Archive for December, 2009

Skinny friends may make you eat more

Monday, December 28th, 2009

That friend who stays thin despite eating anything and everything is not just annoying. She might also wreck your diet, new research suggests.

Researchers found that when they had college students watch a movie and snack with either a skinny or overweight companion, the students typically followed the thin friend’s lead when she overindulged.

In contrast, study participants used more self-control when snacking with a heavier companion who overate.

The findings, published in the Journal of Consumer Research, suggest that seeing a thin friend devour a big meal gives us implicit permission to do the same.

“We think ‘if she can eat like that and stay thin, so can I,’ or ’she is having cake, then I can too,’” explained Dr. Brent McFerran, an assistant professor of marketing at the University of British Columbia in Kelowna, Canada.

“In other words,” he told Reuters Health in an email, “the most dangerous person to eat with is not someone who is obese, but a thin friend with a large appetite.”

For their study, McFerran and his colleagues recruited 210 female college students for what the participants believed was a study on movie viewing; each woman watched a movie with a companion, who was actually a member of the research team.

In some cases, the researcher showed up as her normal 105-pound self, while in others she donned padding that made her appear to be obese.

During the movie, the pairs were offered snacks, with the undercover researcher taking her portion first.

In general, McFerran’s team found, the students ate more when their thin companion took a large portion, versus cases where the “obese” companion took a similarly large portion.

For example, when the skinny researcher ate a lot (30 candies), the participants ate an average of 10 candies. When the researcher was “obese” and ate a lot, the kids ate about 6 candies.

“Eating involves much social pressure,” McFerran said, noting that social influences may, in fact, be the strongest predictor of what we eat.

But the current findings do not mean that we need to cancel all future dinner plans with our overindulgent skinny friends.

“If we think about what we are doing in advance,” McFerran said, “we are less likely to overconsume.”

He suggested that instead of looking at a thin friend who is gorging on dessert and feeling permission to do the same, we should remind ourselves that individuals are different — with different metabolisms and exercise habits, for example.

Focus on your own goal to eat healthfully, McFerran said, rather than automatically mimicking a friend.

He pointed out, however, that there is a “flip side”: Friends who choose smaller portion sizes and healthier foods can encourage us to do so, especially if those friends are thin.

Autumn Chores Often Hazardous

Monday, December 21st, 2009

Taking health and safety precautions when raking leaves, cleaning gutters and performing other outdoor chores can help prevent injuries, according to the American Academy of Orthopaedic Surgeons (AAOS).

“Many people work vigorously in the yard during the autumn season, and it often takes a toll on your body,” AAOS spokesman Dr. Laurence Laudicina, said in a news release from the academy. “Raking leaves and cleaning out the gutters are popular seasonal chores that can lead to falls or strain to your back and upper body.”

In 2008 in the United States, about 617,000 people suffered injuries caused by rakes, other outdoor garden supplies and ladders, the U.S. Consumer Product Safety Commission noted.

So to help avoid becoming one of those statistics, the AAOS offers the following autumn chore safety tips:
Warm up for at least 10 minutes with some stretching and light exercise before beginning work in the yard.
Use a rake that’s comfortable for your height and strength. You can prevent blisters by wearing gloves or using a rake with a padded handle.
Make sure that hats or scarves don’t block your vision, and watch out for large rocks, low branches, tree stumps or uneven surfaces.
Vary your movements and alternate your leg and arm positions often. When picking up leaves, bend at the knees, not at the waist.
Wear shoes or boots with slip-resistant soles.
Don’t overfill leaf bags, especially if the leaves are wet. You should be able to carry bags comfortably.
Don’t throw leaves over your shoulder or to the side. That kind of twisting motion places undue stress on your back.
Inspect ladders for loose screws, hinges or rungs, and make sure it is free of mud, dirt or liquids.
Make sure all ladder legs rest on a firm, level surface. Don’t use ladders on uneven ground or soft, muddy earth.
Always face a ladder when climbing and descending.
Confirm that the ladder is fully open and locked before you climb it.
Angle ladders about 75 degrees from the ground.
Don’t sit or stand on the top of the ladder or on its pail shelf.
Use the right ladder for the job. Step stools or utility ladders are good for working at low or medium heights, while extension ladders should be used outdoors to reach high places.

Antidepressants Linked to Heart Defects in Newborns

Tuesday, December 15th, 2009

Women who take certain antidepressants during the first three months of pregnancy may have a slightly increased risk of giving birth to babies with heart defects.

Septal heart defects — malformations in the wall separating the right side of the heart from the left — were more common among women taking antidepressants in the first trimester, Danish researchers found. Some of these heart defects resolve on their own, while others require surgery.

The risks were seen in sertraline (trade names Zoloft and Lustral) and in citalopram (Celexa), both of which belong to the class of medications known as selective serotonin reuptake inhibitors (SSRIs).

Women who took more than one SSRI early in their pregnancy had a fourfold higher risk of having babies with this problem, said the authors of a study appearing online Sept. 24 in BMJ.

Still, the authors said the absolute risk is relatively low: 246 women would have to take such medication in order to see one septal heart defect. And 62 mothers would have to take more than one SSRI to see a problem in one child.

“A potential association with malformations must be considered in the choice of treatment of depression during pregnancy,” said Dr. Lars Henning Pedersen, lead author and a research assistant in the department of epidemiology at Aarhus University in Denmark. However, “if our data is correct, the absolute risk is low, which must be balanced against the potential substantial risk of under- or untreated depression during pregnancy.”

Other experts agree. “Early exposure can slightly increase the risk of heart defects, but the overall risk is still very, very small,” added Dr. Jennifer Wu, an obstetrician and gynecologist at Lenox Hill Hospital in New York City.

And discontinuing antidepressants also carries risks.

“The concern with pregnant women with depression, if you take them off their medication, they can have a relapse into severe depression and this could lead to self-destructive behaviors,” Wu said.

Previous studies have found that pregnant women who stopped taking their antidepressant medications were five times more likely to relapse than women who continued with the medication.

In the United States, 13 percent of women have taken an antidepressant while pregnant, according to an accompanying editorial.

Recent research has indicated a higher risk of various defects, including heart defects, among pregnant women taking antidepressants, and the U.S. Food and Drug Administration and the American College of Obstetricians and Gynecologists (ACOG) have issued warnings about possible birth defects associated with the use of the SSRI Paxil (paroxetine) by moms-to-be.

But existing studies have yielded conflicting results about dangers associated with specific drugs.

These researchers looked at almost 500,000 children born in Denmark between 1996 and 2003, a time when the number of pregnant women taking antidepressants quadrupled.

Although no overall association was found in this study between mothers taking SSRIs during the first trimester and birth defects in general, there was a doubling in the risk for septal heart defects for women using Zoloft and Celexa, but not Prozac (fluoxetine) or Paxil.

Pedersen recommended more and larger studies to explore the matter.

In August, the American Psychiatric Association in collaboration with ACOG recommended that women with major depression who are pregnant or planning to get pregnant can start or continue with antidepressant drugs, while women who choose to stop taking the drugs should consider psychotherapy.

“Ideally, you’d want to work closely with a psychiatrist and ob/gyn when planning a pregnancy,” Wu said. “When you are suddenly pregnant, there’s a lot of anxiety involved and other hormones, so it’s probably not a good time at that point to try to go off medications, and it certainly should be supervised.”

Patients who are relatively stable, on the other hand, could consider going off their medications for the first trimester, knowing that it will take four-to-six weeks for the drug effect to wear off and also knowing that the medications would be resumed at the first sign of a relapse, Wu said.

Exercise May Prevent Prostate Cancer: Study

Monday, December 7th, 2009

Regular exercise may help protect men from prostate cancer, says a new study.

U.S. researchers looked at 190 men who had a prostate biopsy and found that those who were moderately active — anything equivalent to walking at a moderate pace for several hours a week — were significantly less likely to be diagnosed with prostate cancer.

The study also found that exercise was associated with less aggressive disease in men who did develop prostate cancer.

“As the amount of exercise increased, the risk of cancer decreased,” lead author Dr. Jodi Antonelli, a urology resident at Duke University Medical Center, said in a news release.

The results, published Sept. 22 online in the Journal of Urology, contribute to the ongoing debate about how exercise affects prostate cancer risk, said study senior author Dr. Stephen Freedland, a urologist at Duke and the Durham Veterans Affairs Hospital.

“There have been dozens of studies about the value of exercise in lowering risk of prostate cancer, and some of them quite large, but the bottom line is that they’ve left us with mixed signals,” Freedland said in the news release.

The majority (58 percent) of the men in this study were sedentary, which means they exercised less than the equivalent of one hour per week of easy walking.