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Two-thirds of women in their child-bearing years have an increased risk for birth defects due to a lifestyle factor they can change, a new study says. These risk factors — low levels of vitamin B9 (folate), unmanaged diabetes or exposure to tobacco smoke — increase the odds of a serious birth defect in any child they might have, researchers said. Heart defects, cleft palates and defects of the brain and spinal cord are among the problems that could be headed off if women took steps to improve their health prior to pregnancy, researchers reported today in the American Journal of Preventive Medicine. “Every growing family hopes for a healthy pregnancy and healthy baby,” said lead researcher Arick Wang, a senior health scientist at the National Center on Birth Defects and Developmental Disabilities. “Understanding modifiable risk factors for birth defects helps families, health care providers, and public health professionals make data-informed decisions that can lead to healthier pregnancies and babies,” Wang added in a news release. For the new study, researchers analyzed data for nearly 5,400 women of reproductive age, gathered between 2007 and 2020 as part of the National Health and Nutrition Examination Survey. About 66% had at least one known risk factor for birth defects that could be addressed, results show. These include:  Low folate status: Roughly 4 out of 5 women got less…  read on >  read on >

Community health workers could help extend care to more minority children with ADHD, a new pilot study says. Parents of kids with ADHD said they were more likely to consider medications, therapy and school services to help their child, researchers report in the Journal of Attention Disorders. “We know from previous studies that compared to white youth, Black, Hispanic and Asian children with ADHD receive less treatment, including fewer visits with a health care provider and lower medication use,” said lead researcher Dr. Andrea Spencer, vice chair for research in psychiatry and behavioral health at Ann & Robert H. Lurie Children’s Hospital of Chicago. “We are excited to make a tangible difference for children and their families by using a community-based approach to ADHD that has proved to be so successful for other pediatric conditions, like asthma,” Spencer added in a news release. This is the first study to test ADHD care delivered by community health workers — non-clinical recruits with deep knowledge of and connections to their community, Spencer said. ADHD affects as many as 8% of children, and can be treated using a combination of drugs, behavior therapy and school accommodations, researchers said in background notes. However, many kids don’t have access to ADHD care, due to racial, ethnic and socioeconomic inequities, researchers said. For this study, researchers asked trained community health workers…  read on >  read on >

Community health workers could help extend care to more minority children with ADHD, a new pilot study says. Parents of kids with ADHD said they were more likely to consider medications, therapy and school services to help their child, researchers report in the Journal of Attention Disorders. “We know from previous studies that compared to white youth, Black, Hispanic and Asian children with ADHD receive less treatment, including fewer visits with a health care provider and lower medication use,” said lead researcher Dr. Andrea Spencer, vice chair for research in psychiatry and behavioral health at Ann & Robert H. Lurie Children’s Hospital of Chicago. “We are excited to make a tangible difference for children and their families by using a community-based approach to ADHD that has proved to be so successful for other pediatric conditions, like asthma,” Spencer added in a news release. This is the first study to test ADHD care delivered by community health workers — non-clinical recruits with deep knowledge of and connections to their community, Spencer said. ADHD affects as many as 8% of children, and can be treated using a combination of drugs, behavior therapy and school accommodations, researchers said in background notes. However, many kids don’t have access to ADHD care, due to racial, ethnic and socioeconomic inequities, researchers said. For this study, researchers asked trained community health workers…  read on >  read on >

“Phantom limb” pain has been a curious aftereffect of amputation, with people experiencing false sensations from a hand, arm or leg that is no longer there. Researchers now think they know why phantom limb sensations occur. It turns out that the brain maintains a “map” of the body that remains unchanged even after a limb has been amputated, researchers report in the journal Nature Neuroscience. This not only explains a well-documented phenomenon, but offers a new solution when it comes to artificial limbs, researchers say. Using this brain map, it might be more straightforward than previously thought to control a robotic replacement limb with the mind, researchers said. “Now that we’ve shown these maps are stable, brain-computer interface technologies can operate under the assumption that the body map remains consistent over time,” lead researcher Hunter Schone, a postdoctoral associate with the University of Pittsburgh, said in a news release. “This allows us to move into the next frontier: accessing finer details of the hand map — like distinguishing the tip of the finger from the base — and restoring the rich, qualitative aspects of sensation, such as texture, shape and temperature,” he continued. “This study is a powerful reminder that even after limb loss, the brain holds onto the body, waiting for us to reconnect.” For this study, researchers worked with three people who needed…  read on >  read on >

“Phantom limb” pain has been a curious aftereffect of amputation, with people experiencing false sensations from a hand, arm or leg that is no longer there. Researchers now think they know why phantom limb sensations occur. It turns out that the brain maintains a “map” of the body that remains unchanged even after a limb has been amputated, researchers report in the journal Nature Neuroscience. This not only explains a well-documented phenomenon, but offers a new solution when it comes to artificial limbs, researchers say. Using this brain map, it might be more straightforward than previously thought to control a robotic replacement limb with the mind, researchers said. “Now that we’ve shown these maps are stable, brain-computer interface technologies can operate under the assumption that the body map remains consistent over time,” lead researcher Hunter Schone, a postdoctoral associate with the University of Pittsburgh, said in a news release. “This allows us to move into the next frontier: accessing finer details of the hand map — like distinguishing the tip of the finger from the base — and restoring the rich, qualitative aspects of sensation, such as texture, shape and temperature,” he continued. “This study is a powerful reminder that even after limb loss, the brain holds onto the body, waiting for us to reconnect.” For this study, researchers worked with three people who needed…  read on >  read on >

Hidden fat deposits packed around abdominal organs like the stomach, intestines and liver could be increasing people’s risk of heart disease, a new study says. Excessive amounts of this hidden fat — also called visceral fat — is tied to faster aging of the heart, researchers report in the European Heart Journal. This fat can’t be seen from the outside, and some people can have large amounts of visceral fat even if they have a healthy weight, researchers noted. “Our research shows that ‘bad’ fat, hidden deep around the organs, accelerates aging of the heart,” senior researcher Dr. Declan O’Regan, a professor at the MRC Laboratory of Medical Sciences at Imperial College London, said in a news release. “But some types of fat could protect against aging — specifically fat around the hips and thighs in women,” he added. For the study, researchers analyzed data from more than 21,000 participants in the UK Biobank, a large-scale health research project taking place in the United Kingdom. MRI scans were used to detect fat deposits in participants’ bodies, and to examine their heart and blood vessels. Each person was given a “heart age” — the apparent age of their heart and circulatory system given signs of wear and tear. Results showed that faster heart aging was linked to having more visceral fat deep inside the organs.  “While…  read on >  read on >

Hidden fat deposits packed around abdominal organs like the stomach, intestines and liver could be increasing people’s risk of heart disease, a new study says. Excessive amounts of this hidden fat — also called visceral fat — is tied to faster aging of the heart, researchers report in the European Heart Journal. This fat can’t be seen from the outside, and some people can have large amounts of visceral fat even if they have a healthy weight, researchers noted. “Our research shows that ‘bad’ fat, hidden deep around the organs, accelerates aging of the heart,” senior researcher Dr. Declan O’Regan, a professor at the MRC Laboratory of Medical Sciences at Imperial College London, said in a news release. “But some types of fat could protect against aging — specifically fat around the hips and thighs in women,” he added. For the study, researchers analyzed data from more than 21,000 participants in the UK Biobank, a large-scale health research project taking place in the United Kingdom. MRI scans were used to detect fat deposits in participants’ bodies, and to examine their heart and blood vessels. Each person was given a “heart age” — the apparent age of their heart and circulatory system given signs of wear and tear. Results showed that faster heart aging was linked to having more visceral fat deep inside the organs.  “While…  read on >  read on >

Pediatricians should screen children annually for mental or developmental issues, the American Academy of Pediatrics (AAP) recommends in a new clinical report. The recommendation comes in response to a mental, emotional and behavioral health crisis that’s been brewing among America’s youth, the AAP says. Up to 1 in 5 children in the U.S., including kids as young as 2, are living with a mental or behavioral health problem like depression, anxiety, ADHD or suicidal thoughts and feelings, according to the report published online today in the journal Pediatrics. And in 2020, suicide became the second-leading cause of death among kids aged 10 to 14 and the third-leading among 15- to 24-year-olds. AAP said the rate increased 41% between 2000 and 2017. The AAP argues that pediatricians are in the best position to spot early concerns and get children the help they need. “Just as a pediatrician checks every child’s physical health and development, they need to feel equipped to identify mental, emotional and behavioral health issues during routine exams,” lead guideline author Dr. Carol Weitzman, co-director of the Autism Spectrum Center at Boston Children’s Hospital, said in a news release. “The pediatrician also takes into context the family’s history and the community environment,” she added. “In fact, screening begins within the first month of life to identify postpartum depression in caregivers.” The new report provides…  read on >  read on >

Pediatricians should screen children annually for mental or developmental issues, the American Academy of Pediatrics (AAP) recommends in a new clinical report. The recommendation comes in response to a mental, emotional and behavioral health crisis that’s been brewing among America’s youth, the AAP says. Up to 1 in 5 children in the U.S., including kids as young as 2, are living with a mental or behavioral health problem like depression, anxiety, ADHD or suicidal thoughts and feelings, according to the report published online today in the journal Pediatrics. And in 2020, suicide became the second-leading cause of death among kids aged 10 to 14 and the third-leading among 15- to 24-year-olds. AAP said the rate increased 41% between 2000 and 2017. The AAP argues that pediatricians are in the best position to spot early concerns and get children the help they need. “Just as a pediatrician checks every child’s physical health and development, they need to feel equipped to identify mental, emotional and behavioral health issues during routine exams,” lead guideline author Dr. Carol Weitzman, co-director of the Autism Spectrum Center at Boston Children’s Hospital, said in a news release. “The pediatrician also takes into context the family’s history and the community environment,” she added. “In fact, screening begins within the first month of life to identify postpartum depression in caregivers.” The new report provides…  read on >  read on >