All Sauce from Weekly Gravy:

The healthiest community in the United States is Douglas County in Colorado, according to the 2019 rankings just released by U.S. News & World Report. The others in the top five healthiest communities are Los Alamos County in New Mexico; the city of Falls Church and Loudoun County, both in Virginia; and Broomfield County in Colorado, according to the magazine. For the rankings in the second annual report, nearly 3,000 communities across the United States were evaluated on 81 health-related measures in 10 categories, including education, environment, population health and infrastructure. Douglas County, a suburb of Denver, was among the top in at least four of the 81 measures, including physical activity, educational attainment and median household income. Six other communities in Colorado were in the top 20: Broomfield County (ranked number 5), Chaffee County (11), Routt County (14), San Miguel County (17), Pitkin County (19) and Boulder County (20). In all seven Colorado counties, nearly all adults exercise and only about a quarter missed their annual wellness checkup. Across all of its counties, Colorado also has the highest average score in the country in the environment category, which includes measures of natural amenities and air and water quality. Iowa has the strongest presence in the rankings overall, with 62 counties among the top 500. Average community scores put Iowa among the top 10 states…  read on >

(HealthDay News) — Biking is a great way to stay in shape, save gas and reduce pollution. But the estimated 80 million cyclists sharing the road with vehicles often face a host of hazards, says the National Safety Council. To stay safe, the NSC recommends: Become familiar with traffic laws. Ride single-file in the direction of traffic. Use hand signals when turning. Never hitch onto cars. Wear bright clothing. Equip your bike with reflectors.

People transitioning female to male face issues around future fertility. But new research suggests children in the future are a real possibility for these transgender men. Now, research shows that transgender men can remain fertile after even one year of testosterone treatment. It’s common for transgender men — those who were born female but who identify as male — to undergo testosterone therapy as a gender-affirming treatment. But some may later want children through their own pregnancy or via surrogate, the Israeli researchers explained. “Because the long-term effects of testosterone therapy on fertility are unknown, the current recommendation is to stop testosterone at least three months before fertility treatments,” said lead investigator Dr. Yona Greenman. She heads the Transgender Health Center at Tel Aviv-Sourasky Medical Center. The study included 52 transgender men, aged 17 to 40, who received testosterone therapy over 12 months. They had the expected increase in testosterone blood levels and decrease in estrogen, but their levels of anti-Mullerian hormone (AMH) remained in the normal range for fertility. AMH levels are used to appraise remaining eggs in the ovaries. Average levels in study participants decreased only slightly, suggesting their ovarian function was well-preserved, according to Greenman. Participants also showed no changes in the thickness of their uterine lining. A thick lining is crucial for embryo implantation and a successful pregnancy. The findings are…  read on >

For people who carry too much weight and suffer from migraines, dropping some pounds might help ease their pain, new research shows. “When people lose weight, the number of days per month with migraine decreases, as does pain severity and headache attack duration,” said lead researcher Dr. Claudio Pagano. He is associate professor of internal medicine at the University of Padova in Italy. Pagano’s team looked at data from 10 different studies that included 473 migraine patients in total. The analysis showed that weight loss was associated with large declines in migraine frequency, duration, pain and disability. The benefits were similar whether reductions in weight were achieved through weight-loss surgery or changes in diet and exercise, and were similar in kids and adults. How overweight you were to begin with didn’t seem to matter, however. Improvements in migraine were not tied to either the original level of obesity or the overall amount of weight loss, Pagano’s group reported. The findings were to be presented Saturday at the Endocrine Society’s annual meeting, in New Orleans. The bottom line is that “if you suffer from migraine headaches and are obese, losing weight will ameliorate the quality of your family and social life, as well as your work and school productivity. Your overall quality of life will greatly improve,” Pagano said. “Weight loss in adults and children with…  read on >

Maybe you rush around with work and activities during the day, then settle in for a large, relaxing meal in the evening. But new research says the later in the day you eat, the more weight you’re likely to pack on. That’s the takeaway from a week-long study involving 31 overweight and obese patients, mostly women. “We evaluated meal and sleep timing in patients with overweight/obesity at the beginning of a weight loss trial, before participants started the intervention,” said lead author Dr. Adnin Zaman, an endocrinology fellow at the University of Colorado School of Medicine. Her team found that “eating later into the day was associated with a higher body mass index (BMI) and greater body fat.” BMI is a measure of body fat based on height and weight. For the study, participants were enrolled in a weight-loss trial comparing daily calorie limits to time-restricted feeding. In other words, once the trial launched, they could only eat during certain hours of the day. Ninety percent of the participants were women. Their average age was 36. A week before the study, they were outfitted with electronic devices to monitor their activity and sleep. They also were asked to snap cellphone photos of everything they ate. The photos were time-stamped using an app called MealLogger. Zaman and colleagues did not define which hours would amount to…  read on >

Fathers-to-be who expose their pregnant partners to secondhand smoke put their babies at risk of heart defects, researchers warn. For the new study, investigators in China reviewed 125 studies that included a total of nearly 9 million prospective parents and more than 137,000 babies with congenital heart defects. All types of parental smoking were linked to an increased risk of these birth defects, the analysis found. Compared to no smoking exposure, the increased risk was 124 percent for women exposed to secondhand smoke while pregnant, 74 percent for men smoking, and 25 percent for women smoking. “Fathers are a large source of secondhand smoke for pregnant women, which appears to be even more harmful to unborn children than women smoking themselves,” said study author Jiabi Qin of Central South University in Changsha, China. “Fathers-to-be should quit smoking,” Qin said in a news release from the European Society of Cardiology. The overall risk with all types of parental smoking was greater when the analysis was restricted to Asian groups, the study authors noted. Women’s exposure to secondhand smoke was dangerous throughout pregnancy — and even before, according to the report. While those who smoked before getting pregnant had no added risk, those who smoked during pregnancy were more apt to give birth to a child with a heart defect. Specifically, smoking while pregnant was associated with…  read on >

When couples experience recurrent pregnancy loss, it’s natural for them to want to know why. Now, a new study suggests that sperm DNA damage could be a factor. Recurrent pregnancy loss is defined as the consecutive loss of three or more pregnancies before 20 weeks’ gestation. It affects up to 2 percent of couples and, in many cases, it is difficult to identify the cause. While women in these couples typically undergo tests to pinpoint a cause, the same is not true of men, according to the study authors. “However, we know that sperm play an important role in the formation of the placenta, which is critical for survival of an unborn baby,” said lead researcher Dr. Channa Jayasena. He is a clinical senior lecturer in endocrinology at Imperial College London, in the United Kingdom. In the new study, Jayasena’s team compared 50 men in couples that had not suffered miscarriages with 63 men in couples that had recurrent pregnancy loss. The men were checked for their levels of sex hormones, such as testosterone, and the number and behavior of their sperm. Their level of sperm DNA damage was also assessed, along with levels of a chemical called reactive oxygen species, which can damage sperm. Compared with the men in the miscarriage-free couples, men in couples with recurrent pregnancy loss had twice as much sperm…  read on >

More and more research supports the health benefits of the Mediterranean diet, the way of eating followed by people who live in countries around the Mediterranean Sea, such as Greece and Italy. Various studies have indicated that it may help ward off Alzheimer’s disease and other changes related to thinking and memory. It may also reduce your odds of getting type 2 diabetes. And eating this way when you’re younger can increase your chances of living past 70 without a chronic illness. While some studies have cast doubt on its seemingly infinite health benefits, more definitive evidence of its value was announced in December 2018 in a study done at Brigham and Women’s Hospital and Harvard Medical School. Researchers found that among women who most closely followed the diet, heart disease was cut by more than 25 percent. It’s also important not to lose sight of the big picture: Because it’s a diet that relies on fresh food rather than packaged or processed choices, it can be a healthful way for everyone to follow general nutrition guidelines for wellness. One aspect that people like about the Mediterranean diet is its flexibility — it’s more of a style of eating than a strict regimen. That means that, within the parameters of what’s acceptable, you have many choices and can build your own daily menus. The Core…  read on >

Fish is a delicious, lean protein with healthy fats, but many people are afraid to cook it and save it for when dining out. Whether you avoid cooking fish because you’re concerned about causing a fishy odor in your kitchen (which only happens when the fish isn’t fresh) or the calories of typical breaded and fried fillets, a nifty technique using parchment paper can solve both dilemmas. What’s more, cooking fish in parchment paper also makes for speedy clean-up. Of course, it’s important to start with fresh fish. A white fish like tilapia, readily available at most fish counters these days, should be odorless and have firm flesh that isn’t breaking apart or discolored. Make friends with your fish monger, whether at your supermarket’s seafood counter or a fish store. Regular shoppers tend to get the freshest catch. While you’re at the market, buy a roll of parchment paper. You’ll find it in the baking aisle or the foil and plastic wrap section. Once you have it in your kitchen, you’ll find many uses for it, such as lining baking sheets for roasting vegetables. Here’s how to use it for baking virtually any type of fish. Note: While this recipe is for small individual fillets, you can use a single, longer piece of parchment for larger fillets or even a whole fish. No-Muss, No-Fuss Baked…  read on >

More U.S. veterans are at increased risk for heart disease, a looming public health problem, researchers say. They analyzed data from more than 153,000 people who took part in the National Health Interview Survey, conducted by the U.S. Centers for Disease Control and Prevention, in 2012, 2013, 2014 and 2015. Vets between the ages of 35 and 70 reported significantly more heart conditions than non-veterans, the data showed. After age 70, non-veterans reported more, but the study’s author suspects that might be because fewer vets survived into old age due to heart disease. “I think it’s sort of the first indication of a coming public health crisis for veterans,” said study author Ramon Hinojosa, assistant professor of sociology at the University of Central Florida. “Because of the wars in Afghanistan and Iraq, we have a relatively large, new younger generation of veterans who are going to survive for 30 or 40 years after their war experience,” he said in a university news release. The study suggests that what’s known as the “healthy soldier effect” is no longer guaranteed. That’s the tendency for members of the military to be more fit and less overweight than same-age civilians. Hinojosa said the change could be due the nature of modern warfare, changes in diet, leisure and exercise, more obesity among younger vets, and higher rates of drinking, smoking…  read on >