It’s smoking tobacco and drinking alcohol — and not taking illegal drugs — that pose the greatest risks to people’s health, a new international study contends. Researchers found that alcohol and tobacco use combined cost more than a quarter of a billion disability-adjusted life-years worldwide, while illegal drugs only accounted for tens of millions in comparison. Disability-adjusted life-years is a measurement of overall disease burden, expressed as the number of years lost due to ill health, disability or early death. Worldwide, more than one in seven adults smoke tobacco, and one in five reports at least one occasion of heavy drinking in the past month, the review of 2015 data found. Central, Eastern and Western Europe have the highest alcohol consumption per person, and the highest rates of heavy consumption among drinkers (50.5 percent, 48 percent, and just over 42 percent, respectively), according to the report. Those same areas also have the highest rates of tobacco smoking — Eastern Europe 24.2 percent, Central Europe 23.7 percent, and Western Europe almost 21 percent. Illicit drug use was far less common worldwide, with fewer than one in 20 people estimated to use marijuana in the past year, with much lower rates of use for amphetamines, opioids and cocaine, the researchers said. But the United States and Canada had among the highest rates of dependence on marijuana (749…  read on >

It’s no secret that money worries can lead to health issues, so reducing monthly bills is a great goal. But it’s also important to know that some so-called time-saving conveniences can actually cost you more. For instance, one study found that people who sign up for auto-pay for their electric bills used up to 7 percent more power than they used to. The reason: not seeing monthly statements can make you less in tune with your usage. You can still streamline monthly payments, however. For starters, sign up for one-click bill processing, which still requires you to look at the bill via text, e-mail or the company’s website. Review all monthly bills online if you’ve gone paperless. To save on utilities — including cellphone service — when “introductory rates” expire, call to ask for an extension or a better plan. For many families, food is a top expense. Boost nutrition and cut costs by shopping in season at farmers’ markets. At the grocery store, buy in season or shop the frozen-food aisle for out-of-season favorites. Keep in mind that the largest bags offer the best value. Shop ethnic markets for lower prices on spices and condiments. Buy foods by the bag, not by the piece. Buy grains and cereals in bulk and, for added nutrition, choose whole grains. Try supermarket store brands. Many chain stores…  read on >

Arlington, Va. is the “most fit city in America.” So says the American College of Sports Medicine. Among the nation’s 100 largest cities, Arlington had the lowest smoking rate and highest reports of very good or excellent health, the sports medicine group said. The city received an overall score of 77.7 on the college’s annual fitness index — just half a point ahead of Minneapolis and 3.7 points ahead of neighboring Washington, D.C. The fitness index analyzes 33 measures of health behaviors, chronic diseases and community infrastructure, such as walking and biking capability. Other cities in the top 10 include: Madison, Wis.; Portland, Ore.; Seattle; Denver; St. Paul, Minn.; San Jose, Calif.; and Boise, Idaho. The five lowest-ranked cities were: Oklahoma City; Indianapolis; Louisville, Ky.; Detroit; and Toledo, Ohio. “Obesity rates have climbed to 40 percent, and related medical costs are exceeding $147 billion yearly,” said Barbara Ainsworth, chair of the fitness index board. “Along with dietary changes, exercise is one of the best ways people can turn this around; unfortunately, only 22 percent of Americans are meeting national physical activity guidelines,” she said in a college news release. Overall, the index found that more than three-quarters of adults in all 100 cities were physically active in the previous month. But only about half met aerobic activity guidelines and just 22 percent met both strength…  read on >

Between juice bars and high-powered home juicing machines, drinking your fruits and veggies has certainly gone mainstream. Depending on the specific mixes you sip — a vegetable blend, for instance — juice can be a filling snack when you’re on the go. But is juicing a way to lose weight and boost health? Some juicing proponents claim that your body can better absorb nutrients in juice form. But there’s no scientific evidence of this — or that drinking only the juice of a fruit or vegetable is any healthier than eating the fruit or vegetable itself. Another claim is that juicing gives your system a break from digesting fiber. But the fact is that most Americans fail to get enough fiber in their daily diet. There’s also a lot of talk about juicing to get rid of toxins. But many health experts say the body removes toxins on its own. Juices may have some long-term health benefits — grapefruit, lemon, celery and red grape juices have all been the subject of research. But while experts agree that juices are a good way to get more fruits and vegetables into your diet, they shouldn’t be the only source of nutrients, as in a juice fast. No juice is a weight-loss miracle, and fruit juice in particular can cause spikes in blood sugar. Some fruit-based smoothies can…  read on >

Any approach that differs from conventional — or Western — medicine is typically considered complementary and alternative, or CAM. But these practices have become much more mainstream, leading to growth in the health care approach called integrative medicine, which draws on traditional and non-traditional systems tailored to each individual’s needs. The U.S. National Institutes of Health agency that reports on CAM therapies has even changed its name to the National Center for Complementary and Integrative Health, to better reflect this shift in philosophy. Getting familiar with integrative health will help you decide if it’s the approach you want. Integrative medicine focuses on your well-being and considers all aspects of your health: physical, emotional, mental, social, spiritual and environmental. It draws on whatever medical approaches — traditional or alternative — will serve you best. Integrative medicine centers are now part of many leading institutions across the United States, such as the University of Arizona, Duke, Scripps, Vanderbilt and the University of California, San Francisco. Board certification for practitioners from the American Board of Integrative Medicine was introduced in 2014. These advances have made it easier to find integrative doctors and medical centers. Key Tenets of Integrative Medicine: Creating a partnership between patient and practitioner. Using conventional and alternative methods as needed, and less-invasive yet effective interventions when possible. Focusing on prevention and promoting good health as…  read on >

Cannabidiol (CBD) oil has become the hot new product in states that have legalized medical marijuana. The non-intoxicating marijuana extract is being credited with helping treat a host of medical problems — everything from epileptic seizures to anxiety to inflammation to sleeplessness. But experts say the evidence is scant for most of these touted benefits. Worse, CBD is being produced without any regulation, resulting in products that vary widely in quality, said Marcel Bonn-Miller, an adjunct assistant professor of psychology in psychiatry at the University of Pennsylvania School of Medicine. “It really is the Wild West,” Bonn-Miller said. “Joe Bob who starts up a CBD company could say whatever the hell he wants on a label and sell it to people.” Cannabidiol is extracted from the flowers and buds of marijuana or hemp plants. It does not produce intoxication; marijuana’s “high” is caused by the chemical tetrahydrocannabinol (THC). CBD oil is legal in 30 states where medicinal and/or recreational marijuana is legal, according to Governing magazine. Seventeen additional states have CBD-specific laws on the books, according to Prevention magazine. Those are Alabama, Georgia, Indiana, Iowa, Kentucky, Mississippi, Missouri, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin and Wyoming. Strong Evidence for Treating Epilepsy Only one purported use for cannabidiol, to treat epilepsy, has significant scientific evidence supporting it. Last month, a…  read on >

Men looking for a wife might need to get a grip — a strong hand grip, that is. Researchers examined data from more than 5,000 adults in Norway to study the association between their marital status and grip strength. They were between ages 59 and 71. Although the study couldn’t prove cause and effect, it found that men with a stronger grip were more likely to be married than men with weaker grips. Grip strength was not associated with women’s chances of being married. “Our results hint that women may be favoring partners who signal strength and vigor when they marry,” said study researcher Vegard Skirbekk, a professor at Columbia University’s Aging Center and School of Public Health in New York City. As his team pointed out, prior research has linked grip strength with a person’s ability to cope independently and as a predictor of risk for heart disease and death. So Skirbekk theorized that “if longer-lived women marry healthier men, then both may avoid or defer the role of caregiver, while less healthy men remain unmarried and must look elsewhere for assistance.” “The fact that many men are alone with a weak grip — a double burden for these men who lack both strength and a lack of support that comes from being married — suggests that more attention needs to be given to…  read on >

The so-called “Paleo” diet, which cuts out a number of food groups to bring about weight loss, has been around for several years now and at first blush may sound like just another fad. But some recent scientific studies since the diet became popular have found that the regimen that makes up the diet’s requirements could have merit. A Paleo diet requires people to eat foods similar to those available to humans during the Paleolithic period, which dates from 10,000 to 2.5 million years ago, according to the Mayo Clinic. The diet typically includes foods that could be obtained by hunting and gathering — lean meats, fish, fruits, vegetables, nuts and seeds — and limits foods that became common with the advent of farming, such as dairy products, grains and legumes. This premise, however, is challenged by some experts who say that comparing modern conditions to those of our ancient ancestors is not realistic. Nevertheless, one possible benefit is that the Paleo diet can improve risk factors for metabolic syndrome, a condition that can lead to diabetes, heart disease and other chronic illnesses. One research review in the American Journal of Clinical Nutrition found that the Paleo diet did a better job of reducing waist circumference, blood pressure, cholesterol and fasting blood sugar than diets based on general health guidelines. Another study published in the…  read on >

With summer comes the stings of bees and wasps, but one expert has advice on how to keep the pain to a minimum. “The first thing to do is to get the stinger out quickly,” said Dr. Carrie Kovarik. She’s an associate professor of dermatology, dermatopathology and infectious diseases at the University of Pennsylvania. “The longer the stinger stays in the skin, the more venom it releases, adding to the person’s pain and swelling,” Kovarik explained in an American Academy of Dermatology news release. If the stinger is still in your skin, remove it by scraping over it with your fingernail or a piece of gauze. Never use your fingers to remove a stinger because squeezing it can release more venom into your skin, Kovarik said. Then wash the area of the sting with soap and water, and apply a cold pack to reduce swelling, she suggested. Taking over-the-counter painkillers — such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil) — can help relieve the pain. And over-the-counter antihistamines can ease itchiness. Seek emergency medical help if you have signs of an allergic reaction, such as: swelling in the face, neck or other parts of the body away from the sting site; difficulty breathing; nausea; hives; or dizziness, Kovarik said. People with a known allergy to insect stings should talk to their doctor about carrying an…  read on >

Finding the right work-life balance isn’t easy. For many people, 9 to 5 has stretched to 9 to 7 — or longer. And responsibilities can start much earlier in the day, especially for those with kids to corral in the morning. Burnout is nothing new — it was described back in the 1970s as a work-related state of distress, with symptoms like exhaustion and reduced productivity. Even more alarming, without intervention, it becomes chronic — a way of life. Though burnout stems from work-related pressures, it can affect relationships and every aspect of your life. In extreme cases, you might stop functioning well on any level. To get back in balance, take your needs off the back burner and take steps to care for yourself. If you’ve been neglecting good health habits — like eating well, exercising, and engaging with family and friends — start to carve out more personal time. If you make a plan with a loved one, you’ll both be more likely to keep the date. Re-evaluate your work situation. Resist the impulse to compete with colleagues by taking on more or bigger projects. If your managers expect you to live for work and be there around the clock, try to re-establish boundaries. Determine what’s an acceptable number of work hours to you and advocate for yourself with your boss. If you…  read on >