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Archive for August, 2011

Can Moderate Drinking Forestall Dementia?

Moderate drinking could help prevent dementia, according to a new analysis of previous studies. Researchers from Loyola University Medical Center in Chicago reviewed 143 studies involving more than 365,000 people from 19 countries. They found that moderate drinkers—i.e., one drink a day for women and two for men—were 23 percent less likely than nondrinkers and heavy drinkers to develop dementia, Alzheimer’s disease, and other types of cognitive impairment. Though it’s unclear why moderate drinking may be protective, the researchers speculate that alcohol toughens brain cells, and moderate amounts could suppress the inflammation that contributes to Alzheimer’s, reports HealthDay. "We don’t recommend that nondrinkers start drinking. But moderate drinking—if it is truly moderate—can be beneficial," said study author Edward J. Neafsey, a professor in the department of molecular pharmacology and therapeutics, in a news release.

Preventing Alzheimer’s Disease: 7 Risks to Consider

Ask most folks to name their biggest fear about growing old and chances are they won’t say gray hair and wrinkles, but the devastating loss of their mental capacity. Alzheimer’s disease accounts for 60 to 80 percent of all dementias, striking as many as 5 million Americans., U.S. News reported in 2010. While the disease has genetic underpinnings, it’s also associated with certain lifestyle factors including diet, exercise, and level of education. So what steps can you take to help prevent it?

Some studies suggest that eating more fruits and vegetables and less saturated fat may be the ticket. Others point to folic acid or fish oil supplements as beneficial. Still others have found that drinking moderate amounts of alcohol confers some protection. But an expert panel convened by the National Institutes of Health says there’s not enough evidence from any of these studies to warrant making lifestyle changes to lower your risk of Alzheimer’s.

"The primary limitation with most of these studies is the distinction between association and causality," wrote the NIH experts in their "state of the science" paper published last year in the Annals of Internal Medicine. For instance, people with a higher level of education have a lower risk of Alzheimer’s, but that doesn’t mean going to grad school will protect you. It could be that those individuals read more books and play more chess in their lifetime than other folks, which continually challenges their brains and has a disease-preventing effect. [Read more: Preventing Alzheimer's Disease: 7 Risks to Consider.]

Recuperating From Heart Surgery: An 8-Step Comeback Plan

Surgeon Marc Wallack was seven minutes into his run through Central Park in 2002 when he felt chest pain that he attributed to stress and indigestion. It happened again the next day, and again on a subsequent run. Finally, unable to ignore the telltale warning sign of heart problems, Wallack went to see a cardiologist and was told that all four of his coronary arteries were more than 95 percent blocked. He needed immediate open-heart surgery—a quadruple bypass—which he sailed through successfully from a physical standpoint, but psychologically left him feeling broken, U.S. News reported in 2010. "I woke up from the surgery and wasn’t the same person," recalled Wallack, vice chair of the department of surgery at New York Medical College. His fears overwhelmed him. "I worried I was never going to operate again, pay my mortgage, support my family; every time I ate I could visualize the plaque going back on my arteries."

And he fantasized about dying, a hallmark of depression, which afflicts one in five patients after heart surgery and one in three heart attack survivors. Wallack knew other colleagues in the same boat; one had to quit his medical practice as a result. And Wallack knew that his depression, if left untreated, would dramatically increase his likelihood of more heart complications. So he and his wife, Fox News anchor Jamie Colby, devised an 8-step comeback plan and detailed it in their book Back to Life After a Heart Crisis. Anyone who has been through heart surgery, Colby says, can benefit from trying the following.

Step 1: Take one night at a time. Most bypass surgery patients experience sleep problems initially, according to surveys, with many finding that the problems become chronic. "I’d close my eyes at night and worry that my heart wasn’t going to continue to beat," said Wallack. What helped? His wife’s reassuring words. "One night we were lying in bed and I had my head on his chest listening to his heart beat," said Colby. "I said, Marc, your heart is so loud, it’s beating stronger than I’ve ever heard it before; I think that helped him." Regular visits to a psychiatrist and prescription sleeping pills (which he now only takes occasionally) also brought better sleep for the first few months. [Read more: Recuperating from Heart Surgery: An 8-Step Comeback Plan.]

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Windows Are Big Source of Kids’ Injuries

Window falls send more than 5,000 kids and teens to emergency rooms each year, and are serious enough to require a hospital stay a quarter of the time. Between 1990 and 2008, 98,415 children—mostly under age 5—were hurt in a window-falling incident, researchers reported today in Pediatrics. Falls from first- or second-floor windows accounted for 94 percent of the accidents. "This is actually a common injury," study author Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children’s Hospital in Columbus, Ohio, told Time. "I just don’t think it’s on the radar screen of many parents. Not only are these injuries severe, but we know they are preventable." Parents can, for example, install window guards or remove furniture that could be climbed to access windows, the study authors say.

Preschoolers and Spray Cleaners Don’t Mix

Parents may think they’ve childproofed the house, but household cleaners are still posing a risk to curious toddlers and preschoolers, despite years of effort to promote child-resistant packaging and safe storage of dangerous chemicals. The good news is that the number of children ages 5 and younger who landed in emergency rooms because of injuries caused by household cleaning products dropped by 46 percent from 1990 to 2006, according to a 2010 study in Pediatrics. But that still means that more than 10,000 children a year are being needlessly harmed by bleach, detergent, and other toxic yet common cleaners, U.S. News reported last year.

Spray bottles are the biggest culprit. The percentage of injuries caused by products in spray bottles rose from 30.3 percent in 1990 to 40.8 percent in 2006. That may be because products are more commonly packaged in spray bottles these days; was anyone using laundry pre-treatment sprays in 1990? But the researchers, at Nationwide Children’s Hospital and the Arizona Emergency Medicine Research Center in Tucson, speculated that it may be that the shut-off valves on spray products are no match for a curious 4-year-old. And in many cases, the child injured was not the one wielding the spray bottle. It’s easy to imagine the appeal of a spray-bottle war for children too young to realize that the liquid inside isn’t harmless water. [Read more: Preschoolers and Spray Cleaners Don't Mix.]

Monkey See, Monkey Do: Teens Mimic Parents’ Helmet-Wearing Habits

Teenagers do pay attention to what adults do, at least when it comes to wearing motorcycle helmets. That’s the news from a study in Pediatrics, which found that teenagers are more likely to suffer traumatic brain injuries in motorcycle crashes in states where helmets are required for motorcyclists under age 21, but not for adults, U.S. News reported in 2010.

You might think this bit of data applies just to families with motorcyclists, but that’s not so. Parents often think that teenagers ignore them, and teens don’t hesitate to give that impression. The motorcycle-helmet study is just the latest in a pile of research showing that teenagers really do watch parents’ actions closely, and emulate them. Teenagers whose parents don’t exercise are more likely to be couch potatoes. Parents who watch a lot of TV tend to have children who log a lot of screen time. And parents who model other safe behavior, whether it’s not texting while driving or never driving after drinking alcohol, are going to have an easier time getting kids to follow those rules, too.

Bicycle helmets are also effective in reducing injuries among children and teens, even though there’s far less velocity involved with these two-wheelers. Making bicycle helmets mandatory for youths reduced the injury rate by 24 percent the year after North Carolina passed a bike helmet law in 2001. But children and teens are all too willing to skip wearing helmets if they don’t have to. Only about 25 percent of children always wear bike helmets, according to a 2004 study, even though most own them. Perhaps not surprisingly, most state and local bicycle helmet laws require them for children and teens, but not for adults. [Read more: Monkey See, Monkey Do: Teens Mimic Parents' Helmet-Wearing Habits.]

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Emergency Heart Care Is Getting Faster

Hospitals are giving faster heart care than they did just five years ago, new research suggests. Most heart attack patients who need an emergency procedure to open blocked arteries receive it within the recommended 90 minutes of being admitted, according to a study published Monday in Circulation. The potentially life-saving procedure—angioplasty, which restores blood flow to the heart—needs to be performed quickly; the longer patients go without it, the greater their risk of death. The new study is based on an analysis of more than 300,000 patients who underwent emergency angioplasty between 2005 and 2010. In 2010, 91 percent of patients were treated within 90 minutes, compared with 44 percent in 2005, and 70 percent were treated within 75 minutes in 2010, compared with 27 percent in 2005. "Americans who have heart attacks can now be confident that they’re going to be treated rapidly in virtually every hospital of the country,” study author Harlan Krumholz, a cardiologist at Yale University School of Medicine, told the Associated Press.

6 Ways to Avoid Dying of a Surprise Heart Attack

The facts are scary: Despite the progress made against heart disease in the past several decades, almost half the people who die suddenly from a heart attack or other cardiac problem have no prior symptoms. Even knowing someone’s risk factors for heart disease, it’s often tough to pinpoint who will actually go on to get the disease, U.S. News reported in 2008. And once blood flow to the heart muscle is blocked and a heart attack happens, it’s not exactly clear why some people experience sudden cardiac arrest, and others don’t. Those uncertainties, however, don’t mean that you are powerless to protect yourself from dying of a heart attack. Here are steps to take to improve your odds:

First, follow the standard prevention guidelines. The American Heart Association has three basic tips for preventing heart disease, stroke, and heart attack: Don’t smoke, be more active, and make good nutritional choices. This is good general health advice, regardless of your heart disease risk.

Exercise is also important. "Exercise raises good cholesterol and lowers bad cholesterol," says Rob Michler, director and chairman of heart surgery at the Montefiore-Einstein Heart Center in New York. Worrying that exercise is going to give you a heart attack is not a valid excuse for skipping it; while it’s true that exercise raises your odds of a heart attack in the moment, the long-term benefits vastly outstrip this short-term risk. Still, check with your doctor first if you’re obese, have health problems, or haven’t exercised in years. [Read more: 6 Ways to Avoid Dying of a Surprise Heart Attack.]

Signs of Heart Attack That Many Patients Don’t Know

Many people with heart disease may be lacking in their knowledge about the signs of a heart attack, U.S. News reported in 2008. Vincent Bufalino, cardiologist and spokesman for the American Heart Association, offered the must-know information that could save your ticker—and your life—should a heart attack strike.

Signs and symptoms that could indicate a heart attack include:

If you develop any of these symptoms, it means you should call 9-1-1 right away, says Bufalino. "We don’t want people driving in [to the hospital] and having a sudden cardiac event in the car where nothing can be done." That goes for having a worried spouse ferry you to the hospital, too. Significant damage can be avoided the sooner you get medical help. [Read more: Signs of Heart Attack That Many Patients Don't Know.]

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Video: Preventing High Cholesterol

Going green could help bring down the amount of LDL cholesterol in your blood, the bad kind that can lead to heart attack and stroke. While it’s always been smart to ditch the butter and forget the fatty meats, new research suggests opting for plant-based foods is an effective way to lower the level of LDL cholesterol.

Canadian researchers recruited people with very high LDL and put them on a diet that included plant-based sterols supplied by a special margarine, soy protein from tofu, soy milk, and soy-based meat substitutes, viscous fiber from oats, barley, and psyllium, and nuts. After six months, the LDL level of the study participants dropped by an average of 13 percent, reducing their risk of heart attack and stroke over the next 10 years by about 11 percent on average. The study was published Tuesday in the Journal of the American Medical Association.

"Each one of these ingredients will help you, but when they all work together, you’ll get the strongest results," says study author Peter Jones, Canada’s research chair in functional foods and nutrition. "Plant-based sterols alone can lower your cholesterol by 5 percent. When you add in fiber and nuts and soy, the story just keeps getting better."

The key to reaping the benefits of this regimen is to make smart swaps throughout the day rather than measuring out specific amounts of each ingredient, the study authors say. In particular, replace choices high in saturated fat with healthier, plant-based options. At breakfast, for instance, try oat bran, nuts, and berries with soy milk instead of a bagel and cream cheese. For lunch, substitute a couple of pieces of fruit and a handful of nuts for a ham, cheese, and mayonnaise sandwich every so often. You don’t have to be rigid. "Life is about balance," says Jones. "You can always misbehave and get away with it—if a steak sandwich looks good, go ahead. It’s not like a drug that you have to take every day. But the more often you subscribe, the better it will work."

Here’s a quick guide to sources of the study’s cholesterol busters:

Plant-based sterols. Small amounts of these substances in the walls of plant cells are found naturally in grains, fruits, vegetables, legumes, nuts, and seeds. As they travel through the intestinal tract, they compete with artery-clogging LDL particles and prevent them from being absorbed into the bloodstream. Because of their cholesterol-lowering properties, sterols are now being added to a slew of products. In the new JAMA study, for example, participants got sufficient amounts by topping bread with less than 2 grams a day of sterol-enriched margarine. (The National Heart, Lung, and Blood Institute’s National Cholesterol Education Program also recommends 2 daily grams for an LDL-lowering effect.) Other sterol-fortified options include orange juice, cereals, yogurt, and granola bars. All are readily available at the grocery store.

[The Best Low-Carbohydrate Diet? One That's Plant-Based]

Soy protein. Choices like edamame, tofu, soy milk, and soy-based meat alternatives (think veggie burgers and soy hot dogs) have long been touted as a way to decrease LDL cholesterol. Researchers speculate that soy may have a positive effect due to a combination of the protein itself and natural chemicals called isoflavones. The ingredient is versatile, and weaving 45 grams or so a day into your menu as an entree, side dish, snack, or drink is fairly simple. Anything you can do with a chicken breast, you can do with a soy product: Bake it, grill it, or add it to a veggie stir-fry, for example. Try nibbling on soy nuts, drizzle some soy milk into your coffee, or serve up soy cheeseburgers for dinner.

[Best Hospitals for Cardiology and Heart Surgery]

Viscous fiber. Different plant fibers have different properties. Viscous fiber is the sticky variety of soluble fiber, which dissolves readily in liquids. In the body, it acts as a sponge, absorbing cholesterol and carrying it out of the body. It’s found in oats, barley, and bran, as well as psyllium, an ingredient used in high-fiber cereals, muffins, and breakfast bars and available as a tasteless powder to mix into liquids. To get the recommended amount of roughly 20 grams a day, try eating oatmeal in the morning and either a side of pearled barley with dinner or a sandwich on oat bran bread. Oat flour, another option, can be subbed for all-purpose flour in recipes for pancakes, muffins, and cookies. Make your own by pulverizing rolled oats in a food processor. Eggplant and okra also provide ample viscous fiber.

[Could Getting More Fiber Help You Live Longer?]

Nuts. Eating five servings of nuts a week can lower the risk of heart attack and stroke by 40 to 60 percent, according to research cited in the JAMA study. Nuts are packed with protein, fiber, healthy monounsaturated fats, and lots of antioxidants. Ideally, try to get one to two handfuls of raw, dry-roasted, or unsalted kind each day. Skip honey-roasted, chocolate-covered, or candied nuts, which add lots of unnecessary calories. Any nuts are fine, but almonds, walnuts, and pistachios are best, experts say. Nuts make a satisfying morning or afternoon snack, and can be sprinkled on top of oatmeal, cereal, yogurt, salads, or entrees.

By Matt Shipman, North Carolina State University

When it comes to finding a job, who you know is as important as what you know. Work experience generally helps people foster the kinds of personal contacts that can lead someone to new career opportunities, but a study from North Carolina State University shows that this is really only true for men. The study finds that work experience doesn’t improve women’s chances of finding a job through social contacts.

“The study finds that work experience is important, in large part because it helps us develop social connections that can help people learn about future job opportunities,” says Dr. Steve McDonald, an assistant professor of sociology at NC State and author of a paper describing the study. “However, while men reap the social benefits of work experience, women do not.”

Using a national dataset of more than 12,000 people, McDonald examined the role work experience plays when people find new jobs through their social connections. McDonald found that men who had lots of specialized work experience were often recruited into a new job through their social contacts without having to look for a job. In fact, men with this kind of experience were 12 percent more likely to find a new job through informal recruitment than they were through a formal job search.

Women, however, did not see this benefit. They were no more likely to find a job through informal recruitment than they were through a formal job search.

“Previously, researchers have argued that women face lower-wage payoffs than men with similar work experience because the women have fewer opportunities to develop job skills,” McDonald says. “But this study suggests that a lack of useful social connections may also be driving the gender wage gap.”

This gender disparity is especially problematic for women who are vying for high-wage, managerial jobs—because these positions are often filled through the informal recruiting process that appears to favor men. “As a result,” McDonald says, “the more that can be done to institute formal hiring practices, the closer we will be to an equitable job market.

“We need to learn more about exactly why women don’t get the same benefits from their social connections that men do,” McDonald says. “But right now, we just don’t have the long-term data we need on these social networks to fully understand this phenomenon.”

—

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Researchers in the Hotchkiss Brain Institute (HBI) at the University of Calgary’s Faculty of Medicine have uncovered a mechanism by which stress increases food drive in rats. This new discovery, published online this week in the journal Neuron, could provide important insight into why stress is thought to be one of the underlying contributors to obesity.

Normally, the brain produces neurotransmitters (chemicals responsible for how cells communicate in the brain) called endocannabinoids that send signals to control appetite. In this study, the researchers found that when food is not present, a stress response occurs that temporarily causes a functional re-wiring in the brain. This re-wiring may impair the endocannabinoids’ ability to regulate food intake and could contribute to enhanced food drive.

The researchers also discovered that when they blocked the effects of stress hormones in the brain, the absence of food caused no change in the neural circuitry.

Researchers looked specifically at nerve cells (neurons) in the region of the brain called the hypothalamus. This structure is known to have an important role in the control of appetite and metabolism and has been identified as the primary region responsible for the brain’s response to stress.

If similar changes occur in the human brain, these findings might have several implications for human health.

—

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By Marlene Cimons, National Science Foundation

Hawaii’s agriculture has undergone dramatic changes in the centuries since Polynesian voyagers first arrived on the islands bringing taro and bananas. It began with small farms and later morphed into large plantations growing pineapple and sugar cane. But, with the decline of the once booming sugar industry and the departure of a major pineapple manufacturer, small diversified farms have started to return.

Today, however, they are looking for a different kind of farmer.

“Agriculture has become more science-based and high tech,” says Traci Sylva, an assistant researcher at the University of Hawaii at Manoa. “Previously, a few handfuls of fertilizer, water and hard work was all you needed. But now it’s a lot more complicated, and interesting, than that.”

To that end, the University of Hawaii’s Leeward Community College is training students for new careers in agriculture that are grounded in science. The idea is to help local folks, especially native Hawaiians, learn to grow sustainable crops and plants, with the goal of overcoming the agricultural economic downturns of recent years and feeding the growing population.

The Plant Bioscience Technology program is a project of the National Science Foundation’s Advanced Technological Education program, which is providing $658,078 in funds over three years.

“The coursework introduces students to the agriculture industry in Hawaii and focuses on the basic scientific knowledge needed to work in that industry,” Sylva says. “One of our objectives behind development and offering of the Plant Bioscience Technology program at Leeward Community College was to make this type of training more widely available and affordable to anyone who wishes to pursue and be successful in a career related to agriculture. We have designed the program to be concise, yet providing the depth and breadth needed to understand plant crops and the business of producing these in our global economy.”

The topics include plant anatomy and propagation, pest and soil management, crop improvement, such as breeding, to improve traits of these crops. “We also try to develop such skills as communication, which is something industry has told us it needs, how to work in teams better (workplace etiquette, as well as the basics of business), and what it takes to grow food for our growing population,” she adds. “Employers want their employees to know the basics of business and how their work impacts that business.”

Sugar, once a big business in Hawaii, began to disappear when the cost of land and labor started  to rise, and it became less costly to grow sugar cane elsewhere. Increasing the economic strain, Del Monte Produce Inc., a major manufacturer of canned pineapple, closed its Hawaii operations in 2006, laying off more than 500 workers.

“Because everyone wants to live or retire in Hawaii, the price of land has increased dramatically,” Sylva says.  “It became very expensive to do agriculture here, compared to other places.” 

Tourism remains Hawaii’s primary industry, although agriculture still generates $2.9 billion to the state economy every year, and provides 42,000 jobs, according to the state department of agriculture. Today’s farms grow exotic fruits, taro, corn seed, coffee, macadamia nuts, flowers and foliage that are among Hawaii’s major exports. Fishponds created by the state’s earliest settlers are now high-tech aquaculture ventures that farm various kinds of fish, shrimp, lobster, abalone, and seaweed from the sea.

“During the era of plantations, training of farmers was done by the plantations themselves,” Sylva says.  “In this day, because of diversification of crops and greater technology used in farming, the average farm size is a lot smaller and each farm needs more highly skilled workers. They really would like to hire people who already possess the right skills for their business.  All these farms need trained workers, and they don’t always have the resources to train them themselves, and they need workers trained at all educational levels.”

While the program is still confined to Leeward, on the island of Oahu, the goal is to extend the program to the other islands that make up the state—Maui, Kauai, and Hawaii Island, commonly referred to as the Big Island, starting with online courses that will allow students to study without having to travel. Also, the program has developed a public outreach campaign to alert the public, high school teachers and students, and adults looking for a career change about agricultural career opportunities in Hawaii.

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