CF 256: Aspirin And Fall Risk & Caffeine And Child Growth Today we’re going to talk about Aspirin And Fall Risk & Caffeine And Child Growth But first, here’s that sweet sweet bumper music
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OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.
I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at email@example.com If you haven’t yet I have a few things you should do.
- Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
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You have found yourself smack dab in the middle of Episode #256 Now if you missed last week’s episode , we talked about Nonpharmacologic Treatment In The ER & Spinal Manipulative Therapy For Non-musculoskeletal Conditions. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things…..
As I’m typing this out, I am in a hammock on the beach at the Playa Largo resort in Key Largo. Which is in the Florida Keys. I wanted to go ahead and get this part of the episode done because I wanted the weekend and the mastermind meeting here fresh in my mind. First, if you don’t know about Dr Kevin Christie’s MCM Mastermind group, it’s 15 or so of the nation’s top chiropractors. We meet four times per year to network, learn, and problem solve. The cost, if I remember correctly, was $8k for the year not including travel and hotels. As the first year wraps up, the group has made me roughly $150,000 or more. That’s no lie. You could say that monetarily it was worth every penny.
Then professionally, I was given the opportunity to build lifelong relationships with colleague as in the profession that are too producers and earners. This weekend we learned about delegating tasks to free up our time and our energy to creat a more free and enjoyable work week. We also learned about 10x-Ing our practices and what that needs to look like to make it happens We exchanged lots of ideas on automating things. Even down to having no front desk staff if we do choose. Lots to consider and think over. This mastermind is closed for the 2023. Because it’s limited to only 25 people and 25 people are members for next year.
However, my point is, if you find a mastermind group, join. If you don’t, think about creating one yourself. The learning is incredible inside and outside of the clinics. The community you find is incredible. And let’s be honest, sometimes, it’s nice to just have someone that knows your life and has been through similar stuff listen To you and bounce back some ideas and suggestions. Alright. On to the research.
Item #1 Our first one this week is called “Daily Low-Dose Aspirin and Risk of Serious Falls and Fractures in Healthy Older People: A Substudy of the ASPREE Randomized Clinical Trial” by Barker et. al. (Barker AL 2022) and published in JAMA Internal Medicine on November 7, 2022 and it sizzles where it sits.
Why They Did It To determine if daily low-dose aspirin (100 mg) reduces the risk of fractures or serious falls (fall-related hospital presentations) in healthy older men and women.
How They Did It
- It was a double-blind, randomized, placebo-controlled trial
- studied older adult men and women in 16 major sites across Southeastern Australia.
- The ASPREE-FRACTURE substudy was conducted as part of the Australian component of the ASPREE trial.
- Between 2010 and 2014
- Aged 70 years or older
- Participants in the intervention group received a daily dose of oral 100 mg enteric-coated (low-dose) aspirin.
- The control group received a daily identical enteric-coated placebo tablet.
What They Found
- In total, 16,703 people with a median age of 74 years were recruited
- 9,179 (55.0%) were women.
- There were 8,322 intervention participants and 8,381 control participants included in the primary and secondary outcome analysis of 2,865 fractures and 1,688 serious falls over the median follow-up of 4.6 years.
- While there was no difference in the risk of first fracture between the intervention and control participants, aspirin was associated with a higher risk of serious falls.
- Results remained unchanged in analyses that adjusted for covariates known to influence fracture and fall risk.
Wrap It Up
In this substudy of a randomized clinical trial, the failure of low-dose aspirin to reduce the risk of fractures while increasing the risk of serious falls adds to evidence that this agent provides little favorable benefit in a healthy, White older adult population.
Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can’t live without those products, send me an email and I’ll give you the hookup. They will 100% differentiate your clinic from your competitors. I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com & get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.
Item #2 Our second one is called, “Association of Maternal Caffeine Consumption During Pregnancy With Child Growth” by Gleason et. al. (Gleason JL 2022)and published in JAMA Network Open on October4 31, 2022. Bam a lama that’s some hot mama jama.
Why They Did It Question Is maternal caffeine consumption associated with child growth, and are such associations present in low-consumption groups?
How They Did It
- I’m not going to bore you with the deets here because your eyes will gloss and you’ll be thinking about why you drive in parkways and park in driveways.
- Let’s just say that Child z scores for body mass index, weight, and height were evaluated, as well as fat mass index and percentage and obesity risk measured at 1 time between age 4 and 8 years
- In a secondary analysis of one of the cohorts, child z scores and obesity risk longitudinally through age 8 years were evaluated.
Wrap It Up
Intrauterine exposure to increasing levels of caffeine and paraxanthine, even in low amounts, was associated with shorter stature in early childhood. The clinical implication of reductions in height and weight is unclear; however, the reductions were apparent even with levels of caffeine consumption below clinically recommended guidelines of less than 200 mg per day. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.
Store Remember the evidence-informed brochures and posters at chiropracticforward.com.
I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!
Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!
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Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.
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About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger
Barker AL, M. R., Thao LTP, (2022). “Daily Low-Dose Aspirin and Risk of Serious Falls and Fractures in Healthy Older People: A Substudy of the ASPREE Randomized Clinical Trial.” JAMA Intern Med.
Gleason JL, S. R., Mitro SD, (2022). “Association of Maternal Caffeine Consumption During Pregnancy With Child Growth.” JAMA Netw Open 5(10).