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Nov 13
High acidic diet increases diabetes risk in women
A new study has revealed that higher overall acidity of the diet, regardless of the individual foods making up that diet, increases the risk of type 2 diabetes.

The study of more than 60,000 women was conducted by Dr Guy Fagherazzi and Dr Francoise Clavel-Chapelon, Center for Research in Epidemiology and Population Health, INSERM, Paris, France, and colleagues, and is the first large prospective study to demonstrate these findings.

A western diet rich in animal products and other acidogenic foods can induce an acid load that is not compensated for by fruit and vegetables; this can cause chronic metabolic acidosis and lead to metabolic complications.

A total of 66,485 women from the E3N study (the French Centre of the European Prospective Investigation into Cancer and Nutrition were followed for new diabetes cases over 14 years.

Their dietary acid load was calculated from their potential renal acid load (PRAL) and their net endogenous acid production (NEAP) scores, both standard techniques for assessing dietary acid consumption from nutrient intake.

During follow-up, 1,372 new cases of incident type 2 diabetes occurred. In the overall population, those in the top 25 percent (quartile) for PRAL had a 56 percent increased risk of developing type 2 diabetes compared with the bottom quartile.

Women of normal weight, BMI of 25 and under, had the highest increased risk (96 percent for top quartile versus bottom) while overweight women (BMI 25 and over) had only a 28 percent increased risk (top quartile versus bottom). NEAP scores showed a similar increased risk for higher acid load.

"A diet rich in animal protein may favour net acid intake, while most fruits and vegetables form alkaline precursors that neutralise the acidity. Contrary to what is generally believed, most fruits such as peaches, apples, pears, bananas and even lemons and oranges actually reduce dietary acid load once the body has processed them," researchers said.

"In our study, the fact that the association between both PRAL and NEAP scores and the risk of incident type 2 diabetes persisted after adjustment for dietary patterns, meat consumption and intake of fruit, vegetables, coffee and sweetened beverages suggests that dietary acids may play a specific role in promoting the development of type 2 diabetes, irrespective of the foods or drinks that provide the acidic or alkaline components," they added.

The study is published in the journal Diabetologia.

Nov 13
Obese, overweight people at heart disease risk regardless of metabolic syndrome
Overweight or obese people are at risk for myocardial infarction (heart attack) and ischemic heart disease (IHD) regardless of whether they also have the cluster of cardiovascular risk factors known as metabolic syndrome, which includes high blood pressure, high cholesterol and high blood sugar, a new study has revealed.

According to the study authors, being overweight or obese likely causes MI and IHD but whether co-existing metabolic syndrome is necessary for the conditions to develop is unknown.

Borge G. Nordestgaard, M.D., D. M.Sc., and Mette Thomsen, M.D., from Herlev Hospital, Copenhagen University Hospital, Denmark, investigated the associations by examining data from 71,527 participants in a general population study.

During nearly four years of follow-up, researchers identified 634 cases of MIs and 1,781 cases of IHDs. Relative to people with normal weight, the hazards of MI were increased with overweight and obesity and were statistically equivalent whether or not patients had metabolic syndrome.

There were also increasing cumulative incidences of MI and IHD among individuals both with and without metabolic syndrome from normal weight through overweight to obese individuals, according to the study results.

The study is published in JAMA Internal Medicine.

Nov 12
Surprises in hunt for environmental links to breast cancer
A decade-long research effort to uncover the environmental causes of breast cancer by studying both lab animals and a group of healthy US girls has turned up some surprises, scientists say.

At the center of the investigation are 1,200 school girls who do not have breast cancer, but who have already given scientists important new clues about the possible origins of the disease.

Some risk factors are well understood, including early puberty, later age of childbearing, late onset of menopause, estrogen replacement therapy, drinking alcohol and exposure to radiation.

Advances have also been made in identifying risky gene mutations, but these cases make up a small minority.

"Most of breast cancer, particularly in younger women, does not come from family histories," said Leslie Reinlib, a program director at the National Institute of Environmental Health Sciences.

"We have still got 80 percent that has got to be environmental," said Reinlib, who is part of the Breast Cancer and the Environment Research Program (BCERP) program that has received some $70 million in funds from the US government since 2003.

Some of its researchers track what is happening in the human population, while others study how carcinogens, pollutants and diet affect the development of the mammary glands and breast tumours in lab mice.

The program`s primary focus is on puberty because its early onset "is probably one of the best predictors of breast cancer in women," Reinlib said.

Puberty is a time of rapid growth of the breast tissue. Research on survivors of the Hiroshima atomic bombings in Japan has shown that those exposed in puberty had a higher likelihood of developing breast cancer in adulthood.

The 1,200 US girls enrolled in the study at sites in New York City, northern California and the greater Cincinnati, Ohio, area beginning in 2004, when they were between the ages of six and eight.

The aim was to measure the girls` chemical exposures through blood and urine tests, and to learn how environmental exposures affected the onset of puberty and perhaps breast cancer risk later in life.

Researchers quickly discovered that their effort to reach girls before puberty had not been entirely successful.

"By age eight, 40 percent were already in puberty," said Reinlib. "That was a surprising bit of information."

Further research has shown that the girls appear to be entering puberty six to eight months earlier than their peers did in the 1990s.

A study published last week in the journal Pediatrics on this cohort of girls found that obesity was acting as a primary driver of earlier breast development.

Other studies on the girls have focused on chemicals that are known as endocrine disruptors because they are believed to cause either earlier or later breast development.

Initial results showed "for the first time that phthalates, BPA, pesticides are in all the girls they looked at," said Reinlib.

Researchers were taken aback by the pervasiveness of the exposures, but also by the data which appeared to show some plastic chemicals might not be as influential on breast development as some have feared.

"They didn`t find much of an association between puberty and phthalates, which are these chemicals that leach out of plastic bottles and Tupperware," Reinlib said.

Another major finding regarded blood chemicals from two nearby groups in Ohio and Kentucky, both drinking water that was apparently contaminated by industrial waste.

Girls in northern Kentucky had blood levels of an industrial chemical -- perfluorooctanoic acid (PFOA or C-8) found in Teflon non-stick coating for pans -- three times as high as those who drank water from the Ohio River near Cincinnati, where water was filtered with state-of-the-art technology.

"Northern Kentucky did not have granular activated carbon filtration" in their water supply said researcher Susan Pinney, a professor at the University of Cincinnati School of Medicine.

"In 2012 they put it in after they learned of our preliminary results." Families were also notified of their daughters` blood levels, she said.

The chemicals can linger in the body for years. Researchers were dismayed to learn that the longer the girls spent breastfeeding as infants -- typically touted for its health benefits -- the higher their PFOA levels compared to girls who were fed formula.

What cannot be studied in the girls is tried on lab mice, who in one experiment are being fed high-fat diets and exposed to a potent carcinogen to see how the two interact.

Mammary tumors develop much faster in the high-fat diet group, said scientist Richard Schwartz of the department of microbiology and molecular genetics at Michigan State University.

Fat mice have more blood supply in the mammary glands, higher inflammation levels and display changes in the immune system.

Follow-up studies suggest that cancer risk stays high even if mice are fed high-fat diets in puberty and switched to low-fat diets in adulthood, he said.

"The damage is already done," he said. "Does this mean that humans are at risk the same way? We don`t know that with certainty."

But the findings do reinforce the advice that people often hear regarding how to maintain good health -- avoid fatty foods, maintain a normal weight and reduce chemical exposures wherever possible, experts say.

"It can`t hurt, and it can only help," said Schwartz.

Breast cancer is the most common cancer in women globally and took 508,000 lives in 2011, according to the World Health Organization.

Nov 12
Why heart attacks happen in morning
Researchers have found that the internal body clock may contribute to the morning peak in heart attacks and ischemic strokes.

Corresponding author Frank A.J.L. Scheer, PhD, director of the Medical Chronobiology Program at Brigham and Women's Hospital (BWH), said that their findings suggest that the circadian system, or the internal body clock, contributes to the increased risk for cardiovascular events in the morning.

The researchers studied 12 healthy adult volunteers in the intensive physiological monitoring laboratories at BWH.

Participants were assessed throughout a two-week laboratory protocol designed to desynchronize daily behavioral and environmental rhythms from internal circadian rhythms.

Researchers specifically evaluated the role of Plasminogen activator inhibitor-1 (PAI-1), which inhibits the breakdown of blood clots and is thus a risk factor for blood clotting, one of the major contributors to heart attack and ischemic stroke.

The researchers sought out to test whether this morning peak in PAI-1 is caused by the internal circadian system or by behaviors that typically occur in the morning, such as altered posture and physical activity.

The researchers found a robust circadian rhythm in circulating PAI-1 with a peak corresponding to approximately 6:30 a.m. in a regular sleep/wake cycle.

Co-author Steven Shea, PhD, director of the Oregon Institute of Occupational Health Sciences, sad that their findings indicate that the human circadian system causes a morning peak in circulating levels of PAI-1, independent of any behavioral or environmental influences.

The new findings have been published in the journal Blood.

Nov 11
Preeclampsia during pregnancy may up kidney failure risk later in life
A new study has suggested that preeclampsia- a condition in pregnancy characterized by high blood pressure, sometimes with fluid retention and protein excretion in the urine- during pregnancy is a risk factor for developing kidney failure later in life.

Recent data from registry-based studies suggest that preeclampsia may be associated with an increased risk of developing kidney failure, but the magnitude of this link and the contributions of individuals' other medical conditions remain unknown.

To investigate the issue, researchers led by Andrea Kattah, MD (Mayo Clinic) studied 8362 residents of Olmsted County, MN who gave birth between 1976 and 1982. Kidney failure cases were identified by linkage with the United States Renal Data System; each case was matched to two controls.

A total of 20 cases of kidney failure were identified and available for analysis.

"Preeclampsia is associated with a higher odds of end stage renal disease. However, after adjusting for diabetes and hypertension, the association was attenuated and no longer significant," the researchers said.

The study was presented at ASN Kidney Week 2013 at the Georgia World Congress Center in Atlanta, GA.

Nov 11
Exposure to pesticides linked to increased endometriosis risk
A study has linked two pesticides with an increased risk of endometriosis, a condition affecting up to 10 percent of reproductive-age women.

Specifically, researchers observed that women with higher exposures to two such pesticides, beta-hexachlorocyclohexane and mirex, had a 30- to 70-percent increase in endometriosis risk.

Endometriosis is a noncancerous condition that occurs when the tissue that lines the inside of the uterus, or womb, grows outside of the organ and attaches to other structures or organs.

The condition most often affects the ovaries, fallopian tubes and lining of the pelvic cavity. The most common symptoms include chronic pelvic pain, painful menstrual periods and infertility.

Lead and corresponding author Kristen Upson , Ph.D., who was a predoctoral research fellow in epidemiology at Fred Hutch and the University of Washington when the study was conducted, said that for many women, the symptoms of endometriosis can be chronic and debilitating, negatively affecting health-related quality of life, personal relationships and work productivity.

She said that since endometriosis is an estrogen-driven condition, we were interested in investigating the role of environmental chemicals that have estrogenic properties, like organochlorine pesticides, on the risk of the disease.

The findings have been published online in journal Environmental Health.

Nov 09
20 million kids in Middle East to get polio vaccine: UN
The UN has launched the largest-ever polio vaccination campaign in the Middle East, aiming to immunise more than 20 million children in seven countries amid an outbreak of the crippling virus in war-torn Syria, officials said Friday.

"The polio outbreak in Syria is not just a tragedy for children; it is an urgent alarm and a crucial opportunity to reach all under-immunised children wherever they are," Peter Crowley, who heads the UN children's agency's polio division, said in a statement.

The World Health Organisation last week confirmed the polio outbreak in Syria, which had been free of the disease since 1999.

The highly infectious disease affects mainly children under five and can cause paralysis in a matter of hours. Some cases can be fatal.

"In a region that had not seen polio for nearly a decade, in the last 12 months polio virus has been detected in sewage samples from Egypt, Israel, the West Bank and Gaza Strip," WHO and UNICEF said in a joint statement.

"It has so far left 10 children paralysed, and poses a risk of paralysis to hundreds of thousands of children across the region," they stressed, pointing out that Syria has seen its immunisation rate plummet from more than 90 percent before the conflict began in March 2011 to 68 percent today.

The whole region will now face an intense vaccination push over the next six months, and will be on heightened alert to spot cases that may have been missed, they said.

More than 650,000 children in Syria, including 116,000 in the strife-torn northeastern Deir Ezzor province where the polio outbreak was confirmed last week, had already received emergency vaccinations, UNICEF and the WHO said.

A new campaign aims to vaccinate 1.6 million children in Syria against polio, measles, mumps and rubella, while Jordan plans to immunise 3.5 million across the country, the UN agencies said, adding that some 18,800 kids had received vaccines in Jordan's Zaatari refugee camp in recent days.

In Iraq, a vaccination campaign has started in the west of the country, with another pending in the Kurdistan region, while Lebanon plans to launch a nationwide vaccination push this week and Turkey and Egypt by the middle of the month.

Thanks to a global drive against polio, the virus is now endemic in just three countries: Afghanistan, Pakistan and Nigeria.

"Preliminary evidence indicates that the polio virus is of Pakistani origin and is similar to the strain detected in Egypt, Israel, the West Bank and Gaza Strip," Friday's statement said.

Nov 09
Aerobic exercise best bet for obese teen girls
A new study has revealed that obese teen girls who perform aerobic exercise are at lower risk of developing several pediatric diseases which include type-2 diabetes, metabolic syndrome, and non-alcoholic fatty liver disease, a condition in which fat builds up in the liver, potentially impairing its function over time.

SoJung Lee of the Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine and her colleagues recently showed that when obese adolescent boys increased physical activity alone, they improved several markers of health. These include reducing total fat, fat packed around organs in the abdomen (known as visceral fat, a risk factor for diabetes), and liver fat, and improving fitness of their heart and lungs.

To see if physical activity might work in the same way for obese adolescent girls, Lee and her colleagues performed a new study that compared the health effects of two different types of exercise- aerobic exercise and weight lifting- over three months to remaining sedentary.

Although their results show beneficial effects for both types of exercise, the researchers found that girls who performed aerobic exercise, but not weight lifting, had significant reductions in visceral fat and liver fat, as well as improvements in insulin sensitivity, another risk factor for diabetes that's linked with obesity.

The findings by researchers, who recruited 44 obese girls between 12 and 18 years old, suggested that for teen girls, aerobic exercise might be superior to resistance exercise for cutting health risks associated with obesity.

They also note that, anecdotally, girls in the aerobic exercise group seemed to enjoy their workouts more than those in the resistance exercise group, an opposite sentiment from the obese boys in their previous study.

The study is published in the American Journal of Physiology-Endocrinology and Metabolism.

Nov 08
Being bilingual could delay risk of dementia by 5 years
A new study has shown that people who speak more than 1 language, tend to develop dementia up to 5 years later than those who are monolingual.

A team of scientists examined almost 650 dementia patients and assessed when each one had been diagnosed with the condition. The study was carried out by researchers from the University of Edinburgh and Nizam's Institute of Medical Sciences in Hyderabad (India).

They found that people who spoke two or more languages experienced a later onset of Alzheimer's disease, vascular dementia and frontotemporal dementia.

The bilingual advantage extended to illiterate people who had not attended school. This confirms that the observed effect is not caused by differences in formal education.

It is the largest study so far to gauge the impact of bilingualism on the onset of dementia - independent of a person's education, gender, occupation and whether they live in a city or in the country, all of which have been examined as potential factors influencing the onset of dementia.

The team of researchers said that further studies are needed to determine the mechanism, which causes the delay in the onset of dementia.

The researchers suggest that bilingual switching between different sounds, words, concepts, grammatical structures and social norms constitutes a form of natural brain training, likely to be more effective than any artificial brain training programme.

Nov 08
Gum disease may lead to heart problems: Study
Ignoring the gum disease may prove detrimental and affect the health of your heart in the long run, a new study has said.

According to a study published in the Journal of the American Heart Association, researchers from Columbia University's Mailman School of Public Health found an association between gum disease and progression of atherosclerosis, which is the hardening of arteries and a big risk factor for heart attack.

"These results are important because atherosclerosis progressed in parallel with both clinical periodontal disease and the bacterial profiles in the gums. This is the most direct evidence yet that modifying the periodontal bacterial profile could play a role in preventing or slowing both diseases," study researcher Moise

Desvarieux, an associate professor of epidemiology at the university, said in a statement.

More than 5,000 plaque samples were taken from the teeth of 420 adults from northern Manhattan who were part of the Oral Infections and Vascular Disease Epidemiology Study.

Researchers analysed the samples for 11 different strains of bacteria that have been linked with periodontal disease, as well as seven control bacteria. They also analysed fluid around the gums as an indicator of Interleukin-1, a marker of inflammation, and hardening of the participants' carotid arteries.

Researchers followed up with the participants after a median of three years, and identified associations between gum health and progression of atherosclerosis.

They found that improved gum health and decreases in the proportion of gum disease-linked bacteria was associated with slower progression of the intima-medial thickness of the carotid artery.

Meanwhile, worsened gum health and increases in gum disease-linked bacteria was associated with greater progression of the intima-medial thickness. The associations held true even after taking into account other factors such as diabetes, body mass index and smoking status.

And compared with participants whose gum health got better over the study period, those whose gum health worsened experienced a 0.1 millimetre difference in intima-medial thickness.

"When it comes to atherosclerosis, a tenth of a millimetre in the thickness of the carotid artery is a big deal. Based on prior research, it appears to meet the threshold of clinical significance," said Tatjana Rundek, a professor at the University of Miami.

However, this new study merely shows an association between gum health and atherosclerosis progression.

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