If your child is among the youngest in their school grade, it’s more likely they’ll be mistakenly identified by teachers as having ADHD or autism, a new study confirms. “Adults involved in identifying or raising concerns over a child’s behavior — such as parents and teachers — may be inadvertently misattributing relative immaturity as symptoms of ADHD,” explained senior study author Kapil Sayal, a professor of child and adolescent psychiatry at the University of Nottingham, in England. “The child’s age in relation to their classmates [their ‘relative’ age] needs to considered when making this kind of diagnosis,” he said in a university news release. It’s a phenomenon that’s been picked up on in prior studies. This time, Sayal’s team conducted what’s known as a “meta-analysis,” combining the collected data on the issue from 32 studies conducted worldwide. They found that “children who are younger relative to their peers within the same school year are 38% more likely to receive an ADHD diagnosis and 28% more likely to be prescribed ADHD medications,” compared to older kids in the same class. When it came to autism spectrum disorders (ASDs), similar trends emerged. In two “high-quality” studies conducted in Taiwan, “children who were the youngest in their school year were more likely to be diagnosed with ASD than those who were the eldest,” Sayal and colleagues found. The…  read on >  read on >

New research shows that a set of healthy lifestyle habits can help preserve brain function in folks with mild cognitive impairment or early dementia. About 71% of patients who ate healthy, exercised regularly and engaged in stress management had their dementia symptoms either remain stable or improve without the use of any drugs, researchers reported June 7 in the journal Alzheimer’s Research and Therapy. By comparison, about 68% of patients in a control group without these lifestyle changes experienced a worsening of their symptoms, results show. Researchers also found that the more patients changed their lives in healthy ways and stuck to those changes, the greater the benefit for their brain power. This is the first time that lifestyle changes have been shown to have any impact on the progression of dementia and Alzheimer’s, researchers said. “I’m cautiously optimistic and very encouraged by these findings, which may empower many people with new hope and new choices,” said lead researcher Dr. Dean Ornish, founder and president of the nonprofit Preventive Medicine Research Institute. “We do not yet have a cure for Alzheimer’s, but as the scientific community continues to pursue all avenues to identify potential treatments, we are now able to offer an improved quality of life to many people suffering from this terrible disease,” Ornish added in an institute news release. One participant said it…  read on >  read on >

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 >

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 >

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 >

In new guidelines released Tuesday, U.S. health officials now recommend that certain people take the antibiotic doxycycline as a morning-after pill to lower the risk of some sexually transmitted diseases (STDs). The latest recommendations only apply to gay and bisexual men and transgender women who have had an STD in the past year and are at high risk of getting infected again. While past research has shown that doxycycline works for those populations, there’s not enough evidence to recommend the preventive treatment, known as doxy PEP, for all American adults, the U.S. Centers for Disease Control and Prevention noted. The new guidelines were published in the CDC publication Morbidity and Mortality Weekly Report. CDC officials stressed that better ways to slow the spread of STDs are needed. “No vaccines and few chemoprophylaxis options exist for the prevention of bacterial sexually transmitted infections… [specifically syphilis, chlamydia, and gonorrhea]. These infections have increased in the United States and disproportionately affect gay, bisexual and other men who have sex with men [MSM] and transgender women,” wrote researchers led by Laura Bachmann, chief medical officer of the CDC’s Division of STD Prevention. “In three large randomized controlled trials, 200 [milligrams] mg of doxycycline taken within 72 hours after sex has been shown to reduce syphilis and chlamydia infections by >70% and gonococcal infections by approximately 50%,” they added. When…  read on >  read on >