All Sauce from Weekly Gravy:

Vigorous exercise more than once a week can lower the risk of dementia for people with high blood pressure, a new clinical trial shows. People who engaged each week in vigorous physical activity had lower rates of mild cognitive impairment and dementia despite their high blood pressure, according to results published June 6 in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, Examples of vigorous activity include hiking uphill, running, fast bicycling, swimming laps, aerobic dancing, jumping rope and heavy yardwork, according to the American Heart Association. “We know that physical exercise offers many benefits, including lowering blood pressure, improving heart health and potentially delaying cognitive decline,” said lead researcher Dr. Richard Kazibwe, an assistant professor of internal medicine at Wake Forest University School of Medicine in Winston-Salem, N.C. This new study offers an idea of how much exercise is needed to reap these benefits, Kazibwe added. The clinical trial involved more than 9,300 participants with high blood pressure aged 50 and older, recruited from about 100 hospitals and clinics throughout the United States. Early results published in 2019 showed that tight control of blood pressure significantly reduced the risk of developing mild cognitive impairment, a precursor of early dementia, researchers said. For this new report, researchers analyzed the effect of exercise on brain health in these folks. Nearly 60% of study participants reported…  read on >  read on >

Severe forms of autism could be linked to overgrowth of the brain’s outer layer that starts while a baby is in the womb, a new study finds. Toddlers with autism have cerebral cortexes — often referred to as “gray matter” — that are roughly 40% larger than those of children without the developmental disorder, researchers reported recently in the journal Molecular Autism. Further, the larger a toddler’s gray matter size, the more severe their social and language symptoms were later in life. “The bigger the brain, the better isn’t necessarily true,” said researcher Alysson Muotri, director of the stem cell program at the University of California, San Diego. Results show that in “toddlers with profound autism, there are more cells and sometimes more neurons — and that’s not always for the best,” Muotri noted in a university news release. One continuing mystery of autism is why some children with the disorder experience profound symptoms like developmental delay, social struggles and an inability to speak, while others have milder symptoms that improve with time. For this study, researchers used blood stem cells from 10 toddlers ages 1 through 4 to create brain cortical organoids — 3D models of the children’s cortexes, created though laboratory cell cultures. The gray matter of the cortex lines the outside of the brain, researchers said. It holds tens of billions of…  read on >  read on >

One in six patients serviced by a major California health care system said they used marijuana regularly, with many citing health reasons for doing so, a new study finds. In most cases, doctors may not know that weed is part of a patient’s daily life. “Patients may not tell their primary care providers about their cannabis use, and their doctors may not ask about it,” said study author Dr. Lillian Gelberg, a professor of health policy and management at the University of California, Los Angeles (UCLA). “Not asking patients about their cannabis use results in a missed opportunity for opening up doctor-patient communication regarding use of cannabis generally and for management of their symptoms,” Gelberg added in a UCLA news release. Relaxed laws around marijuana have greatly boosted Americans’ access to the drug. In total, 38 states, three U.S. territories and the District of Columbia now allow cannabis for medical use, and 24 of these states also permit recreational use. At the same time, the potency of all this cannabis has greatly increased, the researchers noted. Numerous studies have linked cannabis overuse to conditions such as new-onset psychosis. Concerned, a leading independent advisory board known as the U.S. Preventive Services Task Force recommended in 2022 that physicians routinely screen patients for cannabis use. In the study, Gelberg’s team looked at the medical records of almost…  read on >  read on >

Common drugs used to control cholesterol, blood sugar and high blood pressure might also lower a person’s risk of stroke, a new study finds. The researchers evaluated the risk of brain aneurysms that cause bleeding strokes in patients. For the study, they looked at the medical records for nearly 4,900 patients who had a bleeding stroke, and compared them against nearly 44,000 people who never had a brain aneurysm. They identified four specific drugs that appeared to lower the risk of a brain aneurysm, after accounting for other risk factors: The high blood pressure drug lisinopril reduced risk by 37%. The cholesterol drug simvastatin decreased risk by 22%. The diabetes drug metformin lowered risk by 42%. The prostate drug tamsulosin reduced risk by 45%. “We urgently need new ways to prevent this type of stroke, which occurs at younger ages and with a higher death rate than other types of stroke,” said researcher Jos Peter Kanning, with the University Medical Center Utrecht in the Netherlands. “Our current surgical treatments for brain aneurysms have a risk of permanent disability and death that often outweighs the potential benefits, so preventing rupture with a noninvasive drug would be very beneficial,” Kanning added in a university news release. On the other hand, four drugs increased the risk of a bleeding stroke: the blood thinner warfarin, the antidepressant venlafaxine, the…  read on >  read on >

Despite recent concerns that taking Ozempic, Wegovy or other GLP-1 medications might be unsafe before a surgery, a new review has uncovered no such danger. The issue arose because weight-loss drugs slow gastric emptying. The thought was that food might linger in the stomach so patients might be at higher risk of aspirating food particles and choking while under anesthesia. But a new review of data from 15 randomized studies found only a minimal change in gastric emptying among GLP-1 users, not enough to pose any danger during surgery. “While GLP-1 medications affect gastrointestinal tract motility [movement], their quantified impact may not be as significant as previously assumed,” said study senior author Dr. Walter Chan. “It appears safe to continue these medications before a procedure requiring anesthesia or sedation, with minor precautions like abstaining from solid food for a day to minimize any potential risk of aspiration,” said Chan, who directs the Center of Gastrointestinal Motility at Brigham and Women’s Hospital in Boston. His team published its findings in the June issue of the American Journal of Gastroenterology. As the researchers explained, guidelines around GLP-1 use prior to a surgery are mixed. The American Society of Anesthesiologists recommends that patients stop taking GLP-1 medications for up to a week before elective surgeries and procedures.  On the other hand, the American Gastroenterological Association suggests proceeding with…  read on >  read on >

Teenagers who are part of close-knit neighborhoods and families are less likely to have sex at a young age, a new study has found. On the other hand, teens’ schools have less influence on their sexual behavior, researchers report. “Our results echo other studies’ findings on the importance of families and neighborhoods in protecting youth from risky behaviors, and show that feeling connected to one’s local community can mitigate sexual risky behaviors,” said lead researcher Dr. Camila Cribb Fabersunne, a pediatrician with the University of California, San Francisco (UCSF). Teens whose parents restricted their dating were 55% less likely to have sex by 10th grade, results showed. So were kids who spend less time alone when home (8% less likely), and who had tight-knit families (7% less likely). Teenagers from close-knit neighborhoods were 10% less likely to have sex by 10th grade, results show. However, no school factors were associated with delaying sex until later in high school, researchers found. Meanwhile, teens from disadvantaged neighborhoods with less education were about 24% more likely to have sex by 10th grade, researchers added. “Parents should not underestimate the impact they can have on their children,” said senior researcher Dr. Tracy Richmond, a professor of pediatrics at Harvard Medical School. “Simple parenting strategies like limiting dating can make a big difference on the timing of their child’s first sexual encounter, which…  read on >  read on >

One of the biggest obstacles to treating brain cancer is getting tumor-killing drugs past the blood-brain barrier that normally protects the brain from foreign invaders. Now, new research shows that ultrasound waves emitted from a device implanted in a cancer patient’s skull could be the key to getting chemotherapy and immunotherapy drugs into the brain. This ultrasound technology allowed doctors at Northwestern Medicine in Chicago to get a small dose of these drugs past the blood-brain barrier, according to a report published June 6 in the journal Nature Communications. What’s more, the treatment boosted the immune system’s recognition of brain cancer cells, the researchers added. “This is the first report in humans where an ultrasound device has been used to deliver drugs and antibodies to glioblastoma to change the immune system, so it can recognize and attack the brain cancer,” said researcher Dr. Adam Sonabend, an associate professor of neurological surgery at Northwestern University Feinberg School of Medicine. “This could be a major advance for the treatment of glioblastoma, which has been a frustratingly difficult cancer to treat, in part due to poor penetration of circulating drugs and antibodies into the brain,” Sonabend added in a Northwestern news release. The study involved four patients with advanced brain cancer. They had already been treated with chemotherapy and had taken part in an experimental clinical trial, but…  read on >  read on >

Drug-resistant fungal infections are appearing in the United States, resulting in highly contagious and tough-to-treat cases of ringworm, also known as jock itch or athlete’s foot, experts warn in a pair of reports. The two fungi reported are among a group that cause skin rashes of the face, limbs, groin and feet, researchers said. Unfortunately, the rashes can look very different from the neat, regular circles seen in most forms of ringworm, researchers said. They might be confused with eczema, and go for months without proper treatment. A man in his 30s developed such a rash on his penis, buttocks and limbs after returning home to New York City from a trip to England, Greece and California, according to a report published June 5 in the journal JAMA Dermatology. Genetic tests revealed the infection was caused by a sexually transmitted form of ringworm called Trichophyton mentagrophytes type VII. The man told doctors he’d had sex with multiple male partners during his travels, none of whom reported similar skin issues. “Healthcare providers should be aware that Trichophyton mentagrophytes type VII is the latest in a group of severe skin infections to have now reached the United States,” said lead author Dr. Avrom Caplan, an assistant professor of dermatology at NYU Grossman School of Medicine in New York City. Infections caused by that fungus are difficult to…  read on >  read on >

Doctors already warn folks off salt due to its heart risks, but new research suggests sodium isn’t helping your skin either. Researchers found that as daily salt intake rose, so did the odds for the skin disorder eczema, also known as atopic dermatitis. “Restriction of dietary sodium intake may be a cost-effective and low-risk intervention for atopic dermatitis,” concluded a team led by Dr. Katrina Abuabara, associate professor of dermatology at the University of California, San Francisco (UCSF). The data came from on an ongoing British research database called the UK Biobank, involving almost 216,000 people aged 37 and older at the time they were recruited into the study. As part of the Biobank effort, people were asked to provide a urine sample, which could then be used to gauge a person’s sodium intake. About 5% of the people in the Biobank had a diagnosis of eczema. The average person’s 24-hour “urine sodium excretion” was about 3 grams, but the study found that folks’ daily excretion of sodium went up by just 1 gram, their odds for a flare-up of their eczema rose by 22%. The effect seemed stronger among women than men. People whose urine sample suggested high salt intake faced an 11% higher odds of severe eczema, the researchers said. On the other hand, folks who stuck to health guidelines when it came…  read on >  read on >

A U.S. Food and Drug Administration advisory panel on Tuesday voted against recommending the psychedelic MDMA for the treatment of post-traumatic stress disorder (PTSD). In a 10-1 vote, the panel determined the evidence amassed so far fails to show the controversial drug’s benefits outweigh its risks, the Associated Press reported. During the meeting, panel members pointed to flawed study data and significant drug risks, including the potential for heart problems, injury and abuse. “It seems like there are so many problems with the data — each one alone might be OK, but when you pile them on top of each other … there’s just a lot of questions I would have about how effective the treatment is,” Dr. Melissa Decker Barone, a psychologist with the Department of Veterans Affairs, said during the meeting, the AP reported. The FDA is expected to make a final decision by August, but the panel’s vote could bolster the agency’s reasoning for rejecting the treatment, the AP reported. MDMA is the first in a series of psychedelics — including LSD and psilocybin — that are expected to come before the FDA for review in the next few years, the AP reported. But on Tuesday, the FDA advisers pointed to flawed studies that could have skewed the results on MDMA, missing follow-up data on patient outcomes and a lack of diversity among participants.…  read on >  read on >