Information comes from a recent study published in Circulation, a journal of the American Heart Association. The study is a compilation of nine previously published research articles on the topic. The study notes a decrease in the risk of AMI (acute myocardial infarction), another name for a heart attack.
“The risk of AMI falls rapidly after smoking cessation,” wrote study authors James M. Lightwood, Ph. D, and Stanton A. Glantz, Ph.D. And even those who never light up themselves benefit. “The effects of secondhand smoke (SHS) on many biological mediators that lead to heart disease occur rapidly and are nearly as large as those of smoking.”
Research showed an estimated 15 percent decline in the incidence of heart attacks in the first year of smoking bans alone. Three years following enforcement of the laws saw an even greater decline, roughly 36 percent, with a 40 percent drop in Montana.
Research from five European countries that have adopted similar policies was also examined in this study. Heart attack rates fell a full 11 percent in just two months following a ban on smoking in Italy. Similar statistics were found in Ireland.
“Secondhand smoke (SHS) increases the risk of acute myocardial infarction (AMI) by 25% to 31% (1–5),” researchers* from the Kansas University School of Medicine’s Division of Cardiovascular Diseases write. “In countries where smoking prevalence is high, for example, Britain 50%, Europe 62%, and Greece 156%, versus 22% in the U.S., AMI in nonsmokers is particularly increased.”
Individuals who ceased smoking after the laws went into effect were not accounted for, and most of the statistics come from restaurant workers. Although this somewhat limits the data, researchers believe rates are underestimated and expect this trend to continue exponentially as more legislation goes into effect.
Authors of the study write, “Passage of strong smoke-free legislation produces rapid and substantial benefits in terms of reduced AMIs and that these benefits grow with time.”
*David G. Meyers, M.D, M.Ph.; John S. Neuberger, DRPH, M.Ph.; M.B.A., and Jianghua He, Ph.D
According to a report in The New England Journal of Medicine, sugar consumption has risen 30 percent over the last decade. For teens and children, soda accounts for 10-15 percent of total calories consumed. By removing just ¼ of the sugar in sweetened beverages, consumers can reduce annual caloric intake by 8,000 calories. This figure equates to roughly two pounds of weight in a year.
“Americans consume about 250 to 300 more calories daily today than they did several decades ago,” according to authors Kelly D. Brownell, Ph.D., and Thomas R. Frieden, M.D., M.P.H. “Though no single intervention will solve the obesity problem, that is hardly a reason to take no action.”
Such a high rate of sugar intake can do more than expand the waistline. It can also increase the risk of type 2 diabetes, heart disease, and other problems as a result of poor nutrition and weight gain. The objectives of those in support of a tax are twofold—to lower consumption, and to encourage soft drink producers to decrease the amount of caloric sweeteners in their products.
There are strong arguments on both sides. People arguing against the tax point out that food is necessary to survive. They believe raising prices will make it more difficult for low-income families to eat. Others argue that the poor would benefit the most. As the price of fresh produce and other healthier options goes up, soda and junk food prices are going down. People with tighter budgets consume more of the cheap but less nutritious foods and beverages.
“As Coca-Cola prices increased by 12 percent, sales dropped by 14.6 percent,” Frieden and Brownell wrote. Analysts believe that a 1 cent-per-ounce price increase could reduce consumption by as much as 10 percent. Justin Wilson, senior research analyst for the Center for Consumer Freedom, argues that such a tax is manipulation against the consumer. “The tax code should not be used as a method for social engineering, and that’s what this is,” he said. Legislators see the issue a little differently.
Higher prices have been used effectively in the past to reduce tobacco sales, and any revenue from a tax on soda could raise up to $14.9 billion per year. This money could be used to support health reforms or other programs. New Yorkers’ support rose by 20 percent when lawmakers suggested using these funds for obesity prevention programs.
UT Southwestern conducted a study on the effects of different types of fats on the hypothalamus and other parts of the brain. “Normally, our body is primed to say when we’ve had enough, but that doesn’t always happen when we’re eating something good,” said study author Dr. Deborah Clegg, assistant professor of internal medicine at UT Southwestern. What they found was that certain fatty acids blocked hormone signals from insulin and leptin, hormones that regulate weight and appetite.
The study examined the effects in rats. The animals received equal amounts of different types of fats. The first group of rats was fed a diet high in palmitic fatty acids, the second monounsaturated fatty acids, and the third with oleic fatty acids. These groups were then divided further into two groups. In the first group, fats were directly injected into the bran via the carotid artery, while the second group of rats received fats via a tube.
“We found that the palmitic acid specifically reduced the ability of leptin and insulin to activate their intracellular signaling cascades,” Dr. Clegg said. “The oleic fat did not do this. The action was very specific to palmitic acid, which is very high in foods that are rich in saturated fat.”
Oleic acids are naturally-occuring “good” fats found in foods such as olives and some types of soybeans. Palmitic acid, in contrast, is a type of saturated fatty acid typically found in foods high in animal fats, such as beef, butter, and cheese. These types of fats are intended for long-term energy storage, but when a person consumes a diet high in palmitic acid it can accelerate obesity.
“What we’ve shown in this study is that someone’s entire brain chemistry can change in a very short period of time,” Dr. Clegg said. The study showed that the effects of these types of fats can last as long as three days.
“Our findings suggest that when you eat something high in fat, your brain gets 'hit' with the fatty acids, and you become resistant to insulin and leptin,” she said. “Since you’re not being told by the brain to stop eating, you overeat.”
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Researchers studying the microbiology of water systems at 45 sites in seven different states across the U.S. found unusually high levels of bacteria in showerheads—almost 100 times more than any other place in the home. Although bacteria levels were high in all showerheads, some sample sites in the New York City and Denver areas had large amounts of Mycobacterium avium, a relative of the bacteria that causes tuberculosis and leprosy.
“If you’re getting a face full of water when you first turn your shower on, that means you are probably getting a particularly high load of Mycobacterium avium,” says study author Norman Pace, professor of biology at the University of Colorado.
Mycobacteria are found in soil, water, and decaying matter. Certain Mycobacteria, such as Mycobactrium avium, can cause digestive, lymphatic, and pulmonary infections. In the shower, these bacteria are delivered as aerosols. Particles are small enough to get into the lungs, and when inhaled or swallowed, can lead to a host of pulmonary problems.
The study, part of a bigger study that began as a class project, used DNA barcode testing to extract rRNA (bacterial DNA) from different parts of the shower and showerhead. Researchers sampled water flowing from the showerhead and obtained swab samples from the inside of the showerhead. Finally, samples were collected from water flowing out of the pipe after the showerhead was removed.
Homes with well water systems did not have Mycobacteria in their showerheads, a factor authors believe may be due to Mycobacteria’s chlorine resistance. Although they suggest that bathing may be safer, researchers assure that it’s not dangerous to shower.
“We did see some organisms that might be of concern if you have immune issues (such as) cystic fibrosis, AIDS, recent organ transplant, substance abuse, or are pregnant or otherwise immune compromised,” the authors wrote.
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“Although everyone wants to be treated immediately… it is not always best to rush a patient to the OR in the middle of the night,” explains Dr. William M. Ricci MD, Associate Professor of Orthopaedic Surgery at the Washington University School of Medicine.
The study followed 203 patients who underwent orthopaedic surgery—surgery on bones and joints. While there was no significant difference between radiation exposure, healing time or actual treatment, there was a noticeable disparity between operations that occurred between the daytime and nighttime shifts.
All operations used intramedullary nail fixation to mend tibial or femoral fractures. This is a procedure in which a rod, or “nail”, is used to set the bone. The day was divided into two shifts—the morning shift between 6:00 a.m. and 4:00 p.m., and the night shift thereafter.
Second shift patients had shorter operations, but they also had more follow-up operations and more nail removal surgeries—27percent versus 3 percent for patients whose surgeries occurred during regular office hours. Dr. Ricci believes that much of this can be attributed to the long hours many surgeons put in.
“The reality is that the on-call night surgical team may not be well rested as it is likely they had just finished a normal day shift,” Ricci says. Ricci, who is also chief of the Orthopaedic Trauma Service in the Department of Orthopaedic Surgery at W.U., also explains why non-emergency operations should wait.
“We in the healthcare industry don’t have unlimited resources,” Ricci says. “Many hospitals in the U.S. do have a dedicated night team of orthopaedic surgeons who otherwise are without daytime responsibilities. There are surgical teams on-call for those instances when treatment must be immediate.”
Ricci believes giving orthopaedic surgeons more time to operate on trauma patients can help reduce the risk of minor complications from nail fixation surgeries. He encourages patients to wait for surgery if possible, but insists that actions be taken immediately in urgent situations: “Naturally, when the medical condition is emergent and time is a critical factor, immediate surgery should proceed regardless of time of day.”
Researchers from the Aristotle University of Thessaloniki and the Department of Anesthesiology at the "G.Papanikolaou" Regional Hospital in Thessaloniki, Greece, sought to explore the effects of exercise on medicated patients with primary open angle glaucoma (POAG).
Glaucoma is a disease that causes damage to the optic nerve, often resulting in severe vision loss or blindness. It is an irreversible condition that affects roughly 4 million people in the United States, about half of whom are unaware that they have it. Women, persons with diabetes or stroke, and African American men over 40 are at a greater risk.
Although glaucoma is typically seen in the elderly (persons over 60), everyone is at risk. Glaucoma may develop with or without symptoms, and as many as 10 percent of people receiving proper treatment will still experience vision loss. High intraocular pressure (IOP) is one of its many risk factors.
“Since exercise increases systemic fibrinolytic activity (such as dissolving blood clots), one can speculate that exercise decreases intraocular pressure by facilitating (uveoscleral) outflow,” authors of the study wrote.”
Based on this information, researchers gathered data from 145 individuals—100 healthy and 45 with POAG. Prior to testing researchers checked IMP levels using Goldmann’s applanation tonometry, a method of measuring the amount of pressure needed to flatten the cornea.
IMP was measured again hours after receiving medicated eye drops. Participants were then asked to engage in “moderate to sub-maximal” aerobic exercise (on a bicycle) for 10 minutes, after which IOP data was again measured.
“Regardless of the antiglaucoma medication instilled, they still benefited from the aerobic exercise since they all had a post-exercise reduction of IOP,” the authors wrote in the study. “It is obvious that these patients should be encouraged to perform aerobic exercise.”
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Atherosclerosis causes plaque to build up on the insides of arteries, reducing the flow of oxygen-rich blood to organs and other parts of the body. Arteries in the neck can thicken, a condition called carotid artery intimal-medial thickening (IMT). Atherosclerosis increases risk of heart attack and can block blood flow to the brain and lead to stroke.
Science has explored the connection between hopelessness and IMT in men and women with cardiovascular disease, but little was known about the link in healthy women. “This is the first study to suggest that hopelessness may be related to subclinical cardiovascular disease in women without clinical symptoms of heart disease,” said Susan A. Everson-Rose, Ph.D., M.P.H., associate professor of medicine at the University of Minnesota and co-author of the study.
Data for the study was collected from two sites in Chicago and Pittsburgh, using the Study of Women’s Health Across the Nation (SWAN). Five hundred and fifty-nine women (average age 50) living in the city participated in the study. Participants appeared to be in good health, showing no signs of cardiovascular disease.
SWAN used questionnaires to measure the association between IMT and hopelessness frequency using an eight-point scale, asking participants about personal goals and future life expectations. Scores of five and above were considered “high.” Ultrasounds were then used to measure the thickness of arteries in the neck.
Participants with the highest hopelessness scores showed an average of .06 mm greater thickening than their hopeful counterparts (.02 mm is equal to roughly one year’s thickening). Researchers discovered that hopelessness triggered a hormonal release in response to mood change that can amplify the effects of atherosclerosis and the thickening of neck arteries.
Researchers plan to continue exploring the unique relationship between hopelessness and cardiovascular disease in future studies. “These findings suggest that women who experience feelings of hopelessness may have greater risk for future heart disease and stroke,” Everson-Rose said. "We look forward to examining the longitudinal relations between hopelessness and heart disease risk in women."
She explains that worry about the future and inability to take action are just a few reasons employees may find worry over potential job loss nerve-racking. “When you consider that not only income but so many of the important benefits that give Americans some piece of mind—including health insurance and retirement benefits—are tied to employment for most people, it's understandable that persistent job insecurity is so stressful.”
Information for both studies was obtained during periods of economic uncertainty. Participants were asked to evaluate their current state of health and their likelihood of job loss. Phone interviews (and questionnaires between interviews) using a five-point scale—1 being “poor” and 5 being “excellent”—enabled researchers to track certain changes. The strongest association with health problems was linked to people who were catergorized as “persistently insecure.”
“Job insecurity is nothing new,” Burgard says, “but the numbers experiencing persistent job insecurity could be considerably higher during this global recession, so these findings could apply much more broadly today than they did even a few years ago.”
Job insecurity can cause a variety of adverse physical, mental and emotional health complications. Short-term and prolonged stress can weaken the immune system, cause headaches, raise heart rate, increase anxiety, and cause skin and stomach problems.
If this stress is not dealt with, it can lead to greater heart problems (such as heart attack or high blood pressure), emotional disorders/depression, asthma, and stroke. In some cases, substance abuse may result from using alcohol or drugs as a coping mechanism. In one of the groups, prolonged stress due to job insecurity was a greater predictor of employee health than smoking or high blood pressure.
Find out more about how to cope with stress or visit Healia's Stress Management Community.
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