A survey of Australian adolescents finds those who are experiencing depressive symptoms have double the risk of taking up vaping. “In the short term, nicotine may reduce feelings of anxiety and stress, and young people may be reaching for vapes as a coping mechanism,” said study co-author Emily Stockings. “Regardless of whether mental ill health influences smoking or vice-versa, it is clear that if we are to prevent vaping onset, we need to address mental health at the same time,” said Stockings, who is an associate professor of medicine at the University of Sydney’s Matilda Center. Her team published its findings Sept. 2 in the Australian & New Zealand Journal of Psychiatry. The study tracked the mental health and vaping rates of more than 5,000 Year 7 and 8 students (about 12-13 years of age) from 40 schools in New South Wales, Queensland and Western Australia. About 8.3% said they’d used e-cigarettes. Compared to kids with low stress levels, those who said they had moderate levels of stress were 74% more likely to have taken up vaping, and those who said they had high stress levels were 64% more likely to vape, the study found. Vaping was 105% more likely among adolescents who rated their well-being as low versus though who said it was high. There was no link between anxiety levels and adolescent vaping,…  read on >  read on >

A new, tougher rule on the sale of tobacco products will require retailers to check the IDs of any buyers under the age of 30, the U.S. Food and Drug Administration announced Thursday. The final rule, which will go into effect Sept. 30, also restricts tobacco vending machine sales to spaces that are limited to people aged 21 and older. “Today’s rule is another key step towards protecting our nation’s youth from the health risks of tobacco products,” Dr. Brian King, head of the FDA’s Center for Tobacco Products, said in an agency news release on the rule. “Decades of science has shown that keeping tobacco products away from youth is critical to reducing the number of people who ultimately become addicted to these products and suffer from tobacco-related disease and death.” Importantly, the new restrictions also apply to e-cigarettes, which are popular among young smokers. Although the number of children using e-cigarettes has started to decline over the past five years, 1 out of 10 high schoolers still say they vaped in the previous 30 days. For middle schoolers, that number was 1 in 22, according to the U.S. Centers for Disease Control and Prevention. Studies also show that 9 out of 10 adults who smoke daily reported having their first cigarette by age 18, CNN reported. The federal age limit for tobacco purchases was 18 until…  read on >  read on >

Teaching schoolkids to practice mindfulness can boost their mental health — and, maybe, even their grades. That’s the takeaway from a new review of more than three dozen research studies on school-based mindfulness interventions, such as seated or slow-walking meditation.  In a nutshell, these programs teach kids to pay attention to the present moment and not to be judgmental about it.  “As mindfulness interventions become more widely used and extensively studied, they hold promise for fostering student well-being and mitigating the development of mental health conditions over time,” Tina Marshall and her colleagues at the Maryland research organization Westat wrote in the journal Psychiatry Online. Her team reviewed 41 studies published between 2008 and 2022 of school-based mindfulness interventions. All had at least two mindfulness components — for example, a combo of breathing awareness and awareness of body sensations. Of 24 interventions researchers identified, three had strong evidence of effectiveness: Learning to BREATHE  Mindfulness in School Project (MiSP) Mindfulness-based stress reduction (MBSR) All three included such components as awareness of breathing, bodily sensations, mental states and regulating one’s own emotions. Participants in these studies were middle and high school students. Three other interventions — Gaia Program, MindUP and a program that combined MBSR with mindfulness cognitive therapy — were also shown to be somewhat helpful in the elementary school children studied. These interventions generally promoted…  read on >  read on >

In some people, new-onset depression may stem from the same buildup of toxic plaques in the brain that have long been linked to Alzheimer’s disease, according to a new study. “Our findings provide additional support for depressive symptoms as an early feature of preclinical Alzheimer’s disease,” wrote a team led by Catherine Munro. She’s a neuropsychologist at Brigham and Women’s Hospital in Boston.  “It’s not that depression caused Alzheimer’s disease, it’s just that Alzheimer’s disease pathology affecting this part of the brain resulted in depressive symptoms relatively early on in the course,” explained another expert, Dr. Marc Gordon, who wasn’t involved in the study.   He’s chief of neurology at Northwell’s Zucker Hillside Hospital in Great Neck, N.Y. As the Boston researchers point out, “neuropsychiatric symptoms, particularly depression, are common in Alzheimer disease.”  But the exact links between depression and Alzheimer’s have been unclear. In the new study, Munro and colleagues tracked rates of depressive symptoms in 154 people enrolled in the ongoing Harvard Aging Brain Study.  All were mentally unimpaired as they joined the study, and data were collected between 2010 and 2022.  That data included the results of PET scans taken of each patient’s brain once every two to three years for an average of just under nine years.   Those scans looked for the accumulation of amyloid protein plaques within brain tissues…  read on >  read on >

Smokers who quit the habit soon after being diagnosed with heart disease saw their odds for heart attack or death drop by almost half over the next five years, a new report found. However, those who simply cut back on their smoking saw no risk reduction at all, the same study showed. “I like to tell my patients that it is never too soon or too late to stop smoking, though the sooner a patient stops, the better to lower cardiovascular risk. And it is not enough to reduce smoking,” said study lead author Dr. Jules Mesnier, of the Hospital Bichat-Claude Bernard in Paris.  His team presented its findings Thursday in London at the annual meeting of the European Society of Cardiology (ESC). Smoking has long been a big risk factor for heart trouble, and many heart patients may believe it’s too late to bother to quit. Not so, found the new study, which tracked the health outcomes of more than 32,000 people diagnosed with heart disease over five years. Close to 15,000 had smoked at some point in their lives and just over 4,000 were current smokers. About three-quarters of the former smokers who’d been smokers at the time their doctor told them they had heart disease made the decision to quit within a year of hearing that news. If they did so, their…  read on >  read on >

Almost half of American parents surveyed say they face “overwhelming” levels of stress on a daily basis, and in an advisory issued on Wednesday U.S. Surgeon General Dr. Vivek Murthy called parental stress an urgent public health issue. Murthy said he issued the advisory — meant to draw attention to a health issue of national importance — to “highlight the stressors that impact the mental health and well-being of parents and caregivers, the critical link between parental mental health and children’s long-term well-being, and the urgent need to better support parents, caregivers and families.” As outlined in the new report, data from 2023 show a third of parents saying they faced high levels of stress over the past month, compared to 20% of other adults. Nearly half (48%) of parents surveyed last year said that, “most days, their stress is completely overwhelming,” according to the new advisory. That’s compared to 26% of other adults expressing that same level of daily stress. According to the new advisory, some of the major stressors plaguing moms and dads include: Financial strain, economic instability and poverty  Time demands Children’s health  Children’s safety Parental isolation and loneliness Technology and social media Cultural pressures and children’s futures Murthy believes there’s a dangerous trickle-down effect of parental stress, because it can impact the mental health of their kids. In 2021, Murthy issued an…  read on >  read on >

Eli Lilly, maker of one of the blockbuster GLP-1 weight-loss drug Zepbound, says it will now offer the medication in single-dose vials at half the price currently available to consumers. The new 2.5 milligram (mg) and 5 mg weekly dose vials differ from the standard preloaded injector pens that are used to administer Zepbound (tirzepatide) and competitors such as Wegovy (semaglutide). Instead, patients will use a syringe to withdraw the liquid drug from the vial. A four-week supply of the 2.5 mg vials will be priced at $399, and a similar supply of the 5 mg vials at $529 — about half what a month’s supply of other GLP-1 obesity meds cost. There’s one catch: Consumers can only order the new vials by paying out of pocket via LillyDirect, a company platform that coordinates telehealth services and fills prescriptions for patients, the company said in a statement. Lilly said buying the vials direct from the company cuts cost by “removing third-party supply chain entities and allowing patients to access savings directly outside of insurance.” According to Lilly, the new, cheaper product fulfills two goals: Widening access to the sometimes tough-to-get meds, and thwarting what it says are potential unsafe copycat versions made by compounding pharmacies. “We are excited to share that the Zepbound single-dose vials are now here, further delivering on our promise to increase…  read on >  read on >

Good sleep is important for the health of overweight men and women, a new study shows. Heavy-set people who stay awake too late tend to have a higher risk of metabolic syndrome — a cluster of conditions that increase the risk of heart disease, diabetes, stroke and other chronic health problems. “Our research shows that disruptions in the body’s internal biological clock could contribute to negative health consequences for people who may already be vulnerable due to weight,” said lead investigator Brooke Shafer, a postdoctoral researcher with the Oregon Health & Science University’s (OHSU) Sleep, Chronobiology and Health Laboratory. What’s more, poor sleep produces different health risks between men and women, results show. For the study, researchers recruited 30 people with a BMI greater than 25, which put them into an overweight or obese category. The research team used saliva samples to figure out the time in the evening when each person’s body started producing the hormone melatonin, which kicks off the process of falling asleep. The participants then logged their sleep habits over the following seven days. Researchers used the sleep diaries to determine who had a narrow versus wide window between melatonin onset and sleep. A narrow window means that someone falls asleep shortly after melatonin onset, and a wide window means the opposite. A narrow window suggests the person is staying awake…  read on >  read on >

Your heart health before and after a heart attack might be influenced by how loud your neighborhood is, new research suggests. One study found that people under 50 were more prone to heart attack if they lived in a noisy area, while another study showed the prognosis for heart attack survivors was worse if neighborhood noise was an issue. “These data provide some of the first insights that noise exposure can affect prognosis,” said Marianne Zeller from the University of Burgundy and Hospital of Dijon, in France. She’s the lead author of the second study. Both studies were presented Tuesday in London as part of the European Society of Cardiology (ESC) annual meeting. Construction, cars honking, crowd noise: It can all be a chronic source of stress for urban dwellers, and stress is a known heart risk factor. To determine the impact of a noisy neighborhood on cardiovascular health, doctors in Bremen, Germany, assessed the neighborhood noise levels of 430 people aged 50 or younger who were brought to a hospital for a heart attack (clinically known as a myocardial infarction). People with low levels of heart risk factors — issues such as diabetes or smoking — were more likely to be admitted to the hospital with a heart attack if they happened to live in a noisy neighborhood, said a team led by Hatim…  read on >  read on >

New Medicare rules could make 3.6 million Americans — or even more — eligible for treatment with the pricey weight-loss drug Wegovy, a new study finds. Under the new rules, the government will pay for Wegovy treatment if a person with high BMI also has heart disease. Until now, federal regulations have restricted Medicare from covering drugs prescribed solely for weight loss, researchers noted. For this study, researchers analyzed data from people 65 and older who took part in a federal health and nutrition survey between 2011 and 2020. Maximum annual costs to Medicare could be as high as $34 billion if Wegovy is prescribed to all patients with high BMI and a history of heart attack, stroke, hardened arteries or chest pain, the data show. Wegovy has a list price of about $1,350 for a 28-day supply, according to GoodRx.com. But even if heart disease is more narrowly defined by federal regulators, covering Wegovy (semaglutide) looks to be a budget-buster for the Medicare program, researchers said. Under a narrow definition of heart disease, “only 1 in 7 Medicare beneficiaries with elevated BMI are likely to be eligible to receive semaglutide, but costs to Medicare could still exceed $10 billion per year,” said lead researcher Dr. Alexander Chaitoff with the Brigham and Women’s Hospital Center for Healthcare Delivery Sciences. The findings were published Aug. 26…  read on >  read on >