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Nov 25
Eat steamed broccoli to prevent cancer
Most people eat broccoli for its anti-cancer properties. But did you know that boiling or microwaving broccoli could render it useless?

According to a recent study, broccoli or cruciferous vegetables, if not prepared properly can alter their cancer fighting powers.

Broccoli is an excellent source of sulforaphane, a phytochemical (naturally occurring plant compound) that has been shown to have great cancer fighting properties.

The enzyme myrosinase in broccoli is needed for sulforaphane to form and boiling or microwaving the vegetable for one minute or less destroys a majority of the enzyme.

Boiling vegetables for long also leads to loss of water-soluble vitamins, such as vitamin C, folate and niacin that leach into the water.

The researchers found that the best way to retain the anti-cancer properties of broccoli is to steam it for up to five minutes.

Other than anti-cancer properties including broccoli in your diet can help prevent osteoarthritis, arterial inflammation, reduce levels of cholesterol and triglycerides and ease premenstrual tension.

Many studies have in the past shown how cooking habits greatly influence the nutrition value of food. So, opt for healthy cooking habits to stay healthy.

Nov 25
One in 5 women aged 40 suffer from accidental bowel leakage
A new research suggests that 15 million women aged 40 and older (1 in 5) suffer from accidental bowel leakage.

"Fecal incontinence is not a part of normal aging. It is a medical condition and there is treatment available," Dana Hayden, MD, colorectal surgeon at Loyola University Health System, said.

"People with this condition become inhibited, stop socializing and do not even complete everyday routines such as grocery shopping or going to church because they fear an accident," she said.

Loyola is one of the first medical institutions to offer a new outpatient procedure for fecal incontinence that often results in immediate improvement.

In the new procedure, a gel is given through four injections into the wall of the anal canal.

"The gel is a natural substance that helps bulk up the muscle area around the anus to prevent leakage," Hayden said.

"Treatment takes about 10 minutes to complete and patients are able to go home without any negative side effects other than mild soreness," she said.

The injections do not usually cause pain and anesthesia is not necessary.

There are many reasons for fecal incontinence, Hayden said.

"Poor diet, frequent diarrhea or constipation, weakening of anal sphincter muscles and damage to the rectum or surrounding nerves," she said.

"Women during childbirth often experience muscle or rectal wall damage, and it can also be caused by surgery or injury," she added.

Rather than relying on expensive and often faulty paper pads and sanitary products as a temporary fix, Dr. Hayden strongly encourages patients with fecal incontinence to talk with their physician.

Nov 23
Aussie researchers make leukaemia treatment breakthrough
Australian scientists say they have discovered a ground-breaking technique for treating aggressive forms of leukaemia.

The medical researchers at Melbourne-based Peter MacCallum Cancer Centre have found a double-barrelled approach which would hopefully lead to long-term survival of those suffering from the blood cancer, according to a media report.

A mutant enzyme called JAK2 drives and feeds a virulent form of the disease that has proved resistant to therapy.

"Not only do they grow very quickly and the tumours spread more rapidly but they're often refractory to standard chemotherapies up front," Ricky Johnstone of Peter MacCallum Centre said.

"These are things that are very difficult to treat because of how quickly they spread but, in addition, they cannot be treated by the common chemotherapy," he said.

However, the dual-pronged attack has already proved successful in completely curing this form of leukaemia in mice.

Johnstone said "If we think about a tumour cell as a tree and if we think about this JAK2 protein being the tree, what we want to do is target that tree at two points: we want to cut off the leaves with one drug and then we want to deplete the root system and, importantly, the tap-root at another level.

"We think that the best way to kill that tree and therefore the tumour cell would be this dual approach - remove the leaves, remove the roots and then completely diminish the survival and nourishment pathway for that tree and, therefore, kill the tumour cell."

Researchers hope the treatment will be available to patients within a year.

Nov 23
Chew more, eat less? It could work, study suggests
People who increased the number of times they chewed their food before swallowing ate less over the course of a meal, in a new study.

Slow eaters tend to be slimmer. But researchers didn't know whether asking people to chew more would change the amount of food they ate.

They found meal sizes shrunk when adults chewed extra before swallowing - whether they were normal weight, overweight or obese.

"The study reinforces the benefits of taking time to chew food well and enjoy the variety of textures and flavors in our meals," registered dietician Constance Brown-Riggs said.

Brown-Riggs is a spokesperson for the Academy of Nutrition and Dietetics and was not involved in the new research.

Prospective study participants were asked to consume five portions of Totino's pizza rolls and count the number of times they chewed each roll. Researchers did not tell them what specifically was being tested in the study.

Forty-seven people went on to finish the study. Sixteen were a normal weight, 16 were overweight and 15 were obese.

Those participants attended three weekly lunchtime test sessions. On each day, researchers gave them 60 pizza rolls and told them to eat until they were full. Depending on the session, researchers asked people to chew every bite the same number of times as at their test visit, 50 percent more or twice as many times.

They also asked participants how full they were feeling before, during and after each lunch session.

Researchers found people ate about 10 percent less food, corresponding to 70 fewer calories, when they increased their chewing by 50 percent. When they doubled their chewing, they ate 15 percent less food and 112 fewer calories.

Normal-weight participants ate more slowly than overweight and obese participants. Across the board, people spent more time eating when they increased their chewing.

The participants rated their appetite the same after each meal even though slower chewing reduced how much they ate, according to findings published in the Journal of the Academy of Nutrition and Dietetics.

Researchers noted that the study was conducted under laboratory conditions, so it's not clear how it would translate to normal life. Long-term studies are needed to look at the effect of extra chewing on weight and other markers of disease.

"Increasing the number of chewing cycles before swallowing can reduce food intake and increase satiety," James Hollis said. He worked on the study at Iowa State University in Ames.

"However, it is not clear if this is a practical approach to weight management," Hollis said. The researchers are now looking to see whether how fast people eat, for instance, influences how much they consume.

"It takes about 20 minutes for the brain to signal your stomach that you're full," Brown-Riggs said.

"Fast eaters can consume a large amount of food within that 20-minute period resulting in more calories, which can lead to overweight or obesity. This may be why participants in this study reduced their food intake. Increasing the number of chews increased the meal duration," she said.

Nov 22
Headache doctors list top 5 tests and treatments to avoid
Doctors who specialize in treating head pain, such as chronic migraines, are the latest to list the procedures and treatments they think have risks or costs that may outweigh the benefits to patients.

The American Headache Society's list is part of the Choosing Wisely campaign from the ABIM Foundation, a not-for-profit foundation established by the American Board of Internal Medicine. The campaign has seen cancer doctors, eye doctors and chest surgeons naming the overused or unproven practices their peers should avoid and patients should question.

The newest Choosing Wisely list was published Thursday in the journal Headache.

"The article and recommendations identify situations that are felt by experts to be cases where patients and doctors should think very carefully before they decide to use that particular treatment or intervention," said Dr. Elizabeth Loder, an author of the new recommendations.

Loder is the president of the American Headache Society, and chief of the Division of Headache and Pain at Brigham and Women's Hospital in Boston.

All tests and treatments have risks, Loder said. For example, imaging techniques such as CT scans expose patients to potentially cancer-causing radiation, and certain pain medications sometimes used to treat headaches are easy to get hooked on.

The goal of the recommendations is to encourage discussion between patients and their doctors about which tests are overall beneficial to patients, she said.

"The purpose is to start a conversation about situations, tests, procedures and interventions that do not necessarily benefit the patient, and sometimes can even cause problems," Loder said.

To come up with the recommendations, Loder and her coauthors asked physician members of the American Headache Society (AHS) to identify tests and treatments they view as being used incorrectly or too often, and which methods of care had benefits too small to outweigh the risks.

The researchers evaluated more than 100 items suggested by AHS members, distilling the list down to five items based on current evidence.

The guidelines advise against imaging the brains of patients who get headaches that have not changed over time.

They also discourage the long-term use of over-the-counter pain pills to treat headaches, and recommend that physicians avoid using certain pain medications - opioids like oxycodone and drugs containing butalbital like Fioricet - for patients who get headaches often.

Finally, physicians should not perform computed tomography, or CT, on a patient with a headache when magnetic resonance imaging, or MRI, is available, except if it's an emergency, the recommendations state.

The recommendations, Loder said, "are a nice distillation for patients when thinking about their care." Patients and their families can use the guidelines to start a conversation with their doctor about the pros and cons of a given test or procedure.

"In addition to thinking about the good things that may come about from interventions, it's also important to think about situations in which caution can be used," Loder said.

Nov 22
Better diet tied to higher quality of life in old age
Older adults who follow dietary guidelines tend to have a better quality of life and less trouble getting around and taking care of themselves, according to a new study.

Not many prior studies had tried to tackle that issue, researchers said.

"Our paper showed that maintaining an overall optimal diet quality will be beneficial for preserving the general well-being of older adults," lead author Bamini Gopinath said in an email.

Gopinath is a senior research fellow with the Westmead Millennium Institute for Medical Research at the University of Sydney in New South Wales, Australia.

"Adhering to national dietary guidelines which is typified by high intake of fruits, vegetables, whole grains, and fish could be beneficial in maintaining a good quality of life and functional ability such as shopping, household duties, meal preparation, and taking their own medication," she said.

Her study included 1,305 men and women age 55 and over that were part of a large Australian study of common eye diseases and general health.

Participants filled out questionnaires about what they ate and how often in 1992 to 1994. Researchers scored each person's diet on a scale from 0 to 20 based the Australian Guide to Healthy Eating. Higher scores indicated better diets.

The one-quarter of participants with the highest-quality diets had scores above 11.1. The one-quarter with the poorest diets scored 8.1 and below, the researchers reported in the Journal of the Academy of Nutrition and Dietetics.

Five and ten years after reporting on their diets, participants completed surveys assessing their quality of life with regard to physical health, mental health, social functioning and vitality. Each area was measured on a scale of 0 to 100.

On average, participants with the highest diet scores also reported a better quality of life.

Physical function was almost six points higher among the healthiest eaters than the least healthy. General health was four points higher among healthy eaters and vitality was five points higher.

However, there were no differences on measures of mental health or social functioning, based on diet.

The researchers also assessed how well people could perform basic and instrumental activities of daily living 10 and 15 years after the diet surveys.

Basic activities include being able to eat, dress and groom without assistance and the ability to walk alone. Instrumental activities include the ability to go shopping, use a telephone, handle money and travel beyond walking distance.

There was no difference in how well people performed basic activities of daily living based on their diets. But participants with the highest diet scores were half as likely to be impaired when it came to instrumental activities compared to those with the worst diets.

The findings don't prove diet, itself, was responsible for the differences in quality of life and how well people performed daily tasks.

But Gopinath believes they could contribute to the evidence needed to come up with strategies that help an aging population make dietary changes.

"If older adults didn't make healthy choices when they were younger, they may need to change their habits to get the necessary nutrients for a better quality of life. In fact, many older adults are coming up short, when it comes to essential vitamins, minerals, and fiber," Ruth Frechman said in an email.

She is a registered dietitian and spokesperson for the Academy of Nutrition and Dietetics and was not involved in the study.

Frechman said people can turn to the U.S. Department of Agriculture's MyPlate guide for help with healthy eating.

"To reduce the risk of heart disease and cancer, half of the grains should be whole grains, such as whole grain pasta, brown rice or oatmeal. It's also important to include low-fat or fat-free sources of dairy for healthy bones," she added.

Nov 21
Eating nuts tied to fewer cancer, heart disease deaths
People who eat a diet rich in nuts, including peanuts, are less likely to die from heart disease or cancer, new research suggests.

The more nuts consumed, the greater the apparent benefit, according to the report. It included data from nurses and other health professionals who have been tracked since the 1980s.

Heart disease and cancer - the biggest killers in the U.S. - are responsible for more than one million annual deaths nationwide.

The International Tree Nut Council Nutrition Research and Education Foundation helped pay for the new report, which was published in the New England Journal of Medicine.

The findings dovetail with other research suggesting regularly eating nuts may lower the risk of common health problems such as heart disease, colon cancer and type 2 diabetes.

"Nuts used to be demonized because they're high in fat. Now, 20 years later, they're recognized as a healthful food," Jeffrey Blumberg said.

He is from the USDA Human Nutrition Research Center on Aging at Tufts University in Boston and wasn't part of the study team.

"It's just like coffee and eggs used to be demonized," Blumberg said. "Eggs used to be a heart attack in a shell. Nuts are high in fat, but they're high in good fats."

The new study - the largest to look at deaths - suggests the health benefits of nuts may translate to a lower risk of premature death, researchers said.

The variety of nut, including peanuts, which are actually legumes, did not seem to make a difference, senior author Dr. Charles Fuchs said.

"The benefit really seems to span across nuts," Fuchs, from the Dana-Farber Cancer Institute in Boston, said.

The two databases used in the analysis included about 76,000 women who are part of the ongoing Nurses' Health Study and 42,000 men who are regularly evaluated as part of the Health Professionals Follow-up Study. The findings are based on questionnaires in which the volunteers periodically recalled their eating habits.

The researchers had to account for the fact that nut eaters tended to be healthier when it came to smoking, alcohol consumption, obesity, exercise habits and other elements of their diet, such as eating more fruits and vegetables.

Yet even when those factors were taken into account, they said, nut consumption seemed to be tied to a lower risk of early death.

During 30 years of the Nurses' Health Study, about 16,000 women died. About 11,000 men died over a 24-year period in the Health Professionals Follow-up Study.

Compared to people who never ate nuts, those who ate nuts once a week were 11 percent less likely to die during the studies and those who ate nuts every day were 20 percent less likely to die.

People who reported eating nuts at least five times per week were 29 percent less likely to die of heart disease, in particular, than those who avoided nuts. They were also 24 percent less likely to die of respiratory conditions like chronic obstructive pulmonary disease and 11 percent less likely to die of cancer.

Nuts were not linked to fewer deaths from stroke, neurodegenerative disease, infection or kidney disease. Nor were they tied to a lower risk of dying from diabetes, even though some research has suggested nuts may have a benefit in that disease.

Fuchs said his personal recommendation is that people eat an ounce of nuts each day, although smaller amounts still seem to make a difference.

The study also suggests people who eat a lot of nuts are less likely to put on weight.

It's possible that people who like nuts tend to have a thinner body type, "but even after adjusting for lifestyle choices, we definitely see that people who eat nuts tend to be thinner and are less likely to be obese," Fuchs said.

It's not clear whether salted or spiced nuts are less beneficial than raw ones, the researchers noted.

Fuchs and his colleagues also cautioned that the study can't prove nuts were responsible for the lower risk of death. "However," they said, "our data are consistent with a wealth of existing observational and clinical-trial data in supporting the health benefits of nut consumption for many chronic diseases."

Nov 21
Signs of 'sudden' cardiac death may come weeks before, study finds
Signs of approaching "sudden" cardiac arrest, an electrical malfunction that stops the heart, usually appear at least a month ahead of time, according to a study of middle-age men in Portland, Oregon.

"We're looking at how to identify the Tim Russerts and Jim Gandolfinis - middle aged men in their 50s who drop dead and we don't have enough information why," said Sumeet Chugh, senior author of the study and associate director for genomic cardiology at the Cedars-Sinai Heart Institute in Los Angeles.

Some 360,000 out-of-hospital cardiac arrests occur each year in the United States, largely involving middle-aged men, with only 9.5 percent surviving, according to the American Heart Association.

Patients can survive if they are given cardiopulmonary resuscitation (CPR) immediately and their hearts are jolted back into normal rhythm with a defibrillator.

Earlier clinical trials have focused only on symptoms or warnings signs within an hour of such attacks. But Chugh's study set out to determine whether signs and symptoms occurred as much as a month before sudden cardiac arrests.

Researchers went back and examined medical records of men 35 to 65 years old after they had out-of-hospital attacks. In addition, paramedics reaching the scene of fatal attacks asked family members what signs and symptoms the patient may have had in preceding weeks.

Among 567 men who had "sudden" arrests, researchers determined 53 percent had symptoms beforehand. Among those with symptoms, 56 had chest pain, 13 percent had shortness of breath and 4 percent had dizziness, fainting or palpitations.

About 80 percent of symptoms happened between four weeks and one hour before the cardiac arrest, researchers said. And although most men had coronary artery disease, just half had been tested for it before their attacks.

"The findings were entirely unexpected," Chugh said. "We never thought more than half of these middle-aged men would have had warning signs so long before their cardiac arrests. Previously we thought most people don't have symptoms so we can't do anything about it."

Chugh said most people who have the same kinds of symptoms don't go on to have cardiac arrests.

"Even so, they should seek medical care," he said. "The message here is, if you have these signs or symptoms, please don't ignore them: seek healthcare."

Chugh said he and his colleagues are also attempting to identify people at risk by comparing biologies of those that have had sudden cardiac arrests with sample populations in Portland that have never had cardiac arrests.

The new findings, from the 11-year-old "Oregon Sudden Unexpected Death Study," were presented on Tuesday at the annual scientific sessions of the American Heart Association being held in Dallas.

The researchers are conducting similar studies among women. The ongoing study is being funded by the U.S. Centers for Disease Control and Prevention, AHA and the Doris Duke Charitable Foundation.

Nov 20
Women who get proper sleep have low body fat
A new study has found that women who go to sleep and woke up at same time every day had lower body fat.

Brigham Young University exercise science professor Bruce Bailey studied more than 300 women from two major Western US universities over the course of several weeks and found that those with the best sleeping habits had healthier weight.

The study found that getting less than 6.5 or more than 8.5 hours of sleep per night is associated with higher body fat and that quality of sleep is important for body composition.

Women in the study were first assessed for body composition, and then were given an activity tracker to record their movements during the day and their sleep patterns at night. Researchers tracked sleep patterns of the participants (ages 17-26) for one week.

The most surprising finding from the study, according to the researchers, was the link between bed time and wake time consistency and body weight.

Study participants who went to bed and woke up at, or around the same time each day had lower body fat. Those with more than 90 minutes of variation in sleep and wake time during the week had higher body fat than those with less than 60 minutes of variation.

Wake time was particularly linked to body fat: Those who woke up at the same time each morning had lower body fat. Staying up late and even sleeping in may be doing more harm than good, Bailey said.

Bailey related consistent sleep patterns to having good sleep hygiene. When sleep hygiene is altered, it can influence physical activity patterns, and affect some of the hormones related to food consumption contributing to excess body fat.

Bailey and his team also found there was a sweet spot for amount of sleep: Those who slept between 8 and 8.5 hours per night had the lowest body fat.

The study findings have been published online in the American Journal of Health Promotion.

Nov 20
Drinking more milk during teens does not lower future hip fracture risk in men
A new study has revealed that drinking more milk as a teenager apparently does not lower the risk of hip fracture as an older adult and instead appears to increase that risk for men.

Diane Feskanich , Sc.D., of Brigham and Women's Hospital and Harvard University, Boston, and colleagues examined the association between remembered teenage milk consumption and risk of hip fracture at older ages in a study of more than 96,000 men and women with a follow-up of more than 22 years.

During the follow-up, 1,226 hip fractures were reported by women and 490 by men.

The study indicated that teenage milk consumption (between the ages of 13-18 years) was associated with an increased risk of hip fractures in men, with each additional glass of milk per day as a teenager associated with a 9 percent higher risk. Teenage milk consumption was not associated with hip fractures in women.

"We did not see an increased risk of hip fracture with teenage milk consumption in women as we did in men. One explanation may be the competing benefit of an increase in bone mass with an adverse effect of greater height. Women are at higher risk for osteoporosis than men, hence the benefit of greater bone mass balanced the increased risk related to height," the authors commented.

Cheese intake during teenage years was not associated with the risk of hip fracture in either men or women.

The study is published in JAMA Pediatrics.

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