If you’ve ever experienced an immobilizing sense of panic when faced with a difficult or threatening situation, you’re not alone. It turns out that the well-documented fight-or-flight instinct for self-preservation isn’t a guaranteed reaction. Research published in the Proceedings of the National Academy of Sciences has found that stress can actually lower your ability to effectively assess new threats because it can distract you, leading you to pay less attention to what’s going on around you and impair your ability to react in your own best interests. Furthermore, a study in the Journal of Neuroscience found that stress can keep you from making positive changes in your life by holding you back, as though your feet were stuck in mud. It can color your thinking, making situations seem worse than they really are. So, for instance, just when you should be taking steps to get out of a difficult situation, you end up doing nothing. If stress has you paralyzed, it’s important to take steps to “un-freeze” your thinking. While relaxation techniques, like deep breathing, can help you refocus in moments of high stress, everyday actions can work together to lower daily low-grade stress levels. Specifically, find ways to exercise more — physical activity redirects your energy. To keep blood sugar on an even keel, limit your intake of sugary foods. If caffeine gives you…  read on >

Loneliness can take a heavy toll on heart patients — including a higher risk of death in the year after hospitalization, researchers found. “This study confirms what has also been indicated in previous research regarding the serious health consequences of loneliness,” said lead researcher Anne Vinggaard Christensen, of Copenhagen University Hospital in Denmark. “Loneliness should be considered a serious risk factor in patients with cardiac disease and should be included in risk evaluation of patients,” added Christensen, who is with the hospital’s heart center. The Danish researchers cautioned, however, that their findings can’t prove that loneliness caused people to die, only that loneliness and the risk of death appear to be connected. But the differences in mortality between those who felt lonely and those who didn’t can’t be explained by their medical condition alone, they said. Loneliness is a subjective experience, one that is distressing and unpleasant, the researchers noted. The connection between loneliness and health is complex, Christensen said. People who are lonely or socially isolated tend to have more unhealthy lifestyles. They smoke more, are less likely to be physically active and don’t take their medication, she said. “Having a social network helps motivate people to make healthier choices,” Christensen said. “A social network can act as a buffer for stress.” Also, lonely people have been found to have higher levels of stress…  read on >

Making the decision to live healthier often involves important steps such as losing weight and exercising more. These are significant goals and everyday lifestyle habits that you should commit to. But there’s another type of “makeover” that can benefit you in equally important ways. That’s changing your general outlook on life by boosting positivity. This mental tweak will put you in a better frame of mind to meet your physical goals. Here’s how to get started. Look for ways to find more meaning in your life. You might not be able to change your job, but you might be able to take on work challenges that give you a stronger sense of purpose. If personal and professional commitments have you running in a million directions with none of them emotionally rewarding, reassess your obligations and pare back where you can. Prioritize the tasks that give you a stronger sense of accomplishment. Next, identify what’s standing in the way of reaching your goals. It might not be complicated. Maybe you want to eat better and exercise more, but you don’t make the time to cook whole foods or go to the gym. Again, re-prioritize and take action to accomplish what’s important to you. Don’t use roadblocks as excuses to stay stuck. And because people love instant gratification, give yourself a boost by picking a change you…  read on >

Is emotional eating your downfall? One way to find out is with the EADES or “Eating and Appraisal Due to Emotions and Stress” questionnaire developed by Amy Ozier of Northern Illinois University. First published in 2007, it has been used and refined by many other researchers over the years, not just in the United States, but around the world. The questions aren’t complicated. They ask how well you cope with stress and other problems, whether you use food as a way to self-soothe in times of distress or even as a reward in times of happiness, and how much control you feel you have over your eating, all with the goal of pinpointing eating behaviors that typically lead to weight gain. Emotions That Can Prompt Eating Stress Sadness Fatigue Feeling down on yourself Anger Not feeling that you’re in control of your own life Some other risk factors for emotional eating are not having a support network of family and friends, and feeling incapable of handling problems on your own. Strongly agreeing with statements such as you overeat when stressed, you keep eating even after you feel full, and you reach for food when you’re tired, angry or sad, are signs that your eating habits are related to more than true hunger. Keeping a food journal that includes how you feel every time you eat…  read on >

Smoking is a notoriously tough habit to quit, but a new study suggests it is far harder for women to stop than it is for men. Why? The researchers point to a higher prevalence of anxiety and depression in women, which might interfere with even the best intentions to kick the habit. And one expert noted that prior evidence has shown that women’s brains react differently to nicotine. In the latest study, involving more than 200 patients at St. Michael’s Hospital in Toronto, the prevalence of anxiety or depression was 41% in women while it was only 21% in men. Depression and other mood disorders need to be addressed in women who smoke, especially those with heart disease and stroke, said senior study author Dr. Beth Abramson, an associate professor of medicine at the University of Toronto. “Smoking cessation is the most significant modifiable risk factor to prevent heart disease in women, but there is no one-size-fits-all,” Abramson noted. In the study, the average age of participants was 56, and almost one-third were women. Patients reported smoking an average of 18 cigarettes daily for 37 years. Two-thirds had lipid abnormalities such as dyslipidemia, in which blood levels of lipids (triglycerides and cholesterol) hit the roof. Nearly two-thirds had high blood pressure, close to half reported heart disease, and more than a quarter had depression or…  read on >

More than 300 million people worldwide — or 4% of the population — have a rare disease, a new study finds. A disease is considered rare when it affects fewer than five in 10,000 people, according to a European definition. Until now, it’s been difficult to gauge how widespread rare diseases are. But a team led by a French research institute has analyzed the scientific literature on thousands of rare diseases and created a database that makes it possible to estimate how many people worldwide have them. Of the more than 6,000 diseases in the database, 72% are genetic, and 70% start in childhood. In addition, 149 diseases are responsible for 80% of rare disease cases identified worldwide. Rare cancers, as well as rare diseases caused by infection or poisoning, weren’t included. “Although rare diseases are individual and specific, what they have in common is their rarity, and the consequences which result from that,” said project coordinator Ana Rath, a researcher at INSERM in Paris, where the database was developed. Because of a lack of research, health provider expertise and suitable treatments for rare diseases, these illnesses cause significant suffering to many patients and families worldwide, an INSERM news release noted. Understanding how many people have rare diseases is key to identifying priorities for health and research efforts, understanding the burden these diseases place on…  read on >

People struggling with anxiety, depression or other psychiatric problems shouldn’t pin their hopes on medical marijuana, a new review suggests. Dozens of studies involving more than 3,000 people did not provide compelling evidence that medical cannabis can help treat disorders of the mind, the review authors concluded. “Cannabinoids are often advocated as a treatment for various mental disorders,” said senior researcher Louisa Degenhardt, deputy director of the National Drug and Alcohol Research Center at the University of New South Wales in Sydney, Australia. “Clinicians and consumers need to be aware of the low quality and quantity of evidence for the effectiveness of medicinal cannabinoids in treating mental disorders and the potential risk of adverse events.” Medical pot might even make matters worse, the study authors said. Those adverse events can include worsening the occurrence of depression, anxiety and psychotic symptoms, the researchers found. But advocates for marijuana law reform say the real lesson to be drawn from the evidence review is that medical pot remains under-researched. “The absence of compelling evidence in favor of these cannabinoids appears to stem primarily from the absence of good research. Absence of evidence is not evidence of absence,” said Mitch Earleywine. He’s a professor of psychology at the University at Albany, State University of New York, and an advisory board member of NORML (the National Organization for the Reform…  read on >

(HealthDay News) — About 7 percent of Americans are affected by social anxiety disorder, a mental illness in which a person feels uncontrollable fear during social situations. These instances may range from answering a question in class to talking to a cashier at a grocery store. Often, people with social anxiety disorder are afraid of being humiliated, judged or rejected, says the National Institute of Mental Health. Though the cause of social anxiety is not known, underdeveloped social skills and genetics are thought to contribute. The agency recommends talking with a doctor if you have symptoms of social anxiety. After a diagnosis is made, psychotherapy, medication or both may be part of a treatment plan.

Weight-loss surgery should be more widely used to treat severely obese children and teens, a leading pediatricians’ group says. Severe obesity is a serious and worsening public health crisis among U.S. youngsters, and weight-loss surgery is one of the few effective ways of treating it, according to the American Academy of Pediatrics (AAP) in its new policy statement, published Oct. 27. “Children with severe obesity develop health problems earlier than those with lesser degrees of obesity, including diabetes, high blood pressure, fatty liver disease, and sleep apnea,” said policy statement lead author Dr. Sarah Armstrong, a member of the executive committee of the AAP Section on Obesity. “While lifestyle changes remain the mainstay of treatment, medical care is unlikely to significantly change the trajectory for most children with severe obesity,” she said in an academy news release. Current rates of severe obesity are 7.9% in children, 9.7% among 12- to 15-year-olds, and 14% among 16- to 19-year-olds, data from the National Health and Nutrition Examination Survey shows. Recent research suggests that weight-loss surgery is safe and effective in youngsters, but significantly underused, according to the AAP. “The last decade of evidence has shown surgery is safe and effective when performed in high-quality centers, with the primary care pediatrician and family in a shared decision-making process,” said Armstrong. “Unfortunately, we see significant disparities in which patients…  read on >

There are many unanswered questions about the long-term safety and impacts of artificial sweeteners in children, a new American Academy of Pediatrics (AAP) policy statement says. The AAP statement also recommends that the amount of artificial sweeteners should be listed on product labels to help parents and researchers better understand how much children are consuming, and the possible health effects. “Looking at the evidence, we found there’s still a lot to learn about the impact of nonnutritive sweeteners on children’s health,” statement lead author Dr. Carissa Baker-Smith said in an AAP news release. “We need more research into the use of nonnutritive sweeteners and the risk for obesity and type 2 diabetes, especially in children. Considering how many children are regularly consuming these products — which have become ubiquitous — we should have a better understanding of how they impact children’s long-term health,” Baker-Smith said. A group that represents the low-calorie beverage and food industry challenged the AAP’s policy statement. “The Calorie Control Council takes issue with these claims and maintains its longstanding position that, when consumed as part of a healthy and balanced diet, the consumption of [artificial sweeteners] may serve as a tool for managing overall caloric and sugar intake,” said Robert Rankin, president of the council. Artificial sweeteners have been used for more than 60 years. Six are approved as food additives…  read on >