America Hopped Up on Prescription Drugs

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A new report claims more than half of Americans are taking some sort of prescription medication; mostly for heart disease, obesity, and diabetes. More from the Associated Press:

Experts say the data reflect not just worsening public health but better medicines for chronic conditions and more aggressive treatment by doctors. For example, more people are now taking blood pressure and cholesterol-lowering medicines because they need them, said Dr. Daniel W. Jones, president of the American Heart Association.

In addition, there is the pharmaceutical industry's relentless advertising. With those factors unlikely to change, doctors say the proportion of Americans on chronic medications can only grow.

"Unless we do things to change the way we're managing health in this country ... things will get worse instead of getting better," predicted Jones, a heart specialist and dean of the University of Mississippi's medical school.

Americans buy much more medicine per person than any other country. But it was unclear how their prescriptions compare to those of insured people elsewhere. Comparable data were not available for Europe, for instance.

Americans love magic pills. Kind of agrees with yesterday’s post, Have a Healthy Heart!

Cow's Milk and Diabetes

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A new Finnish study claims consuming dairy products early on correlates with diabetes risk. NewScientist is on it:

One explanation is that beta-lactoglobulin, a protein in cow's, but not human, milk prompts babies to make antibodies that also attack glycodelin, a protein vital for training the immune system. The mistuned immune system then mistakenly destroys insulin-producing pancreatic cells, leading to type 1 diabetes.

“The mistuned immune system mistakenly destroys insulin-producing cells”

Now Marcia Goldfarb of the company Anatek-EP in Portland, Maine, has found that five children with type 1 diabetes, who were fed cow's-milk formula, all have antibodies to beta-lactoglobulin.

Not that surprising. Cow’s milk is not exactly good for you, especially for kids. Dr. Fuhrman explains:

The leading cause of digestive intolerance leading to stomach complaints is dairy products. Many kids have subtle allergies to cow's milk that perpetuate their nasal congestion, leading to ear infections.


Milk, which is designed by nature for the rapidly growing cow, has about half its calories supplied from fat. The fatty component is concentrated more to make cheese and butter. Milk and cheese are the foods Americans encourage their children to eat, believing them to be healthy foods. Fifty years of heavy advertising by an economically powerful industry has shaped the public's perception, illustrating the power of one-sided advertising, but the reality and true health effects on our children is a different story. Besides the link between high-saturated-fat foods (dairy fat) and cancer, there is a body of scientific literature linking the consumption of cow's milk to many other diseases. If we expect our children to resist many common illnesses, they simply must consume less milk, cheese, and butter. Dairy foods should be consumed in limited quantity or not at all.

Cow's milk contains the calcium people need, but other foods are rich in calcium, too, including vegetables, beans, nuts, and seeds. Today we do not need to rely on cows for our calcium. We can eat greens directly for calcium, the place where cows get it to begin with, and orange juice and soy milks are fortified with calcium and vitamin D, too. It is easy to meet our nutrient needs for these substances without the risks of cow's milk.

Yucky, milk makes me nauseas.

Health Points: Friday

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York company voluntarily recalled more than 286,000 pounds of its products.

Officials said certain products labeled Gourmet Boutique, Jan's and Archer Farms may be contaminated with Listeria monocytogenes, although there were no reports of illness before the recall.

Listeria can cause a potentially fatal disease that it is rarely contracted by healthy people, the Monterey County Health Department reported. Symptoms include high fever, severe headaches, neck stiffness and nausea. Rare but serious symptoms can occur in those with compromised immune systems. Pregnant women make up about a third of listeriosis cases, health officials said.

Arthritis strikes more than half of the 20.6 million American adults who have diabetes, and the painful joint condition may be a barrier to exercise among these patients, a new government report shows.


Being physically active helps people manage both diseases better by controlling blood sugar levels and reducing joint pain, according to the report in the May 9 issue of Morbidity and Mortality Weekly Report, a publication of the U.S. Centers for Disease Control and Prevention.

"The prevalence of arthritis is astoundingly high in people with diabetes," said Dr. John H. Klippel, president and CEO of the Arthritis Foundation. "Over half the people with diabetes have arthritis."

Nudging reluctant seniors to take physical fitness classes represents just one strategy to reduce the risk of falling. It's also vital to evaluate their vision and the medications they're taking. Aged pupils, for example, don't dilate as well in darkness or constrict as well in brightness.


One study showed that falls decreased 34 percent among seniors who had the milky opaqueness of a cataract removed from their eyes. Some specialists also point to bifocals and trifocals, which can blur vision, as potentially contributing to falls.

It's also common for lighting to be so inadequate that navigation of hallways and rooms can be treacherous, said Dr. Gary Chu, vice president for community collaborations at the New England Eye Institute.

"I've asked all the presidential candidates whether America should be smoke-free," he told a Senate committee hearing on how to tackle cancer.


"The consensus is that it's better left to the cities and states," he said, agreeing that state- or community-level bans were "the way to go."

"Second-hand smoking is something I'm very passionate about," he told the committee.

Young children who live in neighborhoods with lots of trees have lower rates of asthma than children who reside in areas with fewer trees, a new study finds. Researchers looked at asthma rates among children age 4 to 5 in New York City. Asthma rates decreased by almost one-quarter for every standard deviation increase in tree density, equivalent to 343 trees per square kilometer, the study found. The researchers said that trees may help reduce asthma rates by encouraging children to play outdoors more or by improving air quality.

Male postpartum depression may have more negative effects on some aspects of a child's development than its female counterpart, says James F. Paulson, PhD, of the Center for Pediatric Research at the Eastern Virginia Medical School in Norfolk, Va.


Paulson and colleagues reviewed data on more than 5,000 two-parent families with children aged 9 months.

They found that one in 10 new dads met standard criteria for moderate to severe postpartum depression.

That's a "striking increase" from the 3% to 5% of men in the general population that have depression, Paulson tells WebMD.

In the current study, researchers found that professional firefighters had higher-than-expected rates of colon cancer and brain cancer. There was also evidence, albeit weaker, that they had elevated risks of bladder and kidney cancers, as well as Hodgkin's lymphoma.


Dr. Letitia Davis with the Massachusetts Department of Public Health in Boston, and colleagues report the findings in the American Journal of Industrial Medicine.

Firefighters are exposed to many potentially cancer-causing chemicals released from burning materials. At the scene of the fire, toxic substances such as benzene, lead, uranium and asbestos can be inhaled or absorbed through the skin.

A drug from a new class of weight-loss treatments disrupted wiring needed for brain development in young mice, U.S. researchers said on Wednesday, raising concerns about using such medications in children.


Mark Bear and colleagues at the Massachusetts Institute of Technology studied the effects of a chemical that suppresses appetite by blocking cannabinoid receptors in the brain, the same brain mechanisms that make people hungry when they smoke marijuana.

"I think that the cautionary note is that these mechanisms play an important role in ... brain development," said Bear, whose study appears in the journal Neuron.

Even a benign lesion on a mammogram makes women and doctors nervous, and doctors sometimes recommend a biopsy anyway. But new data show that waiting six months for a follow-up mammogram is a safe option.


Researchers tracked more than 45,000 women who were given six-month follow-up mammograms after an initial scan found lesions that were “probably” benign. In most cases, they were. Only about one in 100 women were eventually diagnosed with cancer six to 12 months later, according to the study, which appears in the May issue of the American Journal of Roentgenology.

It is well known that high blood sugar levels indicative of the diabetes that occurs during pregnancy present risks for expectant mothers and their infants. The current study is believed to be the first to show that higher blood sugar levels -- not high enough to be considered diabetes -- also convey these increased risks.


In a study of nearly 24,000 pregnant women who had their blood sugar levels tested between 24 and 32 weeks of pregnancy, researchers found that the higher the mother's blood sugar level, the greater the chances that she would require Caesarean delivery and deliver an abnormally large baby.

NYC: Supermarkets Packing Up Shop

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More and more supermarkets are leaving New York City, making it hard for many people to find healthy fresh food in their neighborhoods. David Gonzalez of The New York Times reports:

The dearth of nearby supermarkets is most severe in minority and poor neighborhoods already beset by obesity, diabetes and heart disease.

According to the food workers union, only 550 decently sized supermarkets — each occupying at least 10,000 square feet — remain in the city…

… In some cases, the old storefronts have been converted to drug stores that stand to make money coming and going — first selling processed foods and sodas, then selling medicines for illnesses that could have been prevented by a better diet.

The supermarket closings — not confined to poor neighborhoods — result from rising rents and slim profit margins, among other causes. They have forced residents to take buses or cabs to the closest supermarkets in some areas. Those with cars can drive, but the price of gasoline is making some think twice about that option. In many places, residents said the lack of competition has led to rising prices in the remaining stores…

…The lack of easily available fresh food has prompted city and state officials to convene several task forces to address the public health implications.

The recent study conducted by the Department of City Planning estimated that as many as three million New Yorkers live in what are considered high-need neighborhoods — communities characterized by not enough supermarkets and too many health problems.

This is a major reason why certain neighborhoods in New York have staggering rates of obesity and diabetes. More from this New York Times miniseries:

As someone who eats primarily fruits and vegetables, and, wants to live in New York, I’m concerned. I need a steady stream of fresh produce.

Broncos QB Has Type 1 Diabetes

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Denver Broncos quarterback Jay Cutler has been diagnosed with Type 1 Diabetes. Pat Graham of the Associated Press reports:

The 25-year-old Cutler found out about two weeks ago that he was diabetic and needed daily insulin injections, Garafalo told The Associated Press.

He said Cutler was managing his disease and “in no way is his football career jeopardized.”

Some 21 million Americans have diabetes, meaning their bodies cannot properly turn blood sugar into energy. Either they don’t produce enough insulin or don’t use it correctly. With the Type 1 form, the body’s immune system attacks insulin-producing pancreatic cells, so that patients require insulin injections to survive.

“It’s something that he’s dealing with and something a lot of other people have,” Garafalo said. “Even though it’s a serious condition, it’s a condition that can be managed. That’s the way he’s treating it right now.

“Everything’s fine,” Garafalo continued. “His condition is fine.”

Tough break for a rising star—as a Raiders fan that was hard for me to say—but there is plenty of hope for Type 1 diabetics. Dr. Fuhrman explains:

I find that when type 1 diabetics adopt a nutritarian lifestyle, they can lower their insulin requirements by about half. They no longer have swings of highs and lows, and their glucose levels and lipids stay under excellent control. In other words, it is not Type 1 diabetes itself that causes such negative health consequences. Rather, it is the combination of the diabetes and the typical nutritional “advice” given to these patients—advice that requires them to take large amounts of unnecessary insulin.


The extra insulin and the high glucose levels raise lipids, accelerate atherosclerosis, and damage the body. With this in mind, it should be clear that while the Standard American Diet (SAD), which has spread to all industrialized nations, is dangerous for everyone, it is particularly deadly for diabetics.

With a truly health-supporting lifestyle, including exercise and real food designed by nature, the type 1 diabetic can have the same potential for a long, disease-free life as everyone else. Even though the type 1 diabetic still will require exogenous (external) insulin, they will no longer need excessive amounts of it.

Odds are Jay’s diet could use an overhaul because as we’ve seen many professional athletes don’t exactly make wise food choices.

More Expecting Moms Diabetic...

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A new study has discovered that the number of pregnant women with pre-existing diabetes has more than doubled in seven years. Alicia Chang of the Associated Press reports:

The researchers focused on health records from more than 175,000 ethnically diverse women who gave birth in a dozen Kaiser hospitals in Southern California from 1999 to 2005. Experts believe the findings likely reflect the overall U.S. population.

The actual number of pregnant women with pre-existing diabetes was small. In 1999, there were 245 such women; by 2005, there were 537. That translates to a rate that rose from 8 per 1,000 pregnancies to 18 per 1,000.

The rate increased the greatest among 13- to 19-year-olds giving birth. It ballooned from about 1 per 1,000 pregnancies to 5.5 per 1,000 during the seven-year period.

Blacks, Asians and Hispanics were more likely to have diabetes before pregnancy than whites.

The rise of diabetes among women of childbearing age mirrors the prevalence of the disease in the general population. The most common form of diabetes is Type 2, which is linked to obesity.

About 15 million people in the United States are diagnosed with diabetes, and 1.5 million new cases were diagnosed in people age 20 and older in 2005, according to the American Diabetes Association.

Inhaled Insulin, Lung Cancer Risk

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Pfizer has announced that clinical trials of Exubera resulted in increased cases of lung cancer. Lewis Krauskopf of Reuters is on it:

Pfizer Inc and Nektar Therapeutics said on Wednesday clinical trials of the inhaled insulin Exubera found increased cases of lung cancer, leading Nektar to stop seeking a marketing partner for the troubled product and abandon it.

Nektar shares tumbled 25 percent, while shares of MannKind Corp, which has been developing its own inhaled insulin, plummeted 58 percent. Pfizer was down slightly at $20.90.

The lung-cancer revelation dealt a final setback to Exubera, which held the promise of letting diabetics avoid needle sticks and was once projected by Pfizer to be a $2 billion-a-year blockbuster. Instead, Exubera has been a commercial flop that has sullied the inhaled insulin field.

Scary, but not that surprising, because—good or bad—Dr. Fuhrman insists all drugs futz with the normal functioning of the body:

In the first pharmacology lecture that I head in medical school, the physician impressed on us that all drugs are toxic and we should never forget this. We were taught that medications work because of their pharmacologic properties—properties that enable the substance to interfere with, block, or stimulate an activity of the body. Drugs typically modify the way the body expresses the signs and symptoms of disease, but in chronic disease states, they do no undo the damage or remove the disease.

My suspicion is this concept often more often than not, takes a backseat to the pursuit of profits and convenience.

NYC: Fatter, More Diabetes

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Unfortunately the Big Apple is getting bigger and less apple-er. Obesity and diabetes rates are rising in NYC. The Associated Press reports:

New York City's obesity and diabetes rates are rising faster than in the rest of the country, a city health department study said.

New York's obesity and diabetes rates each jumped by 17 percent between 2002 and 2004, according to the city Department of Health and Hygiene study. The national obesity rate rose by 6 percent during the same time period, while the diabetes rate held steady nationally at 7 percent, according to the study, published in this month's issue of the journal Preventing Chronic Disease.

Some 173,500 adult New Yorkers became obese and more than 73,000 were newly diagnosed with diabetes over the two-year period, the city said. In 2002, 19.5 percent of the city's adults were obese; in 2004, 22.8 percent were, the study said.

Don’t follow the crowd. Next time you’re in NYC try popping into one of these healthy restaurants:

Actually, I got to get my butt to Central Park—stat!

Tai Chi and Diabetes

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New research claims practicing Tai Chi may help lower or control type-2 diabetes risk. Amy Norton of Reuters reports:

In one study, Taiwanese researchers found that tai chi helped lower long-term blood sugar levels in 30 middle-aged adults with type 2 diabetes. In the second, an Australian team found that a combination of tai chi and qigong benefited 11 adults at risk of type 2 diabetes.

Both tai chi and qigong (pronounced "chee-kung") are ancient Chinese practices designed to promote good health. Qigong combines gentle movements, meditation and breathing techniques; tai chi involves slow, fluid movements combined with mental imagery and deep breathing.

Both are moderate, low-impact activities, and recent studies suggest that older adults could reap a number of health benefits from tai chi, such as lower blood pressure, a reduced fall risk and improved arthritis symptoms.

The new studies, both published online by the British Journal of Sports Medicine, suggest that tai chi might aid in managing type 2 diabetes or metabolic syndrome -- a collection of risk factors for diabetes, heart disease and stroke.

I’ve never tried Tai Chi—have you?

Don't Want Diabetes, Get Moving

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“An essential component of my prescription for diabetes is daily exercise,” explains Dr. Fuhrman.
And so it seems exercise and bodyweight really do impact diabetes risk. Reuters reports:

Lower cardiorespiratory fitness and higher body weight are independently associated with the development of type 2 diabetes in women, new research suggests.


"These findings underscore the critical importance of promoting regular physical activity and maintaining normal weight for diabetes prevention," Dr. Xuemei Sui, of the University of South Carolina, Columbia, said in an interview with Reuters Health.

Sui and associates followed 6,249 women between the ages of 20 and 79 years for 17 years. The women were free of heart disease, cancer, and diabetes at the outset.

A total of 143 women developed type 2 diabetes during follow up. After adjusting for a number of factors including body weight, women in the middle and upper thirds of cardiorespiratory fitness, as determined by a treadmill exercise test, had significantly lower risks of diabetes compared to the least fit third.

Granted, not exactly NEW information, but, an important reminder nonetheless.

Heart Health: Bad News, Good News, Stupid News...

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Quick, panic! A new study claims that people with diabetes have the same heart attack risk as individuals who have already had a heart attack. Reuters reports:

The finding, which appears in the American Heart Association's journal Circulation, comes from a study of 3.3 million residents of Denmark who were at least 30 years of age. Overall, 2.2 percent of subjects had diabetes and 2.4 percent had a prior heart attack.


Dr. Tina Ken Schramm and colleagues found that, compared with men without diabetes or a prior heart attack, those with diabetes were 2.32-times more likely to experience a stroke, heart attack or death from cardiovascular causes, and those with a prior heart attack were 2.48-times more likely.

For women, the corresponding risks were raised 2.48- and 2.71-times.

You’ve got to do something! How about exercise? New research suggests that modest exercise can fight heart disease. More from the AFP:

French doctors on Tuesday said that an overview of the latest research into sport and good health proved that moderate, frequent exercise combated the risk of heart disease, diabetes, colon cancer, respiratory disease and depression.


The report by the National Institute for Health and Medical Research (Inserm) sets a benchmark, for adults, of at least 30 minutes of modest exercise, such as fast walking, at least five times a week, or 20 minutes of harder exercise, such as jogging, three times a week.

Young people are advised to do twice this regime to maintain fitness.

Good, but if you like bike riding. You might want to stay away from The Stupidest Bike Lane in America. Well passes it along:


Now, just in case you haven’t had enough stupid yet. Check out these Weight Loss Sunglasses. No, I’m not joking. Diet Blog is all over it:

This snazzy creation is designed to give food a blue tinge - theoretically rendering food dull and unpalatable. Kind of the opposite phenomenon of "beer goggles"?


While your first instinct may be to snicker (as it should be), there is actual physiological and psychological rationale to this theory: Certain colours tend to stimulate appetite, while others tend to deter it. Apparently, blue is considered to be the least appetizing color of the spectrum, with red and yellow being at the opposite end as a hunger stimulant.

Well George Carlin said it best, in life, there’re a few winners, and a whole-lot of losers. Short bike lanes and magic sunglasses—LOSERS!

Health Points: Tuesday

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Of 216 reported cases so far, 68 have been confirmed by lab results, public information officer Jim Shires said. Nine people have been hospitalized, but only one was believed to still be in the hospital, Shires said.

Shires is part of a nine-person incident management team from Jefferson County that arrived to help Alamosa officials respond to the outbreak, which health officials said may be caused by the municipal water system.

Children who take vitamin D supplements may be less likely to develop type 1 diabetes later in life, according to researchers who analyzed the findings of five previously published studies.


The researchers found that children who were given additional vitamin D were about 30 percent less likely to develop type 1 diabetes than children who didn't receive vitamin D supplements. The evidence also indicated that the higher and more regular the dose of vitamin D, the lower the risk of developing diabetes.

It is tempting to look for a quick fix to cellulite, especially when so many advertisements claim to provide a solution. Unfortunately, there is no overnight cure. Nothing can get below the surface of the skin and rearrange the connective tissue or fat cells underneath. Because fat is compressible, some procedures, such as body wraps, may appear to provide a solution to smoothing the skin. But any visible effects will be temporary -- unlikely to last more than 24 hours…


…You can diminish the appearance of cellulite or reduce the chances you will get it with regular exercise, especially strength training. A good strength-training program will increase your chances of maintaining lean muscle as you get older, and this in turn reduces your chances of increasing the size of your fat cells.

But as I think about it more, I realize that when organic really pays is when this money—the very money we raised the other night—goes to fund new research that then gets into the hands of the people who really need it, such as a mom who learns that feeding their children organic foods can reduce their dietary pesticide exposure by 97 percent, and then makes the immediate switch to organic baby food. Or, people who learn that of the 11 most important nutrients, organic foods contain, on average, 25 percent higher concentrations of these nutrients, and then switch to organics in order to feed their bodies more nutrient-dense foods. How about the farmer who learns that even very low levels of organophosphate insecticides can disrupt developing brains and nervous systems, and then immediately stops spraying his crops for the sake of the health of his grandbabies growing up in a house across the field. Or a diabetes sufferer who learns that eating vegetables rich in fiber, antioxidants, and magnesium could lead to a 28 percent lower risk of Type-2 diabetes, and then starts serving his children more vegetables, so they don’t have to suffer the way mom and dad did.

"Just what the world doesn't need is another way to get as much food as they want whenever they want it," said Jeanne Goldberg, a professor of nutrition science at Tufts' Friedman School of Nutrition.


The unlimited quantity has turned some sporting events into games of can-you-top-this in the stands, with fans competing to see who can shovel the most hot dogs down their gullets. But for the most part, the scene is the same as in any other section.

"People knocking that stuff back isn't exactly the prettiest thing to watch," Drew Nurenberg, 30, of Malvern, Pennsylvania, who bought all-you-can-eat seats with his wife for a Philadelphia Flyers game last month, said. He added: "People looked like they were taking advantage of it, but not overly taking advantage."

The problem of obesity cannot be reduced simply to genetics, the researchers said, and it also cannot be blamed solely on our environments or learned behaviors. Media coverage, they advised, should highlight that the obesity epidemic is the result of a variety of factors, and that change requires a comprehensive approach that tackles the problem from all sides.


"Obesity's not rocket science," said Dr. Diane Finegood, director of CIHR's Institute for Nutrition, Metabolism and Diabetes. "It's a lot more complex."

Is this news? Not to T. Colin Campbell, author of the book "The China Study," which details the connection between nutrition and heart disease, diabetes and cancer.


"I get frustrated when I see articles like this--time and time again--being published by researchers who know not that much of their findings have already been shown before," Campbell said, when I asked him if he'd seen the study.

"These earlier results are simply ignored, thus awaiting rediscovery by some future researcher or medical practitioner. This is the main question for so many similar reports...why haven't we heard this before?"

It used to be that the only teens seen at a gym were students on athletic teams, intent on additional training.


But in recent years, some Chicago-area gyms have become preferred hangouts for a growing number of high school students who want to be fit and healthy. Many also have discovered that gyms provide something equally important: a place to gossip, flirt and socialize with peers.

Health Points: Monday

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When he became a psychiatrist in the 1970s, John Ratey didn't expect to evolve into an exercise buff. But today, the Harvard University professor and expert in attention-deficit hyperactivity disorder calls exercise the single most important tool people have to optimize brain function…

…Exercise, particularly aerobic exercise, can improve cognitive performance, soften the effects of stress, help fend off addiction-related cravings and tone down the negative consequences of women's hormonal changes, Ratey says. When it comes to psychiatric disorders, he calls exercise "one of the best treatments we have."

Bacteria can cause rhinosinusitis -- an inflammation of the sinuses -- but a virus such as the common cold is often a more likely culprit so antibiotics seldom work, the researchers reported in the journal Lancet.


Yet doctors still dole out the drugs more than they should. In the United States, for instance, 80 percent of sinus patients are prescribed an antibiotic while the proportion ranges from 72 percent to 92 percent in Europe.

"What tends to happen in practice is when patients have had symptoms for a while and go see their family doctor, the doctor assumes they have a bacterial infection and gives them antibiotics," said James Young, a statistician at the University Hospital Basel, who led the study.

In the new study of about 5,000 adults, the college-educated with household incomes of more than $75,000 a year had much less of a blood protein linked to heart disease than did the poorer or less educated - as long as they weren't overweight.


But as weight crept up, so did C-reactive protein in the blood, a sign of inflamed tissue that can lead to blocked coronary arteries, says Cathy Bykowski, a psychologist at the University of South Florida in Tampa.

That's not surprising, because excess body fat is known to increase the protein, she says.

New research suggests that people who don't get enough sleep tend to weigh more -- and that sleep can affect levels of the appetite-regulating hormones leptin and ghrelin.


"There is a dynamic balance between proper sleep and proper health. Sleep deprivation affects weight and a lot of other things. If you cheat sleep, there are a number of consequences, including affecting your hormones, appetite and mood," said Dr. Patrick Strollo, medical director of the University of Pittsburgh Medical Center's Sleep Medicine Center.

At first glance, the $45 session just looked like a bunch of boys having fun, not surprising since Lego Club members have good language skills and average or above-average intelligence. In contrast, children at the severe end of the autism spectrum may be mute and have catatonic behaviors.


But signs of problems were soon evident. A boy wearing a long-sleeve T-shirt stood amid the hubbub, staring at the floor, obsessively pulling the hem of his shirt - until leader Greg Shugar gently drew him into an activity. At a table, Lily Brown, another leader, helped two boys revise their "script" - a sheet of lined paper covered with angry scratch-outs and scribbles.

Jonathan Shanahan, 13, of Riverton, rocked from foot to foot and acknowledged that earlier that day, in school, he threw a pencil at a classmate.

"He's my archrival," Jonathan declared, holding a winged Lego beast he had created.

Breast-fed babies appear to be less likely to develop type 2 diabetes when they reach adolescence, according to findings published in the medical journal Diabetes Care.


"Dramatic increases in childhood obesity and the emergence of type 2 diabetes in youth motivate research to identify lifestyle approaches to primary prevention of both conditions," write Dr. Elizabeth J. Mayer-Davis of the University of South Carolina, Columbia, and colleagues.

Folate
Use: To improve heart health


Why it works: Folate and other B vitamins help break down excess homocysteine -- an amino acid that can damage the inner lining of arteries -- possibly reducing the risk of heart disease.

Daily intake: 400 mcg

Best food sources: 1/2 cup cooked asparagus (134 mcg), 1 cup raw spinach (58 mcg), 1/2 cup cooked lentils (179 mcg)

Type 1 diabetes occurs because of pancreatic beta cell damage. These cells are responsible for insulin hormone production. The disease is becoming more common and it is expected to increase by 40% in 2010, compared to 2000.


The study showed that those suffering from type 1 diabetes have lower levels of vitamin D and are common in countries with less sunlight. It is well known that sunlight exposure stimulates vitamin D production and that supplement intake without sunlight exposure doesn't mean anything.

Lack of vitamin D is previously linked to autoimmune disorders, and this new study shows another key role of vitamins in health.

Breast cancer patients who are overweight have more aggressive disease and are likely to die sooner, U.S. researchers reported on Friday.


A dangerous type of breast cancer, known as inflammatory breast cancer, was seen in 45 percent of obese patients, compared with 30 percent of overweight patients and 15 percent of patients of healthy weight.

"The more obese a patient is, the more aggressive the disease," said Dr. Massimo Cristofanilli of the University of Texas M.D. Anderson Cancer Center, who led the study.

Food Scoring Guide: Key to Superior Health and Your Ideal Weight

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When you eat to maximize micronutrients in relation to calories, your body functions will normalize; chronic illnesses such as high blood pressure, diabetes, and high cholesterol melt away; and you maintain your youthful vigor into old age. Heart disease and cancer would fade away and become exceedingly rare if people adopted a lifestyle of nutritional excellence. But in the here and now, what is exciting to so many people is that when your diet is high enough in micronutrients, excess weight drops off at a relatively fast rate. It’s like you had your stomach stapled. You simply don’t crave to overeat anymore. In fact, it becomes too difficult to overeat when you eat your fill of high-micronutrient food.

The mistake of focusing on the “importance” of protein in the diet is one of the major reasons Americans have been led down the path to dietary suicide. For too long, we have equated protein with good nutrition and have thought that animal—products in spite of the fact that they are deficient or devoid of most micronutrients—are highly favorable foods simply because they are rich in complete proteins. This miscalculation has cost us dearly. By favoring a dairy- and meat-heavy diet, instead of one rich in fruits, vegetables, and beans, we have brought forth an epidemic of heart attacks and cancers.

Diabetes, Exercise, Insulin, and Fat

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Exercise seems to boost insulin-making cells. Reuters reports:

After the exercise period, study participants' sensitivity to insulin had increased by 53 percent, on average, while a measure of beta cell function called the disposition index had risen by 28 percent. However there were no changes in their fat mass, levels of fat in the blood, or other factors that might explain the effect of exercise on beta cells.


"Longer-term exercise training studies are required and are currently in progress to evaluate further exercise training effects on beta cell function in age-related glucose intolerance," the researchers note.

Yup, exercise is good for diabetics. Dr. Fuhrman’s on it:

The most effective prescription for diabetes is exercise. An essential component of my prescription for diabetes is daily exercise; it is more important than daily medication. Two hundred calories a day of formal exercise on an incline treadmill and an elliptical machine are a great goal to shoot for. It is not an official recommendation of anyone except me.

But research has determined fat is bad for diabetes. More from Reuters:

Fat mass in adulthood was the only measurement that showed a significant association with insulin sensitivity, the researchers found. After they used statistical techniques to control for age, sex and body size in adulthood, the group of men and women who were born small but caught up as adults had significantly lower insulin sensitivity than the control group.


Based on the results, Dr. R.W.J. Leunissen of Erasmus Medical Centre-Sophia, Children's Hospital and colleagues propose a "fat accumulation hypothesis," which states that "an increased accumulation of fat during childhood, independent of birth size, will result in reduced insulin sensitivity."

Yeah, you don’t want to be overweight and diabetic. Here’s Dr. Fuhrman again:

If the person is obese, with more than fifty pounds of additional fat weight, his body will demand huge loads of insulin from the pancreas, even as much as ten times more than a person of normal weight needs. So what do you think happens after five to ten years of forcing the pancreas to work so hard? You guessed it — pancreatic poop-out.

Exercise and stay thin—sounds win-win to me!

Diabetes Risk: Fruits vs. Veggies

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Dr. Fuhrman emailed me this the other day. It shows the differences between fruits and vegetables when it comes to diabetes-prevention. From NutraIngredients-USA:

A higher intake of vegetables, rich sources of fibre, antioxidants, and magnesium, may reduce the risk of developing type-2 diabetes by almost 30 per cent, suggests a new study.


On the flip side of the coin, however, an increased consumption of fruit was not associated with any benefits, according to the study with 64,191 middle-aged Chinese women published in the new issue of the Journal of Nutrition.

"Our study adds to the limited and conflicting data of the associations between fruit and vegetable intake and the risk of type-2 diabetes," wrote lead author Raquel Villegas from Vanderbilt Epidemiology Center.

"A higher intake of vegetables, rich in fibre, antioxidants, and magnesium and with a low glycemic index, was associated with a decreased risk of type-2 diabetes."

The authors, including researchers from the Shanghai Cancer Institute and the Diabetes Research and Training Center in Nashville, recruited the women (aged between 40 and 70) and, using a food-frequency questionnaire, report they had average fruit and vegetable intakes of 239.4 and 236.0 grams per day, respectively.

I know from talking with Dr. Fuhrman. That he advises diabetics to eat more veggies than fruit, but, he does encourage blueberries—lots of blueberries!

Poverty's Diet Strain

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Poverty is more than a fiscal problem. It can also affect health. Canadian researchers have determined that poor households end up eating nutritionally risky diets. Alan Mozes HealthDay News reports:

The new study is the first to show that food insecurity directly translates into poor nutrition. It also suggests that in such homes, adults and teens, rather than very young children, are the most likely to be subsisting on diets low in vitamins, minerals, fruits, vegetables, grains and meat.


"Over the long term, [food insecurity] could be expected to precipitate and complicate diet-related chronic diseases, such as diabetes and heart disease," cautioned study co-author, Sharon Kirkpatrick, a doctoral candidate in the department of nutritional sciences at the University of Toronto…

…The study highlights similar estimates for 2006, suggesting that 12.6 million U.S. households experience food insecurity, while 4.6 million have one or more family members going without food. Recent Canadian research indicates that just over 9 percent of households are food-insecure.

Against such numbers, Kirkpatrick and Tarasuk set out to analyze eating habits, detailed in interviews conducted by Statistics Canada between 2004 and 2005. The survey included 35,000 Canadians between the ages of 1 and 70 drawn from all socioeconomic groups.

The poor—I hate using that term—do take quite the health hit. It comes up in the news all the time. Let’s look at some previous reports. First, from the Associated Press, Why are U.S. Kids Obese. Here’s a bit:

"The environment that they live in matters," said Lisa Powell of the University of Illinois at Chicago, who studied restaurant and food store options in the neighborhoods and food-related television advertising aimed at teens.


She said when people cannot get to supermarkets but instead must rely on the convenience stores that proliferate in many poor neighborhoods, families end up eating less healthy food.

Next up, Paige Parker of The Oregonian tells us why poor kids are at a high-risk of packing on extra summer vacation pounds. Take a look:

A new study highlighted the summer weight-gain phenomenon among young children. Researchers in the Midwest looked at the body mass index, which relates height to weight, of 5,380 students. They followed them for two years, from kindergarten through first grade, and found the average index grew more than twice as quickly over the summer than during the school year.


Children of the working poor may be especially at risk because they are left indoors while their parents are at jobs. While at home, kids eat and drink what they want, says Dr. Jennifer Bass, a pediatrician who chairs a national pediatricians special-interest group on obesity. Bass estimates as many as 30 percent of her patients are overweight.

Now Randy Dotinga of HealthDay News explains that low-income children face a heighten chance of being obese, even before they are out of diapers. Check it out:

"The message is that we're seeing overweight and obesity at younger ages than we thought possible," said study author Rachel Tolbert Kimbro, a health and society scholar at the University of Wisconsin at Madison. "It's a particular problem in lower-income communities, and it's something we need to keep an eye on and prevent as much as possible."


According to Kimbro, there's been little research into weight problems among very young children. But, studies have shown high rates of obesity among older children and teenagers.

In the new study, the researchers examined surveys of parents who had children from 1998 to 2000 in 20 large U.S. cities. The parents lived in urban areas and were poor.

Finally, this report looks out way the poor and immigrants living in New York City are waist-deep in the diabetes epidemic. More from N.R. Kleinfield of The New York Times:

New York, perhaps more than any other big city, harbors all the ingredients for a continued epidemic. It has large numbers of the poor and obese, who are at higher risk. It has a growing population of Latinos, who get the disease in disproportionate numbers, and of Asians, who can develop it at much lower weights than people of other races.


It is a city of immigrants, where newcomers eating American diets for the first time are especially vulnerable. It is also yielding to the same forces that have driven diabetes nationally: an aging population, a food supply spiked with sugars and fats, and a culture that promotes overeating and discourages exercise.

Frightening news, no doubt it compounds when you consider that most low-income families either have limited or no insurance. Makes you wonder how much better the state of American healthcare would be if everyone starting eating a nutrient-dense diet!

Diabetic Confusion: Low-Carb Unhealthy, Veggies Healthy

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And that’s the truth! If you’re looking to get healthy, lose weight, and prevent and reverse disease, DON’T even consider “low-carb” or high-protein diets. Here’s why in a nutshell. Dr. Fuhrman explains:

Americans already eat approximately 40 percent of their calories from animal products; we have seen a tragic skyrocketing in cancer and heart-disease rates in the past fifty years as a result of such nutritional extravagance.1 You can lose some weight on the low-carb diet, but you run the risk of losing your health at the same time.

Now, most health experts agree—even Dr. Fuhrman—that eating a lot of carbs is a bad idea, but Dr. Fuhrman’s criticisms focus on the refined and process carbohydrates. Here’s why he thinks this stuff is bad news:

Diets containing refined grains and refined sweets are consistently linked to stomach and colon cancer, and at least twelve breast cancer studies connect low-fiber diets with increased risks.2 Eating a diet that contains a significant quantity of sugar and refined flour does not just cause weight gain, it also leads to an earlier death.

Once you kick the refined junk to the curb, you’re left with the good stuff—the healthy carbs! In fact, these carbohydrates are important brain and muscle fuel. Let’s check back with Dr. Fuhrman:

Our bodies need carbohydrates more than any other substance. Our muscle cells and brains are designed to run on carbohydrates. Carbohydrate-rich foods, when consumed in their natural state, are low in calories and high in fiber compared with fatty foods, processed foods, or animal products.

You can find these healthy carbs in fruits, vegetables, nuts, seeds, and legumes, and, as Dr. Fuhrman points out. Plant foods likes these are the benchmark of healthy living. Here Dr. Fuhrman talks about the power of plants:

Increasing your consumption of high-nutrient fruits and vegetables is the key to disease resistance, disease reversal, and a long, healthy life. The potential reduction in disease rates shows no threshold effect in the scientific studies. That means that as high-nutrient vegetables and high-nutrient fruits increase as a major portion of caloric intake, disease rates fall in a dose-dependent manner—the more the diet is comprised of these foods, the better your health will be.3

So, what’s wrong with “low-carb” diets—A LOT—Atkins-like diets dupe people into believing that increased consumption of animal products and decreased consumption of plant foods is healthy—WRONG! Dr. Fuhrman elaborates:

It is an interesting phenomenon to me low-carb dieters search to find small pearls of dissent in the scientific literature to support their views as they ignore thousands of well-performed studies, I wonder why they are so attached to their diets or views that they can’t accept the preponderance of evidence and modify their stance.

And when you exam the facts, you’ll quickly realize the profound link between eating too much animal products and saturated fat and diseases; like diabetes, heart disease, and cancer. Again, Dr. Fuhrman explains:

Today, the average American consumes 100-120 grams of protein per day, mostly in the form of animal products. This high level of animal product consumption has been linked to not just heart disease and strokes, but to higher rates of cancer, as well4…


…High-protein, carbohydrate-restricted diets also are heart unfriendly. One comprehensive study on the Atkins’ approach showed that after one year on the diet, blood flow to the heart diminished by an average of 40 percent and inflammatory markers that predict heart attacks increased.5 The low levels of plant fiber, phytochemicals, and antioxidant nutrients on these unbalanced, low produce diets expose the diabetic patient to additional risks.

Okay, by now we’ve worked up a good information-base—low-carb bad, veggies good—so let’s check out this study appearing in The American Journal of Clinical Nutrition. It suggest that low-carb is better than low-fat for preventing diabetes. Amanda Gardner of HealthDay News is on it:

"One study is never enough to change a recommendation, but this study is interesting in that it shows that a low-fat diet is no better than a low-carbohydrate diet in preventing type 2 diabetes," said Thomas Halton, lead author of a study in the current issue of the American Journal of Clinical Nutrition. "The one diet that did seem to show a protective effect was a vegetable-based, low-carb diet which consisted of higher amounts of vegetable fat and vegetable protein, and lower amounts of carbohydrate."


The findings, Halton added, were a bit surprising in that most doctors and nutritionists recommend a low-fat diet to prevent type 2 diabetes. "This study showed that a low-fat diet didn't really prevent type 2 diabetes in our cohort when compared to a low-carb diet. I was also surprised that total carbohydrate consumption was associated with type 2 diabetes, and that the relative risk for the glycemic load was so high."

Now, despite the dirty term “low-carb” the study is looking surprisingly good, but just to be safe, let’s look at the actual study, pay very close attention to the conclusion. From The American Journal of Clinical Nutrition:

Background: Low-carbohydrate weight-loss diets remain popular; however, the long-term effects of these diets are not known.


Objective: The objective was to examine the association between low-carbohydrate-diet score and risk of type 2 diabetes

Design: We prospectively examined the association between low-carbohydrate-diet score (based on percentage of energy as carbohydrate, fat, and protein) and risk of diabetes among 85 059 women in the Nurses' Health Study.

Conclusion: These data suggest that diets lower in carbohydrate and higher in fat and protein do not increase the risk of type 2 diabetes in women. In fact, diets rich in vegetable sources of fat and protein may modestly reduce the risk of diabetes.

Vegetable fat and vegetable protein—not the high animal fat fallacy perpetuated by Atkins and his ilk. In fact, when you strictly limit all the meat, dairy, and oil in the typical Atkins menu and upgrade the fruit, vegetables, nuts, seeds, and legumes, you’re left with a diet naturally free of refined carbohydrates and packed with nature’s best foods! One more quote from Dr. Fuhrman:

Knowing that the right micronutrients in the right proportions are easily available to us in whole, natural foods is wonderful. But we no longer get our foods in natural form from the wild. Most of the food we eat is concocted in factories. These processed foods do not contain the level and diversity of the vitamins and minerals we get in natural foods. For example, the fruits and vegetables that primates eat in the wild are loaded with micronutrients, giving these primates a diet far richer in many essential vitamins and minerals than the diets consumed by any humans in the modern world.

Clearly these primates are eating the right kind of low-fat diet and NOT monkeying with dangerous high-protein diets. For more on this topic, be sure to check out Standard American Low-Fat—JUNK—Diet.

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Diabetes Study Derailed Due to Deaths

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Dr. Fuhrman’s got a question for you, “How can diabetics safely lower the high glucose levels that are slowly destroying their bodies?” Oh, that’s simple you—wait, lets explore this—what about gastric surgery? It was recently reported to be a good idea. From The New York Times:

Weight-loss surgery works much better than standard medical therapy as a treatment for Type 2 diabetes in obese people, the first study to compare the two approaches has found.


The study, of 60 patients, showed that 73 percent of those who had surgery had complete remissions of diabetes, meaning all signs of the disease went away. By contrast, the remission rate was only 13 percent in those given conventional treatment, which included intensive counseling on diet and exercise for weight loss, and, when needed, diabetes medicines like insulin, metformin and other drugs.


In the study, the surgery worked better because patients who had it lost much more weight than the medically treated group did — 20.7 percent versus 1.7 percent of their body weight, on average. Type 2 diabetes is usually brought on by obesity, and patients can often lessen the severity of the disease, or even get rid of it entirely, by losing about 10 percent of their body weight. Though many people can lose that much weight, few can keep it off without surgery.

Yeah, I don’t know about this. I mean, maybe it’s a good idea, if you consider serious complications a key component of success. Hopefully this chart will help you think twice before you run out and get your tummy sliced open. Take a look:


Okay, in our age of modern medicine, drugs, drugs, and more drugs must be the answer! Yeah, if you don’t mind THE DYING! Recently, a diabetes study had to be halted because aggressively driving blood sugar levels towards normal was found to increase the risk of death in some diabetics. The Washington Post reports:

The startling discovery, announced yesterday, prompted federal health officials to immediately halt one part of the large trial so thousands of the Type 2 diabetes patients in the study could switch to less-intensive treatment.


"As always, our primary concern is to protect the safety of our study volunteers," said Elizabeth G. Nabel, director of the National Heart, Lung and Blood Institute, which is sponsoring the study.

Although the reason for the increased risk remains a mystery, Nabel and other experts stressed that the benefits of blood sugar control have been well established for diabetics and said patients should not make any changes in their care without consulting their doctors.

But the findings cast doubt on a major hope about diabetes treatment -- that pushing levels below current targets would be beneficial -- and would force experts to rethink how to treat one of the nation's leading health problems.

"It's profoundly disappointing," said Richard Kahn, chief scientific and medical officer for the American Diabetes Association. "This presents a real dilemma to patients and their physicians. How intensive should treatment be? We just don't know."

The findings are the second major blow to widespread assumptions about how to protect against heart disease -- the nation's leading killer. Another recent major study found that driving blood cholesterol levels as low as possible did not necessarily slow the progression of heart disease.

As you can imagine, Dr. Fuhrman was less than surprised by these results. Here’s what he had to say about it. Have a look:

It basically illustrates that giving diabetics more medication to better control their glucose numbers leads to more heart attacks; more medicine equals more heart attacks. Diabetes is a disease arising out of nutritional ignorance, obesity and lack of exercise and activity. The prescription must be nutritional excellence for an excellent outcome. Most diabetics who follow a nutrient-dense vegetable-based diet not only reduce their medication use, but they actually get rid of their diabetes and become non-diabetic.

So, back to Dr. Fuhrman’s original question, “How can diabetics safely lower the high glucose levels that are slowly destroying their bodies?” Well—as we just found out—nutritional excellence is a huge part of it. More form Dr. Fuhrman:

I have achieved marked success with diabetic patients and the success at becoming "non diabetic" or almost "non-diabetic" regularly occurs on the nutritarian program whether the patient follows a strict vegan diet or not. I describe the diet-style as a "vegetable-based" diet because the base of the pyramid is vegetables, not grains. Even though most animal products are excluded, it is not necessary to adopt a completely vegan diet to achieve the goals.


I offer patients the choice of adding two servings a week of low-fat fish, such as tilapia, flounder, sole, and scrod, as well as an egg-white omelet, once or twice each week. A few servings of very low-saturated-fat animal products each week can be interspersed with the vegan meals without diminishing the results achievable from the vegetable-based diet.

And lets not forget an obvious—but often overlooked—component of preventing and fighting diabetes is exercise. Let’s check back in with Dr. Fuhrman:

The most effective prescription for diabetes is exercise. An essential component of my prescription for diabetes is daily exercise; it is more important than daily medication. Two hundred calories a day of formal exercise on an incline treadmill and an elliptical machine are a great goal to shoot for. It is not an official recommendation of anyone except me.

Seriously, it’s a win-win situation for diabetics. You get to eat delicious food, stay active, lose weight, feel good, and, kick your diabetes in the butt. Can’t get much better than that!

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Expensively Sick

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Julie’s Health Club relays a list of America’s top ten medical costs. Scary stuff, my wallet hurts just looking at it. Check it out:

  1. Heart conditions ($76 billion)
  2. Trauma disorders ($72 billion)
  3. Cancer ($70 billion)
  4. Mental disorders, including depression ($56.0 billion)
  5. Asthma and chronic obstructive pulmonary disease ($54 billion)
  6. High blood pressure ($42 billion)
  7. Type 2 diabetes ($34 billion)
  8. Osteoarthritis and other joint diseases ($34 billion)
  9. Back problems ($32 billion)
  10. Normal childbirth* ($32 billion)

*Normal childbirth means without medical complications or surgical procedures. C-sections are not included in the normal childbirth category.

This list gets even more frightening when you consider the over-arching cost of obesity. Dr. Fuhrman offers up some facts and figures:

The number one health problem in the United States is obesity, and if the current trend continues, by the year 2230 all adults in the United States will be obese. The National Institutes of Health estimate that obesity is associated with a twofold increase in mortality, costing society more than $100 billion per year.1

Wows, it certainly pays to be healthy.

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Wednesday: Health Points

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A study published Monday hints that fitness buffs appear to have "younger" DNA than the chronically sedentary. The finding could help scientists understand the effects of exercise and aging at a molecular level.

Previous research has shown that being physically active reduces the risk of heart disease, cancer and other diseases, potentially extending longevity.

Previous research has shown that older people have shorter ends than younger folks. Indeed, biologists say they shrink every time a cell divides.

Some 84 million people risk dying from cancer over the next decade, the World Health Organisation (WHO) and the International Atomic Energy Agency (IAEA) said.


The IAEA, the UN atomic watchdog, is involved in the fight agaist the disease through its Programme of Action for Cancer Therapy (PACT) division, which shares the organisation's knowledge of radiotherapy techniques with other partners in the field.

PACT head Massud Samiei told journalists that "the cancer epidemic will gather pace in developing countries."

About two-thirds of the cases were children who took the medicines unsupervised. However, about one-quarter involved cases in which parents gave the proper dosage and an allergic reaction or some other problem developed, the study by the U.S. Centers for Disease Control and Prevention reported.


The study included both over-the-counter and prescription medicines. It comes less than two weeks after the U.S. Food and Drug Administration warned parents that over-the-counter cough and cold medicines are too dangerous for children younger than 2.

The key is for both spouses to be comfortable expressing anger, rather than one or both suppressing anger, University of Michigan researchers report.


"The key matter is, when the conflict happens, how do you resolve it?" asks Ernest Harburg, PhD, professor emeritus with the University of Michigan's School of Public Health and psychology department. "If you bury your anger, and you brood on it ... and you don't try to resolve the problem, then you're in trouble."

Harburg's team found a higher death rate among married couples in which both spouses suppress anger, compared with other married couples. Their findings appear in the Journal of Family Communication.

Studies in the past have demonstrated that cannabis can cause cancer, but few have established a strong link between cannabis use and the actual incidence of lung cancer.


In an article published in the European Respiratory Journal, the scientists said cannabis could be expected to harm the airways more than tobacco as its smoke contained twice the level of carcinogens, such as polyaromatic hydrocarbons, compared with tobacco cigarettes.

The method of smoking also increases the risk, since joints are typically smoked without a proper filter and almost to the very tip, which increases the amount of smoke inhaled. The cannabis smoker inhales more deeply and for longer, facilitating the deposition of carcinogens in the airways.

BREAKFAST CEREALS
Seventh-Day Adventists are credited with creating breakfast cereals. They founded the Battle Creek Sanitarium, where they manufactured and promoted wholesome cereals. Will Keith Kellogg was an Adventist who discovered corn flakes in 1894 when a pot of cooked wheat was overcooked and then dried. Each grain became a separate flake. He introduced Rice Krispies in 1929. The Battle Creek Toasted Corn Flake Company was founded in 1906.


THE DOUGHNUT
Originally introduced by the Dutch as sweet dough fried in pork fat (known as "oily cakes"), the doughnut has been around a very long time, although its popularity surged with the doughnuts served to solders in World War I. The term "doughnut" either comes from the small balls of dough that looked like nuts, or a recipe from a mid-19th century cook who added nuts to the center of her fried dough and therefore referred to them as dough "nuts." The legend goes on to say that her son, a sea captain, didn't like the nuts so he had them cut out, creating the famous doughnut shape that we know today. Doughnuts remained as snacks, not breakfast -- often served in theaters -- until the doughnut machine was invented in the 1930s. By the 1940s and 1950s, Krispy Kreme and Dunkin' Doughnuts had been introduced, and the pairing of coffee and doughnuts secured their place in the breakfast repertoire. By the 1950s, "drop" doughnuts became very popular and Orange Drop Doughnuts showed up in the Betty Crocker Cookbook. Since no rolling or cutting was required -- just drop spoonfuls of batter into hot oil -- this category of doughnuts caught on quickly.

The number of Americans being diagnosed with and also living with type 2 diabetes is soaring, presenting a major health and economic crisis for the United States, a new study reports.


"What's alarming is we have 47 million uninsured people, but these people [in the study, enrolled under Medicare] are all insured. So in this kind of insured program, we have so many people who are not adhering to the recommended care," said Frank Sloan, lead author of the study published in the Jan. 28 issue of the Archives of Internal Medicine.

Sloan is professor of health policy and management at Duke University Medical Center in Durham, N.C.

The ayurvedic menu at Ananda Spa has been designed to balance the three doshas: Vata, Pitta, and Kapha. The doshas are roughly similar to our ectomorph, mesomorph, and endomorph body types, but they’re even more detailed, taking into consideration the shape of the face, skin type, hair, eyes, and temperament. Everyone is a mix of the three, but one dosha is predominant. If the doshas are balanced, you’ll enjoy good health, if not, you’re basically screwed…


…Once you know which dosha you align with, your ayurvedic practitioner will help you get in harmony through your food choices. To balance a Vata dosha, for example, you’re apparently supposed to eat mostly warm foods, such as soups, stews, warm milk, warm cereals, and baked bread (cream and butter are on the list too). And Vatas are advised to avoid cold foods, such as salads, iced drinks, and raw vegetables and greens. Hmm … doesn’t sound ideal for someone who is lactose-intolerant and loves her veggies.

Friday: Health Points

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Uncontrolled diabetes wreaks havoc on the body, often leading to kidney failure, blindness and death. A new study shows that the nation's unchecked diabetes epidemic exacts a heavy financial toll as well: $174 billion a year.

That's about as much as the conflicts in Iraq, Afghanistan and the global war on terrorism combined. It's more than the $150 billion in damage caused by Hurricane Katrina.

The incidence of diabetes has ballooned — there are 1 million new cases a year — as more Americans become overweight or obese, according to the study, released Wednesday by the American Diabetes Association. The cost of diabetes — both in direct medical care and lost productivity — has swelled 32% since 2002, the report shows.

Diabetes killed more than 284,000 Americans last year, according to the diabetes association.

  • Much to my personal delight, Yoga is growing in popularity. Katie Zezima of The New York Times investigates a boot camp for Yoga teachers. Check it out:

In May 2006, Sue Jones started YogaHope, an organization that teaches yoga at eight Boston-area women’s homeless shelters, substance-abuse treatment programs and domestic-violence safe houses, as well as two programs in Seattle. The focus is on teaching restorative yoga, and though many teachers have completed at least 200 hours of training, it is not a requirement.


Driven by a sometimes missionary zeal and a sense that yoga has become an exclusive pursuit, a small but growing number of yoga practitioners are forming organizations that teach yoga in prisons and juvenile detention centers in Oakland, Calif.; Los Angeles, Seattle and Indianapolis. They are working with the addicted and the homeless in Portland, Ore., and with public-school students in New York City.

Though concern about the cost of yoga is an issue (studio classes can cost $20 for a drop-in session, though some offer free or low-cost classes taught by less experienced teachers), most of the practitioners are motived by a desire to introduce yoga to those who might need it most, but wouldn’t think to do it on their own.

Stop-and-go pushup
Assume a pushup position. Brace your core and lower your chest to the floor. When you’re halfway down, pause 2 seconds before continuing. Then, when your chest is 2 inches from the floor, pause again for 2 seconds before pushing halfway back up. Hold for 2 more seconds, then straighten your arms. Do eight reps.


Stop-and-go split squat
Stand with one foot 3 feet forward and hold a barbell across your shoulders. Rise on the ball of your back foot, then bend at the knees. When halfway down, pause for 2 seconds. Pause again when your back knee is just off the floor. Push halfway up, pause again, and return to the starting position. Do six reps with each leg.

The campaign, to be launched in the summer, will form part of a wider strategy including aspects like food labelling, urban design and the promotion of exercise.


Department of Health officials said it will use simple messages -- such as the "five pieces of fruit and veg a day" slogan -- and be based on research into what actually works to make people change from unhealthy lifestyles.

"Tackling obesity is the most significant public and personal health challenge facing our society," said Health Secretary Alan Johnson as he launched the 372 million pound cross-government strategy.

"A didgeri-what?" you ask. While aborigines in Australia have been playing this long wooden trumpet for centuries, it's just recently been redefined as a modern-day medical device. Researchers reporting in the British Medical Journal evaluated 25 people with sleep apnea--a breath-stealing condition caused by flabby throat muscles--and found that those who took 4 months of didgeridoo (DIH-jeh-ree-doo) lessons had about 31/2 times less daytime sleepiness than the folks who didn't blow their own horns. The newly minted musicians also snored significantly less. Credit this uncommon cure to vibrations that exercise tissue in the mouth and throat, says researcher Milo Puhan, Ph.D. "When these muscles are strengthened, the tongue has less tendency to obstruct the airway."


If huffing on a wooden tube to treat your sleep apnea sounds a tad too weird, then you probably aren't familiar with the alternatives. The most commonly prescribed option is continuous positive airway pressure (CPAP), which involves spending every night hooked up to a machine that pumps air down your throat to keep it from collapsing. The other approach is surgery, and that's only 30 to 60 percent effective. Now are you ready to toot the didgeridoo? You can pick up a beginner-friendly model for about $80 at L.A. Outback (laoutback.com). And don't worry; it's intuitive to learn, says co-owner Barry Martin. You purse your lips and blow into it with the beat.

  • Diet Blog hardly has a glowing endorsement for “Slim Coffee.” Jim Foster thinks it’s nothing but a big scam:

It must be so tempting for unscrupulous entrepreneurs:


Find an obscure weight loss product from somewhere overseas. Re-brand it. Hype it up. Create an infomercial. Make millions.

This time it's Slim Coffee. The claims are impressive: "Reduce appetite. Clinically tested. Lose 5 pounds per week". All from drinking coffee with a few supplements added (or so they say).

The makers of Slim Coffee have been pursued by the FTC - resulting in a $923,000 settlement.

Previous studies had suggested that people living in polluted areas are more at risk of heart disease. For example, a study published in The New England Journal of Medicine last year showed that women in 36 American cities were more likely to develop heart disease if the air they breathed was rich in particles measuring 2.5 micrometres or less in diameter - known as PM2.5s - which are present in car exhaust fumes.


It now seems that a greater hazard may be posed by so-called "ultrafine" particles, about a dozen times smaller at 0.18 micrometres wide. The latest study in mice has shown that they clog up arteries with fatty atherosclerotic deposits, and chemically alter "good" cholesterol, or high-density lipoprotein (HDL) cholesterol, reducing its beneficial effects.

How does yoga help a professional athlete's game?
Yoga improves balance in the body and works the smaller muscles that normally wouldn't get worked. It also improves range of motion, whether that means swinging a golf club, throwing a baseball or shooting a basketball. It builds stamina through breath control and teaches techniques for relaxing in tense moments. Most important, yoga gives you confidence that your body will do what you want it to do when you need it to.

Diabetes: Stomach Surgery a Good Idea?

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If you’re looking to regain your health and lose weight healthfully, popular stomach surgeries are not the answer. From Eat to Live, here’s what Dr. Fuhrman and the National Institutes of Health have to say about them. Take a