Friday Aug 14, 2020

The Gary Null Show- Google Lies -08.14.20

Avoiding Risky Health Behaviors Can Increase Lifespan by 7 Years

Max Planck Institute for Demographic Research and University of Michigan, August 12, 2020 

Study shows that those who do not smoke, are not obese, and consume alcohol moderately can live 7 years longer than the general population - spending most of these extra years in good health.

A new study shows those who avoid risky health behaviors tend to live a long life. Perhaps more importantly, those extra years are characterized by good health. Examples of such “risky health behaviors” include smoking, consuming an excess of alcohol and eating to the point of reaching obesity. The study's results show avoiding such behaviors leads to an increased lifespan of seven years. The study's details were recently published in Health Affairs. Mikko Myrskyla, the Director of Germany's Max Planck Institute for Demographic Research, and Neil Mehta, a University of Michigan professor, spearheaded the study.

The study examined data for over 14,000 individuals living in the United States. It determined those who never smoked and did not become obese lived between four and five years longer than the rest of the population. These additional years were not plagued by disabilities. It was also determined those who consumed alcohol in moderation enjoyed an extended lifespan of seven disability-free years. In fact, these individuals enjoyed a life expectancy beyond that of those living in Japan, a nation that is commonly considered to be the best example of how healthy living leads to an extended life.

Most people think advancements in medical technology are a primary determinant of lifespan and health. However, this study shows a healthy lifestyle can extend lifespan and improve health. The bottom line is those who avoid smoking and obesity while limiting alcohol consumption will enjoy considerable health and lifespan benefits.

This study is a trailblazer of sorts as it is the first to study the aggregate impact of numerous health behaviors on total life expectancy as well as one's odds for being afflicted by disabilities. Prior studies examined single health behaviors. Myrskyla and Mehta studied an array of behaviors to determine lifespan and level of health for those who avoided the most common behavioral risk factors.

The pair of researchers found smoking, obesity and consuming an excess of alcohol were tied to reduced life expectancy as well as an earlier occurrence of numerous disabilities. It was determined that smoking was tied to an early death yet not with an increase in the number of years in which people were plagued with disabilities. Obesity is tied to an extensive period of time in which people are plagued with disabilities. Excessive consumption of alcohol is tied to a reduced lifespan and a reduction in the number of years spent in good health.

The most surprising finding was the massive difference in the average lifespan between the groups that were most at risk and least at risk. Men who avoided obesity, did not smoke and only drank at moderation lived 11 years longer than those who smoked, drank in excess and were overweight. For women, the difference between these groups was 12 years. People will be happy to know the number of years in which one lives with physical limitations does not increase as he gains more years with a healthy way of life. Rather, a healthy way of life is linked to a solid increase in physically fit years. This means the years one gains through a healthy lifestyle are years characterized by good health.

This study's results show just how important it is for people to key in on prevention. Avoid the risky health behaviors noted above and the odds of a long and healthy life dramatically increase. Furthermore, policy interventions to target health behaviors might help significant portions of the population to enjoy the health benefits noted in the study.

 

UCalgary researchers discover the microbiome's role in attacking cancerous tumours

Findings show how our gut bacteria can enhance immunotherapy to battle different forms of cancer

UNIVERSITY OF CALGARY

 

Researchers with the Snyder Institute for Chronic Diseases at the Cumming School of Medicine (CSM) have discovered which gut bacteria help our immune system battle cancerous tumours and how they do it. The discovery may provide a new understanding of why immunotherapy, a treatment for cancer that helps amplify the body's immune response, works in some cases, but not others. The findings, published in Science, show combining immunotherapy with specific microbial therapy boosts the ability of the immune system to recognize and attack cancer cells in some melanoma, bladder and colorectal cancers. 

Dr. Kathy McCoy, PhD, is a leading expert on the body's relationship with the microbiome. She and her team are focused on harnessing the power of the microbiome to improve health and treat diseases. McCoy says to harness and direct that power scientists need to better understand the role bacteria play in regulating the immune system.

"Recent studies have provided strong evidence that gut microbiota can positively affect anti-tumour immunity and improve the effectiveness of immunotherapy in treating certain cancers, yet, how the bacteria were able to do this remained elusive, " says McCoy, director of the International Microbiome Centre at the University of Calgary and principal investigator on the study. "We've been able to build on that work by showing how certain bacteria enhance the ability of T-cells, the body's immunity soldiers that attack and destroy cancerous cells."

First, the researchers identified bacterial species that were associated with colorectal cancer tumours when treated with immunotherapy. Working with germ-free mice, they then introduced these specific bacteria along with immune checkpoint blockade, a type of cancer immunotherapy. Research revealed that specific bacteria were essential to the immunotherapy working. The tumours shrank, drastically. For those subjects that did not receive the beneficial bacteria, the immunotherapy had no effect.

"We found that these bacteria produce a small molecule, called inosine," says Dr. Lukas Mager, MD, PhD, senior postdoctoral researcher in the McCoy lab and first author on the study. "Inosine interacts directly with T-cells and together with immunotherapy, it improves the effectiveness of that treatment, in some cases destroying all the colorectal cancer cells."

The researchers then validated the findings in both bladder cancer and melanoma. The next step in this work will be to study the finding in humans. The three beneficial bacteria associated with the tumours in mice have also been found in cancers in humans. 

"Identifying how microbes improve immunotherapy is crucial to designing therapies with anti-cancer properties, which may include microbials," says McCoy. "The microbiome is an amazing collection of billions of bacteria that live within and around us everyday. We are in the early stage of fully understanding how we can use this new knowledge to improve efficacy and safety of anti-cancer therapy and improve cancer patient survival and well-being."

 

Yoga shown to improve anxiety, study shows

New York University School of Medicine, August 13, 2020

 

Yoga improves symptoms of generalized anxiety disorder, a condition with chronic nervousness and worry, suggesting the popular practice may be helpful in treating anxiety in some people.

Led by researchers at NYU Grossman School of Medicine, a new study found that yoga was significantly more effective for generalized anxiety disorder than standard education on stress management, but not effective as cognitive behavioral therapy (CBT), the gold standard form of structured talk therapy that helps patients identify negative thinking for better responses to challenges. 

"Generalized anxiety disorder is a very common condition, yet many are not willing or able to access evidence-based treatments," says lead study author Naomi M. Simon, MD, a professor in the Department of Psychiatry at NYU Langone Health. "Our findings demonstrate that yoga, which is safe and widely available, can improve symptoms for some people with this disorder and could be a valuable tool in an overall treatment plan."

For the study, publishing online Aug. 12 in JAMA Psychiatry, 226 men and women with generalized anxiety disorder were randomly assigned to three groups - either CBT, Kundalini yoga, or stress-management education, a standardized control technique. 

After three months, both CBT and yoga were found to be significantly more effective for anxiety than stress management. Specifically, 54 percent of those who practiced yoga met response criteria for meaningfully improved symptoms compared to 33 percent in the stress-education group. Of those treated with CBT, 71 percent met these symptom improvement criteria. 

However, after six months of follow-up, the CBT response remained significantly better than stress education (the control therapy), while yoga was no longer significantly better, suggesting CBT may have more robust, longer-lasting anxiety-reducing effects.

Study Details

The study involved an evidence-based protocol for CBT treatment of generalized anxiety disorder, including psychoeducation, cognitive interventions (focused on identifying and adapting maladaptive thoughts and worrying), and muscle relaxation techniques. 

Kundalini yoga included physical postures, breathing techniques, relaxation exercises, yoga theory, and meditation/mindfulness practice. 

The stress-management education control group received lectures about the physiological, psychological and medical effects of stress, as well as the antianxiety effects of lifestyle behaviors, such as reducing alcohol and smoking, and the importance of exercise and a healthy diet. Homework consisted of listening to educational material about stress, nutrition, and lifestyle.

Each treatment was administered in groups of three to six participants, over weekly two-hour sessions for 12 weeks with 20 minutes of daily homework assigned.

Can Yoga Help Treat Anxiety?

According to researchers, generalized anxiety disorder is a common, impairing, and undertreated condition, currently affecting an estimated 6.8 million Americans. While most people feel anxious from time to time, it is considered a disorder when worrying becomes excessive and interferes with day-to-day life. CBT is considered the gold standard first-line treatment. Medications, including antidepressants and sometimes benzodiazepines, may also be used. Yet, not everyone is willing to take medication which can have adverse side effects and there are challenges with accessing CBT for many, including lack of access to trained therapists and long waitlists.

"Many people already seek complementary and alternative interventions, including yoga, to treat anxiety," says Dr. Simon. "This study suggests that at least short-term there is significant value for people with generalized anxiety disorder to give yoga a try to see if it works for them. Yoga is well-tolerated, easily accessible, and has a number of health benefits."

According to Dr. Simon, future research should aim to understand who is most likely to benefit from yoga for generalized anxiety disorder to help providers better personalize treatment recommendations.

"We need more options to treat anxiety because different people will respond to different interventions, and having more options can help overcome barriers to care," she says. "Having a range of effective treatments can increase the likelihood people with anxiety will be willing to engage in evidence-based care."

 

High omega 3 fatty acid intake associated with decreased risk of depressive symptoms in middle-aged women

Gachon University (S Korea), August 12, 2020

 

According to news originating from Gyeonggi Do, South Korea, the research stated, “Omega-3 fatty acid n-3FA intake is known to have a preventive effect on depressive symptoms in a general population.”

The news correspondents obtained a quote from the research from Gachon University: “This study assessed the effects of n-3 FA intake on depressive symptoms and brain function in middle-aged women. Depressive symptoms were screened using the Beck Depression Inventory-II (BDI-II) and Center for Epidemiologic Studies-Depression scale (CES-D) assessment questionnaires, and n-3 FA intakes were assessed using semiquantitative food frequency questionnaire. We found that * * n* * -3 FA intakes were negatively associated with depressive symptoms in middle-aged women. Psychiatrists diagnosed the presence of depressive disorders using the 5th edition of the Mental Disorder Diagnosis and Statistics Manual (DSM-5). Resting-state functional magnetic resonance imaging (rs-fMRI) was performed to investigate the association between n-3 FA intake and brain functional connectivity. Functional connectivity of the right middle frontal cortex (default mode network) and the right middle temporal pole (frontoparietal network) was positively associated with depressive symptom scores and negatively associated with n-3 FA intakes.”

According to the news reporters, the research concluded: “In conclusion, high Omega-3 n-3 FA intake decreases the risk of depressive symptoms and modifies the brain functional connectivity in middle-aged women.”

 

Study: Medical marijuana associated with fewer hospitalizations for individuals with SCD

Obtaining medical marijuana also associated with an increase in use of edible cannabis products

Yale School of Medicine, August 13, 2020

 

Individuals with sickle cell disease (SCD) who receive medical marijuana to treat pain may require fewer visits to the hospital, according to a new study in Blood Advances. Adults with SCD who requested and obtained medical marijuana were admitted to the hospital less frequently than those who did not obtain it.

SCD is the most common inherited red blood cell disorder in the United States, affecting an estimated 100,000 people. According to the Centers for Disease Control and Prevention, SCD affects one out of every 365 Black or African American births and one out of every 16,300 Hispanic American births. SCD is characterized by abnormal, sickle-shaped red blood cells that can adhere to and block blood vessels, preventing oxygen from reaching the tissues. When this occurs, individuals living with SCD experience severe pain events which may drive them to seek emergency care. It is estimated that there are more than 100,000 SCD-related hospital stays in the United States each year.

There is a need for other options for management of pain so that individuals with SCD do not have to go through the time, hardship, and expense of hospitalization and can manage their symptoms at home. Previous studies have shown that cannabis and cannabinoid products can effectively treat chronic pain associated other conditions such as cancer. More controlled studies of marijuana for the treatment of pain in SCD are still needed.

"When we offered medical marijuana as an option to our patients with sickle cell disease, we found the majority of people who were interested were already using illicit marijuana to treat pain," said the study's lead author Susanna Curtis, MD, of the Yale School of Medicine and Yale Cancer Center. "Illicit marijuana is not regulated, so its quality and contents are not standardized. And particularly for people with sickle cell disease, many of whom identify as Black, we know that while Black and white people use marijuana at similar rates, Black people are four times more likely to be arrested for possession. We didn't want our patients using unsafe products or being arrested for trying to control the pain of their condition."

Dr. Curtis and her team examined data from 50 individuals with SCD at the Adult Sickle Cell Program at Yale New Haven Hospital who were certified for medical marijuana use. Of those certified, 29 obtained medical marijuana and 21 did not. Those who obtained medical marijuana visited the hospital less frequently on average over the following six months. Several patients even reduced their hospital admission rates by three, four, or five visits. Receiving medical marijuana was not associated with a change in emergency room or infusion center visits, total health care utilization, or opioid use. Researchers did not observe any change to hospitalization rates in individuals who did not obtain medical marijuana.

Dr. Curtis suggested a possible reason for the reduced hospitalization rates could be that medical marijuana helps individuals better tolerate their pain at home.

The researchers also sought to understand why many patients were unable to access medical marijuana, and why some continued to occasionally use illicit cannabis despite obtaining medical marijuana. In a survey, individuals who obtained medical marijuana reported that they felt it was safer than illicit marijuana and they felt it was effective at controlling their pain; however, they did also report barriers such as greater expense and difficulty of access.

Race and socioeconomic status may also be barriers for patients with SCD. "About 80% of our clinic population identifies as Black, and another 15% as Latinx, and unfortunately people of color who visit the hospital with pain are often not believed or accused of being drug-seeking. Medical marijuana is associated with significant stigma, and stigma is already a big part of the life of a person with sickle cell," said Dr. Curtis.

Cannabis and cannabinoid products also present legal and medical challenges. While 33 states have medical marijuana laws, only five of those states list SCD as a qualifying condition. Medical marijuana products vary greatly in their chemical content and forms of administration. In the study, patients who obtained medical marijuana were more likely to use edible products as opposed to inhaled products. Previous research suggests the pain-relieving effect of edible products has a slower onset but a longer duration than that of inhaled products. This variability between different products can cause difficulty for patients trying to manage their symptoms.

Dr. Curtis highlighted the need for further research to understand the efficacy, side effects, and drug interactions of various cannabis products on SCD treatment. "My patients are living with a very difficult disease that causes them a lot of pain. We need controlled trials to look at each product, and the effects of how it is taken, so that we can offer regulated, pharmaceutical-grade treatment options."

 

Recalling memories from a third-person perspective changes how our brain processes them

Remembering your past as an observer affects your memories, according to new study

University of Alberta, August 13, 2020

 

Adopting a third-person, observer point of view when recalling your past activates different parts of your brain than recalling a memory seen through your own eyes, according to a new paper.

"Our perspective when we remember changes which brain regions support memory and how these brain regions interact together," explained Peggy St Jacques, assistant professor in the Faculty of Science'sDepartment of Psychology and co-author on the paper. 

Specifically, the results show that recalling memories from an observer-like perspective, instead of through your own eyes, leads to greater interaction between the anterior hippocampus and the posterior medial network.

"These findings contribute to a growing body of research that show that retrieving memories is an active process that can bias and even distort our memories," added St Jacques.

"Adopting an observer-like perspective involves viewing the past in a novel way, which requires greater interaction among brain regions that support our ability to recall the details of a memory and to recreate mental images in our mind's eye."

Adopting an observer-like perspective may also serve a therapeutic purpose, explained St Jacques. "This may be an effective way of dealing with troubling memories by viewing the past from a distance and reducing the intensity of the emotions we feel." 

This work builds on St Jacques' previous research on visual perspective in memory, which found that the perspective from which we recall a memory can influence how we remember them over time.

 

 

Calcium-rich fermented foods preferred in improving bone and heart health, study says

Nattopharma (Norway), August 9, 2020

Calcium should come from healthy sources like fermented dairy products and leafy greens as a review outlines an approach to receiving an adequate intake while supporting bone and heart health.

The review paper, published in the latest edition of the Open Heart journal, stated that the majority of the US population did not consume the current recommended dietary allowance for calcium. This finding has also been echoed in Europe with studies identifying dietary calcium intake as low - 300 and 600 mg/day in women, and 350 and 700 mg/day in men. The review also found milk and dairy products the most readily available dietary sources of calcium that were preferred by the general population.

However, concerns as to these food’s long-term health effects were mentioned as milk, in particular was singled out as a promoter of inflammation and oxidation in adult humans. Despite this, the review detailed a series of steps that could help in building strong bones while maintaining soft and supple arteries.  These included obtaining calcium from dietary sources rather and ensuring that adequate animal protein intake is coupled with calcium intake of 1000 mg/day. Other measures included maintaining vitamin D levels in the normal range, and increasing intake of fruits and vegetables to alkalinise the system and promote bone health.

Other research has shown that calcium supplementation can play an important role in boosting levels, especially in areas where healthy diets are less common.

  • The average calcium requirement for young adults (18–24 years) is 860 mg/day as defined by the European Food Safety Authority (EFSA).
  • EFSA also define the safe upper limit for calcium intake in adults, including pregnant and lactating women, at 2,500 mg/day.

The findings that suggest milk as a less-than-ideal source of calcium will come as a surprise to many.

Indeed, the review acknowledged that "cow's milk, though rich in many nutrients, including calcium, has issues that render it less than ideal as a dietary staple for many adults."  These issues include milk’s d-galactose content, which has been linked to a high mortality rate and high fracture incidence.

Along with calcium’s direct benefits the paper also recognised its role in facilitating vitamin K-dependent pathways. Increased vitamin K2 intake has been associated with decreased arterial calcium deposition and the ability to reverse vascular calcification in animal models . The vitamin is most abundant in meat, especially liver, chicken and beef along with dairy products. The primary vegetarian source is Nattō, a Japanese soybean food fermented with the bacterial species Bacillus subtilis var. natto. 

“The only food that contains enough Vitamin K2 is the Japanese dish Natto,” explained Dr Hogne Vik, chief medical officer with Norwegian vitamin K2 supplier, NattoPharma, whose firm has responded to rising demand for vitamin K2-fortified supplements and foods in recent years.

 

Berry eaters may be at lower risk of diabetes: Meta-analysis

Zhejiang University (China), August 12, 2020

Data from almost 400,000 people suggests that consuming berries and the anthocyanins they contain may reduce the risk of type 2 diabetes mellitus by 15-18%.

Scientists from Zhejiang University in China reported that the potential benefits could be linked to the antioxidant properties of anthocyanins in berries and their regulation of inflammatory responses, as well as via pathways to reduce blood glucose and insulin resistance.

“T2DM [type 2 diabetes mellitus] and its associated complications cause serious medical and socioeconomic burdens. The findings from the present meta-analysis provide sufficient evidence that dietary intakes of anthocyanins and berries are associated with a lower risk of T2DM, respectively,” wrote the researchers in the European Journal of Clinical Nutrition .

Booming berries

Consumer interest and demand for berries has grown rapidly in the US, driven by several factors, including the potential health benefits, improved quality and year-round availability,according to a 2012 article by Roberta Cook from UC Davis .

“The berry category recently became the number-one dollar category in fresh produce departments, with national supermarket sales (excluding club stores, supercenters, and some other formats) projected to surpass $5.3 billion annually by June 2011,” wrote Cook.

Many companies are also offering concentrated extracts from the products as dietary supplements, with brands such as Life Extension, Puritan’s Pride, and Swanson offering products.

Study details

An example of one of the many berry extract dietary supplement products commercially available to US consumers

The new study, said to be the first to “evaluate the association of dietary consumption of anthocyanins and berries with T2DM risk”, assessed data from three cohort studies looking at dietary anthocyanin intakes and diabetes risk (200,894 participants and 12,611 cases of diabetes documented) and five cohort studies looking at berry intake and diabetes risk (194,019 participants and 13,013 cases of diabetes).

Crunching the numbers indicated that dietary anthocyanin consumption was associated with a 15% reduction in the risk of T2DM, while berry intake was associated with an 18% reduction in risk.

For every 7.5 mg/day increment of dietary anthocyanin or 17 g/day increment in berry intake the risk of T2DM decreased by 5%, added the researchers.

Interestingly, there were some gender differences observed with the benefits from berry consumption observed for women and not men.

“More prospective studies in other regions and ethnic groups are warranted to further explore the associations of dietary anthocyanins and berries with T2DM risk,” wrote the researchers.

 

 

Scientists sound the alarm: Lockdowns may escalate the obesity epidemic

University of Copenhagen Health and Medical Sciences, August 13, 2020

 

Scientists sound the alarm: Lockdowns may escalate the obesity epidemic Emotional stress, economic anxiety, physical inactivity and social distance - locking down society to combat COVID-19 creates psychosocial insecurity that leads to obesity, warn three Danish researchers. Counter measures are needed if we are to keep the public both metabolically healthy and safe from the coronavirus

Rates of obesity may explode because of strategies to limit the spread of COVID-19, warn a trio of researchers at the University of Copenhagen and Aarhus University. Investment in obesity research will help inform counter strategies that people eating healthily, feeling happy and staying active, while also combatting COVID-19.

"We are concerned that policy makers do not fully understand how strategies such as lockdowns and business closures could fuel the rise of obesity - a chronic disease with severe health implications, but with few reliable treatment options," says Associate Professor Christoffer Clemmensen, from the Novo Nordisk Foundation Center for Basic Metabolic Research (CBMR), at the University of Copenhagen.

Alone, inactive and hungry

In a letter published in the scientific journal Nature Reviews Endocrinology, Clemmensen and two co-authors outlined how COVID-19 containment strategies could increase rates of obesity.

Firstly, it is well documented that people with limited economic resources are more likely eat highly-processed and energy-rich food. These foods have been shown to stimulate people's appetites, so that they end up eating more calories than they need.

"It is likely that more people will turn to these forms of food, as more people lose their jobs and experience economic hardship," says co-author Professor Michael Bang Petersen, from the Department of Political Science at Aarhus University.

Secondly, physical distancing increases anxiety by limiting our ability to socially interact. Feelings of loneliness and isolation, combined with confinement within a home setting, can impact our food behavior and lead us to overeat. This effect is compounded by lower levels of physical activity, as people are urged to work from home and venture out as little as possible.

Stopping the virus and protecting metabolic health

Co-author Professor Thorkild I.A. Sørensen from CBMR at the University of Copenhagen, stresses that we still do not exactly understand how a person's mental health and economic status end up increasing a person's risk of developing obesity.

"We know that there are links between obesity and a person's class and mental health, but we don't exactly understand how they make an impact," says Sørensen.

More research is needed to uncover the cause and effect, but the three co-authors say the scientific expectations are clear: physical distancing and rising rates of unemployment should lead us to expect increased rates of obesity. 

Together they urge governments and decision makers to consider what impact COVID-19 containment strategies, such as lockdowns, will have on the public's metabolic health. With this in mind, counter strategies should be considered to ensure that the public remains healthy, happy and active - and also safe from the coronavirus.

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