Percentage of getting pregnant at age 46 risks,pregnancy drug class categories,pregnancy guide 32 weeks old,how long to pregnancy blood tests take - 2016 Feature

This Q&A reviews the scientific and medical debates about later motherhood, seeking a balance between understanding the biological barriers to having babies in later life, and the lived reality – that many women do have healthy pregnancies in their late thirties. The Office for National Statistics (ONS) reports that in 2012, nearly half (49%) of all live births were to mothers aged 30 and over, and that nearly two-thirds (65%) of fathers were aged 30 and over.
Some of the social and cultural trends that affect the timing of motherhood are worthy of debate (see Question 6, below).
This tends to simplify and distort the science around fertility, and panic many women when their chances of having a baby at the time that is right for them are high. The idea that delayed motherhood poses a problem, for women, babies and for the health service, has become widely aired in recent years.
The Royal College of Midwives has recently suggested older mothers are placing an increased strain on midwives, who are already conducting close to 130,000 deliveries a year for which they do not have sufficient resources.
In September 2013, Professor Mary Herbert, a specialist in reproductive biology, told the British Science Festival in Newcastle, ‘What we can say for sure is that reproductive technologies do not do much to buy time. The fertility statistics show that increasing proportions of women are having children in their late 30s. The widely citied statistic that only 66% of women aged 35 to 39 will be pregnant after a year of trying if based on a 2004 article in the journal Human Reproduction, which in turn is based on an analysis of French birth records from 1670 to 1830. For modern women, the reality is far better expressed in a 2004 study by David Dunson and colleagues, published in Obstetrics and Gynecology. However, this does not mean that all women who want to get pregnant in their late 30s will be able to – and this is really where the problem lies. This could be related to her age: for example, the RCOG notes that early ovarian ageing happens in around 10% of women in the general population. If a woman does not find out that she is struggling to get pregnant until she is in her mid to late thirties, by the time she comes to accessing fertility treatment she is likely to be nearly 40. It is widely understood that as women get older, they experience a decline in egg production and quality. Many women in their mid-thirties fall pregnant without treatment, conceive a fetus without anomalies, and carry the pregnancy successfully to term; and in these cases, attempts to cajole women into having babies earlier than they want to is likely to increase anxiety for no good reason. Given the trends towards later motherhood, it is striking how little positive attention is paid to the possibilities of egg freezing, and also egg donation.
A 1990 study in the New England Journal of Medicine differentiated between pregnancy complications and outcomes for the babies. The general point here is that there are relatively higher risks to older mothers and their babies than to younger mothers. In other words, while the risks of pregnancy complications increase with age, this does not mean that women having babies at the age of 35 or over are de facto putting themselves or their babies at increased risk. Whatever the age of the mother, the process of pregnancy and birth themselves pose a level of risk to the woman and her baby, through hypertension, bleeding, difficult labours and so on. The difference between statistical significance and clinical significance is very important in working through the relationship between what we might know about the relative risks of later maternal age, and what women, doctors and policymakers might be advised to do with regard to women having babies later in life.
The organisation of maternity services is, fundamentally, is where the policy implications of later maternal age should lie.
Even if they have not undergone fertility treatment, older women are also naturally more likely to have twins or triplets, which as well as having a higher risk of congenital anomalies (around 5% more common in multiple pregnancies than in singleton pregnancies), are also at risk of growth restriction and preterm birth, which in turn is associated with other complications such as cerebral palsy and learning difficulties. First, the national prenatal screening system that is already embedded in Britain’s maternity service should continue to be supported.
Second, the care pathways for women who terminate their pregnancies following a diagnosis of fetal anomaly should be improved. Currently, the risk of fetal anomaly tends to be used rhetorically to scare women into not leaving childbearing too late – and yet women who terminate pregnancies because of fetal anomalies tend to experience a lack of sympathy and sensitivity.
6) What should health professionals and policymakers do about the trend towards older motherhood? With all this going on, doctors and policymakers need to tread very carefully when issuing messages to women about how they time their childbearing. We should also be honest in saying that the context in which women make their fertility choices is not necessarily ideal, and it would be better if young mothers stood a decent chance of being career women too. Fertility treatment is expensive and uncertain, but most women know that already: and they also know that it can work in some cases. If policymakers are worried by the consequences of later maternal age, they should be focusing on supporting prenatal screening services, preparing maternity services to be better able to cope with obstetric complications, and funding decent miscarriage care and fertility treatment. Weighted probability, or percentage probability, is a technique sales managers use to manage the uncertainty inherent in sales forecasting. The concept recognises not every proposal will end in a sale, and assigns a probability %age to each estimated value. In this example, every deal is assigned a weighted probability of 30% at $5,000, that is $1,500.
Working with averages can be surprisingly accurate, if the pipeline is large enough, but there is one obvious problem – the outliers. Instead of adding up the entire pipeline and calculating averages, the sales manager applies a probability, based on confidence, to each sale value.
Just like the average method, the confidence technique can be surprisingly accurate, even when there are large outliers in the pipeline.
Experienced professionals working in a familiar market with a typical deal can be quite good at estimating probability. Consultant, author, software entrepreneur, business development professional, aspiring saxophonist, busy publishing insight and ideas.
Add Your Comment (All comments are reviewed by moderator, no spam permitted!) Click here to cancel reply. In 2007, the Annals of Internal Medicine reported that diabetes increases one's risk for dying from any cause, and specifically cardiovascular disease. For more information, see 2000-2009 Female (All Ages) Diabetes Death Rate*, United States, Age-Adjusted, by Race which shows a reduction in diabetes mortality for women that varies by race and ethnicity. According to 2010 Percent of Women Ages 18+ who Reported Ever Having Diabetes*, by State, Age-Adjusted 9.8% of American women reported having diabetes. Well, it would appear that getting an education can turn out to be very beneficial for women in the long run! Here is an interesting table from Cancer Research UK that shows the level of responsibility that tobacco has for various cancers. I included this just to show that not only is tobacco use a risk factor for cardiovascular disease, but also for cancer as well. 1 Significant decreasing linear trend for age groups 40-59 and 60 and over (p 2 In 2009-2010, significantly different from women. 3 Significant decreasing linear trend for age group 60 and over (p 4 In 2009-2010, women aged 60 and over significantly different from women aged 40-59 and 20-39. NOTES: Data include participants examined as part of the morning fasting subsample only and exclude pregnant women. National Center for Health Statistics Data Brief, "Prevalence of Uncontrolled Risk Factors for Cardiovascular Disease: United States, 1999-2010" (August 2012; #103) provided some small hope that women are doing better with cardiovascular, especially those 60 and over!!
In 2009-2010, about 47% of adults had at least one of three risk factors for cardiovascular disease??uncontrolled high blood pressure, uncontrolled high levels of low-density lipoproteins (LDL) cholesterol, or current smoking. Men were more likely than women to have at least one of the three cardiovascular disease risk factors.
Compared to white women, African-American women have more strokes and have a higher risk of disability and death from stroke. Although chest pain is the key warning sign of a heart attack, it may be confused with indigestion, pleurisy, pneumonia, or other disorders.
High blood pressure, high LDL cholesterol, and smoking are key risk factors for heart disease. Heart disease is the leading cause of death for women in the United States, killing 292,188 women in 2009—that’s 1 in every 4 female deaths. Although heart disease is sometimes thought of as a "man's disease," around the same number of women and men die each year of heart disease in the United States. Heart disease is the leading cause of death for African American and white women in the United States. Almost two-thirds (64%) of women who die suddenly of coronary heart disease have no previous symptoms. Here are some good reasons why one should stop smoking, or if you don't, all the reasons why one shouldn't start! Female smokers are nearly 13 times more likely to die from COPD (emphysema and chronic bronchitis) compared to women who have never smoked.
Smoking is directly responsible for more than 90 percent of chronic obstructive pulmonary disease (COPD), or emphysema and chronic bronchitis deaths each year.
Women who smoke also have an increased risk for developing cancers of the oral cavity, pharynx, larynx (voice box), esophagus, pancreas, kidney, bladder, and uterine cervix. Some cancer researchers say that the rise in lung cancer cases in women is simply due to differences in men's and women's smoking patterns. Others say that while smoking patterns explain part of the trend, recent evidence suggests that women are more susceptible to lung cancer than men. One in 8 women and 1 in 5 high school girls binge drink, increasing their risk of breast cancer, heart disease, STDs, and unintended pregnancy. Just click on the graphic to access the CDC's "2010 Findings on Victimization by Sexual Orientation" of its National Intimate Partner and Sexual Violence Survey. The Department of Defense estimates there are about 19,000 sexual assaults in the military per year.
Then — at court-martial — the officer who convened the trial can change the charge, reduce the sentence, or even overturn the verdict.
Last year I viewed the documentary,"The Invisible War" which was about rape in the military. It is hard to believe that such a primitive practice as limiting the number of females born still exist today.
American women take for granted that reproductive services will always be available when they decide to start a family. In 2009, there were an estimated 11,200 new HIV infections among women in the United States.
For women living with a diagnosis of HIV infection, the most common methods of transmission were high-risk heterosexual contact6 and injection drug use.
Healthy People 2020 provides guidance about various issues impacting the population in general, and specific population groups.

Here is an excellent table that identifies all the public health issues that women face today and the Healthy People 2020 target goals to improving women's health.
One of the best statistical resources for women's health is HRSA's annual "Women Health USA" reports. While on the topic of women taking care of themselves, here is a "Pregnancy and Vaccination Pocket Guide" developed by the Minnesota Department of Health. See Minnesota Department of Health's Pregnancy and Vaccination Pocket Guide for more information. provides a very helpful chart of what kinds of screening you should get to stay healthy, organized by age groups.
Promote regular checkups as vital to the early detection of heart disease, diabetes, cancer, mental health illnesses, sexually transmitted infections (STIs), and other conditions.
A Certificate to show your commitment to take care of yourself was available during this campaign. See how women are doing in your state, by race and ethnicity, against Healthy People 2020 Objectives, and how your state ranks against other states. While stroke is the 3rd leading cause of death for females, overall, this is only true for all women of color. Such mortality data indicate the importance of looking at such disparities by race and ethnicity as it helps to identify areas that may be missed by just looking at the overall population. NCHS 2006 statistics show that heart disease and cancer are the leading causes of death for postmenopausal women.
In women age 45-49, the incidence of cardiovascular disease is 3 times lower than men of matched age. Children and adolescents should do 1 hour (60 minutes) or more of physical activity every day. Most of the 1 hour or more a day should be either moderate- or vigorous-intensity aerobic physical activity. As part of their daily physical activity, children and adolescents should do vigorous-intensity activity on at least 3 days per week.
Adults should do 2 hours and 30 minutes a week of moderate-intensity, or 1 hour and 15 minutes (75 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic physical activity.
Additional health benefits are provided by increasing to 5 hours (300 minutes) a week of moderate-intensity aerobic physical activity, or 2 hours and 30 minutes a week of vigorous-intensity physical activity, or an equivalent combination of both. Adults should also do muscle-strengthening activities that involve all major muscle groups performed on 2 or more days per week. Avoid unhealthy behaviors, such as smoking, not wearing a seatbelt or bicycle helmet, and texting while driving. In 2009, the prevalence of self-reported hypertension was, in general, higher in southern states and lower in western states.
Hypertension is a major modifiable risk factor for cardiovascular disease, and improving awareness of hypertension is an important first step to treating and controlling hypertension and preventing heart disease and stroke.
Among adults with hypertension in 2009-2010, 76.4% were currently taking medication to lower their blood pressure.
Significant increases have been seen over the past 10 years in hypertension awareness, treatment, and control among adults with hypertension. However, less than 50% of adults with hypertension controlled their blood pressure (BP) in 2007-2008. The high prevalence of undiagnosed and uncontrolled hypertension, especially among minority groups, remains a challenge. A recent prediction model showed that every 10% increase in hypertension treatment could prevent an additional 14,000 deaths per year in the adult population ages 25-79.
Surprisingly, most people with uncontrolled hypertension did have a usual source of health care (89%).
Nearly one out of three adults (31.3%) in the US has high blood pressure and it was listed as a contributor to 326,000 deaths in 2006. Men and women are equally likely to develop hypertension and high blood pressure, but men are more likely develop symptoms at an earlier age. Here is the reason why hypertension is such an important condition, why not treated will result in cardiovascular and cerebrovascular diseases. Having just finished February looking at heart disease, I have decided to follow that up with a closer look at those risk factors associated with heart disease.
1 Significant decreasing linear trend for age groups 40-59 and 60 and over (p 2 In 2009-2010, significantly different from women. 3 Significant decreasing linear trend for age group 60 and over (p 4 In 2009-2010, women aged 60 and over significantly different from women aged 40-59 and 20-39. Between 1999 - 2000 and 2009 - 2010, the percentage of adults aged 45-64 with two or more chronic conditions increased 20% for non-Hispanic black, 35% for non-Hispanic white, and 31% for Hispanic adults. During this period, the prevalence of two or more chronic conditions among those aged 65 and over increased 18% for non-Hispanic black, 22% for non-Hispanic white, and 32% for Hispanic adults.
The percentage of adults with two or more chronic conditions increased for men and women in both age groups during the 10-year period. In 2009–2010, 21% of adults aged 45–64 and 45% of adults aged 65 and over had been diagnosed with two or more chronic conditions. It situates this discussion in its wider social context, and indicates the policy implications that might flow from a trend towards later maternal age. For this group, the chances of being able to conceive a healthy pregnancy and give birth without serious complications are good. A more precise account of the figures reveals that about 29% of births are to women aged 30-34, 16% are to women aged 35-39, 4% are to women aged 40-44, and less than 1% are to women over 45. It reflects the fact that in the twenty-first century, women have access to effective contraception, and this gives them the scope to construct their lives around choices about partners, careers, and friendships. There is no right to have a child, and it is not always possible to control whether one becomes pregnant or not.
That women are having babies later in life is neither an obviously good thing, or an obviously bad thing. Perhaps the most important message to give is that the best cure of all is to have your babies before this clock strikes 12. If a woman wants just 2 children, the chances of her being able to achieve this in her mid- to late thirties remain high. The abortion statistics show, further, that a sizeable proportion of women have unintended pregnancies at this age. The attraction of using data from a pre-modern population is the fact that the data is not distorted by the use of birth control.
This found that, if they were having sex twice a week, 82% of women aged between 35 and 39 fell pregnant within a year. The social trend towards later motherhood, which is evidenced by the growing number of mothers in their 30s, indicate that getting pregnant is not a problem for the majority of women aged 35-39. That is to say, women become progressively less fertile, and embryos are more likely to have anomalies, which in turn can contribute to the risk of miscarriage. In this way, warning women about the problems of delayed motherhood can be seen as a form of expectations management; an attempt by parts of the medical profession to prevent women from assuming that fertility treatment will be successful in their case.
The studies cited below indicate the kind of problems that are associated with pregnancy and neontatal outcomes in older mothers. The issue at stake here is only how much additional risk is posed by advanced maternal age.
This study delineated between women aged 35 or younger, women aged 35-39, and women aged 40 or older. The implication of the 2005 Obstetrics and Gynecology study is that, for women aged 35-39, and even for women aged 40 and older at delivery, most of the risk factors that are known about and statistically significant will not present a clinical problem. The National Down Syndrome Cytogenetic Register indicates that there were 1,115 cases diagnosed in 2010 to women aged 35 and over, of which 60% ended in abortion (around 90% of cases diagnosed prenatally), and just over 400 cases of Edwards and Patau syndrome. At a time when there is greater awareness of fetal anomaly, better technology to detect anomalies at earlier gestations, and a demand for screening from women whose age puts them at greater risk, it is crucial that the resources are provided for women to obtain accurate diagnoses as quickly and sensitively as possible. Currently, it tends to be the case that women diagnosed with an anomaly at gestations of under 24 weeks are signposted towards termination services that may not offer them the choice to terminate their pregnancy using surgical methods.
However much prenatal screening services develop, there will always be some women who choose not to have screening, or who have a positive result but choose not to terminate the pregnancy.
Culturally, increased attempts to portray disability in a positive light often gloss over the daily, practical problems faced by parents of disabled children and young adults.
On one hand, it is important to be honest, and recognise that a woman who is biologically infertile cannot get pregnant just because she wants to.
The continual conflation of the problems facing women at aged 35 with those aged over 40 seems deliberately designed to present women with a worst-case scenario, as though there is a need to scare women in their early thirties into rushing into pregnancy.
Some very large deals, or some very small deals, or both, can really throw out the averages.
If she thinks that $100,000 deal is 25% likely to come in, she’ll add $25,000 to the forecast.
There are still too many variables, and the assessment is subjective and can’t be calculated.
Boomer turned Zoomer - thirty year sales professional with experience selling everything from debt collection to outsourcing and milking machines to mainframes. While the all-cause and CVD mortality rate is higher for men, data trends show that it is decreasing over time.
It may be of particular interest to women that tobacco is linked to a possible factor in breast cancer, and to liver cancer in children of parents who smoke. It is defined as a systolic blood pressure (during heartbeats) of 140 mmHg or higher, a diastolic blood pressure (between heartbeats) of 90 mmHg or higher, or current use of blood pressure-lowering medication. Having at least one of three CVD risk factors did not significantly differ by age group among men.
This is partly because more African-American women have high blood pressure, a major stroke risk factor. The sooner a person gets the medical care, the greater the chance that the person will be left with less disabilities.
Despite increases in awareness over the past decade, only 54% of women recognize that heart disease is their number 1 killer. Among Hispanic women, heart disease and cancer cause roughly the same number of deaths each year.
And overall, it still kills more men than women: Some 71,000 deaths are projected in women and 86,000 in men in 2010.

Certain forms of estrogen are known to help create genetic mutations in cells and contribute to tumor formation in the breast. It takes less alcohol for them to get intoxicated because of their size and how they process alcohol. But according to the latest Pentagon statistics, only 1,108 troops filed for an investigation during the most recent yearly reporting period.
It was a disturbing film because this issue of female soldiers serving our country being raped by mostly their immediate superiors should be addressed. In many countries, females are not only second-class citizens, many are just lucky to be born and come of age. But, this is not the experience of many women living in countries where there is political unrest. That year, women comprised 51% of the US population and 23% of those newly infected with HIV.
On this day, take a moment to reflect on how important it is to take care of ourselves so we can continue to nurture those we love! For the most current complete year of statistics, Leading Causes of Death in Females United States, 2009 (current listing), the CDC offers a breakdown of mortality data, by race and ethnicity.
For white women, chronic lower respiratory diseases is the 3rd leading cause of death, probably due to tobacco use.
For example, tobacco cessation messages may need to target white women more, while encouraging cancer screening among women of color would help to reduce the greater cancer mortality among these women.
They also should do muscle-strengthening and bone-strengthening activity on at least 3 days per week. Aerobic activity should be performed in episodes of at least 10 minutes, preferably spread throughout the week. If this is not possible due to limiting chronic conditions, older adults should be as physically active as their abilities allow.
However, among those treated, blacks were less likely than whites to have their blood pressure controlled. Each year, WHO uses the occasion to highlight a particular health issue; this year, they chose high blood pressure—hypertension. But in twenty-first-century Britain, it is not generally biology that pushes women to have babies, but personal decision-making, which takes place within a wider social context. But many of these social and cultural debates tend to be played out through a discussion of the clinical problems about older women’s ability to carry a pregnancy in their thirties and give birth to a healthy child. As a 2014 commentary by the US obstetrician WR Cohen in the British Journal of Obstetrics and Gynaecology (BJOG) concludes, after reviewing the extent to which maternal age affects pregnancy outcome, ‘it is important to remember that the great majority of pregnancies in older women are relatively uncomplicated and end quite satisfactorily.
In 2012, almost 27,000 women aged 35 and over had an abortion; and this number and rate has remained stable since 2002. We know that in general, women aged 35-39 have a reasonable chance of getting pregnant; but when an individual woman aged 36, or 38, tries to become pregnant she might not always succeed. At a purely biological level, if this woman had tried to conceive earlier, she would have had a better chance of becoming pregnant.
But issuing a wider public health message about the problem of delayed motherhood is not the best, or only, response.
But women who froze their eggs at 30 had a 72 per cent chance of becoming pregnant by thawing these eggs at 41. The high rate can be explained only in part by obstetric and medical comorbidities and the propensity of older women to have dysfunctional labour. No – they simply mean that maternity services should be aware that older mothers might present these additional complications, and organise around them accordingly. Women carrying more than one baby have an increased risk of anaemia, hypertensive disorders, haemorrhage and postnatal illness.
For these women, who are often terminating a much wanted pregnancy, having to go through the induction of labour causes additional distress. Potentially, this might become one consequence of later motherhood, where women feel that their pregnancy is their last chance to have a child.
It is assumed that there is a contradiction between enabling women to avoid having a baby with a congenital anomaly, and supporting parents of children with disabilities. It is impossible to argue convincingly against either of these statements in their own terms. At a general level, the evidence strongly suggests that women are likely to find the process of conceiving, being pregnant, and giving birth more straightforward if they are under 40, and there is little to be gained from denying that this is the case.
The likely reality is that more women will have children in their mid to late thirties, and the likely outcome of that is that most pregnancies, births, and babies will be healthy. Women respond, not to journal articles and pronouncements from Royal Colleges, but to their personal circumstances and the experiences of those around them.
Most people have trouble understanding why it works, which means they can’t figure out how it works. When the estimated value of each deal is adjusted by the weighted probability, the total value of the pipeline is a better estimate of what the out-turn will be than any other method. If the average sale value in the pipeline is $5,000, he might forecast for the quarter 9 deals at an average of $5,000.
In our example, a single deal worth $100,000 will really throw out both the average deal size, and the forecast as a result. When there are enough deals in the pipeline, and the combination of sales manager and sales rep are experienced in their market, weighted probability based on confidence is a more accurate technique for estimating the total sales for the period. The confidence will usually turn out to be 75% ( which means feeling good) or 25% (which means not comfortable).
As for women, while the all cause and CVD mortality rate is not as high as for men, the all-cause and CVD mortality rate for women, unfortunately, has actually increased over time. These state-based statistics indicate that these states may need to develop programs to fight obesity among African-American women. Women who smoke or who have high blood pressure, atrial fibrillation (a kind of irregular heart beat), heart disease, or diabetes are more likely to have a stroke.
For American Indian or Alaska Native and Asian or Pacific Islander women, heart disease is second only to cancer. In 1987, lung cancer surpassed breast cancer as the leading cause of cancer deaths among women in the U.S. This is the seventh year in a row that women have outnumbered men in deaths attributable to COPD. Recently, researchers found out that lung cells in both women and men also make estrogen, raising the possibility that the hormone contributes to lung-cancer development.
Binge drinking can lead to unintended pregnancies, and women and girls who are not expecting to get pregnant may not find out they are until later in their pregnancy. In that same period, 575 cases were processed — and of those, just 96 went to court-martial. Countries that practice gendercide (or prevent it from happening) are paying the price when boys come of age and there are no girls of marriageable age available.
Bacterial STDs not treated can lead to pelvic inflammatory disease, which can affect a woman's fertility. Well, then check out the timeline the CDC and ATSDR have developed to document what they have done to improve the quality of women's lives.
This year's theme is: Critical Public Health Issues Affecting Women Today As you can see, I will be covering a variety of topics, and if it runs over into June, then so be it.
About 39% did not know they had it, 16% knew but were not being treated with medicines, and 45% were taking medicine but did not have it controlled. This is despite the fact that the percentage of conceptions leading to abortion has generally decreased for women aged 35 and over in the past 20 years, reflecting the trend towards later motherhood. In other words: women in their thirties might have to try harder to get pregnant, particularly if their partner is also in his late thirties. In general, maternal mortality associated with multiple births is 2.5 times that for singleton births.
More attention should be given to ensuring that women have access to choice of termination method, by making use of all NHS-funded abortion providers.
These women’s choices should be supported in a practical way, through providing care, education and opportunities for disabled babies, children and adults. These circumstances and experiences suggest to them that having babies in one’s thirties is quite normal.
Perhaps, the most disturbing trend is the percent of obese women have grown faster than the percent of overweight women.
For every 10 years after the age of 55, the risk of stroke doubles, and two-thirds of all strokes occur in people over 65 years old. 2 killer, breast cancer, with about 40,000 deaths expected, according to the American Cancer Society.
Unfortunately, I know a mother of a female soldier who was raped in the military, and it is heartbreaking what this does not only to the soldier but also to her family.
Older adults should do exercises that maintain or improve balance if they are at risk of falling. Hope you learn something new in the coming weeks about health of over half the world's population! Since 1999, the overall age-adjusted prevalence of hypertension in the United States has varied little, ranging between only 28% and 30%.
The top number, systolic pressure, is measured when blood is being ejected from the heart during a beat; the bottom, diastolic pressure, is the pressure in the arteries in between beats, when the valve above the heart is closed. Policymakers need to be realistic about disability, offering less rhetoric and more practical support. They have nothing to measure against, are probably keen to please the manager with a high number, and may even be bluffing, covering up their failings. Nevertheless, the relationship of hypertension and aging is still important, especially since another 28% of adults were found in NHANES 2005–2006 to have prehypertension (defined as a systolic blood pressure between 120 and 139 mm Hg, a diastolic blood pressure between 80 and 89 mm Hg, or pharmacologically untreated hypertension) and could become fully hypertensive as they age. Stroke risk doubles for a woman if someone in her immediate family (mom, dad, sister, or brother) has had a stroke.

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