Popular GLP-1 medications for weight loss and diabetes may have unexpected benefits for reducing risks for conditions such as substance abuse, psychosis, infections and even dementia.  But these drugs also come with risks that shouldn’t be overlooked, researchers warn in a study published Jan. 20 in the journal Nature Medicine. The study is among the first to take a comprehensive look at how these meds — Ozempic, Wegovy, Mounjaro and Zepbound — affect overall health. Researchers reviewed data from nearly 2 million people treated by the Veterans Health Administration, including more than 216,000 patients prescribed GLP-1 medications. The study found that people taking GLP-1 medications had a 24% lower risk of developing liver failure and a 22% reduced risk of cardiac arrest compared to those on other diabetes treatments. In all, researchers found that people taking GLP-1 medications had lower risks for 42 health outcomes, including liver failure, lung failure, cardiac arrest, aspiration pneumonia and shock.  These medications have also been associated with a potential impact on obesity rates, which declined in the U.S. for the first time in more than a decade in 2023, CNN reported. However, the drugs weren’t without drawbacks. People taking GLP-1 medications had higher risks for 19 health outcomes, mostly involving digestive issues such as heartburn, nausea, vomiting, stomach pain and gastroparesis (stomach paralysis). They were also more likely to…  read on >  read on >

Attention-deficit/hyperactivity disorder (ADHD) diagnoses have increased among adults in recent years, while remaining stable among teenagers. ADHD diagnoses among adults increased by 15% between 2020 and 2023, after declining by nearly 11% from 2016 to 2020, researchers reported in a new study published in the journal Psychiatric Research and Clinical Practice. At the same time, teen ADHD rates remained stable between 2018 and 2023, following a significant 26% decline between 2016 and 2018. These trends “are likely due to a complex interplay of various factors,” the research team led by Dr. Erick Messias, chair of psychiatry and behavioral neurosciences at St. Louis University School of Medicine, said. ADHD is more widely known and is less stigmatizing as a diagnosis, researchers said. There’s also increased access to health care services that could lead to diagnosis. “As knowledge about ADHD symptoms improves among healthcare providers, parents, and teachers, more cases may be identified and diagnosed,” researchers wrote. In addition, an expansion of diagnostic guidelines for ADHD might have contributed to the increase. For the study, researchers reviewed medical records for more than 144,000 patients with the Sisters of Saint Mary health care system, which has locations in Illinois, Missouri, Oklahoma and Wisconsin. The study represents one of the largest efforts to investigate new ADHD diagnoses among teens and adults before, during and after the COVID-19 pandemic, researchers…  read on >  read on >

Black people with obesity are less likely to get weight-loss surgery than others. Black people are just as likely to discuss the procedure with their doctor — nearly 10%, compared with 9% of patients of other races, researchers said. But only about 8% of those Black patients go on and actually get the surgery, compared with nearly 13% of other patients, researchers report in a study published Jan. 15 in the Annals of Surgery Open. These results show that doctors need to do more to promote weight-loss surgery as an option for all patients, regardless of race, researchers said. “As a clinician, I often see patients who could potentially benefit from metabolic and bariatric surgery (MBS) but who aren’t aware of this treatment option,” senior researcher Dr. Alexander Turchin, director of quality in diabetes at the Brigham and Women’s Hospital Division of Endocrinology, Diabetes and Hypertension, said in a news release. “Patients who discuss MBS are much more likely to undertake it and lose weight,” Turchin continued. “Our findings indicate that we need to improve these conversations and identify barriers to undergoing surgery once it has been discussed.” Obesity affects more than 40% of U.S. adults, including nearly 50% of Black Americans, researchers said in background notes. For the study, researchers used artificial intelligence to analyze records of more than 122,000 patients with obesity treated…  read on >  read on >

Hormone replacement therapy to ease menopause symptoms doesn’t increase a woman’s risk of brain tumors. Researchers found no link between hormone therapy and gliomas, the most common brain tumors in adults, according to results of a new study published recently in the journal Menopause. “Compared with nonusers, users of hormone therapy were not significantly associated with glioma risk,” a team led by senior researcher Dr. Hui Tang, a neurosurgeon with North Sichuan Medical College in Nanchong, China, wrote. No link was found even when researchers considered how long a woman had been taking hormone therapy, and whether she was currently using it. “Although there is a known sex difference in the incidence of gliomas, with women being six times more likely to develop the disease compared with men, there does not appear to be an association between glioma and hormone therapy use in postmenopausal women,” Dr. Stephanie Faubion, medical director for The Menopause Society, said in a news release. Hormone therapy is prescribed to treat common menopause symptoms like hot flashes, night sweats, mood swings and vaginal problems, researchers mentioned in background notes. The therapy had been widely used until 2002, when early clinical trial results showed an association between hormone therapy and increased risk of breast cancer, heart disease, stroke and blood clots. Since then, further study has shown that hormone therapy is indeed…  read on >  read on >

Menthol cigarettes are under fire in the United States for promoting smoking among Black Americans, with a number of cities and states banning the smokes. In response, the tobacco industry has come up with “menthol mimics” that imitate the cooling effect of menthol, and smokers are taking note of the innovation, a new study published Jan. 14 in JAMA Network Open says. A substantial portion of U.S. adults are “aware of and had already experimented with synthetic cooling agent menthol-mimicking cigarettes,” concluded a research team led by Kelvin Choi, a senior investigator with the National Institute on Minority Health and Health Disparities. “These products may serve as a substitute for menthol cigarettes and reduce the public health benefits of a menthol cigarette ban in promoting smoking cessation,” Choi said. Menthol masks the irritation and harshness of cigarette smoke, making it easier for smokers to pick up the habit, researchers said in background notes. This reduced irritation also allows for deeper inhalation, resulting in higher nicotine exposure, researchers added. The U.S. Food and Drug Administration has proposed a ban on menthol cigarettes, but that effort stalled under the Biden administration. Despite this, the states of Massachusetts and California and cities in Colorado, Illinois, Maine, Minnesota, Ohio and Oregon have pressed forward with their own bans on the products, researchers said. A recent evidence review found that…  read on >  read on >

Suffering from low back pain? Addressing your unhealthy lifestyle habits could help ease your pain better than traditional care, a new study says. Back pain sufferers who got lifestyle coaching functioned better and had improved quality of life compared to others who received standard care, researchers report in the study published Jan. 10 in the journal JAMA Network Open. “Resolving back pain needs to focus on more than the back,” senior investigator Chris Williams, a research fellow with the University of Sydney in Australia, said in a news release. “Our bodies are not like machines, we are more like ecosystems where lots of factors interact and determine how we work and feel,” Williams continued. “Back pain is no different.” For the study, nearly 350 people with low back pain were randomly assigned to receive either lifestyle coaching or standard care conducted under existing guidelines. Physical therapists, dietitians and telephone health coaches helped people assigned to the coaching group figure out which of their lifestyle habits might be making their back pain worse. These risk factors could include excess weight, lack of physical activity, bad diet, poor sleep, smoking or excessive alcohol use, researchers explained. For six months, the coaching group was provided support to help them address the factors potentially linked to their back pain. By the end of the study, people in the lifestyle…  read on >  read on >

Women past menopause can protect themselves from future fractures through infrequent, cheap IV infusions of a bone-strengthening drug. Women 50 to 60 who got two IV infusions of zoledronate (Reclast) within five years had a 44% lower risk of spinal fractures, compared to women who received a placebo, according to results published Jan. 15 in the New England Journal of Medicine. They also had a lower risk of major fractures related to osteoporosis and fragility fractures caused by little to no trauma, results show. “The results show that prevention of vertebral fractures in early postmenopausal women is possible with very infrequent infusions of zoledronate,” concluded the research team led by Dr. Mark Bolland, an associate professor of medicine with the University of Auckland in New Zealand. “The cost of the treatment, either to individual patients or to health systems, is likely to be low because the drug is generic and the frequency of administration low,” the team added. At menopause, women have a 50% lifetime risk of suffering from a fracture, particularly as their bones grow thin and frail through the aging process, researchers said in background notes. Zoledronate is used to treat or prevent osteoporosis caused by menopause, but it hadn’t been tested to see if early treatment could prevent bone loss in early postmenstrual women, even those with good bone density at the…  read on >  read on >

FRIDAY, Jan. 17, 2025 (HealthDay News) — Brain tissue samples are essential for scientific research, especially when it comes to brain disorders such as autism spectrum disorder. Not surprisingly, samples are hard to get. Despite the great need for brain tissue, donations remain rare and aren’t easily collected.  In an article published in Dec. 2024 in the journal Frontiers in Neurology, researchers describe the critical role that brain tissue plays in autism scientific research. The authors’ explain what many families of people with autism know. “The basis for an individual’s autism is not determined, the underlying biological mechanisms are poorly understood, and clinical care is often suboptimal,” they write. Experts rarely understand the exact factors that contribute to autism, and there is much to learn about causes, diagnosis and treatment. What’s more, autism symptoms vary greatly. Anxiety, sleep problems, epilepsy and gastrointestinal problems are some common co-occurring conditions. Noted in the study is Autism BrainNet, a program set up to educate autistic people and their families about the opportunity to donate brain tissue, the process, and the legacy for research created by individual donors.  Surprising facts about brain donation It’s a comforting process during a painful time for these families, according to David G. Amaral, Scientific Director of Autism BrainNet and Distinguished Professor at the UC Davis MIND Institute and Department of Psychiatry and Behavioral Sciences.…  read on >  read on >

Smokers are better able to quit if they’re offered financial incentives for their efforts. Overall, smokers had up to a 54% better chance at kicking the habit if their quit program offered them cash or vouchers as a reward, researchers found in a new evidence review published Jan. 13 in the Cochrane Database of Systematic Reviews. These incentives made even more of an impression on pregnant smokers, who were more than twice as likely to quit long-term if provided rewards, the review says. “Smoking is the leading preventable cause of ill health and early death worldwide, and quitting smoking is vitally important to help people live in good health for longer,” lead researcher Caitlin Notley, professor of addiction sciences at University of East Anglia’s Norwich Medical School, said in a news release. “We are now very confident that incentives help people, and pregnant people too, to quit smoking better than not offering incentives,” Notley added. Up to now, the evidence regarding financial incentives for quitting smoking hasn’t been solid, researchers noted. But an evaluation of 47 previous studies, including 14 newer papers, “found high-certainty evidence this time that indeed they help people who are pregnant quit smoking and stay quit,” senior researcher Jamie Hartmann-Boyce, assistant professor of health policy and promotion with the University of Massachusetts Amherst School of Public Health and Health Sciences, said…  read on >  read on >

The way obesity is diagnosed needs to become more sophisticated, an international commission has concluded. Using body-mass index (BMI) to tell who is overweight or obese is not reliable, and can result in misdiagnosis, the Commission on Clinical Obesity says in a new paper published today in The Lancet Diabetes & Endocrinology. “People with excess body fat do not always have a BMI that indicates they are living with obesity, meaning their health problems can go unnoticed,” commission member Dr. Robert Eckel, chair of atherosclerosis with the University of Colorado Anschutz Medical Campus said in a news release. “Additionally, some people have a high BMI and high body fat but maintain normal organ and body functions, with no signs or symptoms of ongoing illness,” Eckel added. Instead of BMI, the commission recommends that obesity be diagnosed through one of these methods: Using another measurement of body size (waist circumference, waist-to-hip ratio or waist-to-height ratio) along with BMI. Using two of those body size measurements without BMI. Making direct measurements of body fat using sophisticated scans. Assuming that people with very high BMI above 40 are clinically obese. “Relying on BMI alone to diagnose obesity is problematic as some people tend to store excess fat at the waist or in and around their organs, such as the liver, the heart or the muscles, and this is…  read on >  read on >