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New study highlights link between IBD and increased risk of stroke

Suffering from an inflammatory bowel condition such as Crohn’s disease or ulcerative colitis, could increase the risk of having a stroke in later life, according to a new study.
Research published in the online journal Neurology suggests that those with inflammatory bowel disease are 13% more likely to have a stroke up to 25 years after their diagnosis than those without IBD.
The study doesn’t prove that IBD causes a stroke. But the team behind the study said it highlights a link between the two health issues and highlights that screening and management of stroke risk factors could be more urgent in people who have Crohn’s, ulcerative colitis, and unclassified inflammatory bowel disease.
Study author, Dr Jiangwei Sun, of the Karolinska Institutet in Stockholm, Sweden, said: “These results show that people with inflammatory bowel disease and their doctors should be aware of this long-term increased risk.
“Screening and management of stroke risk factors may be more urgent in people with IBD.”
More than 85,006 people with IBD confirmed with a biopsy were involved in the study. They were each matched with up to five people of the same birth year, sex and county of residence who did not have IBD. In total, 406,987 people were involved in the research.
During an average follow-up of 12 years, 3,720 of the people with IBD had a stroke, compared with 15,599 of those who didn’t have an inflammatory bowel disease. This is a rate of 32.6 per 10,000 person years for those with IBD compared to 27.7 for those without.
Person-years represent both the number of people in the study and the amount of time each of them spends participating in the research.
When researchers accounted for other factors that could affect stroke risk, such as heart disease, high blood pressure and obesity, they found that people with IBD were 13% more likely to have a brain attack than those without.
Researchers found that the increased risk was mainly due to ischemic stroke, which is caused by a blockage of blood flow to the brain, rather than haemorrhagic stroke, which occurs as a result of bleeding in or around the brain.
Because both inflammatory bowel disease and stroke have some genetic components predisposing people to the disease, researchers also included in the study full siblings of the people with IBD.
The 101,082 siblings had no history of IBD or stroke at the beginning of the study. Consistent with the main results, people with IBD had a higher risk of stroke than their siblings not suffering from the disease. Their overall risk was 11% higher.
Dr Sun said: “The elevated risk for people with IBD remained even 25 years after they were first diagnosed, corresponding to one additional stroke case for every 93 people with IBD until that point,”
A limitation of the study was that the criteria for diagnosing inflammatory bowel disease and stroke have changed, which the research team admitted could affect the results.
Also, researchers did not have complete information on all factors that could affect stroke risk, such as diet, smoking and alcohol consumption.
Crohn’s disease is a long-term condition that can affect anyone of any age which is caused by inflammation of the lining of the digestive system.
Symptoms can include recurring diarrhoea, abdominal pain and cramping which is usually worse after eating, unintended weight loss, extreme tiredness, and blood and mucus when a stool is passed.
Ulcerative colitis is a long-term condition affecting the colon and rectum. It causes inflammation in the colon as well as ulcers in the lining of the large bowel which can bleed and produce pus.
Sufferers can experience mouth ulcers, painful and swollen joints, irritated and red eyes, patches of inflamed skin, as well as weight loss, tiredness and loss of appetite.
Neither Crohn’s disease or ulcerative colitis are currently curable.
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AI can predict Alzheimer’s with almost 93% accuracy, researchers say

Alzheimer’s AI can predict the disease with nearly 93 per cent accuracy using more than 800 brain scans, researchers say.
The system identified anatomical changes in the brain linked to the onset of the most common form of dementia, a condition that gradually damages memory and thinking.
The findings build on years of research suggesting AI could help spot early Alzheimer’s risk, predict disease and identify patients whose condition has not yet been diagnosed.
Benjamin Nephew, an assistant research professor at the Worcester Polytechnic Institute in Massachusetts, said: “Early diagnosis of Alzheimer’s disease can be difficult because symptoms can be mistaken for normal ageing.
“We found that machine-learning technologies, however, can analyse large amounts of data from scans to identify subtle changes and accurately predict Alzheimer’s disease and related cognitive states.”
The study used MRI scans, a type of detailed brain imaging, from 344 people aged 69 to 84.
The dataset included 281 scans showing normal mental function, 332 with mild cognitive impairment, an early stage of memory and thinking decline, and 202 with Alzheimer’s.
The scans covered 95 of the brain’s nearly 200 distinct regions and used an AI algorithm to predict patients’ health.
Being able to use AI to help diagnose Alzheimer’s earlier could give patients and doctors crucial time to prepare and potentially slow the progression of the disease.
The analysis showed that one of the top predictive factors was brain volume loss, or shrinkage, in the hippocampus, which helps form memories, the amygdala, which processes fear, and the entorhinal cortex, which helps provide a sense of time.
This pattern held across age and sex, with both men and women aged 69 to 76 showing volume loss in the right part of the hippocampus, suggesting it may be an important area for early diagnosis, the researchers noted.
However, the research also found that the way brain regions shrink differs by sex.
In females, volume loss occurred in the brain’s left middle temporal cortex, which is involved in language and visual perception. In males, it was mainly seen in the right entorhinal cortex
The researchers believe this could be linked to changes in sex hormones, including the loss of oestrogen in women and testosterone in men.
These conclusions could help improve methods of diagnosis and treatment going forward, Nephew said.
More than 7.2m Americans are living with Alzheimer’s, according to the Alzheimer’s Association.
More research is being done to reveal other impacting factors.
Nephew said: “The critical challenge in this research is to build a generalisable machine-learning model that captures the difference between healthy brains and brains from people with mild cognitive impairment or Alzheimer’s disease.”
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