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Sep 17
Avoid pesticide exposure to ward off diabetes risk
An analysis of 21 studies has shown that exposure to pesticides is associated with increased risk of developing diabetes by 61 percent, with different types of pesticides showing varying levels of risk.

How diabetes develops is considered to be interplay between genetic and environmental factors. Emerging evidence suggests that environmental contaminants, including pesticides may play an important role in the pathogenesis of diabetes.

In this study by Giorgos Ntritsos, University of Ioannina, Greece, and Ioanna Tzoulaki and Evangelos Evangelou, Imperial College London, UK, and colleagues, the researchers performed a systematic review and meta-analysis of observational studies that assessed the association between exposure to pesticides and diabetes.

The association between exposure to any pesticide and all types of diabetes was examined. Separate analyses for studies that looked only at type 2 diabetes (T2D) participants were performed.

The authors concluded that this systematic review supports the hypothesis that exposure to various types of pesticides increases the risk of diabetes. Subgroup analyses did not reveal any differences in the risk estimates based on the type of studies or the measurement of the exposure.

They noted that analysing each pesticide separately suggests that some pesticides are more likely to contribute to the development of diabetes than others.

The study is presented at the meeting the European Association for the Study of Diabetes (EASD).

Sep 15
Treat high blood pressure aggressively, urges 'lifesaving' study
A recent study has backed the need of more aggressive treatment for high blood pressure.

In a statement, American College of Cardiology President Kim Allan Williams, regarding the National Institutes of Health stopping the SPRINT trial early after demonstrating the positive benefits of lower blood pressure control targets, said about 70 million American adults have high blood pressure and only half of them have their condition under control.

"The preliminary data demonstrates why the cardiovascular community must continue to aggressively fight a condition that leads to stroke, kidney disease and heart problems for our patients," added Williams.

He noted that the details of the SPRINT trial will be a contributing factor to future guidelines on blood pressure treatment targets, adding that in the meantime, this data gives physicians more information to consider when working to improve outcomes for the patients with high blood pressure.

Sep 14
Periodontitis linked to heart disease
Researchers have recently connected the molecular dots between Periodontitis and heart disease.

Periodontitis is a risk factor for heart disease. Now, the team has shown that a periodontal pathogen causes changes in gene expression that boost inflammation and atherosclerosis in aortic smooth muscle cells.

The circumstantial evidence that led to this study was ample. The periodontal pathogen, Porphyromonas gingivalis, has also been found in coronary artery plaques of heart attack patients. And in two species of animal models, P. gingivalis has been shown to cause and accelerate formation of coronary and aortic atherosclerosis.

The investigators, led by Torbjorn Bengtsson of the Department of Clinical Medicine, School of Health Sciences, orebro University, orebro, Sweden, showed how this happens.

They began by culturing human aortic smooth muscle cells, and infecting them with P. gingivalis. They found that gingipains, virulence factors produced by P. gingivalis, boost expression of the pro-inflammatory angiopoietin 2, while dampening expression of the anti-inflammatory angiopoietin 1 in the smooth muscle cells, with the net effect of increasing inflammation. Inflammation is strongly implicated in atherosclerosis.

Although unstimulated [aortic smooth muscle cells] produce angiopoietin 2 at a low level, stimulation with wild-type P. gingivalis dramatically increases the gene expression of angiopoietin 2 in [aortic smooth muscle cells], the investigators wrote.

First author Boxi Zhang said that the research clarifies the mechanism behind the association of periodontitis and cardiovascular disease, adding that their aim is to find biomarkers that can help us diagnose and treat both diseases.

The research is published ahead of print in Infection and Immunity.

Sep 12
High BMI can reduce risk of rheumatoid arthritis in men
A new study has claimed that men with high BMI (Body Mass Index) have a lower risk of rheumatoid arthritis.

In the study, scientists in Sweden analysed data from 383 patients, taken from two population based health surveys with a total of 50,705 participants, to discover that there was a strong association between a high BMI in men and a lower risk of developing rheumatoid arthritis. However, this association was not found in women.

After the results had been adjusted for smoking as that has been found to be negatively associated with obesity in men, men with a BMI over 25kg/m2 were estimated to be 63 percent less likely to develop rheumatoid arthritis.

The scientists suggested that a high BMI more often reflects increased abdominal obesity or visceral fat in men compared with women, which could be protective against the development of rheumatoid arthritis.

Lead author Carl Turesson said that the effect of obesity on the risk of rheumatoid arthritis did not appear to be substantially different from that of overweight.

The study is published in the Journal Rheumatology.

Sep 10
Eat apple, green tomatoes to gain never-say-die muscles
While discovering a protein that causes muscle weakness and loss during ageing, scientists from University of Iowa have also stumbled upon two natural compounds, one found in apples and one in green tomatoes, which reduce the protein's activity in aged muscle.

The protein called ATF4 alters gene expression in skeletal muscle, causing reduction of muscle protein synthesis, strength and mass.

The team identified ursolic acid, which is found in apple peel, and tomatidine, which comes from green tomatoes, as small molecules that can prevent acute muscle wasting caused by starvation and inactivity.

Those studies set the stage for testing whether ursolic acid and tomatidine might be effective in blocking the largest cause of muscle weakness and atrophy: aging."Ursolic acid and tomatidine appear to have a lot of potential as tools for dealing with muscle weakness and atrophy during ageing," said Christopher Adams, professor of internal medicine and senior study author.

We might be able to use ursolic acid and tomatidine as tools to find a root cause of muscle weakness and atrophy during ageing, he added.

The findings could lead to new therapies for age-related muscle weakness and atrophy.

In the latest study, Adams' team found that ursolic acid and tomatidine dramatically reduce age-related muscle weakness and atrophy in mice.

The scientists found that both compounds increased muscle mass by 10 percent, and more importantly, increased muscle quality or strength by 30 percent.

"By reducing the protein's activity, ursolic acid and tomatidine allow skeletal muscle to recover from effects of ageing," Adams pointed out in a paper published in the Journal of Biological Chemistry.

Sep 09
Sugary drinks may cause 184,000 global deaths a year: Study
Sodas and other sugary drinks may cause up to 184,000 deaths a year worldwide, according to a study published Monday in the journal Circulation.

Billed as a first, the report analyzed the global risks of death due to diabetes, cardiovascular diseases and cancers linked to the consumption of sugary drinks.

Researchers estimated that around 133,000 people died from diabetes due to the consumption of what the report called "sugar-sweetened beverages." Around 45,000 people died globally from cardiovascular diseases arising from sugary drink consumption and 6,450 people died from cancers linked to the beverages, researchers estimated.

"Many countries in the world have a significant number of deaths occurring from a single dietary factor, sugar-sweetened beverages. It should be a global priority to substantially reduce or eliminate sugar-sweetened beverages from the diet," said study author Dariush Mozaffarian from Tufts University in Boston.

Mexico had the highest death rate due to sugary beverages with a rate of 450 deaths per million adults, the report said. It was followed by the United States with 125 estimated deaths per million adults.

Researchers also said the general quantity of sugar available in a nation correlated with the country's frequency of diabetes, cardiovascular disease and cancer.

The report also found 76 percent of deaths related to soda and other sugary drink consumption occurred in low to middle income countries.

Fruit juices were not included in the research, which analyzed 62 dietary surveys conducted between 1980 and 2010 in 51 countries.

Sep 09
How exercise can keep your brain 'young' while you age
In a new study, researchers have shown that endurance exercise may help prevent cognitive decline, keeping your brain working fully as you age.

University of Texas researchers attempted to determine the correlation between a person's cardio fitness and cognitive function in middle-aged adults, and tested the participants by engaging them in moderate or strenuous aerobic exercise for at least four days or seven hours a week, while the sedentary subjects exercised less than one hour a week.

The result? People who exercised also displayed better vascular function, or blood flow in the brain, than the sedentary individuals.

Dr. Martha Pyron, a co-author of the study, said that the findings suggest that middle-age runners not only have better cardiovascular function and health, but also enhanced cognitive performance particularly in the domains linked with age related cognitive decline and impairment.

The study concluded, "Habitual aerobic exercise ameliorates vascular health, an effect which may further translate into improved cognitive performance."

The study is published in the journal Medicine, and Science in Sports and Exercise.

Sep 09
Is 'paleo-vegan hybrid' diet the answer to all our dietary issues?
The latest food trend has arrived: the pegan diet, in other words, paleo plus vegan diet.

As per Caroline Cederquist, the creator of bistroMD and author of 'The MD Factor,' by combining the best of popular paleo and vegan plans and reducing their specific dietary restrictions, one gets a diet that's better balanced in regards to macronutrients and easier to follow than a strictly paleo or vegan diet, The Daily Beast reported.

Kristin Kirkpatrick, a registered dietitian at the Cleveland Clinic Wellness Institute, said that some of the problems with paleo and vegan diets are that they are difficult to follow, adding that this approach is very sustainable for the average person.

The pegan diet focuses primarily on fruits and vegetable, specifically, filling 75 percent of your diet with plants and rounding out the other 25 percent with animal protein and high-quality fats.

The pegan diet is a somewhat odd combination because the foundation of vegan diets is a belief of not consuming any animal products, says nutritionist and chef Beth Saltz, adding that a better description is probably a very clean, modified paleo diet.

As per renowned wellness expert Mark Hyman, who recently declared himself a pegan, fruits and vegetables should make up 75 percent of your diet, "organic" animal protein like chicken, beef, fish, and eggs should only make up approximately 25 percent of your diet, high-quality fats should include olive, coconut, avocado oils, nuts and other sources of omega-3 fats and healthy grains and lentils should be present in the diet.

Beans or legumes like pinto and peanuts, dairy and soy is a no-no, while sugar should be viewed as a treat and used sparingly. Too much of the sweet stuff has been linked to obesity and disease, so cutting back will do your body good.

Sticking to this hybrid plan has the potential to provide benefits such as lower cholesterol and a decreased risk of diabetes, Cederquist added.

Sep 09
New drug clears skin in psoriasis sufferers
People suffering from psoriasis that causes itchy, dry and red skin may soon benefit from a drug that offers greater efficacy than the current standard of care for the chronic skin condition, shows phase II human trial.

Nine-month treatment with the new drug was found to clear skin in more than 80 percent of psoriasis-affected patients.

Besides causing itchy red skin, psoriasis that affects nearly three percent of the world's population also increases a patient's risk for depression, heart disease and diabetes, among other conditions.

"The possibility of getting almost all patients nearly clear and able to live their lives without the burden of this disease impacting them every day is getting close to reality," said first author Kenneth Gordon, professor of dermatology at Northwestern University in the US.

"For patients, the concept that psoriasis is 'just something you live with' is no longer appropriate," he said.

In the study, published in the New England Journal of Medicine, examiners compared the new drug guselkumab to adalimumab, the most common medication currently used to treat psoriasis.

In the trial, 293 adult patients with moderate-to-severe psoriasis (defined as covering ten percent or more of the body) were randomly assigned to receive varying doses of one of the two drugs or a placebo over 52 weeks.

At weeks 16 and 40, efficacy of the drugs was measured on a scale of zero to five.

A significantly higher proportion of patients in the guselkumab group had a score of zero (cleared psoriasis) or one (minimal psoriasis) in both the short and long term periods compared to the adalimumab and placebo groups.

At week 40, for example, 81 percent of patients taking a 200-mg dose of guselkumab had a score of zero or one, compared to 49 percent of patients taking adalimumab.

The drug works by blocking a protein specifically implicated in psoriasis, called interluekin 23; older drugs affect the immune process more generally, the study said.

An ongoing phase III trial is continuing to test the safety and efficacy of guselkumab as a psoriasis treatment.

Sep 09
Picky eating may indicate anxiety in kids
Although parents generally see picky eating among children as just a phase, a new study says those with both moderate and severe selective eating may be at increased risk for depression and anxiety.

More than 20 percent of children aged two to six are selective eaters, the study said.

"The children we are talking about are not just misbehaving kids who refuse to eat their broccoli," said lead author Nancy Zucker from Duke University School of Medicine in the US.

"These are children whose eating has become so limited or selective that it's starting to cause problems," Zucker said.

"Impairment can take many different forms. It can affect the child's health, growth, social functioning, and the parent-child relationship. The child can feel like no one believes them, and parents can feel blamed for the problem," Zucker explained.

The study involved 3,433 children.

The researchers found that both moderate and severe selective eating were associated with significantly elevated symptoms of depression, social anxiety and generalised anxiety.

Although children with moderate picky eating did not show an increased likelihood of formal psychiatric diagnoses, children with severe selective eating were more than twice as likely to also have a diagnosis of depression.

Children with moderate and severe patterns of selective eating would meet the criteria for an eating disorder called Avoidant/Restrictive Food Intake Disorder (ARFID), the study said.

Zucker said some children who refuse to eat might have heightened senses, which can make the smell, texture and tastes of certain foods overwhelming, causing aversion and disgust.

Some children may have had a bad experience with a certain food, and develop anxiety when trying another new food or being forced to try the offensive food again, she noted.

The study appeared in the journal Pediatrics.

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