Health news, tips and features: Healia Health Blog

February 2010

February 28th, 2010

The Hidden Dangers of Visceral Fat

If a few vanity pounds are getting you down, it shouldn’t be about the ones on your hips. What you should be worrying about is visceral fat, which is the fat that sometimes surrounds the abdominal organs.

Photo by: Helgasms, Flikr, Creative CommonsMore women than men experience an increase in this type of fat, especially in the time following menopause. It is often responsible for the change in a woman’s body to an apple shape. In men, it may manifest itself as a “beer belly.”

Sometimes referred to as abdominal obesity, this fat is more dangerous than the subcutaneous fat that lies just under the skin. Fat cells produce hormones, including ones that can cause insulin resistance and type-2 diabetes. Visceral fat is also thought to increase the risk of heart disease, metabolic problems, and high blood pressure. It has also been linked to breast cancer.

It is quite possible for a person with a healthy weight and relatively trim waistline to have significant amounts of visceral fat. It can be hard to see because of where it lies; in some cases it can only be detected with an MRI.

According to the Mayo Clinic, lack of exercise and low metabolism isn’t necessarily the culprit. The problem, they say, may be genetics. If your family has a history of gaining weight around the middle, it may be a challenge for you, too. In women, hormonal changes during menopause also may cause a change in how fat is broken down and stored.

Rather than calculating your BMI, Mayo Clinic suggests simply measuring your waistline. A waist measurement of 35 inches or more, the clinic says, indicates an unhealthy concentration of abdominal fat.

One of the best things you can do for your body is exercise regularly, and, luckily, visceral fat responds well to working out. Daily moderate exercise along with strength training may be your best bet to battling the bulge.

February 27th, 2010

Exploding Head Syndrome Causes Uneasy Sleep

Some folks around the globe are starting the night off with a bang—literally. People with a rare sleep disorder known as “exploding head syndrome” go to sleep at night only to be awakened a few hours later by a loud crash.

Photo by: James Jordan, Flikr, Creative CommonsExploding head syndrome is more common in women than men, and people with the disorder are usually in their 50s or older. Once a person has had an incident, sometimes called an auditory sleep start, he or she may not experience one again for long periods of time, if at all.

What’s unusual about the disturbance is it’s only heard inside the mind. It has been compared to thunder or an explosion that lasts just moments before the person wakes up. Episode-induced anxiety sometimes causes heavy breathing, rapid heartbeat and cold sweats.

Exploding head syndrome doesn’t cause swelling or damage, but on occasion the episode may be described as a headache. In some instances, people with the disorder may also see flashes of light. This is called a visual sleep start.

According to the American Sleep Association (ASA), the disorder has been linked with stress and fatigue. Episodes often come in clusters and are relatively erratic.

The ASA does caution people who think they might have the disorder to speak with their doctors. Similar experiences may be the result of medication or other conditions. Distress over episodes also could lead to insomnia.

Although the exact cause isn’t known, the ASA says that a regular sleep routine and calming activities before bed may help prevent incidents.

February 21st, 2010

New Online Dating Site Matches Couples By Chronic Disease

When it comes to finding the perfect person, forget asking the standard ‘What’s your dream date?’ questions. Now it may be practical to ask which terminal illness he or she has. Prescription4Love.com, a new dating site has been doing just that.

Photo by: Aaron, Flikr, Creative CommonsRicky Durham created the site in 2004 in honor of his brother, Keith. The site is geared to match people with special health needs to others with similar conditions. Whether this search is for friendship or something more is entirely up to the user.

Ricky’s brother Keith had Crohn’s Disease, a form of irritable bowel disorder. It could make meeting people for the first time awkward. That’s when Ricky came up with the idea for Prescription 4 Love.

“Deciding when to tell someone you have a colostomy bag is incredibly difficult,” Durham explains. “I thought if Keith had a chance to meet someone with a similar condition, there would be no need to have to disclose anything.”

Prescription 4 Love is set up like most other online dating sites. Users can create their own profiles, browse through the forums, and chat with each other in an open environment without a hidden medical history. Durham’s recently added instant messaging, blogging and virtual gifts to the mix.

Durham’s site began with a focus on just 11 chronic illnesses, but has expanded to include more than 30. Prescription4Love welcomes anyone from amputees to recovering alcoholics, people with diabetes or heart disease, people who have or have had cancer to little people. Durham has even added STDs to the list. In fact, HIV and herpes are among his most popular groups.

“One lady in particular called me who had cancer said that whenever she told the person she was dating she had cancer they stopped dating her within a matter of days,” he says. Now she can find acceptance in a community where everyone can relate in one way or another.

As of now more than 8,000 people have used the site, and although Keith passed away before the site was fully developed, he is still very much the driving force behind Ricky’s work.

“Keith is the inspiration behind everything that I do for Prescription4Love,” he says. “I have had phone calls and emails from different people thanking me for stating such a web site…the response has been great.”

February 20th, 2010

Too Much Time in Sauna Could Harm Health

If you’ve jumped on the detox bandwagon, it may be time to turn that sauna dial down a notch. According to an article by Health Day, spending too much time in the sweatbox may cause more harm than good.

Photo by: SleepforDays, Flikr, Creative Commons
The sauna’s claim to fame has been its ability to rid the body of impurities through sweat. A body’s organs supposedly become blocked, causing them
fill with toxins. When a person sweats excessively in a sauna or steam room, he or she supposedly is able to get rid of these toxins.

Dr. Rachel Vreeman of Indiana University’s school of Medicine debunks this detoxification myth in her book, Don't Swallow Your Gum! Myths, Half-Truths and Outright Lies About Your Body and Health.

"The term 'detoxify' is used so often that it makes people think that special steps need to be taken so 'detoxifying' happens. Your body, however, does not need special cleansing efforts,” Vreeman told Health Day.

Too much heat exposure can lead to a slew of health problems including fatigue, nausea and stroke, not to mention extreme dehydration and an inability for the body to cool itself—the real purpose for sweating. Some might misread these symptoms for detoxification.

"Vomiting, thirst, dizziness, being uncoordinated or clumsy are all signs of heat exhaustion or heat stroke,” Vreeman told Health Day. “Heat illness can kill you and should be treated as an emergency."

While there may be other benefits to spending time in the sauna, Vreeman says detoxification just isn’t one of them. “What it does need,” she says, “is for you to get enough fluids and to eat a healthy, balanced diet."

When it comes to cleansing the body of toxins, it’s best to leave it to itself.

Find more health myths in Don't Swallow Your Gum!, co-written by Drs. Rachel Vreeman and Aaron Carroll.

February 14th, 2010

Dopamine Linked to Social Status, Support

There may be a link between the brain's dopamine levels and social status. In a small test, people with more dopamine receptors were more likely to have a higher social status and more social support.

Photo by: FredoAlvarez, Flikr, Creative CommonsFourteen men and women were asked to describe their social roles and support levels. Each was injected with a small amount of radiotracer, used to show how different tissues function in PET scans. Researchers, meanwhile, monitored dopamine activity in the brain.

"Low levels of dopamine receptors were associated with low social status and that high levels of dopamine receptors were associated with higher social status,” study leader Dr. Diana Martinez of the New York Psychiatric Institute said in a press release. “The same type of association was seen with the volunteer's reports of social support they experience from their friends, family or significant other."

Although human testing is still in its early stages, a similar correlation between dopamine receptors and social status has been identified in primates. This link may have something to do with the perks of being higher up on the social ladder.

“In monkeys, dominant and subordinate social rank are determined by physical and social triumph and defeat,” authors explain. Dopamine is partly responsible for motivation and reward. It is also thought to be a precursor to the release of adrenaline.

“In humans, social hierarchy is a more subtle phenomenon that can be approximated by measuring social status and social support,” they write.

While high social status was correlated with a higher number of dopamine receptors, healthy participants with social phobias had fewer receptors. This information could explain why some people are more anxious or socially detached than others. It could also pave the way toward a greater understanding of conditions such as social anxiety disorder.

While this study is merely suggestive, results support the idea that social status and encouragement from peers and loved ones may be related to dopamine receptors. Further research could provide insight to the complexity of dopamine’s role in social structure.

Read more on the study in February’s issue of Biological Psychiatry.

February 14th, 2010

Artificial Pancreas System Helps Control Nighttime Hypoglycemia

A continuous glucose-monitoring device, in combination with an insulin pump, is helping people with type 1diabetes control nighttime blood sugars. The system, referred to as the “artificial pancreas,” is designed for hands-free insulin delivery and blood glucose regulation.

Photo by: Karin P., Flikr, Creative CommonsSeventeen children ages 5 to 18 in a hospital setting participated in the research project, each spending 33 nights using the artificial pancreas (closed-loop infusion) and 21 nights using traditional treatment (continuous infusion).

Researchers from Cambridge University have been developing the system for years, and they couldn’t be happier with the results. The system proved more effective than traditional insulin pumps at regulating glucose.

"These devices could transform the management of type 1 diabetes, but it is likely to be a gradual process," research leader Roman Hovorka of Cambridge said in a telephone interview with Reuters.

Rather than taking injections at every meal, the system checks glucose levels every 15 minutes and delivers insulin accordingly. It was especially effective in regulating nighttime hypoglycemia, maintaining normal levels 60 percent of the time, compared to 40 percent with the pump alone.

Nighttime hypoglycemia occurs when blood glucose falls below normal levels. It is often the result of changes in insulin metabolism (i.e., due to exercise), and can be difficult to balance for people with type 1diabetes.

Hovorka says these studies will help people maintain good control and improve quality of life for people with type 1 diabetes by reducing the risk of hypoglycemia.

"These results suggest that closed-loop devices may be able to significantly lower the patient's risk of developing complications later in life by reducing or even overcoming the burden of hypoglycemia," Hovorka said in a news release from The Lancet.

Test your knowledge on dining out with diabetes or read the study’s abstract in The Lancet.

February 7th, 2010

Take a Rest to Improve Memory

The key to a strong memory may be rest. Resting after learning something new appears to help create a stronger, more vivid memory.

Photo by: Knittinging, Flikr, Creative CommonsInformation comes from a study by NYU assistant professor of psychology Lila Davachi and doctoral candidate Arielle Tambini. The study’s purpose was to examine the relationship between two parts of the brain related to memory—the hippocampus and neocortex—and the long-term storage of memory following rest.

Resting after gaining new information allows the mind to process that information, and store it into long-term episodic memory. While former studies have shown that this process is highly effective in sleep, this experiment tested the effects of “awake rest”--rest without sleeping.

The hippocampus is responsible for regulating emotion and memory; the neocortex for language, conscious thought and emotional response. Researchers used object-face and scene-face encoding, the brain’s process of changing information from one form to another, to determine how these two areas of the brain reacted to form memories.

Participants were shown images of people coupled with either objects or scenery (called encoding tasks), and asked how likely these images were to go together. Testing began 40–50 minutes after the first encoding task and 70–80 minutes after the second.

According to Davachi, brain regions remained active during rest, which suggests that memories were being replayed and reinforced. Participants with stronger relationships between the hippocampus and neocortex had better memory, especially of the face-object pairing.

“It will be essential for future studies to assess how connectivity during post-task offline periods (rest) relates to more extended measures of long-term memory consolidation,” authors wrote. “It will be interesting to explore the relationship between longitudinal measurements of enhanced connectivity and behavioral measures of memory consolidation.”

Take a short-term memory test or read the full study in the January issue of Neuron.

February 6th, 2010

Mental Health Stigma May Hinder Workers From Seeking Help

Worries over job security and the stigma attached to mental illness may be keeping workers from seeking professional help for mental and emotional disorders.

Photo by: Me and the Sysop, Flikr, Creative CommonsAn online survey conducted by the American Psychiatric Association reported three out of five workers expressed concern that mental health counseling would threaten professional status. More than 2,000 adults participated in the study; 1,129 were employed full- or part-time.

Although 40 percent of respondents said their employers were supportive of employee health treatment, others said their employers were less supportive of health services, more so for those concerning mental health.

Participants affected by drug addiction, alcoholism and depression were most concerned. People with diabetes and heart disease were shortly behind.

According to a report in Research Works, a publication of the Partnership for Workplace Mental Health (PWMH), there is a high prevalence of these conditions in the workplace.

“The majority (about two thirds) of people with symptoms of clinical criteria for having mental and substance use disorders do not receive any treatment at all for these conditions,” wrote report author Mark Attridge, PhD. In addition to job security and professional status, confidentiality was another concern for employees.

Researchers say that employee access to quality mental health and addiction services is needed. They suggest that the workplace promote promotion and intervention, and that employers make sure employees know how to access their benefits. They also encourage employers to be supportive and to reassure workers of confidentiality.

Dr. Alan Axelson, PWMH council chairman, stresses the importance of encouraging employees to take care of their mental and physical health, and explains that it can benefit employers as well.

“Research supports the fact that when people receive needed care, they are healthier and more productive,” he said in a press release, “Employers realize the return on their healthcare investment.”

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