Saturday, December 31, 2016

SATURDAY, Dec. 31, 2016 (HealthDay News) -- As a new year begins, the American Medical Association urges you to make healthy living part of your resolutions for 2017.

"These seven health recommendations will help people start the year off on the right foot by helping them determine where they can make the most impactful, long-lasting improvements in their health," Dr. Andrew Gurman, president of the association, said in a news release.

  • Avoid beverages with added sugar.

  • Take the screening test at DoIHavePrediabetes.org to see if you're at risk of type 2 diabetes.

  • If you're healthy and between 18 and 65 years of age, get at least a half-hour of moderate-level aerobic exercise five days a week, or 20 minutes of high-intensity aerobic exercise three days a week.

  • Cut down on processed food and food with added salt.

  • Watch your alcohol consumption. Women should have no more than one drink a day; men, no more than two.

  • If you smoke, quit.

  • Don't allow secondhand smoke in your car or home.

More information

For more tips about healthy living, try the American Heart Association.

SOURCE: American Medical Association, press release, Dec. 27, 2016

Friday, December 30, 2016

FRIDAY, Dec. 30, 2016 (HealthDay News) -- Urinary incontinence is a widespread complaint among women, but a new study suggests that older women may find relief from this frustrating problem if they're slimmer and stronger.

The study followed nearly 1,500 women in their 70s for three years. Researchers found that a decrease in body mass index of 5 percent or more during that time led to a 50 percent reduction in the risk of new or persistent stress urinary incontinence.

Body mass index (BMI) is a rough estimate of a person's body fat based on height and weight. For example, a woman who's 5 feet 6 inches tall who weighs 175 pounds has a BMI of 28.2. If she lost 5 percent of her BMI, it would be 26.8, which translates to a weight loss of about 9 pounds.

The study also showed that a decrease in grip strength of 5 percent or more was linked to 60 percent higher odds of new or persistent stress urinary incontinence. Grip strength is considered an indicator of overall muscle strength, the study authors said.

"Our study found that changes in body composition and grip strength are associated with changes in stress urinary incontinence frequency over time, but not with changes in urgency urinary incontinence frequency over time," said the study's lead author Dr. Anne Suskind. She's an assistant professor of urology at the University of California, San Francisco.

Suskind said that distinguishing between the two types of urinary incontinence is important.

"Stress incontinence is involuntary leakage of urine associated with an increase in abdominal pressure (i.e., coughing, laughing, sneezing)," she explained.

"Urgency urinary incontinence is involuntary leakage of urine accompanied or immediately preceded by a sense of urgency. The underlying mechanisms of each type of incontinence differ and each type of incontinence is treated differently," Suskind said.

Stress urinary incontinence tends to happen after delivering children, said Dr. Megan Schimpf. She's chair of the Public Education Committee for the American Urogynecologic Society.

Urgency incontinence may be caused by neurological issues, Schimpf said.

At the start of the study, there were 1,475 women aged 70 to 79. Of those, 212 women said they had at least monthly stress urinary incontinence, and 233 said they had at least monthly urgency urinary incontinence.

Women who said they had at least monthly urinary incontinence had an average BMI of about 28. It was slightly lower -- 27.5 -- for women who didn't have incontinence. A BMI between 24.9 and 29.9 is considered overweight. A BMI above 30 is considered obese.

After three years of follow-up, 1,137 women were still in the study.

Of those women, 164 women said they had new or persistent stress urinary incontinence, and 320 had new or persistent urgency urinary incontinence.

The study authors suggested that losing weight -- even for a woman in her 70s -- may help stress urinary incontinence by relieving some of the pressure on the bladder. Likewise, grip strength may indicate overall strength, and stronger bladder muscles may be able to withstand more pressure.

Neither of these factors was linked to an improvement in urgency urinary incontinence. This may be because urgency urinary incontinence could be the result of years of damage that isn't so easily reversible, the researchers noted.

Schimpf said whatever the cause, women of all ages with urinary incontinence should see their doctor.

"A lot of women are unfortunately under the assumption that incontinence issues are normal, and that's definitely not the case," Schimpf said.

There are a number of treatments for stress incontinence -- from pelvic floor physical therapy to silicone devices called pessaries, to surgery -- and these treatments aren't one-size-fits-all, she added.

Schimpf said caffeine, alcohol, nicotine and artificially sweetened beverages can irritate the bladder and trigger bladder spasms, which can lead to overactive bladder symptoms.

Circling back to the new study's findings, researcher Suskind pointed out that weight loss and increased strength can also be effective treatments. "Appropriate diet and exercise would be a good place to start, and may be helpful in decreasing the odds of new or worsening stress type of urinary incontinence," she said.

The study was published recently in the Journal of the American Geriatrics Society.

More information

There's more on urinary incontinence at the American College of Obstetricians & Gynecologists.

SOURCES: Anne Suskind, M.D., assistant professor of urology, University of California, San Francisco; Megan Schimpf, M.D., chair, Public Education Committee, American Urogynecologic Society, and associate professor, obstetrics and gynecology, University of Michigan, Ann Arbor; Dec. 5, 2016, Journal of the American Geriatrics Society

FRIDAY, Dec. 30, 2016 (HealthDay News) -- Though made with the best of intentions, most New Year's resolutions last about as long as the bubbles in leftover champagne.

That's why experts from the American Psychological Association (APA) suggest planning manageable positive lifestyle changes for the new year instead of major life overhauls that set you up for disappointment.

"Setting small, attainable goals throughout the year -- instead of a singular, overwhelming goal on January 1 -- can help you reach whatever it is you strive for," psychologist Lynn Bufka said in an APA news release.

"Remember, it is not the extent of the change that matters, but rather the act of recognizing that lifestyle change is important and working toward it, one step at a time," she explained.

People who make realistic resolutions are more likely to keep those promises throughout the year. The APA offers some tips on how to set attainable goals:

  • Start small. Make promises that you can keep. Rather than make a resolution to exercise every day, aim to get to the gym three days a week. Instead of overhauling your entire diet, try replacing sugary treats with healthier options, like fruit.

  • Take a gradual approach. Making lifestyle changes may take time. Don't expect miracles overnight. Try replacing one unhealthy behavior at a time.

  • Don't go it alone. Talking about your resolutions and finding support can help you reach your goals. Try forming a group or take a class with others who have common goals. Having support and being able to talk about your struggles can make sticking to your resolutions less overwhelming.

  • Give yourself a break. No matter how hard people try, no one achieves perfection. Don't give up on your resolutions if you make a mistake or have a setback. Move beyond your slip-up and get back on track.

  • Ask for help. If you feel like you need help to achieve your goal, seek the support of a health care professional. Psychologists are trained to understand the connection between the mind and body. They can help you find strategies that will make your goals more attainable and help you cope with challenges, including unhealthy behaviors, stress and emotional issues.

More information

The U.S. Centers for Disease Control and Prevention offers more tips for a healthy new year.

SOURCE: American Psychological Association, news release

Thursday, December 29, 2016

THURSDAY, Dec. 28, 2016 (HealthDay News) -- Overweight mice may provide a hint as to why it's so hard to start -- and stick to -- your New Year's resolution to exercise more.

Researchers found signs that the brains of obese mice may encourage inactivity.

"We know that physical activity is linked to overall good health, but not much is known about why people or animals with obesity are less active," said study senior author Alexxai Kravitz.

Kravitz is an investigator in the diabetes, endocrinology, and obesity branch of the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.

"There's a common belief that obese animals don't move as much because carrying extra body weight is physically disabling. But our findings suggest that assumption doesn't explain the whole story," Kravitz said.

Kravitz has theorized that the brain chemical dopamine is key to inactivity in mice.

"Other studies have connected dopamine signaling defects to obesity, but most of them have looked at reward processing -- how animals feel when they __eat different foods," Kravitz said.

"We looked at something simpler: Dopamine is critical for movement, and obesity is associated with a lack of movement," he said. His team wondered if problems with dopamine signaling alone could explain the inactivity.

For the study, researchers fed normal and high-fat diets to mice. The mice on the high-fat plan put on weight and slowed down. But they slowed down before adding pounds, raising questions about why things happened in that order.

One possible answer: The researchers found that the obese and slow-moving mice had less of a "receptor" that processes dopamine.

Further research suggested that weight gain was compounded by their inactivity.

The study results appear in the Dec. 29 issue of the journal Cell Metabolism.

"In many cases, willpower is invoked as a way to modify behavior," Kravitz said in a journal news release. "But if we don't understand the underlying physical basis for that behavior, it's difficult to say that willpower alone can solve it."

Learning more about the physiological reasons why obesity is associated with less activity might also help reduce some of the stigma that obese people face, the researchers said.

However, the results of animal studies aren't necessarily applicable to humans. Much more research will be needed before anyone can say there's a direct connection between dopamine and obesity-related activity levels.

More information

For help losing weight, try nutrition.gov.

SOURCE: Cell Metabolism, news release, Dec. 29, 2016

THURSDAY, Dec. 29, 2016 (HealthDay News) -- While weight-loss surgery can help obese people drop unwanted pounds, a new study suggests the procedure may also trigger long-lasting tummy troubles for many patients.

Dutch researchers found that people who had the most common type of weight-loss surgery -- known as laparoscopic Roux-en-Y gastric bypass -- suffered gastrointestinal problems and food intolerance up to two years after their operation.

The procedure entails stapling the stomach and re-routing the intestines, so that food that is consumed bypasses most of the stomach and caloric consumption is reduced.

These issues are unlikely to be confined to this type of weight-loss surgery alone, said study author Dr. Thomas Boerlage. He is a researcher in the department of internal medicine at MC Slotervaart, in Amsterdam, the Netherlands.

"I would very much expect other bariatric [weight-loss] procedures to [cause] gastrointestinal complaints, too," Boerlage cautioned. He said that gastric banding, along with newer types of weight-loss options, are "fairly certain" to spark long-term gastrointestinal complications.

Boerlage pointed out that "it was already known from previous studies that patients can develop gastrointestinal complaints after a Roux-en-Y gastric bypass. However, most of those studies concerned only the first year after surgery, and you can imagine that people might have complaints shortly after surgery, whatever kind of surgery it is."

To assess the risk for long-term gastrointestinal complications, Boerlage's team focused on the experience of nearly 250 patients who underwent the surgery in 2012. All completed a gastrointestinal and food tolerance survey two years after undergoing the procedure. The patients' answers were stacked up against those of 295 comparably obese patients who had not undergone surgery.

By most measures, the weight-loss surgery patients were found to be struggling with significantly more gastrointestinal disturbances at the two-year mark than those who hadn't undergone the procedure, the investigators found.

For example, surgery patients were found to be saddled with more abdominal pain, diarrhea, indigestion and constipation, compared with the non-surgical group. Surgery patients did, however, report lower levels of both hunger pain and acid regurgitation, compared with non-surgical patients.

In terms of food intolerance, 176 surgery patients (70 percent) said they experienced some form of intolerance to an average of four different foods, and more than 90 percent said the problem arose only after surgery.

Problematic foods tended to include red meat and items characterized by high amounts of fat or sugar, such as sodas, cakes, pies, pastries and fried foods, according to the report.

That said, only about 14 percent of those experiencing ongoing long-term food intolerance said the issue bothered them "very much" or "much."

Still, less than 17 percent of the non-surgical group reported experiencing any comparable type of eating problem.

Boerlage and his colleagues reported their findings in the Dec. 19 issue of the British Journal of Surgery.

So what are bypass patients to do?

"In general, it is advisable for patients to stick tightly to the dietary guidelines that are given after surgery," said Boerlage. "This will surely help to alleviate symptoms, although not all symptoms can be prevented," he added.

"We do advise our patients to avoid certain foods with a high sugar or fat content. And, indeed, these are the types of food that are a problem in obese patients in the first place. So, in a way you could say that these complaints are also useful because they remind patients to avoid certain foods," Boerlage suggested.

Dr. John Morton, chief of bariatric and minimally invasive surgery at the Stanford School of Medicine in California, agreed. He suggested that the problem can be easily fixed if patients strictly follow standard nutritional advice.

"These concerns are due solely to dietary indiscretions by patients," Morton said. "If you follow dietary recommendations you will avoid these issues."

What's more, Morton stressed that, for many, weight-loss surgery is a "lifesaving procedure," one whose benefits "clearly outweigh" any dietary downside.

More information

Visit the U.S. National Institute of Diabetes and Digestive and Kidney Diseases for more on weight-loss surgery.

SOURCES: Thomas Boerlage, M.D., doctoral candidate, resident and researcher, department of internal medicine, MC Slotervaart, Amsterdam, The Netherlands; John Morton, M.D., MPH, chief, bariatric and minimally invasive surgery, Stanford School of Medicine, and past president, American Society for Metabolic and Bariatric Surgery; Dec. 19, 2016, British Journal of Surgery

WEDNESDAY, Dec. 28, 2016 (HealthDay News) -- Many men don't know about risk factors that can lead to infertility, a new study reveals.

In a survey, Canadian men could identify only about half of the activities and medical conditions that can harm their sperm count and reduce fertility.

The men were more likely to know about risk factors such as cancer, smoking and steroid use. However, they were less aware of the fertility threat posed by obesity, bicycling and frequent use of a laptop computer on the lap, the researchers said.

The knowledge gap was true across all ages, education and income levels, the investigators found.

"Men aren't as inclined to ask questions about their health, so it stands to reason that they would be less well-informed about their fertility," said study leader Phyllis Zelkowitz. She is an associate professor of psychiatry at McGill University and director of research in the department of psychiatry at Jewish General Hospital, both in Montreal.

About one-third of the men in the survey had concerns about their fertility and nearly 60 percent wanted to learn more.

"Infertility can be devastating for people. When men can't have children, or have to undertake very expensive treatments, it can have a grave psychological impact. It can lead to depression and put severe stress on relationships," Zelkowitz said in a university news release.

Men should be taught about fertility from a young age so they can take steps to protect it, the researchers suggested.

The study findings were published in a recent issue of the journal Human Reproduction.

More information

The American Academy of Family Physicians has more on male infertility.

SOURCE: McGill University, news release, Nov. 22, 2016

Monday, December 26, 2016

MONDAY, Dec. 26, 2016 (HealthDay News) -- Over four years of college, students gain more than knowledge -- they also gain about 10 pounds, on average, a new study finds.

Eighty-six students were assessed at the beginning and end of their first and second semesters, and again at the end of their senior year.

"The myth of the 'freshman 15' has been widely debunked. But our study shows that there is concerning weight gain among college students that happens over all four years they are in college," said study author Lizzy Pope. She's an assistant professor in the University of Vermont's nutrition and food sciences department.

The students' average weight was 147 pounds at the start of the study and 157 at college completion. The percentage of students who were overweight or obese rose from 23 percent to 41 percent, an increase of 78 percent, the researchers found.

Undergrads gained about one-third of their total college weight gain in their first year -- about three pounds, on average. But, they continued to plump up over the remaining three years, the researchers said.

"These findings suggest that health practitioners should not limit their programming to just that first year, but extend it over all four years of the college experience," Pope said in a university news release.

The researchers found no direct link between weight gain and lifestyle factors, but only 15 percent of the students got the recommended 30 minutes of moderate exercise five times a week. Most also ate less than the recommended amount of fruits and vegetables.

"This study and earlier ones suggest that college students are prone to weight gain that can impact their health in the present and even more significantly in the future," Pope said. "An important element of any strategy to stem the obesity epidemic would be to target this population with behavioral interventions over all four years of their college careers."

The study was published online recently in the Journal of Nutrition Education and Behavior.

More information

The U.S. Centers for Disease Control and Prevention has more on college health and safety.

SOURCE: University of Vermont, news release, Dec. 12, 2016

Monday, December 19, 2016

MONDAY, Dec. 19, 2016 (HealthDay News) -- There seems to be a genetic link between poor sleep and some medical conditions, including obesity, restless legs syndrome and schizophrenia, researchers report.

"This clinical science is an important step forwards in understanding the biological basis for these conditions, so it's very exciting," said study co-author Dr. Martin Rutter. He is senior lecturer in cardiometabolic medicine at the University of Manchester in England.

"Scientists have long observed a connection between sleep disorders and these conditions in epidemiological studies. But this is the first time these biological links have been identified at a molecular level," Rutter said.

The researchers, from the University of Manchester and Massachusetts General Hospital in Boston, examined the mapped genes of more than 112,000 people in search of links between the participants' genes and their reported sleep habits.

The investigators identified areas of the genome connected to different types of sleep problems (including insomnia and excessive daytime sleepiness), and then linked some to medical conditions, such as restless legs syndrome, schizophrenia and obesity.

According to study co-author Richa Saxena, "It's important to remember there is no molecular targeting available for conditions which affect sleep: all we really have are sedatives. So we hope that this research will enable scientists to develop new ways to intervene on a range of conditions in a much more fundamental way." Saxena is an assistant professor of anesthesia at Massachusetts General Hospital and Harvard Medical School.

The researchers said further study will be needed. But, in a news release from Mass General and the University of Manchester, Saxena said, "We believe this knowledge amounts to a key advance in our understanding of the biology behind sleep -- a major influence on our health and behavior."

The study was published Dec. 19 in the journal Nature Genetics.

More information

To learn how much sleep you need, visit the U.S. Centers for Disease Control and Prevention.

SOURCE: Massachusetts General Hospital/University of Manchester, news release, Dec. 19, 2016

MONDAY, Dec. 19, 2016 (HealthDay News) -- Children with a genetic trait linked to obesity may be more likely than other kids to respond to fast-food commercials on TV, a new study suggests.

The research, based on brain scans, isn't definitive. Still, it adds to evidence that excess weight isn't purely a matter of willpower, said obesity researcher Ruth Loos.

"Genetic studies have shown that willpower might be controlled by people's genetic make-up. The current study shows that, potentially, the reason why people with this genetic trait gain weight is because it is hard for them to resist food when they see it, compared to people who do not have the variant," said Loos. She directs the genetics of obesity and related metabolic traits program at the Charles R. Bronfman Institute of Personalized Medicine in Mount Sinai in New York City. She did not work on the new study but is familiar with its findings.

At issue: How do the genes we inherit from our parents affect our weight? "The causes of obesity are very complex and involve an interplay between genetic and environmental factors," said the study's lead author, Kristina Rapuano. She is a graduate student with the department of psychological and brain sciences at Dartmouth College in Hanover, N.H.

For the new study, Rapuano and her colleagues sought to better understand how a genetic trait linked to obesity -- an "allele" that comes in different variations -- may affect how kids see food.

"About 16 percent of the population have two copies of the obesity risk allele and so have a highest risk of obesity," Rapuano explained. "Another 47 percent have only one copy of the risk allele and so are thought to be at an intermediate risk. The remaining 37 percent have two copies of the low-risk allele and are not genetically at risk for obesity."

The researchers monitored the brains of 78 children, aged 9 to 12, as they watched a TV show with commercials -- including half for fast food -- while in an MRI scanner. The investigators looked for links between the kids' reactions to the commercials in the "reward center" of the brain -- which is important for making you feel good -- and their genetic makeup.

"This brain reward region responded about 2.5 times more strongly to food commercials -- compared to non-food commercials -- in children who had at least one copy of the obesity risk allele compared to children without the risk allele," Rapuano said.

"We think our study provides some evidence to suggest this genetic trait may predispose some children to have food cravings in response to food cues like the sight or smell of food," she added.

According to study co-author Diane Gilbert-Diamond, "About one-third of commercials children see on network television are food advertisements, and each one is a prompt to eat." Gilbert-Diamond is an assistant professor of epidemiology at Dartmouth's Geisel School of Medicine.

"We know from our prior work that children with this same genetic obesity risk factor are more likely to overeat after watching food advertisements on TV, even when they are not hungry. The brain scans suggest that these children may be especially vulnerable to food cues, and that limiting food advertisement exposure could be an effective way to combat child obesity," Gilbert-Diamond said.

Rapuano isn't suggesting that kids be tested for the obesity genetic variation. "More work needs to be done before we are able to fully understand how this gene contributes to obesity," she said. And kids with the variation aren't guaranteed to become obese later in life, she noted.

As for preventing obesity in kids, Rapuano suggested "creating an environment with limited exposure to food advertising and other unhealthy food cues."

Loos, the Mount Sinai researcher, cautioned that "we should not get too fatalistic" about obesity and declare "it's all in my genes."

"People who are genetically susceptible to gain weight are not destined to become obese. After all, genes contribute only part, and a healthy lifestyle will help prevent weight gain. It's just harder for some people. But it's not impossible," Loos said.

The study was published online Dec. 19 in the Proceedings of the National Academy of Sciences.

More information

For more about nutrition for kids, visit the U.S. Department of Agriculture.

SOURCES: Kristina Rapuano, graduate student, department of psychological and brain sciences, and Diane Gilbert-Diamond, Sc.D., assistant professor of epidemiology, Geisel School of Medicine, Dartmouth College, Hanover, N.H.; Ruth Loos, Ph.D., director, genetics of obesity and related metabolic traits program, Charles R. Bronfman Institute of Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York City; Dec. 19, 2016, Proceedings of the National Academy of Sciences, online

Wednesday, December 14, 2016

WEDNESDAY, Dec. 14, 2016 (HealthDay News) -- Teens glued to their tablet, smartphone or computer for hours on end may be more likely to become obese, a new study suggests.

Those who used screen devices for five or more hours daily were twice as likely to drink more sugary beverages and engage in too little physical activity, the researchers found.

As a result, these teens showed a 43 percent increased risk of obesity compared with kids who don't use smartphones or tablets at all. But the study did not prove that high use of these technologies caused obesity risk to rise.

"Parents should be cautious with their kids in terms of how much they're using these devices, especially if you see your child on them several hours a day," said study lead author Erica Kenney. "It is something to keep an eye on and be concerned about, because it could be having an effect on their health."

Kids using a screen device for that amount of time is not that uncommon, Kenney, a research fellow with the Harvard T.H. Chan School of Public Health in Boston, and her co-author found.

One of every five U.S. teenagers spends more than five hours a day on smartphones, tablets, computers and video games, the researchers discovered. By comparison, only 8 percent of kids watch more than five hours a day of TV.

"We know kids are shifting their time away from TV and onto these other devices," Kenney said.

Previous studies have linked excessive TV viewing with increased consumption of sugary drinks, fast foods, sweets and salty snacks -- all leading to a higher risk of obesity, the study authors said.

Kenney decided to see whether this risk also applied to kids who've ditched TV for screen devices.

The study relied on data drawn from the 2013 and 2015 waves of the Youth Risk Behavior Surveillance System, a regular youth survey conducted by the U.S. Centers for Disease Control and Prevention. Researchers reviewed responses from almost 25,000 teens in grades 9 through 12.

The results regarding excess TV viewing agreed with earlier findings, the researchers said. Teens who watched five or more hours of TV daily were nearly three times as likely to drink sugary beverages daily and 78 percent more likely to become obese, compared with kids who didn't watch TV.

But those bad habits also appeared to transfer over when kids used smartphones, tablets or computers. Five or more hours of screen device time every day was linked to a doubled risk of drinking sugary beverages and getting too little exercise every day, and a 74 percent increased risk of poor sleep.

Kids tend to snack too much while using electronic devices, explained Stephanie Schiff, a registered dietitian with Northwell Health's Huntington Hospital in Huntington, N.Y.

"If kids are playing video games on the computer while they're eating, they sometimes don't register an end to their hunger," Schiff said. "Eating can become mindless rather than mindful, and they may not realize they are actually full."

In addition, a more insidious process tied to screen use could be influencing their food choices, Kenney said.

"A lot of the literature on TV and diet and TV and obesity risk really suggests the key factor driving these associations is exposure to advertising for unhealthy things that kids nag their parents to get in the supermarket," she said. "We do know in recent years a lot of the money towards marketing foods and beverages has shifted more towards marketing on social media and video games and things like that."

These electronic devices also share TV's ability to glue kids to a couch, Schiff said.

"Years ago, kids would play in the playground at recess or come home after school and play in their yards or on the sidewalk," Schiff said. "That play has been replaced to an extent by video games, Facebook, YouTube and texting.

"It's not a surprise that childhood obesity is on the rise, since to some extent virtual games have replaced real-time play and interaction, and physical activity has been relegated to fingers and thumbs," she continued.

Kenney recommends getting advice on ways to limit screen time if your child is using smartphones or tablets more than a couple hours a day.

"If they're regularly on these devices for long periods of time, you maybe want to talk with your pediatrician about strategies for how to cut back a little bit," she said.

The new study was published online Dec. 14 in The Journal of Pediatrics.

More information

For more on childhood obesity, visit the Obesity Society.

SOURCES: Erica Kenney, Sc.D., M.P.H., research fellow, Harvard T.H. Chan School of Public Health, Boston; Stephanie Schiff, R.D.N., registered dietitian, Northwell Health's Huntington Hospital, Huntington, N.Y.; Dec. 14, 2016, Journal of Pediatrics

Tuesday, December 13, 2016

TUESDAY, Dec. 13, 2016 (HealthDay News) -- The percentage of overweight babies in poor families in the United States may be on the decline, a new study suggests.

Researchers found that fewer babies enrolled in the federal Women, Infants and Children (WIC) nutritional assistance program had a high "weight-for-length" in 2014, when compared with 2010. The percentage went from 14.5 percent to just over 12 percent in that period.

The WIC program helps low-income pregnant women, new mothers and children up to age 5. With federal funding, states provide those families with supplemental foods, nutrition education and health care referrals.

Researchers said the new findings are "encouraging."

High weight, even in infancy, has been linked to an increased risk of obesity later on, said study author David Freedman. He is a researcher with the U.S. Centers for Disease Control and Prevention.

And children in low-income families are at particular risk of both a high weight in infancy and childhood obesity, Freedman pointed out.

Dr. William Dietz, director of the Global Center for Prevention and Wellness at George Washington University, in Washington, D.C., agreed that "high weight-for-length is beyond 'chubbiness.' "

Dietz, who was not involved in the study, pointed to a finding he thought was particularly encouraging: Weight improvements were greatest among babies in certain minority groups. Hispanic and Native American babies showed the biggest changes.

The prevalence of high weight among Hispanic babies dropped from 17 percent in 2010 to just under 14 percent in 2014; among Native Americans, the prevalence fell below 16 percent -- down from almost 19 percent, the findings showed.

Meanwhile, just under 12 percent of black babies had a high weight in 2014, compared with 11 percent of white babies.

"The declines were greatest in groups disproportionately affected by obesity," Dietz said. "So those disparities, at least in this youngest age group, may be narrowing. That's an important finding."

The results were based on nearly 17 million U.S. babies younger than 2 whose families took part in WIC between 2000 and 2014.

Between 2000 and 2004, the proportion of babies with a high weight-for-length rose from roughly 13 percent to 14.5 percent. That figure held steady through 2010, then dropped to just above 12 percent by 2014.

Why did the picture improve? Changes to the WIC program are one likely reason, Freedman said.

During the study period, the program's food allocation package was revamped to fall in line with federal dietary guidelines, as well as infant feeding recommendations from the American Academy of Pediatrics.

"There were changes that resulted in increased consumption of whole grains, fruits and vegetables," Freedman said.

Plus, he added, those years saw a growing awareness -- among health professionals and parents -- of the childhood obesity problem.

Freedman did underscore a limitation of the study: Since the findings come from the WIC program, they do not reflect U.S. families as a whole.

However, recent studies have found that early childhood obesity seems to be on the decline nationwide. According to the CDC, just over 9 percent of 2- to 5-year-olds were obese in 2014 -- down from 14 percent a decade earlier.

That's in contrast to what's going on with older kids and adults, Freedman pointed out.

Among 2- to 19-year-olds, the CDC says, the prevalence of obesity has remained stubbornly stable -- at around 17 percent. And roughly one-fifth of U.S. teenagers are obese.

Still, the fact that the youngest kids are showing a different pattern is a positive sign, according to Dietz.

"This shows that we are making some progress," he said.

Freedman agreed. "We are seeing some positive results," he said. Now, the question is whether the encouraging trends will continue, he added.

More information

The CDC has more on childhood obesity.

SOURCES: David Freedman, Ph.D., distinguished consultant, division of nutrition, physical activity and obesity, U.S. Centers for Disease Control and Prevention, Atlanta; William Dietz, M.D., Ph.D., director, Global Center for Prevention and Wellness, Milken Institute School of Public Health, George Washington University, Washington, D.C.; Dec. 13, 2016, Pediatrics, online

Friday, December 2, 2016

There’s no shortage of bold and bright workout leggings out there—but sometimes, all you really want is a basic black pair. Black tights slim the legs and hips, match all your other workout apparel, and can easily go from your sweat session to running errands. We asked our editors what their go-to pair of black leggings were for all of their workout needs and here are their favorites.

Onzie Track Leggings ($69; zappos.com)

“I have a relatively slim waist compared to my hips, and despite all those squats I’ve been doing at the gym, my butt’s still kind of flat. My shape makes it hard for me to find leggings that don’t slide down during my workouts. So I was thrilled with I tried Onzie leggings and realized that not only do I look and feel amazing in them, they stay put! This pair has mesh cutouts around the knees that add a fun little extra to basic black.” —Christine Mattheis, deputy editor

Photo: Zappos.com

Photo: Zappos.com

Champion Shape Women’s Tights ($50; hanes.com)

“I LOVE the Champion Shape tights. They used to only make them in a crop style, but they have full-length leggings now. Woo! The name says it all: The seams are in places that almost help contour your hips, thighs and butt, so they look super-flattering on any __body type. They are also affordable, yet don’t get destroyed in the wash.” —Jacqueline Andriakos, associate editor

champion-leggings

Photo: Hanes.com

Old Navy Go-Dry High-Rise Compression Leggings ($30; oldnavy.com)

“I’m addicted to Old Navy activewear. The price is always agreeable (there’s always a sale!) and they always have a wide selection of black leggings that can range from plain to something with more flair like cutouts or a subtle pattern. I’m loving the high waist on this pair because it keeps me tucked in and I don’t have to worry about exposing my belly when I’m moving about.” —Dwyer Frame, contributing editor

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Photo: Oldnavy.com

Lululemon Pace Rival Crop ($88, lululemon.com)

“I can’t live without my Lululemon Pace Rival crops. I have numerous pairs, and they have never failed me (even if they rip, Lululemon will replace them). I wear them on my runs and when I go to the gym. There is mesh behind the knee that gives you extra mobility and keeps you cool, and big pockets on the sides for gels, keys, or a phone. They fit perfectly—not too low or high—and the fabric is moisture-wicking and quick-drying, and they have plenty of stretch while hugging you in at the same time.” —Alison Mango, editorial assistant

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Photo: lululemon.com

 

Fabletics Winn Mid Rise Capri ($50; fabletics.com)

“I tried the Kate Hudson/Fabletics intro offer for a full workout outfit for $25 a few months back. After it arrived, I decided that the concept of subscribing to monthly fitness outfits wasn’t really for me, BUT I did end up loving the pair of black capri leggings that came with the outfit. They’re also sold on the regular Fabletics site (so you don’t need to sign up for a monthly membership to buy them).” —Kathleen Mulpeter, senior editor

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Photo: fabletics.com

Brooks Running Women’s Streaker Tight ($105; brooksrunning.com)

“They’re seamless and feel amazing!” —MaryAnn Barone, social media editor

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Photo: Brooksrunning.com

REI Lucy Hatha Leggings ($89; rei.com)

“I love the Lucy Hatha Leggings at REI because they make my legs look tight. They’re comfortable and they are moisture-wicking—I’ve worn them to yoga, on hikes, and as thermals under my clothes in the winter.” —Janet Lawrence, senior video editor

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Photo: REI.com

Thursday, December 1, 2016

THURSDAY, Dec. 1, 2016 (HealthDay News) -- Vegetarian diets are healthy for people of all ages, as well as the environment, according to a new update of the Academy of Nutrition and Dietetics' (AND) position on vegetarian diets.

Studies show that vegetarians generally have lower risks of obesity and chronic diseases such as type 2 diabetes, heart disease and certain cancers, according to the AND. That includes vegans -- who eschew not only meat and fish, but all animal products, including dairy.

On top of that, the new report said the diets are kinder to the environment.

It takes far fewer resources -- land, water, fuel and fertilizer -- to produce a pound of kidney beans than a pound of beef, for example.

"Vegetarian diets leave a lighter carbon footprint," said Susan Levin, one of the report authors and director of nutrition education at the nonprofit Physicians Committee for Responsible Medicine in Washington, D.C.

The AND's expertise is nutrition, but it chose to include the environmental aspect in the report because of growing evidence that vegetarian diets do less harm to the planet, according to Levin.

"The evidence has become really hard to ignore," she said.

The report, in the December issue of the Journal of the Academy of Nutrition and Dietetics, also stressed another point: Vegetarian diets can be safe and healthy for people of any age.

According to Levin, the science has long shown that. But there are still lingering misconceptions that plant-based eating is unsound for children.

"No one should doubt that vegetarian diets are safe at all life stages, including infancy, childhood and adolescence," Levin said.

In fact, she added, studies show that children on vegetarian diets __eat more fruits and vegetables, and fewer sweets and salty snack foods. They're also less likely to be overweight or obese.

The academy also noted that vegetarian and vegan diets can be safe during pregnancy and lactation. These diets can also be fine for athletes and the elderly, the report said.

A registered dietitian who reviewed the report agreed that plant-based diets can be nutritionally sound. And they've moved into the mainstream.

The latest U.S. government dietary guidelines include a vegetarian diet as one of three examples of a healthful eating plan, said Connie Diekman, director of university nutrition at Washington University in St. Louis.

Still, any diet is only as good as a person's food choices. If you subsist on white rice, Levin pointed out, that might be technically vegetarian, but not nutritious.

So it's important to __eat a variety of foods, she said -- including a range of whole grains, beans, fruits and vegetables, and nuts and seeds.

Vegetarians and vegans do need to be mindful to get enough of certain nutrients such as vitamin B12, which is present only in animal products, Diekman said.

According to the AND report, vegans should take supplemental vitamin B12. Vegetarians usually need supplements or B12-fortified foods, too, the group said -- since their dairy intake may not supply enough of the nutrient.

But, Levin said, B12 is the only supplement vegans need. They can get all of their other nutrient needs from food.

That's counter to the common myth that vegetarians have a tough time getting enough nutrients such as protein, calcium and iron, Levin said.

"If you're consuming enough calories, you will get enough protein," she said.

But, the report noted, it's important to make wise food choices: Calcium from vegetables like kale, turnip greens and bok choy is much better absorbed than calcium from high-oxalate vegetables such as spinach and Swiss chard, for example.

According to Diekman, people who want to go vegetarian can get help from a registered dietitian in crafting a new way of eating.

And for those unwilling to give up meat, she said, simply getting more plant-based foods onto their plates is a healthy step.

Levin made another point: Vegetarian diets have gotten a reputation as being ones of "privilege." But they can be affordable, and based on products readily available at the local grocery store, she said.

"The food does not have to be organic, or fresh," Levin said. "You can use canned beans and frozen vegetables."

As for the potential health benefits, studies have found that vegetarians and vegans tend to weigh less and have lower cholesterol levels than omnivores do. They also tend to have lower risks of high blood pressure, heart disease, type 2 diabetes and certain cancers, such as cancers of the prostate and gastrointestinal tract.

"If there were a pill that did all of that," Levin said, "everyone would be taking it."

More information

The academy has advice on building a vegetarian diet.

SOURCES: Susan Levin, M.S., R.D., director, nutrition education, Physicians Committee for Responsible Medicine, Washington, D.C.; Connie Diekman, M.Ed., R.D., director, university nutrition, Washington University, St. Louis; Dec. 2016, Journal of the Academy of Nutrition and Dietetics

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- For people with type 2 diabetes, better blood sugar control may be as easy as getting up off the couch and standing every so often, or taking a leisurely walk, a new study shows.

Dutch researchers noted that "moderate to vigorous" exercise is often recommended for people with diabetes -- but most patients don't comply with that advice.

This small new study suggests that even sitting a bit less might be of real benefit.

One diabetes expert in the United States agreed with that advice.

"For years, I would suggest an exercise regimen to my patients that I knew was doomed to failure," said Dr. Robert Courgi, an endocrinologist at Northwell Health's Southside Hospital in Bay Shore, N.Y.

However, "by tweaking the message a bit, the odds of success increase significantly," he said. "Ultimately, any activity helps lower glucose [blood sugar]. The message of 'sitting less' will have a higher success rate than exercise regimens of the past."

Current physical activity guidelines call for a minimum of 150 minutes of moderate to vigorous exercise a week to help prevent type 2 diabetes. But the study authors pointed out that nine out of 10 people fail to meet this guideline.

The new study was led by Bernard Duvivier of the department of human biology and movement science at Maastricht University Medical Center in the Netherlands. His team wanted to see if a program to reduce sitting time -- by encouraging patients to simply stand and do light-intensity walking -- could offer an alternative to a standard exercise regimen.

The study included 19 adults, average age 63, with type 2 diabetes who did three programs, each lasting four days. In the first program, the participants sat for 14 hours a day and did only one hour a day of walking and one hour a day of standing.

In the second program (the "sit less" program), the participants did a total of two hours a day of walking and three hours a day of standing by breaking up their sitting time every 30 minutes.

In the third program (exercise), the participants replaced an hour a day of sitting time with indoor cycling.

The sit less and exercise programs were designed to burn similar amounts of energy, the researchers said.

Significant improvements in blood sugar control occurred when the patients did the sit less program or the exercise program, but the improvements were generally stronger during the sit less phase, according to the study.

Courgi said the new trial has helped him "rethink the way I treat diabetes with exercise."

He said that, although it would be nice to see the results replicated in a larger trial, the study findings remain "very interesting."

The study was published Nov. 30 in the journal Diabetologia.

More information

The American Academy of Family Physicians has more on diabetes and blood sugar levels.

SOURCES: Robert Courgi, M.D., endocrinologist, Northwell Health's Southside Hospital, Bay Shore, N.Y.; Diabetologia, news release, Nov. 30, 2016