WEDNESDAY, Jan. 25, 2023 (HealthDay News) – It’s well known that obesity fuels an increase in a person’s risk for other chronic health conditions. Now, a new study shows that weight-loss surgery could set that person’s health, and longevity, on a different path. Utah researchers who followed patients for up to 40 years after they had one of four types of weight-loss (bariatric) surgery found they had significant reductions in death rates from all causes compared to obese patients who did not have surgery. All-cause death for both men and women was 16% lower. For heart disease, it was 29% lower. For cancer, deaths dropped by 43%, and it was down a full 72% for diabetes. “The take-home message is that people are generally long-term going to have improved health in those areas,” said lead study author Ted Adams. He’s an adjunct professor in internal medicine and an adjunct associate professor in nutrition and integrative physiology at the University of Utah School of Medicine. Unfortunately, his team also unearthed some important negative outcomes. Death rates from chronic liver disease in patients who had bariatric surgery were 83% higher, when compared to patients who didn’t have the surgery. Patients who had the surgery also had a 2.4 times higher risk for suicide, though that effect was seen primarily in younger people, ages 18 to 34. Although… read on > read on >
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1 in 3 U.S. Public Health Workers Feels Threatened During Pandemic
One-third of public health workers have endured threats, anger and aggression from the public during the pandemic, and that has come at a steep cost to their mental health, a new study finds. “The negative effects of the COVID-19 pandemic on workers have been documented and the research on psychological impacts is building,” said lead study author Hope Tiesman. She is a research epidemiologist with the division of safety research at the U.S. National Institute for Occupational Safety and Health (NIOSH), in Morgantown, W.Va. “Public health workers do the important work of disseminating information and services to the public; making sure their health and well-being are addressed in the face of workplace violence is important for their mental health and for the health of the nation in future public health crises,” Tiesman added. For the study, more than 26,000 state, tribal, local and territorial public health workers responded to an online survey developed by a team of researchers from the U.S. Centers for Disease Control and Prevention, including Tiesman. The survey’s aim was also to understand the prevalence of nonphysical workplace violence on public health workers between March 2020 and April 2021. It included questions on demographics, level of workplace violence, other workplace factors, and mental health issues such as depression, anxiety, post-traumatic stress disorder (PTSD) and suicidal ideation. The survey found that nearly one… read on > read on >
Nearly 1 in 5 American Adults Takes Sleep Meds
Nearly 20% of American adults use a drug to help them sleep, either occasionally or regularly, health officials reported Wednesday. Sleep medications, sold both over-the-counter and by prescription, are a common treatment for sleep problems, said senior report author Lindsey Black, a health statistician at the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS). “Our report details patterns of use of medication to inform patterns of use among subgroups of the U.S. population,” Black said. “We do hope by dissemination of this report it can lay the groundwork for more work in this area and our understanding of sleep health among adults.” Using data from the 2020 National Health Interview Survey, Black and colleagues found that among adults ages 18 and older, 8.4% used medication to help them fall or stay asleep on most nights or every night. Another 10% said they used medication on some nights. Women were more likely than men to take medication for sleep and the percentage doing it generally increased with increasing age. Specifically, 10% of women used sleep medication, compared with 6.6% of men. White adults were more likely to use sleep medications, and Asian adults were least likely to do so. Also, the percentage of men who used medication for sleep dropped as family income increased, Black’s team found. The findings were published… read on > read on >
Is Your State Among the Worst for Tobacco Control?
When it comes to tobacco control, some states do a far better job than others of preventing and reducing smoking. A new report from the American Lung Association (ALA) notes that California, Maine, Massachusetts and Washington, D.C., are doing the best job of putting proven tobacco control policies in place. Conversely, those who have the most need to enact policies are Alabama, Mississippi, North Carolina and Texas. Policies vary widely from state to state. Some states still allow workplace smoking, including in restaurants and bars. Others have had smoke-free laws in place for decades. “The policies examined in our report have a direct impact on the health of state residents,” said Harold Wimmer, president and CEO of the American Lung Association. “Since no state received all ‘A’ grades, every state has the opportunity to improve their tobacco control policies and improve public health. This is also why federal tobacco control action is so important. Every person in America deserves the same protections.” The report grades states on the strength of their smoke-free workplace laws, ending the sale of all flavored tobacco products, funding for state tobacco prevention programs, the level of state tobacco taxes, and coverage and access to services to quit tobacco. Grades varied, with 23 states and Washington, D.C., getting A grades for strength of their smoke-free workplace laws and 45 states receiving… read on > read on >
FDA Wants to Lower Lead Levels in Baby Food
The U.S. Food and Drug Administration has proposed stricter limits on levels of lead in infant food products. The agency announced draft guidance for manufacturers that would lower allowable lead levels in processed foods meant for infants and children 2 years and younger. The change could reduce dietary exposure to lead, which can cause neurological and developmental harm, the FDA said. “For more than 30 years, the FDA has been working to reduce exposure to lead, and other environmental contaminants, from foods. This work has resulted in a dramatic decline in lead exposure from foods since the mid-1980s,” FDA Commissioner Dr. Robert Califf said in an agency news release. “The proposed action levels announced today, along with our continued work with our state and federal partners, and with industry and growers to identify mitigation strategies, will result in long-term, meaningful and sustainable reductions in the exposure to this contaminant from foods,” he added. The proposed limits could reduce lead exposure for babies who eat these foods by as much as 24% to 27%, Califf said. The move is part an ongoing push by the FDA to reduce exposure to lead, arsenic, cadmium and mercury to the lowest levels possible in foods eaten by babies and young children — a program it calls Closer to Zero. Tuesday’s proposal would apply to baby foods sold in jars,… read on > read on >
Chronic Pancreatitis: Surgery Can Help, But Healthy Lifestyle Is Key
Many people who have surgery for chronic pancreatitis continue to have health struggles in the years afterward — with some dying at a young age, a new study finds. The study, done at one U.S. medical center, is the largest to look at overall survival in the years after people have surgery for chronic pancreatitis — a condition in which the pancreas becomes permanently damaged by inflammation. And it found that while short-term survival was high, more than one-third of patients died within 10 years of surgery, often at a young age. Among patients who died, the median age at death was about 50. That means half were younger than that. Experts said the findings underscore how serious chronic pancreatitis can be, and how important it is for patients to have long-term care after surgery. “It can’t just be go to your primary care provider once a year,” said lead researcher Dr. Gregory Wilson, an assistant professor of surgery at the University of Cincinnati College of Medicine, in Ohio. Instead, he said, patients need continuing care for physical health conditions like diabetes, and in many cases, psychological counseling and care for addiction — whether to alcohol, smoking or the opioids many patients are prescribed to manage their pain. The pancreas is a vital organ that produces enzymes that aid digestion and hormones that regulate blood… read on > read on >
Laser Treatment Might Help Prevent Common Forms of Skin Cancer
A cosmetic laser treatment that promises to erase wrinkles, scars, age spots and sun damage may also prevent the return of some skin cancers, a new, small study suggests. Researchers found that in patients who had basal or squamous cell skin cancers, nonablative fractional laser treatment lowered the chances of the cancer recurrence by about half. “We actually don’t know why this procedure has this result,” said senior researcher Dr. Mathew Avram, director of the Dermatology Laser and Cosmetic Center at Massachusetts General Hospital in Boston. “We have to go to the lab and try to figure out why this is the case. There are theories about whether or not the treatment causes your immune function and skin to change, but we have no evidence of that,” he said. “Fractional lasers treat a fraction of the skin and leave the majority of the skin untreated,” Avram said. “But even though we’re only treating a part of the skin, the entire skin benefits from it.” Basal and squamous cell skin cancers are the most common type of skin cancer and are usually curable when caught early. For the study, Avram’s team reviewed the records of patients who had basal or squamous cell cancer. These patients typically have a 35% risk of developing new cancer within three years and a 50% risk of recurrence within five years.… read on > read on >
Even Light Exercise Can Help Arthritic Knees
Even short bouts of light exercise can help the millions of people with knee osteoarthritis reduce pain and improve their range of motion. Knee osteoarthritis, the wear-and-tear form of the disease, occurs when the cartilage between your bones breaks down, causing pain, stiffness and swelling. Researchers in a new study compared high-dose and low-dose exercise in 189 people with knee osteoarthritis. Everyone exercised three times a week for 12 weeks. Exercises included indoor cycling and various lower body exercises such as de-loaded squats and knee extensions. De-loaded exercises use bands or pulleys to take weight off the knee joint and minimize pain. Folks in the high-dose group performed 11 exercises in 60- to 90-minute sessions. Folks in the low-dose exercise group performed five exercises during 20- to 30-minute sessions. The result? Everyone showed improvements on a standard scale measuring knee osteoarthrosis pain and function at three, six and 12 months. People in the high-dose group did show greater improvements in knee function during sports and recreation at six months, suggesting that a high-dose program may be better for athletes and weekend warriors. The study, led by Wilhelmus Johannes Andreas Grooten, a physiotherapist at the Karolinska Institute in Stockholm, was published Jan. 24 online in the Annals of Internal Medicine. Outside experts are quick to point out that the best exercise plan for someone with knee… read on > read on >
Athletic Heart Syndrome: What It Is, Symptoms and Treatments
It’s no secret that athletic endurance and strength go hand-in-hand with a healthy heart. “Exercise strengthens the heart muscle, enabling it to pump a greater volume of blood with each heartbeat,” said Dr. Deepak Bhatt, editor of the Harvard Heart Letter, in a recent Q&A. The enlarged heart muscles that athletes may develop are also the hallmark of a condition known as athletic heart syndrome (AHS), often called “athlete’s heart,” according to the Cleveland Clinic. What is athletic heart syndrome? When a person does vigorous-intensity exercise for more than an hour a day on the majority of days, changes in the heart may occur, according to the Cleveland Clinic. One of the main changes is thickening of the left ventricle wall. Another marker of AHS is that the space in your left ventricle gets larger. A study of Olympic athletes published in Circulation: Cardiovascular Imaging revealed that AHS shows up differently in the hearts of women and men, although electrical and muscular size changes occurred in the hearts of both. Compared to men, women in the study had relatively larger increases in the size of their right and left ventricle cavities. The absolute dimensions of these cavities in women were smaller than those of men. An electrical measurement called T-wave inversion (which can indicate the presence of heart trauma or disease) was also more common… read on > read on >
‘Spare Tire’ in Middle Age Could Mean a Frail Old Age
Any ‘middle-age spread’ of excess weight around your tummy could raise your risk of becoming frail decades later, a new study suggests. Obese folks who’ve packed on pounds around their waist are more likely to develop symptoms of frailty, including exhaustion, weak grip strength, slow walking speed and reduced physical activity levels, researchers say. Those symptoms can make a person more likely to hurt themselves in a fall, suffer disability, require hospitalization, have a lower quality of life and die prematurely. Frailty affects as many as 17% of older adults, according to the American Academy of Family Physicians. The new study, published Jan. 23 in BMJ Open, tracked more than 4,500 people in Norway for an average 21 years, starting at an average age of 51. Measurements of body mass index (an estimate of body fat based on height and weight) and waist circumference were taken at the start. Waistlines were categorized as “normal” if they were 37 inches or less for men and 31 inches or less for women; “moderately high” as 37-40 inches for men and 32-35 inches for women, and “high” if above 40 inches for men and 35 inches for women. People who were obese at the outset were nearly 2.5 times more likely to be frail or on the edge of frailty by the study’s end, said lead researcher Shreeshti… read on > read on >