All Sauce from Weekly Gravy:

A crowded house may not be the best for the mental health of a family’s kids, a new study has found. Teens from larger families tend to have poorer mental health than those with fewer siblings, according to a large-scale analysis of children in the United States and China. In the United States, children with no or one sibling had the best mental health, while in China well-being was best among only children, says the report published Jan. 9 in the Journal of Family Issues. Having older siblings and siblings closely spaced in age tended to have the worst impact on kids’ mental health, the U.S. data revealed. The strongest negative associations with mental health were observed among siblings born within a year of each other, results show. The results likely are best explained by “resource dilution,” said lead researcher Doug Downey, a professor of sociology at Ohio State University. “If you think of parental resources like a pie, one child means that they get all the pie — all the attention and resources of the parents,” Downey said in a university news release. “But when you add more siblings, each child gets fewer resources and attention from the parents, and that may have an impact on their mental health.” That explanation is given more weight by the fact that closely spaced siblings have the…  read on >  read on >

Snowstorms are blanketing the United States, prompting countless Americans to pick up snow shovels and clear walkways and driveways. Shoveling snow is more than a chore, however — it can be a health hazard. The exertion of shoveling snow increases a person’s risk of heart attack or sudden cardiac arrest, warns the American Heart Association. Snow shoveling has a prominent place among physical activities that place extra stress on the heart, especially for folks who aren’t used to regular exercise, the AHA says. “Shoveling a little snow off your sidewalk may not seem like hard work. However, the strain of heavy snow shoveling may be as or even more demanding on the heart than taking a treadmill stress test, according to research we’ve conducted,” said Barry Franklin, director of preventive cardiology and cardiac rehabilitation at Corewell Health East William Beaumont University Hospital, in Royal Oak, Mich. Shoveling snow is mostly arm work, which is more taxing and demanding on the heart than leg work, Franklin explained. In addition, people straining to lift a heavy shovelful of snow often unconsciously hold their breath, which causes a big increase in heart rate and blood pressure, he said. Since people mostly stand still as they shovel, their legs don’t move much as they work. This results in blood pooling in their legs and feet, denying the heart part…  read on >  read on >

Stress appears to increase a person’s chances of developing metabolic syndrome, a cluster of unhealthy factors that add up to an increased risk for serious problems, a new study finds. Inflammation driven by a person’s stress levels can make them more likely to develop metabolic syndrome, just as their lifestyle and genetics also contribute to the risk, researchers said. So, simple stress-reduction techniques might be a way to help improve people’s health as they enter middle age, the researchers concluded. “There are many variables that influence metabolic syndrome, some we can’t modify, but others that we can,” said senior study author Jasmeet Hayes, an assistant professor of psychology at Ohio State University. “Everybody experiences stress, and stress management is one modifiable factor that’s cost-effective as well as something people can do in their daily lives without having to get medical professionals involved,” Hayes added in a university news release. People with metabolic syndrome have at least three of five factors that increase the risk of chronic health problems like diabetes or heart disease. These factors are excess belly fat, high blood pressure, low HDL “good” cholesterol and high levels of either blood sugar or “bad” triglycerides, researchers said. For this study, researchers analyzed medical data from nearly 650 people taking part in a study of midlife health in the United States. The study gathered information…  read on >  read on >

In the middle of winter when sunshine can be hard to come by, it’s tough to get enough vitamin D, but one expert has some advice. “Vitamin D is well known to support bone health, but it also plays a role in the health of your heart as well as your GI tract. It is tougher to get it [in the winter] because a lot of the absorption and how the vitamin gets transformed to a usable substance in our bodies is from the sun,” explained Dr. Mike Ren, an assistant professor in Baylor College of Medicine’s Department of Family and Community Medicine. “You need the sun high in the sky, not when it’s rising or about to set, for your body to effectively absorb sunlight to absorb the vitamin D.” Although vitamin D is found naturally in fatty fishes and seafood, it is not typically found in other foods, so people often don’t get enough vitamin D from their diet, Ren said. So, most folks need to get outside in the sun, even when the temperatures plummet. “The typical adult needs 800 international units of vitamin D per day, which roughly translates to 15 to 30 minutes of good, direct sunlight,” Ren said in a Baylor news release. “There is no need to put on a bathing suit just to get sun. You can…  read on >  read on >

Drugs like Wegovy and Ozempic, which have become a wildly popular way to lose weight or battle diabetes, show no link to suicidal thoughts or actions, the U.S. Food and Drug Administration said Thursday. “Our preliminary evaluation has not found evidence that use of these medicines causes suicidal thoughts or actions,” an FDA review released Thursday stated. Still, the agency noted officials can’t rule out that “a small risk may exist,” and it will continue to look into similar reports involving this class of weight-loss drugs, known as GLP-1 medications. The FDA review comes on the heels of a study funded by the National Institutes of Health that showed people taking semaglutide, the active ingredient in both Ozempic and Wegovy, had a lower risk of suicidal thoughts than those taking other drugs to treat obesity and diabetes. In that study, researchers tracked over 240,000 obese people and more than 1.5 million people with type 2 diabetes. They looked at the risk of suicidal ideation within six months of starting the medicines, as well as at later times. At six months, it found that among people taking the drug for weight loss, semaglutide was linked to a 73% lower risk of first-time suicidal ideation and a 56% lower risk of recurrent suicidal ideation. The drugs that semaglutide was compared to included bupropion, naltrexone, orlistat, topiramate and phentermine.…  read on >  read on >

Imagine easing a fear of heights by getting over a phobia of spiders. That might sound odd, but it works, researchers report. Folks who use exposure therapy to overcome one phobia can find themselves less afraid of other things, according to the results of a study published recently in the journal Translational Psychiatry. It’s very often the case that people prone to phobias often develop more than one, said lead researcher Iris Kodzaga, a doctoral student with Ruhr University Bochum’s Department of Behavioral and Clinical Neuroscience. “Anxiety rarely comes alone,” Kodzaga said in a university news release. “Patients who suffer from one fear often subsequently develop another.” Exposure therapy has proven to be the most effective treatment against phobias, researchers said. By confronting a fear-inducing situation under the supervision of a therapist, patients learn to overcome their fear. However, it has been long assumed that a person with multiple fears would require multiple rounds of exposure therapy, with each round targeting a different phobia, Kodzaga noted. To challenge that assumption, researchers performed exposure therapy treating a fear of spiders on 50 people who also had a fear of heights. Prior to the therapy, participants answered questionnaires and performed tasks to quantify their phobias. For example, researchers noted how close the subjects dared approach a spider, and how far they could climb a high church tower.…  read on >  read on >

Women who’ve survived breast cancer may want to up their dietary intake of soy, nuts, beans and whole grains, a new analysis finds. A higher intake of soy compounds called isoflavones was especially tied to better odds that cancer would not return, according to researchers at Johns Hopkins University in Baltimore and elsewhere. The findings can’t yet determine the ideal dosages of isoflavones or other nutrients that appear to prevent recurrence, the authors said, so more research is needed in that area. The study also can’t determine “whether starting to consume them after diagnosis has the same effect as a lifelong dietary habit before diagnosis,” senior study author Dr. Channing Paller said in a Hopkins news release. That’s information that “patients are looking for,” he said. The review of data on nutrition and breast cancer recurrence was conducted by Paller’s group at Johns Hopkins Kimmel Cancer Center, along with researchers at other centers worldwide. Investigators looked at data from 22 major studies that focused on soybeans, lignans (compounds found in a variety of plants such as seeds and nuts), cruciferous vegetables (crunchy veggies like cabbage, broccoli and cauliflower), and green tea. They also looked at the effect of phytonutrients (compounds derived from plants) that are found in these foods. Paller and her colleagues discovered that a high intake of soy isoflavones was linked to a…  read on >  read on >

More than a few folks are considering a cosmetic skin procedure to enhance their looks heading into 2024. Botox, fillers and lasers are common means to sculpt a person’s appearance, but dermatologists recommend a comprehensive approach under the care of a qualified specialist. “There is no one-size-fits-all or ‘cookie cutter’ approach to combat the signs of aging because aging looks different on everyone,” said Dr. Laura Fine, a board-certified dermatologist in Chicago. “On the flipside, there is no one cosmetic treatment to address all of these changes.” Here is what the most common procedures can do: Botox (botulinum toxin) can diminish frown lines and crow’s feet around a person’s eyes, and is also a treatment for excessive sweating, Fine said. Most people see results within three to seven days, and results can last about three to four months. Fillers can restore lost fullness to the face, lips and hands, and can be used to lessen scars and erase fine lines. They provide immediate results but tend to be temporary, requiring repeated treatments. Lasers can treat a variety of unsightly stretch marks, scars, hair and age spots, Fine said. However, keep in mind lasers can’t fully remove stretch marks or scars, just make them less noticeable. “The best cosmetic outcomes are often achieved with a comprehensive approach, starting with skincare at home, combined with other in-office…  read on >  read on >

Amid an ongoing shortage of the first-line treatment for syphilis in the United States, the U.S. Food and Drug Administration will allow the importation of a different syphilis drug from a French drugmaker. In a letter from Laboratoires Delbert, the Paris-based company said it’s working with the FDA to temporarily import 3.5 million units of Extencilline, which is not approved in the United States. The move was approved by the FDA on Wednesday. Bicillin, a long-acting injectable form of penicillin made by Pfizer that is similar to Extencilline, has been in short supply in the United States since the middle of 2023. It is the recommended treatment for syphilis in adults and it’s the only recommended treatment for pregnant women to prevent syphilis passing from mother to newborn. The National Coalition of STD Directors applauded the FDA’s move. “The delays in treatment that women have faced because of the shortage has placed them and their families at grave risk during the nation’s syphilis crisis,” executive director David Harvey said in a statement. “Today, the administration took meaningful action on our ongoing ask they do anything and everything in their power to address the Bicillin L-A shortage and to provide communities with the resources they need to treat patients and solve this public health crisis.” “We hope this is the first step toward seeing a resolution to…  read on >  read on >

A spike in the use of ADHD medications during the pandemic likely prompted drug shortages that continue to frustrate patients and doctors today, a new study shows. New prescriptions for stimulants that treat the condition jumped for young adults and women in particular after the pandemic first struck in March 2020, according to a study published Jan. 10 in the journal JAMA Psychiatry. Meanwhile, prescriptions also soared for non-stimulant ADHD treatments for adults of all ages, found researchers led by Grace Chai. She’s at the Office of Surveillance and Epidemiology at the U.S. Food and Drug Administration’s Center for Drug Evaluation and Research. Why the surge? The mental and emotional strain of the pandemic, coupled with an increased use of telemedicine that made it easier for patients to get help, were big contributors, experts said. Las Vegas psychiatrist Dr. Ann Childress told the Associated Press that more adults started coming to her for help after COVID-19 started sweeping across the country and lockdowns were put in place. Working from home made it clear to some people how easily they get distracted: Childress says she diagnosed a lot of parents, especially moms, who saw it in their children and recognized it in themselves. On top of that, social media has made people more aware of adult ADHD. “People are more open to talking about mental health issues now,”…  read on >  read on >