Health news, tips and features: Healia Health Blog

October 2009

October 31st, 2009

Children Gain Weight on Antipsychotic Medications

Certain types of antipsychotic medication can cause children to put on weight—as much as 18 pounds—according to research appearing in the Journal of the American Medical Association.

Photo by: Svenstorm, Flikr, Creative CommonsDr. Chrostoph Correll, MD, and associates observed 272 children aged 4 to 19 taking atypical antipsychotic medication for the first time. Drugs/Medications included olanzapine (Zyprexa), quetiapine (Seroquel), risperidone (Risperadol) and aripiprazole (Abilify)—drugs sometimes used to treat children with autism, schizophrenia or bipolar disorder.

Children’s weights were monitored over a 12-week period. During the last two weeks of the study, nearly all experienced significant weight gain. Average gain was as follows: 18.7 pounds with onanzapine, 13.7 pounds with quetiapine, 11.7 pounds with risperidone, and 9.7 pounds with aripiprazole. Children in the control group gained less than half a pound (.44 pounds) on average.

“(E)ffects such as age-inappropriate weight gain, obesity, hypertension, and lipid and glucose abnormalities are particularly problematic during development because they predict adult obesity, metabolic syndrome, cardiovascular morbidity, and malignancy,” authors of the study write.

Doctors were so concerned over weight gain in children taking onanzapine that they stopped treatment before the study was completed. “Each antipsychotic was associated with significantly increased fat mass and waist circumference,” authors write. “Altogether, 10 percent to 36 percent of patients transitioned to overweight or obese status within 11 weeks.”

As more children—some younger than 5-years-old—are diagnosed with bipolar and “disruptive behavior” disorders (such as ADHD), there is also a rise in atypical antipsychotic prescriptions. These medications are generally effective for children with autism and schizophrenia, but they may not be the best treatment for other conditions.

The authors suggest seeking alternative treatments. They write that, in view of the negative health outcomes, the benefits of using these medications “must be balanced against their cardiometabolic risks”, and say the results suggest including in prescription guidelines closer monitoring during the early months of treatment.

They also plan on researching whether or not diet restrictions and additional medications for weight and glucose control will help balance the potential negative effects of the drugs.

October 30th, 2009

Five Ways to Fight Cavities from Halloween Candy

There are likely to be plenty of ghosts and ghouls about this Halloween, but one thing that may have parents spooked this time of year is candy and dental health. Roughly 30 percent of 5-year-olds in Plymouth, England, were found to have some form of tooth decay, according to a newly released review.

Photo by: LifeinFlux, Flikr, Creative CommonsThe review examined the 2007-2008 dental records of U.K. children, 211 of whom were Plymouth five-year-olds. This number was just under the national average of 30.9 percent, but other regions were significantly worse.

The United States had similar rates. Almost half of children ages 12 to 15 and about one in four American children aged 2 to 5 is affected by tooth decay. Overall, it affects 4 million children in the U.S. alone. Americans consumed an average of 23.8 pounds of candy each in 2008, and with the holiday season approaching, parents should be on the watch for cavities.

As Halloween approaches, candy consumption is likely to skyrocket, but there are plenty of ways to protect trick-or-treaters from tooth decay. Try these five tips to help reduce the amount of sugar:

1. Choose reduced-sugar or sugar-free candies. Most stores carry equally tasty sugar-free or reduced-sugar versions of Halloween favorites, including chocolate, peanut butter cups and various filled or hard candies. These options won’t completely eliminate the risk of tooth decay, but they can significantly cut sugar intake.

2. Give out unconventional goodies. When it comes to candy, sugar-free gum is your safest bet. Candies that can melt and/or stick to teeth are the worst. Other ideas might include stickers, press-on tattoos, plastic rings, or other small toys.

3. Go to a Halloween program or event. Choosing alternatives to trick-or-treating significantly cuts the candy haul. These events are a great place for adults and children to socialize while enjoying snacks and fun activities.

4. Set a limit. Put a limit on the amount of candy a child is allowed daily. This helps prevent candy binges while reducing sugar consumption. Candy can also be used as a reward for good behavior.

5. Donate excess candy. Many communities have programs that will send it to troops or donate $1 for every pound of candy donated. Candy can also be donated to fire stations, schools (for rewards), or other offices in the community.

Regularly brushing teeth and reducing sugar intake can help prevent cavities. Consuming fewer sweets can also help decrease children’s risk for obesity and diabetes. Dentists and parents alike recommend that candy be consumed in moderation.

October 27th, 2009

Bariatric Surgery May Improve Pregnancy Success in Young, Obese Women

Early obesity in women may be linked with difficulty in becoming pregnant. Women who became obese by age 18 and participated in a weight-loss surgery study showed higher rates of infertility and polycystic ovarian syndrome (PCOS).

Photo by: Hairgeek, Flikr, Creative CommonsForty-two percent of the women in the study trying to conceive experienced infertility, but pregnancy was more likely for women who became obese after age 18. The good news is, surgical weight loss may increase fertility.

The study, the Longitudinal Assessment of Bariatric Surgery (LABS), provided information on the fertility of obese women considering surgical weight loss procedures.

Obesity can interfere with a woman’s hormone levels, making it difficult to become pregnant. This also makes vitro procedures less likely to work. Even in the event of conception, there are major health risks to both mother and child. Not only are miscarriage rates higher, but there are also a higher rates of premature and still-births.

Weight loss surgery, also known as bariatric or metabolic surgery, which includes gastric bypass surgery and lap banding, may help obese women trying to conceive. Many women don't know that having such a procedure is an option.

Research shows that bariatric surgery can reduce pregnancy complications for obese women, and LABS participants were no exception. Roughly 62 percent of LABS participants who underwent surgery who hoped to conceive experienced at least one live birth after infertility.

After weight loss surgery, doctors advise women to wait at least 18 months after surgery (6 months after banding) before trying to become pregnant. They also suggest using contraceptives while waiting for the body to become more stable.

“As the incidence of obesity increases in the United States, women’s health care practitioners are likely to care for a substantial number of patients who will undergo bariatric surgery,” says Dr. William Gibbons of the American Society for Reproductive Medicine. “Studies like this one are extremely useful to help us determine how to advise these patients and best meet their needs.”


Find more information about pregnancy after bariatric surgery, or test your knowledge with Healia’s Pregnancy Quiz.

October 26th, 2009

Acetaminophen After Boosters May Weaken Infant Immune Systems

Parents often give their infants acetaminophen (Tylenol) after immunizations and booster shots. As it turns out, this may do more harm than good. The medication may actually weaken infants’ immune systems, according to research from the Czech Republic.

Photo by: Andres Ruedas, Creative Commons, FlikrAcetaminophen is sometimes given to infants and small children following shots to prevent fever, a common reaction to vaccinations. This study examined the effects of acetaminophen on immune response after initial and booster vaccinations.

Two hundred twenty-six children from 10 different medical centers were randomly selected to receive three doses every six to eight hours for 24 hours after immunizations. Just 42 percent of these children experienced fevers (100.4 degrees F or above), compared to 66 percent of a control group of 233.

When it was time for booster shots, parents were asked to repeat the process. There was a lower incidence of fever in both groups—36 percent for those who took acetaminophen and 58 percent for those who did not.

Children who received acetaminophen , however, had fewer antibodies, indicating more susceptibility to disease. In the studied children, pneumonia, hepatitis B, whooping cough, polio, diphtheria and tetanus antibodies were fewer following vaccinations and boosters with acetaminophen use.

Antibodies are proteins in the immune system (immunoglobulins) that bind to harmful pathogens (viruses) to keep them away from healthy white blood cells. Without these antibodies, the body’s immune system is more susceptible to disease.

When vaccines fail to protect against diseases, the health of the entire community is at stake because viruses are more easily spread.

“This point has implications, especially for Haemophilus influenzae, for which higher and sustained antibody concentrations are needed (to reduce transmission),” says Dr. Robert T Chen of the Centers for Disease Control in Atlanta, “…and for pertussis, the bacterial vaccine-preventable disease that is least controlled.”

Although they’re not entirely sure why children taking acetaminophen had fewer antibodies, doctors plan to explore the issue further. They stress the importance of this information, and advise against unnecessary acetaminophen use.

“(A)dministration of antipyretic drugs at the time of vaccination should nevertheless no longer be routinely recommended without careful weighing of the expected benefits and risks,” wrote lead author Dr. Roman Pryula of the University of Defense in Hradec Kralove, Czech Republic.

The study appears in this month’s online issue of The Lancet.

October 19th, 2009

Safflower Oil Helps Women with Type 2 Diabetes Lose Weight, Control Blood Sugar

A certain type of unsaturated fatty acid, CLA, and safflower oil may be key ingredients in helping postmenopausal women with type 2 diabetes drop pounds and improve blood sugar, or blood glucose, levels, according to research from Ohio State University (OSU).

Photo by: PicsmaKer, Creative Commons, FlikrAfter menopause, many women experience weight gain, which increases the risk of developing metabolic conditions. For women with type 2 diabetes, weight loss and glucose management can become extremely difficult to manage. Researchers found that both CLA and safflower oil proved particularly beneficial to postmenopausal women with type 2 diabetes.

CLA, conjugated linoleic acid, is an unsaturated fatty acid found primarily in meat and dairy products of cows, goats and sheep. CLA has been known to help people wishing to build muscle, lose weight and prevent heart disease.

Safflower oil is a plant-based oil similar to sunflower oil that is used in cooking oils, salad dressings and some margarines. Safflower oil, SAF, is a colorless and flavorless source of omega-6 fatty acids, and has been known to promote healthier skin and hair, reduce cholesterol and boost the immune system.

Thirty-five women completed a 36-week study comparing the effects of CLA and safflower oil on weight and body mass. Each supplement was consumed for sixteen weeks. Participants took roughly two teaspoons of either oil daily.

CLA began to cut body fat and reduce BMI after just eight weeks. “This magnitude of reduction has not been reported in an intervention that used a linoleic acid-rich oil,” wrote lead authors Martha Belury and Leigh Norris, both from the Department of Human Nutrition at OSU.

Safflower oil, originally meant for baseline comparison, yielded exciting changes of its own. Safflower oil reduced trunk mass and increased lean muscle mass, resulting in an average loss of 6.3 percent of body fat. It also reduced insulin resistance and fasting blood glucose levels.

“I never would have imagined such a finding,” Belury says. “This study is the first to show that such a modest amount of linoleic acid-rich oil may have a profound effect on body composition in women."

Belury and associates are pleased with the results of their study, and hope to explore the effects further. They believe that CLA and safflower oil show great promise in weight and glucose management for women with type 2 diabetes.

“It is possible that further reductions in BMI are achievable with a longer length of supplementation,” the authors wrote. “The use of lower doses of CLA over longer durations of intervention may prove to be an effective weight-loss aid."


The study appears online in The Journal of Clinical Nutrition.

October 16th, 2009

Recession Could Increase Life Expectancy

Current unemployment rates stand at nearly 10 percent, and the U.S. Bureau of Labor Statistics expects this number to continue to rise. While this has been the cause of serious worry among the labor force, there may also be a reason to celebrate. A poor economy appears to add years to a person’s life expectancy, according to research from the University of Michigan.

Photo by: Seattle Municipal Archives, Creative Commons, Flikr“While economic expansions bring with them increases in employment, greater optimism, and higher incomes (although not always and not for all sectors of the population), recessions are of periods of pessimism, shrinking, and social malaise,” study authors Jose A. Tapia Granados and Ana V. Diez Roux wrote. How, then, could this improve health?

Granados and Diez believe this may be due, in part, to the stress factors associated with economic boom. During times of economic prosperity, employees carry a much heavier workload. Higher occupational demands require workers to work quickly and put in more hours, which can cause greater stress and greater alcohol and tobacco consumption. There are also higher rates of cardiovascular problems during periods of expansion. There is less to do during times of economic downturn, which would eliminate many of these problems.

To examine the effects of recession on health and life expectancy, Granados and Diez reviewed mortality rates during the Great Depression. “Mortality tended to peak during years of strong economic expansion,” the authors wrote. “In contrast, the recessions of 1921, 1930-1933 and 1938 coincided with declines in mortality and gains in life expectancy.”

In 1932, at the height of the depression, nearly 23 percent of the U.S. population was unemployed. Life expectancy at this time was 63.3 years, up over six years from 57.7 in 1929. Not only did the weak economy seem to prolong life, but there was also a decline in tuberculosis cases, traffic accidents and pollution.

Overall statistics were consistent across age groups, gender, and whites and nonwhites, but the latter group saw the most benefit. “Nonwhite males lost 8.1 years of life expectancy between 1921 and 1926, and females lost 7.4 years (a brief period of expansion),” authors wrote. “In contrast, during the Great Depression nonwhites gained 8 years of longevity.”

Suicide rates rose during the Great Depression, accounting for less than two percent of all deaths. The economic crisis of the 1920s and 30s also saw higher rates of infant mortality and malnutrition in areas with extremely high unemployment rates, but people generally lived longer, healthier lives.

If this pattern holds true today, they say it’s possible current economic conditions could give Americans up to two additional years of life: “Although social science is not physics, regularities in the past allow us at least some confidence in forecasting the future.” They also stress that although this information is promising, the negative effects of anxiety and hopelessness can still take a toll on a person’s health and well-being.

Granados and Diaz plan to continue their research. They explain, “A better understanding of the beneficial effects of recessions on health may perhaps contribute to the development of economic policies that enhance health and minimize or buffer adverse impacts of economic expansions.”

October 12th, 2009

Alzheimer's Memory Aid Possible with New Visual Recording Tool

A visual recording tool, the SenseCam, offers great promise as a memory aid for patients with Alzheimer’s and other forms of dementia.

Photo by: SenseCam, Microsoft ResearchSenseCam automatically snaps pictures every 30 seconds to create and archive image sequences. Its fish-eye lens creates images similar to the wearer’s natural perspective. It is also capable of recording short videos. About the size of a deck of cards, SenseCam weighs just 3.2 ounces and stores up to 30,000 pictures.

“The small size of the recall device makes it possible to integrate it into common portable consumer products, such as MP3 players, purses, clothing, hats, backpacks, necklaces, collars, and other human-wearable products,” developers wrote in the patent.

The images primarily trigger episodic recall, memory of events and experiences. This is the most common form of memory loss for Alzheimer's patients.

Lyndsay Williams invented SenseCam for Microsoft Cambridge in 1999. The device has since been used to monitor diet, anxiety triggers and disaster response volunteers. Gordon Bell, 75, one of Microsoft’s lead researchers, has been using the SenseCam to record every detail of his daily life every day for the last ten years. “I capture everything that I can that is of value,” he says. “I think of my e-memory and bio-memory as one.”

SenseCam features a 24-hour battery life, and according to Bell it’s also extremely durable. His first SenseCam lasted 4 years. That’s over 420,480 pictures! Because so much information is recorded, Bell stresses the importance of a good filing system.

“We have a collections mechanism that gives as a by-product a more general file system beyond (an organizational) tree,  ability to collect stuff together and name it, keywords, taxonomies,” he says. “My favorite organizing principle is facets.”

Apart from day-to-day activity, Bell says it’s come in handy when meeting new people at tradeshows and conferences. He’s come to depend on and respect the system a great deal, too. “All of your life’s images have a strong impact on being able to refresh your life,” he says.

SenseCam shows great potential, but further research is needed to determine its full effect on memory recall. In the meantime, you can read more about Bell's experience in his book, Total Recall, or follow MyLifeBits until the official release date is set.

Visit Healia's Alzheimer's Community.

October 10th, 2009

Mental Illness Awareness Week and What You Should Know About Seasonal Affective Disorder

Photo by: MarkBarky, Flikr, Creative CommonsToday marks the last day of Mental Illness Awareness Week, first recognized by Congress in 1990. The first week of October has since been used to raise awareness about mental health issues. As fall approaches, seasonal affective disorder may be one issue to look out for.

Seasonal affective disorder (SAD) is a common mood disorder that occurs in autumn and winter. The reduced sunlight during these months causes the body to fall out of its natural rhythm. People with the disorder may feel drained, depressed, or lack interest in normal activity, among other symptoms.

Not to worry, though. These five tips may help you lose those winter blues:

  • Exercise regularly. Just 30 minutes of exercise is enough to flood the brain with endorphins, the body’s natural feel-good hormones.
  • Eat a balanced diet. Cutting out excess carbohydrates and saturated fats and replacing them with healthier foods can boost your metabolism and give you more energy.
  • Get plenty of sunlight. Most physicians recommend getting at least 30 minutes of sunlight to boost brain chemistry. If sunlight is scarce, you might consider a form of light therapy.
  • Consult your physician. There are lots of health conditions with similar symptoms as sad. SAD can be mistaken as hypothyroidism, mononucleosis, or another mental disorder.
  • Consider medication. For more severe cases of SAD, medication may be needed to balance the brain’s chemical levels. Talk to your doctor about different medications and other treatment options.

According to the National Alliance of Mental Illness (NAMI), as many as 26 percent of adults and 10 percent of children living in the U.S. are directly affected by a mental health disorder every year. Mental illness affects everyone, but it doesn’t have to wreak havoc on your life. Taking extra steps toward positive mental health can keep a smile on your face this season.


Get more information about symptoms of seasonal affective disorder (SAD), or find resources on how to make Mental Illness Awareness Week recognized in your community.
October 2nd, 2009

Retinal Device Helps Some Blind People See

More than thirty blind people can now see thanks to new technology that has restored their vision. To date, thirty-eight subjects from the United States, Mexico and Europe with retinitis pigmentosa have received retinal prostheses. While the degree of success has been variable across subjects the results are encouraging.

“So far everyone has been able to see something,” says Brian Mech, Ph. D., M.B.A., and vice president of business development at Second Sight, the company that created the device. “Some of the greatest successes are people who can read large letters. They do sometimes see color, but we haven’t yet focused on reproducing color in a controlled way,” he explains. “We want to wait until black and white is perfected before we worry about color.”

Photo by: Labec Media, Creative Commons, FlikrProcedures currently help individuals with retinitis pigmentosa (RP), a disease responsible for roughly 200,000 cases of blindness in the United States. When light enters the eye through the pupil, it strikes the retina at the back of the eye and is converted to an electrical signal by rods and cones. In individuals with RP, these tissues deteriorate, resulting in full or partial blindness.

The restoration process starts with an image captured by a small camera attached to a pair of glasses. After streaming through a video processor, the data is then transferred back through the glasses to a tiny electrode “sheet” implanted on the retina. These electrodes use electrical impulses to communicate visual information to undamaged retinal tissue (just as healthy rods and cones would have done). The result is some degree of sight.

Currently the devices have only 60 electrodes, compared to more than 2 million in HD televisions, so images are still rough. This means that if the entire population of New Mexico plus 17,000 of their relatives were gathered in a field, only 60 would be visible.

The technology has been greatly improved from earlier 16-electrode versions. Before, objects appeared as horizontal lines. Now users can make out basic shapes; some can see faint reflections and differentiate between concrete and grass.

“Our near term goal is to get regulatory approval to market the device in Europe and the United States. This will allow us to generate revenue to fund the development of next generation prostheses with greater numbers of electrodes. This should mean more utility for the patients,” Mech explains.

Researchers from Second Sight will follow project participants for the next three years to track progress. They hope to develop versions with 200 and 1000 electrodes in the future, but so far implant recipients are pleased with results.

"Besides the objective testing that we do to show improvement in visual function, participants are often most excited by personal experiences. One woman saw the moon for the first time in about 20 years," Mech says. "Another can shoot baskets and watch her grandkids play soccer. This is significant."

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