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An artificial sweetener commonly used in processed foods could be increasing people’s risk of heart attack and stroke, a new study argues. Erythritol is a natural sugar alcohol found in many vegetables and fruit. Even the human body produces small amounts of erythritol. But higher levels of the sweetener added to processed foods might increase people’s risk of blood clots, researchers reported Feb. 27 in the journal Nature Medicine. People who had large amounts of erythritol in their blood were up to twice as likely to suffer a heart attack or stroke compared to those with the least amounts, the researchers found. “I think there’s plenty of data here to argue that we should be reading our labels and avoiding erythritol, particularly if you’re at risk for cardiovascular disease,” said senior researcher Dr. Stanley Hazen, chair of cardiovascular and metabolic sciences at the Cleveland Clinic’s Lerner Research Institute. But other experts expressed skepticism, saying more study is required before erythritol can be considered potentially harmful. “At this point, I think that using small amounts of this, whether it should be in some power bar that you eat or you use a granulated form to put it in your coffee or tea or to have occasionally on your oatmeal, I just don’t think it’s a worrisome thing at this point in time,” said Dr. Karen Aspry,…  read on >  read on >

Folks who have trouble falling or staying asleep may be more likely to have a heart attack. This is the main takeaway from new research linking insomnia to heart woes. Specifically, people with insomnia were 69% more likely to have a heart attack than folks without the sleep disorder. These rates were even higher among people with both diabetes and insomnia, the study showed. “Insomnia puts the body under stress which triggers [the stress hormone] cortisol release and can accelerate atherosclerosis,” said study author Yomna Dean, a medical student at Alexandria University in Alexandria, Egypt. Atherosclerosis refers to the buildup of plaque in and on the artery walls that can set the stage for a heart attack. The findings were published Feb. 25 in Clinical Cardiology and will be presented at a joint meeting of the American College of Cardiology and World Congress of Cardiology, in New Orleans, and online March 6. For the study, Dean and colleagues culled data from more than 1,200 studies that included close to 1.2 million adults. Of these, 13% (nearly 154,000) had insomnia. Most did not have a history of heart attack. After nine years of follow-up, about 2,400 people who had insomnia and almost 12,400 without insomnia had a heart attack. Folks who slept five or fewer hours a night had the greatest heart attack risk, the study…  read on >  read on >

When depression hits, everyday activities like working, socializing, sleeping and even eating can become a daunting challenge. George Mason University clinical psychologist James Maddux treats patients with clinical depression in his practice. He said, “The problems with both depression and anxiety are the result of what people think about. These thoughts lead to feelings that also affect behavior.” So how can you deal with the emotional, mental and physical impacts of depression? Maddux shares some scientifically backed self-care tips that you can use when you or a loved one begin experiencing a bout of depression. What is depression? The National Alliance on Mental Illness (NAMI) states that depression is a serious mental health disorder, and the leading cause of disability in the United States today. It affects about 21 million adults across the country. The causes of depression are diverse and can include: Relationship issues Drug and alcohol abuse Sudden life changes Certain medications Changes in the brain’s frontal lobe activity Pituitary gland and hypothalamus hormonal responses Medical conditions such as anxiety, attention-deficit/hyperactivity disorder (ADHD), hypothyroidism and chronic pain can also trigger depressive episodes. Depression symptoms Just like the causes of depression, the condition’s symptoms are wide-ranging and vary from person to person, according to NAMI. The signs of depression include: Changes in sleeping and eating patterns Feelings of hopelessness A lack of motivation and…  read on >  read on >

Many women experience blinding migraine headaches around their monthly period, and now researchers have a clue about why. Levels of the female hormone estrogen fluctuate during menstruation, which may lead to increases in calcitonin gene-related peptide (CGRP). This protein widens blood vessels in the brain, which is part of the cascade of events that cause migraines. “Women with migraine had higher CGRP levels in the blood and tear fluid during menstruation than women without migraine,” said study leader Dr. Bianca Raffaelli, a neurology resident at Charité–University Medicine Berlin in Germany. She is also a fellow with the Clinician Scientist Program jointly operated by Charité and the Berlin Institute of Health at Charité. More research is needed before drawing any firm conclusion about the role that CGRP plays in menstrual migraines, Raffaelli said. “Once the exact processes are understood, appropriate treatment strategies can be developed,” she said. “In recent years, new migraine drugs have been developed that target CGRP, [and] it would be exciting to investigate whether these drugs act differently depending on the hormonal state.” The good news for women with menstrual migraines is that symptoms improve during pregnancy, and their frequency tends to decline after menopause, Raffaelli said. For the study, the researchers measured CGRP levels in blood and tears of 180 women with a history of migraine, including those with a regular menstrual…  read on >  read on >

Certain gene mutations put women at high risk of breast cancer, and now an early study hints that obesity might make matters worse. The findings come from a study of breast tissue samples from women who carried particular mutations in genes called BRCA1 and BRCA2 — which convey much higher-than-normal risks of both breast and ovarian cancers. The researchers found that among women who were obese, healthy breast tissue showed more signs of DNA damage that can promote cancer. The findings, published Feb. 22 in the journal Science Translational Medicine, do not prove that obesity exacerbates the already high breast cancer risk in women who carry BRCA mutations. But they do raise that possibility, according to senior researcher Kristy Brown, an associate professor at Weill Cornell Medical College, in New York City. If so, that would mean that maintaining a healthy weight might mitigate some of the cancer risk that BRCA mutation carriers face. Brown’s team also found hints of another potential avenue: In lab experiments with carriers’ breast tissue samples, they found that exposing the tissue to the diabetes drug metformin reduced signs of DNA damage. “We definitely need more studies to see whether lifestyle interventions, or metformin, can lower the risk of cancer in these patients,” Brown said. BRCA gene mutations are not common: In the United States, about 1 in 500 women…  read on >  read on >

MONDAY, Feb. 27, 2023 (HealthDay News) – Federal officials plan to tighten access to drugs that have the potential for abuse by reinstating federal prescribing requirements that were loosened during the pandemic. The Biden administration will require that patients see a doctor in person, rather than through a telehealth appointment, to get a first prescription for opioid painkillers and the attention deficit hyperactivity (ADHD) drugs like Adderall and Ritalin. Prescription refills will still be allowed during telehealth appointments, however. The U.S. Drug Enforcement Administration also plans to tighten prescribing for less addictive drugs, such as codeine, Xanax, Ambien and buprenorphine. Those drugs will be allowed to be prescribed once via telehealth for a 30-day dose, but then patients will need to see a doctor in person to get a refill. Codeine is used to reduce pain and coughing. Xanax is an anxiety medication. Ambien is a sleep aid. Buprenorphine is used to treat opioid addiction. The DEA plans for this new rule to go into effect before May 11, when the COVID-19 public health emergency expires. “DEA is committed to ensuring that all Americans can access needed medications,” DEA Administrator Anne Milgram said in an agency news release announcing the changes. “DEA is committed to the expansion of telemedicine with guardrails that prevent the online overprescribing of controlled medications that can cause harm.” It will…  read on >  read on >

MONDAY, Feb. 27, 2023 (HealthDay News) – Children in Sweden’s capital can breathe a little easier. As Stockholm’s air has gotten cleaner, young people’s lungs have gotten stronger, new research shows. The findings could have implications for cities worldwide. While the adverse impact of air pollutants on kids’ lung health is well-documented, the impact of changes in air quality on lung development is less studied, researchers noted. Children’s lung health greatly affects their future risk of developing chronic lung diseases. “Fortunately, we’ve seen a decrease in air pollutants and therefore an increase in air quality in Stockholm over the past 20 years,” said co-author Dr. Erik Melén, a pediatrician and professor in the Department of Clinical Research and Education at the Karolinska Institute in Stockholm. “We therefore also wanted to examine if the lungs of children also improved during this period.” For the study, researchers used data from the BAMSE project, which is following about 4,000 individuals born between 1994 and 1996. Participants completed questionnaires at age 8, 16 and 24 and had lung function tests. Researchers also estimated concentrations of airborne pollutants, mostly from traffic, at sites where participants lived from birth until early adulthood. Air pollution was roughly 40% lower in Stockholm between 2016 and 2019 than it was between 2002 and 2004. At some locations, it decreased by 60%. Others have had…  read on >  read on >

Exposure to elevated levels of air pollutants is associated with bone damage in postmenopausal women, according to a new study that said the effects were most evident on the lumbar spine. High levels of niitrogen oxides in air nearly doubled the effects of normal aging on bone density in the spine, said researchers from Columbia University’s Mailman School of Public Health in New York City. This study was the first to explore the effects of air pollution mixtures on bone outcomes, researchers said. It also was the first to explore the connection between air pollution and bone mineral density in postmenopausal women. The researchers analyzed data from an ethnically diverse population of 161,000 postmenopausal women in a long-running U.S. women’s health study. To estimate levels of exposure to pollutants, including PM10 (small air pollution particles), nitrogen monoxide, nitrogen dioxide and sulfur dioxide, researchers used participants’ home addresses. Traffic exhaust and emissions from power plants are major producers of nitrogen oxides. Bone density was measured at enrollment in the study and after one, three and six years using dual-energy X-ray absorptiometry commonly known as a DEXA scan. The scans included whole-body, total hip, femoral neck and lumbar spine. Researchers said the magnitude of the effects of nitrogen oxides on lumbar spine density would amount to 1.22% annual losses. That’s nearly double the annual effect of age…  read on >  read on >

Not all milks are created equally when it comes to nutrients. Reading the label can clue you in to what you’re getting out of the beverage, whether it be plant-based or dairy, according to the U.S. Food and Drug Administration. Nutritional content can vary between different plant-based products, the FDA said in a recent news release. Many don’t have the same amount of calcium, vitamin D or other nutrients as dairy milk. The only plant-based beverage that contains a similar enough nutrient content that it can be included in the dairy group in the federal government’s Dietary Guidelines for Americans is fortified soy milk. “The nutrients you get from plant-based milk alternatives can depend on which plant source is used, the processing methods and added ingredients, so check the label carefully,” said Susan Mayne, director of the Center for Food Safety and Applied Nutrition at the FDA. “Has the product been fortified with nutrients such as calcium? How much added sugar is in the product? What is the protein content?” “The Nutrition Facts label on the packaging can help you compare the nutrient content of the various plant-based milk alternatives to milk,” Mayne said. “The label can help you choose the best products to meet your nutrient needs and those of your family.” Plant-based milks can be made from grains, such as oat, quinoa and…  read on >  read on >

Causes of different kinds of dementia vary, but about 40% are affected by risk factors a person can influence through lifestyle choices. Two University of Michigan neurologists offer 10 tips for modifying those risks. Keep blood pressure in check. Dr. Judith Heidebrink, a neurologist who is co-leader of the Michigan Alzheimer’s Disease Research Center’s Clinical Core, recommends aiming for a systolic blood pressure (the upper number) of 130 mm Hg or lower from around age 40. This helps reduce risk of cognitive impairment, dementia, heart attack and stroke. Guard your hearing. Wear ear protection around excessive noise to reduce the risk of hearing loss, center director Dr. Henry Paulson urged. Use hearing aids, if needed. A recent study found that older adults who got a hearing aid for their newly diagnosed hearing loss had a lower risk of dementia in the following three years, he pointed out. Support efforts to reduce air pollution. “There is growing evidence linking air pollution — such as the gases and small particles emitted by cars and factories — to cognitive decline and dementia,” Heidebrink said. “Encouragingly, sustained improvements in air quality appear to reduce the risk of dementia.” Prevent head injuries. Wear proper gear when playing contact sports, including a helmet while biking. Don’t forget to use a seat belt in cars. Head injury can disrupt normal brain function.…  read on >  read on >