Walker said. In this analysis of health information from the U.S. National Health and Nutrition Examination Survey from 2013 to 2018, researchers reviewed the changes in cardiovascular health, as measured by Life's Essential 8, among adults ages 65 and older. The analysis was based on a sample of 3,050 older adults, with survey weights applied to generate U.S. population-level estimates representing 37,908,305 adults ages 65 or older (54.7% women; average age of 72.6 years). The analysis included adults with and without self-reported cardiovascular conditions, including coronary heart disease, stroke, heart failure, high blood pressure, heart-related chest pain, heart attack or no cardiovascular disease. Each Life's Essential 8 metric was scored for each person on a scale of 0 to 100 points (higher is better). Cardiovascular health was calculated for each person by summing the eight metric scores and dividing by eight. Scores below 50 indicate low cardiovascular health; 50 to 79 is considered moderate; and scores of 80 and above signal high cardiovascular health. The change in these scores from 2013 to 2018 was calculated for each group. When the Life's Essential 8 scores among the groups were compared, the analysis found: 'Physical activity and blood pressure scores tended to be very low for people with cardiovascular disease,' Walker said. 'On average, participants with one cardiovascular disease had a Life's Essential 8 score 9 points lower than those without cardiovascular disease. That gap seemed to be explained by low scores for blood pressure and physical activity.' 'Health care professionals and physicians should seek to provide support earlier in life to help our elderly population stay healthier for longer,' he said. According to the researchers, these findings are intended to lay the groundwork for future research on how cardiovascular health trends may have changed in older U.S. adults with cardiovascular conditions. 'It's natural that as you age your health may start to decline, particularly as you develop conditions such as high blood pressure or have major cardiovascular events like a stroke. That's why the American Heart Association urges everyone to get their best start at good health by following the elements of Life's Essential 8 early in life, even as young as childhood,' said Stacey E. Rosen, M.D., FAHA, volunteer president of the American Heart Association and senior vice president of women's health and executive director of the Katz Institute for Women's Health of Northwell Health in New York City. 'It's also critical that we recognize that our aging population is quickly growing. The last of the Baby Boomers will reach 65 in the next 5 years, and more people are living longer, even after a heart attack or stroke, thanks, in part, to medical advances and improved diagnosis and treatment. We must identify ways to support these older individuals with information and resources to maintain a healthy lifestyle in every way they can, because good health is important at every age.' Rosen was not a part of this study. A main limitation of the study is that it is cross-sectional (analyzed different groups based on specific criteria), so it cannot prove cause and effect. Researchers also only examined six types of cardiovascular disease, so if participants had other cardiovascular disease (less common cardiovascular disease diagnoses), they may have been missed or not included in this analysis. Study details, background and design: Co-authors, disclosures and funding sources are listed in the manuscript. Studies published in the American Heart Association's scientific journals are peer-reviewed. The statements and conclusions in each manuscript are solely those of the study authors and do not necessarily reflect the Association's policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. The Association receives more than 85% of its revenue from sources other than corporations. These sources include contributions from individuals, foundations and estates, as well as investment earnings and revenue from the sale of our educational materials. Corporations (including pharmaceutical, device manufacturers and other companies) also make donations to the Association. The Association has strict policies to prevent any donations from influencing its science content and policy positions. Overall financial information is available here. Additional Resources: ### About the American Heart Association The American Heart Association is a relentless force for a world of longer, healthier lives. Dedicated to ensuring equitable health in all communities, the organization has been a leading source of health information for more than one hundred years. Supported by more than 35 million volunteers globally, we fund groundbreaking research, advocate for the public's health, and provide critical resources to save and improve lives affected by cardiovascular disease and stroke. By driving breakthroughs and implementing proven solutions in science, policy, and care, we work tirelessly to advance health and transform lives every day. Connect with us on Facebook, X or by calling 1-800-AHA-USA1. For Media Inquiries and AHA/ASA Expert Perspective: 214-706-1173 Karen Astle: [email protected] For Public Inquiries: 1-800-AHA-USA1 (242-8721) and

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store