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Dietary Fiber Nibbles Down Stroke Risk

Eating more fiber may modestly reduce the risk of stroke, although details remain uncertain and it might just be a surrogate for other healthy behaviors, a meta-analysis determined.Each additional 7 g of daily dietary fiber intake was associated with a significant 7% lower risk of hemorrhagic and ischemic stroke combined, Diane Threapleton, MSc, of the University of Leeds, England, and colleagues reported online in Stroke.

“Our study supports current guidelines to increase fiber consumption,” the researchers concluded, although they noted that too little data were available to narrow down what sources or types of fiber were most protective.They called a 7-g per day boost in roughage doable, it being the equivalent of an extra serving of beans or two servings of fruit like apples and oranges.

The average American falls short of the daily recommended fiber intake by more than that, though, getting an average of just 13 g for women and 17 g for men compared with the 21 to 25 g and 30 to 38 g, respectively, called for by guidelines. Although the observational data couldn’t ascribe causality, a role for dietary fiber is plausible, Threapleton’s group noted.

“Soluble types of fiber form gels in the stomach and small intestine, slowing the rate of nutrient absorption and slowing gastric emptying, which increases satiety and influences the overall amount of food eaten, resulting in lower levels of overweight,” they wrote. “Bacterial fermentation of resistant starch and soluble fibers in the large intestine produces short-chain fatty acids which inhibit cholesterol synthesis by the liver, consequently lowering serum levels.”

Prior studies have shown links to stroke risk factors, including hypertension and high cholesterol, as well as insulin resistance.The literature search turned up eight prospective cohort studies from the U.S., northern Europe, Australia, and Japan reporting on fiber intake in healthy individuals (defined as not recruited based on history of disease or poor health) and incidence of first ever stroke.

Pooled results showed a steadily declining stroke risk with higher total fiber intake, with a relative risk of 0.93 per 7 g per day (95% CI 0.88 to 0.98). Few individuals had fiber levels above 25 g per day, “so extrapolation of risk at higher intakes should be undertaken with caution,” the researchers warned.

There was some evidence of heterogeneity among the studies, with a difference by study size.Ischemic stroke appeared less common with higher total dietary fiber intake in two of the four studies that reported on this outcome, while a third showed a similar trend but with wide confidence intervals.

Hemorrhagic stroke occurred less often at higher fiber levels in one of the three studies looking at that outcome. Soluble fiber showed a nonsignificant trend, with 6% lower relative risk of stroke per 4 g/day increase in daily intake across the studies.The insoluble fiber results couldn’t be pooled. One of the three studies reporting on this measure suggested a 38% lower stroke risk, while the others indicated no association.

Fiber from grain sources appeared protective in several studies, as did vegetable fiber, but again results couldn’t be pooled.The reviewers cautioned about the “inherent problem of unadjusted confounding” since fiber may be acting as a surrogate for other healthy behaviors like less smoking and more exercise that also would reduce stroke risk.

“All of the pooled studies did, however, include adjustment for potentially important confounding variables such as age, body mass index, blood pressure or history of hypertension, smoking status, alcohol intake, physical activity, and sex (where applicable), and also a variety of other health and lifestyle variables,” Threapleton and colleagues noted.

By Crystal Phend, Senior Staff Writer, MedPage Today

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Burick Center Staff MemberTracy Koval

Office Manager

Tracy joined the Burick Center for Health & Wellness in June of 2016 to help patients by managing various aspects of the office. Tracy brings more than three decades of medical office experience as the former office manager of a multi-specialty group and also works on a part-time basis as a Patient Service Rep at a local urgent care center.

Tracy’s favorite part of working in a medical practice is the opportunity to make a difference in someone’s life by helping them navigate through the maze of health care. She loves being part of the dynamic team at the Burick Center.

Tracy likes to spend time with her family. She has two sons, Mason, who is living and working in Philadelphia as a Sr. Analyst for a marketing firm, and Spencer, who works at Hershey Entertainment & Resorts.

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Burick Center Staff MemberRena Geesaman

Patient Coordinator

Rena Geesaman is a Registered Medical Assistant who enjoys providing attentive and caring client service. She is very happy to be part of the Burick Center team where patient care is our number one focus.

Her goal is to do everything within her power to ensure every interaction leaves you feeling well cared for and perhaps even delighted.

Rena volunteers by serving as board treasurer for Carlisle Christian Academy. She also helps facilitate a program at River of God Church for single, pregnant girls which provides practical, emotional and spiritual support.

Outside of the office Rena enjoys hiking, traveling, tending to her flower beds, hosting meals on their back deck, enjoying time with dear friends, loving on her little dogs, and best of all spending time with family. Being fairly new grandparents, she and her husband Don are always happy to share pictures of their little grandson, Lucas. Feel free to ask! She considers herself amazingly blessed!

Burick Center Staff MemberDr. Peter Lu

Acupuncturist

Dr. Peter Lu trained and worked in New York City for 15 years and recently moved to central PA. He studied pre-med at Brooklyn College and attended medical school at SUNY Downstate in Brooklyn. Thereafter he worked in the inner city hospitals of New York City, and lastly had the honor of caring for people with his sister in Stamford, Connecticut.

Dr. Lu greatly appreciates open lines of communication as it pertains to questions you may have about your ailment and how acupuncture could help in the healing process. His intention to address your needs to the best of his ability.

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Burick Center Staff MemberLee Morand

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Lee has had the sincere pleasure of working in the Greater Harrisburg area for over 20 years. She relocated to Harrisburg in 1990 after completing her undergraduate degree in Nutrition Pre-Med at Cornell University. Lee received her first Master’s Degree from Shippensburg University. Her second Master’s Degree, as well as Doctorate, were both from Philadelphia College of Osteopathic Medicine.

She uses a Cognitive-Behavioral approach to guide her work with clients across the lifespan. She strongly believes research has shown that changing your thoughts does change your life. Her primary focus with clients is to reduce symptoms by assisting clients to achieve skills they can utilize in their professional, academic, and personal lives.

Burick Center Staff MemberHeather Motter

LMT, Massage Therapist and Back Desk Coordinator

Heather Motter joined the Burick Center team in 2018. A graduate of YTI Career Institute, Heather prides herself on using her highly developed skills to maintain the balance between mind and body. As a licensed massage therapist, she specializes in Medical Massage, Lymphatic Drainage, Trigger Point Therapy, and Oncology Massage.

Heather has a vast amount of experience working with a variety of patients. From a simple relaxation massage to a patient dealing with chronic pain, Heather is able to facilitate treatments uniquely designed for each patient’s individual needs.

Heather insists that massage is not just a relaxation luxury. Instead, her philosophy is that massage helps lead to a healthier, happier lifestyle. She encourages everyone to take the time to meet with her to develop a care plan to enhance their overall wellness.

Heather is a resident of Carlisle, where she resides with her fiancé, two sons, and four dogs. When she’s not at work, she can be found outside working on her back yard oasis, or volunteering at Speranza Animal Rescue.

Burick Center Staff MemberFelicia Miller

Nutritionist

Felicia Miller is a Registered Dietitian and Licensed Dietitian Nutritionist who provides nutritional counseling and education to patients of the Burick Center for Health & Wellness.

She takes the science of nutrition with her extensive knowledge of food and coaching skills to create an easy-to-follow actionable plan for her clients to follow.

Recognizing that there are multiple components to creating a successful wellness plan, she looks at the whole person – their concerns, lifestyle, personality, family, and career. Listening to her patients allows for Felicia to find the root cause of their issue and not simply the symptoms.

“Being healthy goes beyond diet, food is just one of the pillars of a happy, healthy person.” Felicia goes beyond the traditional diet education- she coaches and supports her patients as they learn how to make changes in their day-to-day life.

“I’m passionate about whole foods and healthy living I strive to inspire you to make positive food and lifestyle changes – at any age.”

Burick Center Staff MemberAshley Weibley

Registered Nurse

Ashley is a nurse at Burick Center for Health & Wellness. Her nursing philosophy is one of holistic care. She is a patient advocate committed to clear communication, education and applying critical thinking and decision-making skills to help patients achieve better outcomes. She enjoys providing the highest quality nursing care in a respectful, healing environment. She has a personal commitment to life-long learning through formal education and hands-on experience. She appreciates that compassion along with innovative care is what the Burick Center for Health & Wellness is all about.

Ashley has an Associate’s Degree from Harrisburg Area Community College and a Bachelors Degree from Penn State University.

She is married and has twin boys, She enjoys spending time with her friends, family and pets. She has owned and shown Quarter Horses all of her life and continues to compete in her spare time.