All Sauce from Weekly Gravy:

Niacin is an essential B vitamin, but new research reveals that too much of it may harm your heart. Found in many foods that millions of Americans eat, excessive amounts of niacin can trigger inflammation and damage blood vessels, scientists report in the Feb. 19 issue of the journal Nature Medicine. “The average person should avoid niacin supplements now that we have reason to believe that taking too much niacin can potentially lead to an increased risk of developing cardiovascular disease,” senior study author Dr. Stanley Hazen, chair of cardiovascular and metabolic sciences at the Cleveland Clinic’s Lerner Research Institute, told NBC News. The recommended daily allowance of niacin for men is 16 milligrams per day, while it is 14 milligrams a day for women who are not pregnant, according to the Mayo Clinic. Ever since the 1940s, when grains and cereals began to be fortified with niacin, Americans have gotten plenty of the vitamin in their diet. The move to fortify those foods was prompted by evidence suggesting that very low levels of niacin could trigger the development of a potentially fatal condition called pellagra, said Hazen, who is also co-section head of preventive cardiology at the Heart, Vascular and Thoracic Institute. Ironically, niacin supplements were once prescribed by doctors to improve cholesterol levels. Dr. Amanda Doran, an assistant professor of medicine in the division of cardiovascular medicine…  read on >  read on >

Being an angry hard-charger won’t win you any points in the workplace, new research has found. Prior evidence had suggested that workers who express anger are judged to be competent and hold a higher status, the researchers noted. But the new studies refute those earlier findings, according to researchers from Hebrew University of Jerusalem and Princeton University. “We found that anger isn’t a catalyst for higher status in the workplace,” said researcher Roni Porat, a senior lecturer of political science and international relations at the Hebrew University. “Moreover, we found that anger is regarded more poorly than other emotional expressions like sadness,” Porat said in a university news release. “The only instance in which anger is considered as positive is when it is expressed in response to another person’s clear wrongdoing. These findings hold for both men and women expressing anger in the workplace.” Data from the study show that people assume that individuals expressing anger have higher status, researchers said. However, they do not reward anger with more status because they find that anger to be inappropriate, cold, an overreaction and counter-productive, results show. Researchers also found that people hold many negative attitudes toward expressions of anger in the workplace. Such expressions were cited as more harmful, foolish and worthless than other emotional reactions. Across four studies, researchers experimentally manipulated people’s expression of emotion…  read on >  read on >

Folks can lose weight even if they pack all their weekly exercise into one or two days, a new study finds. Guidelines recommend that people get at least 150 minutes a week of moderate physical activity or 75 minutes a week of vigorous exercise. “Weekend warriors” who condense all that exercise into one or two days each week can lose about the same amount of weight as people who perform shorter sessions across more days, researchers report Feb. 20 in the journal Obesity. That’s good news for people who find it hard to fit physical activity into their daily lives, researchers said. “The weekend warrior pattern is worth promoting in individuals who cannot meet the recommended frequency in current guidelines,” said study author Lihua Zhang, a health care researcher at Fuwai Hospital’s National Center for Cardiovascular Diseases in Beijing. Zhang noted that office employees, bus drivers and other workers who have to sit for most of the workday could benefit from such an approach to exercise. “Those people are struggling to catch up in their exercise plan in daily life to offset the hazard of a sedentary lifestyle but have less free time to get to the gym,” Zhang said in a journal news release. “Our study could offer them an alternative choice to keep fit.” For the study, researchers analyzed data on more than…  read on >  read on >

People treated at psychiatric hospitals are at highest risk of committing suicide immediately after their discharge if they suffer from depression, a new study reports. Patients hospitalized for depression are hundreds of times more likely to commit suicide within the first three days of discharge, compared to the suicide rate of the general population, results show. “Although we found a decreasing trend over time, the high-risk post-discharge period still requires intensified attention,” wrote the authors, who were led by Dr. Kari Aaltonen of the University of Helsinki in Finland. “Continuity of care and access to enhanced psychiatric outpatient care within days of discharge should be imperative.” More than half of all people who die by suicide are depressed, and about 40% had been recently hospitalized for psychiatric reasons, researchers said in an American Psychiatric Association news release. For the study, researchers analyzed health data on more than 91,000 Finnish people hospitalized for depression between 1996 and 2017. Each person was tracked for up to two years following their discharge. A total of 1,219 men and 757 women died by suicide during the study period, results show. Researchers found that within the first three days of discharge, the suicide rate was 6,063 per 100,000 person-years. Person-years take into account both the number of people in a study and the amount of time each person spends in…  read on >  read on >

Anorexia isn’t solely a disease that strikes women and girls, Canadian experts say, so they want to raise awareness that the illness can also be serious for boys and men. “Early identification and prompt treatment are essential,” wrote a team led by Dr. Basil Kadoura. He’s a specialist in adolescent health at British Columbia Children’s Hospital and University of British Columbia, in Vancouver. They published their article Feb. 20 in the Canadian Medical Association Journal. About 0.3% of males will receive a diagnosis of anorexia nervosa, with some types of boys and men at higher risk. These include gay, bisexual, trans, and queer people, Kadoura’s group said, as well as guys “involved in body- and strength-focused sports like cycling, running and wrestling.” Because of the ignorance and stigma surrounding eating disorders in men, too many who have anorexia are diagnosed very late, the experts added. There are questions that might point to anorexia in males: “Screening for muscle-enhancing goals and behaviors is important to assess for anorexia nervosa,” the team said in a journal news release. Other warning signs include diet changes, vomiting, over-exercising and supplement and anabolic steroid use. If anorexia progresses without diagnosis and treatment, the effects can be serious. They include unstable vital signs, slower than normal heart rate, electrolyte abnormalities and other conditions, the Canadian group said. For adolescents of either…  read on >  read on >

Immigration has become a contentious topic in America, but new research shows the heated debate on the issue may be stressing out Hispanics across the country, whether they are citizens or not. After analyzing data from 2011-2018, the researchers discovered that, over time, there has an increase in psychological distress among all Hispanics as U.S. immigration policies came under fire. For example, when President Barack Obama signed the Deferred Action for Childhood Arrivals (DACA) into law, that relieved distress for many naturalized citizens. But the Trump presidency had the opposite effect, triggering anxiety and depressive symptoms among Hispanic noncitizens, the researchers said. But apart from federal policies on immigration, even the continuing public debate on the issue has taken a toll. “How people are talking about immigration and how salient immigration and deportation are to day-to-day life is potentially equally as important to distress as these more dramatic changes and events, like the Trump election or DACA,” said study co-author Amy Johnson, an assistant professor of sociology and anthropology at Lehigh University in Pennsylvania. And those fears were felt whether a Hispanic person faced possible deportation or not: Using Google Trends, the researchers show that U.S.-born Hispanics experienced higher distress in periods where there were spikes in Google searches on topics related to deportation and immigration. The findings were published Feb. 19 in the Proceeding…  read on >  read on >

There’s good news for females who think that men shed pounds faster than women do: New research shows women get more health benefits from exercise than men, even if they put in less effort. When exercising regularly, women’s risk of an early death or fatal heart event drops more than that of men who work out, researchers found. Over two decades, physically active women were 24% less likely to die from any cause and 36% less likely to die from a heart attack, stroke or other heart event, compared to women who don’t exercise. By comparison, men who worked out regularly had a 15% lower risk of early death and a 14% reduced risk of a heart-related death compared to their couch-potato peers. “We hope this study will help everyone, especially women, understand they are poised to gain tremendous benefits from exercise,” said researcher Dr. Susan Cheng, chair of women’s cardiovascular health and population science in the Smidt Heart Institute at Cedars-Sinai in Los Angeles. “It is an incredibly powerful way to live healthier and longer,” Cheng added. “Women, on average, tend to exercise less than men, and hopefully these findings inspire more women to add extra movement to their lives.”     For the study, researchers analyzed data from more than 400,000 U.S. adults between the ages of 27 and 61. The data showed that all…  read on >  read on >

When settling into your senior years, you need to be especially careful when taking medicines, herbal remedies and supplements, the U.S. Food and Drug Administration says. That’s because older adults are likely to use more prescription and over-the-counter medications, which increases the risk of harmful side effects and drug interactions, the FDA said in a news release. In addition, physical changes associated with aging can affect the way your body handles medications, and even how different medicines work in your body. For example, the liver and kidneys might not work as well as they do for younger people, which can affect how a drug breaks down and leaves the body. Even medications that worked well for a person during their youth and middle age might need to be adjusted or changed later in life, the FDA says. Keeping all that in mind, the FDA has some important safety tips: Take medication as prescribed. The best medicine in the world won’t work unless taken correctly. Take prescriptions following the directions on the label and your doctor’s instructions. For example, medicines that treat chronic conditions like high blood pressure, high cholesterol and diabetes work only when taken regularly and as directed. Don’t skip doses or stop taking a prescribed drug without first consulting with your doctor. Not taking medicine as prescribed can lead to even worse illness,…  read on >  read on >

Increased access to prescription opioids has driven up U.S. suicide rates by making it easier to women to end their lives, a new study claims. The study also blames a shrinking federal safety net during tough economic times for rising suicide rates. “We contend that the U.S. federal government’s weak regulatory oversight of the pharmaceutical industry and tattered social safety nets have significantly shaped U.S. suicide risk,” said lead researcher Daniel Simon, a doctoral candidate in sociology and a research affiliate with the University of Colorado-Boulder’s Institute of Behavioral Science. U.S. suicide rates had been steadily declining until the late 1990s, when the numbers started ticking up, researchers said. They’ve risen steadily ever since. Analyzing nearly 600,000 suicide deaths in the United States between 1990 and 2017, researchers noted two spikes in the data that occurred in 1997 and 2007. Women’s suicide rates by poisoning – the leading method among females – had been declining about 3% a year during the late 1980s and early 1990s, researchers said. But in 1997, one year after approval of the long-acting opioid Oxycontin, women’s suicide rates by poisoning began increasing by about 2% a year. “In the late 1990s, the method women often consider using to attempt to end their life suddenly became much more potent and much more available,” Simon said in a university news release. Notably,…  read on >  read on >

A shift in parenting early in a child’s development might help curb the symptoms of attention-deficit hyperactivity disorder (ADHD), new research suggests. When a preschooler exhibits an “excitable or exuberant” temperament, dialing down a “controlling” style of parenting in favor of what’s known as “directive” parenting could mean milder ADHD symptoms as a child ages, Canadian researchers report. “More directive parenting, which is not controlling but guides the child with verbal and physical cues, can help develop the child’s self-regulatory skills and prevent their ADHD symptoms from increasing,” explained study co-author Dr. Heather Henderson, a professor of developmental psychology at the University of Waterloo, in Ontario. Psychologists have long understood that the interplay of a child’s temperament with their mom and dad’s parenting style can play a role in how ADHD unfolds. Both factors influence the executive function of the child’s brain, the researchers explained. One type of temperament — exuberant — has been tied to the onset of ADHD, the team added. Exuberance involves “high excitement, curiosity and positive responses to unfamiliar people and contexts,” Henderson explained in a university news release. While exuberance has some positive aspects, it is also linked to troubles with self-regulation of behaviors, as well as issues around working memory and flexible thinking. Combined with family factors, an exuberant temperament “might predispose some kids to develop ADHD symptoms,” Henderson…  read on >  read on >