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 Did you know that some foods have nanoparticles added to them? Which foods? Nanoparticles in foods are ingredients so small that they are measured in nanometers or billionths of one meter. The most common nanoingredients are: titanium dioxide, silicon dioxide, and zinc oxide. What, if anything, do nanoingredients do to humans? That is, are there any effects from ingesting them? No one really knows. However, several articles in the past year raise a number of concerns, especially because so much is still unknown. Meanwhile the use of nanoingredients is unregulated in the U.S., and the number of foods with nanoingredients is growing rapidly.

Nanoparticles are typically used in foods as additives, flavorings, coloring, or even anti-bacterial coatings for packaging. It is thought that nanocoatings are being used on some fruits and vegetables. Even though ingredients such as titanium dioxide are considered to be "generally recognized as safe" (GRAS) before they're made into nanoparticles, the question is whether they’re safe in their nanoparticle form. This is because nanoparticles can exhibit new or altered properties at nanoscale dimensions. Some concerns about nanoparticles are that they are small enough to penetrate the skin, lungs, digestive system, and perhaps pass through the blood-brain barrier and placental-fetal barrier, and cause damage.

A 2016 report by Friends of The Earth reported finding nanoparticles in various brands of baby formulas. None listed nanoparticles as ingredients, but independent laboratory testing found the baby formulas to contain them. The Medscape article (below) reported on recent research  that suggested that nanoingredients can cause problems such as intestinal inflammation, especially for certain groups, such as those with intestinal bowel disease (IBD). According to the Science News article (below): "Tests show that on average more than one-third of the titanium dioxide in foods is in the form of nano-sized particles."

The Center For Food Safety states: "Bulk scale titanium dioxide is used as a food coloring agent, often to make foods look whiter or brighter, but the FDA has not set exposure limits yet for its use at the nano scale in the US. Moreover, the largest review of nano titanium dioxide studies show that many basic questions have not been answered. Candies like M&M’s, processed cheeses, and chewing gum have all been found to contain nano titanium dioxide.  Nano titanium dioxide is small enough to cross through the intestine and into organs where it can damage DNA and disrupt cell function." They have established a searchable data base of foods containing nanoparticles. The list is incomplete, but some popular foods containing nanoingredients (may not be on ingredient list, but lab tests found them) include: M&Ms, Lindt chocolate, Dannon Greek Plain Yogurt, Cadbury Milk Chocolate bars, Nabisco Chips Ahoy cookies, and Nabisco Oreos.

From Medscape [UPDATE: The Medscape link no longer works. Link to original study and to a discussion of the research in The Rheumatologist.]:  Titanium Dioxide Additives May Boost Intestinal Inflammation

Murine [mice] and other studies suggest that titanium dioxide (TiO2) nanoparticles, widely used as food additives and in drug formulations, may be involved in intestinal inflammation, according to Swiss researchers..... "It seems that titanium dioxide nanoparticles are not harmful for a healthy person with a normal intestinal barrier. But this may be different in an individual with impaired intestinal barrier function such as patients with inflammatory bowel disease (IBD).".... IBD is increasing in many nations undergoing westernization. Among possible causes are microparticles of agents such as Ti02, which are used to improve the appearance of products including food.

The researchers go on to point out that there is increasing evidence that exposure to TiO2 "can cause adverse effects, including the production of reactive oxygen species (ROS) inflammatory responses and tumor formation.".....Finally, wrote the investigators, "An increase of titanium burden in blood of patients with ulcerative colitis having active disease was found, evidencing an impaired barrier function and suggesting that TiO2 nanoparticles could pose a specific risk to patients with IBD." ...continue reading "Are Foods Containing Nanoparticles Safe To Eat?"

This study gives hope to those with type 2 diabetes that it may be reversible - even if they've had it for up to 10 years. Researchers demonstrated that in 40% of the 30 study participants on a very low calorie diet (VLCD) of 600 to 700 calories daily for 8 weeks achieved remission of their diabetes for as long as 6 months (the length of the study). They returned to nondiabetic blood glucose levels, had improvement in acute insulin secretion, normalization of liver fat content and insulin sensitivity, and were off all diabetes medicine. The average weight loss was 31 pounds and they maintained this weight loss over the length of the study, even though most remained obese or overweight. The researchers mention that there is already evidence that diabetes reversal lasts for at least 3 years, as long as weight is not regained.

What they did: A) 3 diet shakes per day and 240 grams (1 cup or 1/2 pound) of non-starchy vegetables taking in between 600 and 700 calories per day for 8 weeks, B) volunteers then gradually returned to eating normal food over the next two weeks with very careful instruction on how much to eat, C) volunteers were seen once a month and supported with an individualized weight maintenance program over the next 6 months, D) to keep weight steady after the weight loss, they were eating around one third less than before the study.

Overall, 12 patients who had had diabetes for less than 10 years reversed their condition, and 6 months later they remained diabetes free. In fact, after 6 months a thirteenth patient had reversed their diabetes. The 30 people with diabetes in the study had it between 0.5 and 23 years. The best results were in those who had it for a shorter time. Thus, while 40% of study participants overall reversed their diabetes, 60% of those with short-duration of diabetes (under 10 years) reversed their diabetes. These are fantastic results!

The researchers say that the study results "...supports our theory of a Personal Fat Threshold. If a person gains more weight than they personally can tolerate, then diabetes is triggered, but if they then lose that amount of weight then they go back to normal. Individuals vary in how much weight they can carry without it seeming to affect their metabolism -- don't forget that 70% of severely obese people do not have diabetes." The researchers say type 2 diabetes can now be understood to be a metabolic syndrome that is potentially reversible by substantial weight loss, and that this is an important paradigm shift. They also comment that studies and population data indicate that type 2 diabetes is solely a response to overnutrition.

Excerpts from Diabetes Care:  Very Low-Calorie Diet and 6 Months of Weight Stability in Type 2 Diabetes: Pathophysiological Changes in Responders and Nonresponders.

Type 2 diabetes mellitus (T2DM) is generally regarded as an irreversible chronic condition. Because a very low-calorie diet (VLCD) can bring about acute return to normal glucose control in some people with T2DM, this study tested the potential durability of this normalization. The underlying mechanisms were defined.

People with a T2DM duration of 0.5-23 years (n = 30) followed a VLCD for 8 weeks. All oral agents or insulins were stopped at baseline.....Weight fell (98.0 ± 2.6 to 83.8 ± 2.4 kg) and remained stable over 6 months (84.7 ± 2.5 kg). Twelve of 30 participants achieved fasting plasma glucose <7 mmol/L after return to isocaloric diet (responders), and 13 of 30 after 6 months. Responders had a shorter duration of diabetes and a higher initial fasting plasma insulin level....A robust and sustainable weight loss program achieved continuing remission of diabetes for at least 6 months in the 40% who responded to a VLCD by achieving fasting plasma glucose of <7 mmol/L. T2DM is a potentially reversible condition.

However, restoration of normal glucose control is possible after weight loss in some individuals with T2DM . Although most commonly seen after bariatric surgery, reversal of diabetes can occur after any sharp decrease in calorie intake. In short-duration T2DM, fasting plasma glucose becomes normal within days on a very-low-calorie diet (VLCD) because of a rapid decrease in liver fat and return of normal hepatic insulin sensitivity, and normal b-cell function returns over 8 weeks.

This prospective, longitudinal, single center study comprised three phases: VLCD for 8 weeks; a stepped return to isocaloric intake of normal food over 2 weeks; and a structured, individualized weight maintenance program over 6 months. Assessments were carried out before the VLCD, after return to isocaloric eating, and at the end of the 6-month follow-up. The primary outcome measure was fasting blood glucose at 6 months in the group achieving nondiabetic levels after VLCD and return to normal eating, and the primary comparison was the change between post– weight loss and 6 months in responders.

We demonstrate that in 40% of study participants who responded to a VLCD by achieving fasting plasma glucose ,7 mmol/L, remission of T2DM lasts for at least 6 months. Return to nondiabetic blood glucose levels was characterized by improvement in acute insulin secretion, and this was sustained while off all hypoglycemic agents. Hepatic insulin sensitivity improved in both responders and nonresponders....Weight loss brought about normalization of liver fat content and insulin sensitivity in both responders and nonresponders. Of note, no redistribution of fat was seen to the liver from the subcutaneous or other deposits over 6 months of weight stability, even though the participants remained obese or overweight.

The present demonstration of ongoing reversal of T2DM (in 41% of the cohort overall or 60% of individuals with short-duration diabetes) is reflected in population data that indicate that T2DM is solely a response to overnutrition. Ready access to low-cost food is uniformly accompanied by high rates of T2DM, and when food supply becomes limited for any reason, the prevalence of T2DM falls.....The present data confirm reversal of T2DM for at least 6 months in those who achieve nondiabetic plasma glucose levels after VLCD. However, the critical question for health-care delivery is whether truly long-term reversal of T2DM can be achieved in primary care.

The likelihood of VLCD responders remaining free of diabetes indefinitely must be considered. After media coverage of our earlier study, many people with T2DM reversed their own diabetes (37). For such motivated individuals who avoid weight regain, maintenance of normoglycemia for up to 3 years has been reported.... Because progression of longterm complications of diabetes relates to ambient blood glucose control, durable reversal of diabetes would be expected to be associated with longterm health. T2DM can now be understood to be a metabolic syndrome potentially reversible by substantial weight loss, and this is an important paradigm shift. 

  Interesting study that supports music instruction for children - that it appears to accelerate brain development in young children, particularly in the areas necessary for general auditory processes such as language, speech and social interaction. Unfortunately music instruction is being cut in many schools, either for budget reasons or because it is perceived as unnecessary. From Developmental Cognitive Neuroscience:

Researchers find that children's brains develop faster with music training

Music instruction appears to accelerate brain development in young children, particularly in the areas of the brain responsible for processing sound, language development, speech perception and reading skills, according to initial results of a five-year study by USC neuroscientists.

These initial study results, published in the journal Developmental Cognitive Neuroscience, provide evidence of the benefits of music education at a time when many schools around the nation have either eliminated or reduced music and arts programs. The study shows music instruction speeds up the maturation of the auditory pathway in the brain and increases its efficiency.

For this longitudinal study, the neuroscientists are monitoring brain development and behavior in a group of 37 children from underprivileged neighborhoods of Los Angeles. Thirteen of the children, at 6 or 7 years old, began to receive music instruction through the Youth Orchestra Los Angeles program at HOLA....The children learn to play instruments, such as the violin, in ensembles and groups, and they practice up to seven hours a week.

The scientists are comparing the budding musicians with peers in two other groups: 11 children in a community soccer program, and 13 children who are not involved in any specific after-school programs. The neuroscientists are using several tools to monitor changes in them as they grow: MRI to monitor changes through brain scans, EEG to track electrical activity in the brains, behavioral testing and other such techniques.

Within two years of the study, the neuroscientists found the auditory systems of children in the music program were maturing faster than in the other children. The fine-tuning of their auditory pathway could accelerate their development of language and reading, as well as other abilities—a potential effect which the scientists are continuing to study. The enhanced maturity reflects an increase in neuroplasticity, a physiological change in the brain in response to its environment—in this case, exposure to music and music instruction.

"The auditory system is stimulated by music," Habibi said. "This system is also engaged in general sound processing that is fundamental to language development, reading skills and successful communication." The auditory system connects our ear to our brain to process sound. When we hear something, our ears receive it in the form of vibrations that it converts into a neural signal. That signal is then sent to the brainstem, up to the thalamus at the center of the brain, and outward to its final destination, the primary auditory cortex, located near the sides of the brain.

Surprising study results. The question is why would having higher education somehow be associated with higher incidence of brain tumors? Is there something about sitting and studying, or sitting in an office for hours on end - perhaps next to something with high electromagnetic fields, that leads to this result? Or is it what a study in mice found last year - that the activity of 'thinking" or nerve activity in the cerebral cortex actually fuels the growth of brain tumors? From Medical Xpress:

High levels of education linked to heightened brain tumor risk

A university degree is linked to a heightened risk of developing a brain tumour, suggests a large observational study, published online in the Journal of Epidemiology & Community Health. Gliomas, in particular, were more common among people who had studied at university for at least three years than they were among those who didn't go on to higher education, the data show.

The researchers base their findings on more than 4.3 million Swedes, all of whom were born between 1911 and 1961 and living in Sweden in 1991. They were monitored between 1993 and 2010 to see if they developed a primary brain tumour, and information on educational attainment, disposable income, marital status, and occupation was obtained from national insurance, labour market,and national census data. During the monitoring period, 1.1 million people died and more than 48,000 emigrated, but 5735 of the men and 7101 of the women developed a brain tumour.

Men with university level education, lasting at least three years, were 19% more likely to develop a glioma—a type of cancerous tumour arising in glial cells that surround and support neurons in the brain—than men whose educational attainment didn't extend beyond the period of compulsory schooling (9 years). Among women, the magnitude of risk was 23% higher for glioma, and 16% higher for meningioma—a type of mostly non-cancerous brain tumour arising in the layers of tissue (meninges) that surround and protect the brain and spinal cord—than it was for women who didn't go on to higher education.

High levels of disposable income were associated with a 14% heightened risk of glioma among men, but had no bearing on the risk of either meningioma or acoustic neuroma—a type of non-cancerous brain tumour that grows on the nerve used for hearing and balance. Nor was disposable income associated with heightened risk of any type of brain tumour among the women.

Occupation also seemed to influence risk for men and women. Compared with men in manual roles, professional and managerial roles (intermediate and high non-manual jobs) were associated with a 20% heightened risk of glioma and a 50% heightened risk of acoustic neuroma. The risk of glioma was also 26% higher among women in professional and managerial roles than it was for women in manual roles, while the risk of meningioma was 14% higher.

This is an observational study so no firm conclusions can be drawn about cause and effect, and the researchers point out that they were not able to glean information on potentially influential lifestyle factors. But they emphasise that their findings were consistent, and they point to the strengths of using population data.  (Original study)

 Two interesting studies about vitamins during pregnancy and possible effects on the child. One found that low levels of vitamin D3 is linked to behavioral issues and ADHD symptoms in preschool aged children, while the other raises the possibility of very high levels of folic acid during pregnancy linked to autism in the child. More studies are needed.

From Medscape:  Maternal Vitamin D Deficiency and Behavioral Issues in Offspring

Maternal vitamin D deficiency in early pregnancy is associated with an increased risk of behavioral issues and attention-deficit/hyperactivity disorder (ADHD)–like symptoms in preschool children, according to new data from a birth cohort study in Greece. But no association was found between maternal vitamin D deficiency and cognitive scores in the children at age 4, reported Vasiliki Daraki, MD, an endocrinologist from the University of Crete, Heraklion, Greece, who led the analysis, which was  a poster presented at the European Congress of Endocrinology 2016.

The analysis showed that maternal vitamin D levels lower than 50 nmol/L during the first trimester of pregnancy were associated with increased behavioral problems and ADHD-like symptoms among the offspring...."The lower the mother's vitamin D levels, the higher the child's hyperactivity and inattention," reported Dr Daraki.

"I think the role of vitamin D in the developing brain is in neuronal differentiation and axon development, and these are more important for behavioral problems than for cognition," Dr Daraki added.....In the future, she and her colleagues intend to measure the cognitive function and behavioral status at the age of 7 years and determine whether the results still hold at the later age.

From Medical Xpress:  A study asks: Too much folic acid a cause of autism?

For decades, pregnant women and women who may become pregnant have been advised to take folic acid to help prevent certain birth defects. But a new study suggests it may be possible to get too much of a good thing—very high levels of the vitamin in mothers' blood at the time of childbirth was linked to higher risk of their children developing autism years later. (Other research points to an opposite relationship between folic acid and autism, showing that adequate amounts of the vitamin at the time of conception can significantly reduce the risk.) 

Folate is a vitamin found in foods that is important in cell growth and development of the nervous system. A synthetic version, folic acid, is used in supplements and is used to fortify flour and cereals. Decades ago, researchers found certain levels of folic acid could prevent major birth defects of the baby's brain and spine. In the early 1990s, U.S. health officials began recommending that all women who might become pregnant should take 400 micrograms of folic acid daily. And in the late 1990s, federal regulations began mandating that folic acid be added to flour, bread and other grain products.

The new researchers followed 1,391 children who were born at Boston University Medical Center in 1998 through 2013. About 100 of them were later diagnosed with an autism spectrum disorder. The researchers went back and looked at levels of folate and vitamin B12 in the blood of the children's mothers at the time of childbirth. They found that 16 of them had very high levels of folate, and 15 had extremely high levels of vitamin B12. If both levels are extremely high, there is more than a 17-fold greater risk that a child will develop autism, the researchers said. 

Most of the moms in the study said they took multivitamins—which would include folic acid and vitamin B12—throughout their pregnancy. But the researchers say they don't know why some women had such high levels in their blood. It may be related to taking too many supplements and eating too many fortified foods. Or there could be a genetic reason that caused some women to absorb more folate than others. Or there could be a combination, they said.

A new report released by the non-profit environmental research organization Environmental Working Group (EWG) has found that up to 420 chemicals known or likely to cause cancer have been measured in people (detected in urine, blood, hair, etc). Exposure to these carcinogens is not just from on-the-job contact with industrial chemicals, but from ordinary everyday exposure such as consumer products, food, water, air, and pesticides used in the home and lawns.

EWG compiled this inventory of known or likely carcinogens that have been measured in people by reviewing scientific literature and publicly available biomonitoring studies. Biomonitoring is the laboratory analysis of blood, urine, serum, saliva, and other body fluids to identify the amount and number of certain chemicals (such as pesticides, fire retardants, BPA, etc) present in the human body.  Thus it measures the extent to which chemical pollution is absorbed by our bodies. The CDC has a National Biomoniitoring Program. From Environmental Working Group (EWG):

Hundreds Of Cancer-Causing Chemicals Pollute Americans’ Bodies

Hundreds of cancer-causing chemicals are building up in the bodies of Americans, according to the first comprehensive inventory of the carcinogens that have been measured in people. EWG released the inventory today. EWG spent almost a year reviewing more than 1,000 biomonitoring studies and other research by leading government agencies and independent scientists in the U.S. and around the world. The nonprofit research group found that up to 420 chemicals known or likely to cause cancer have been detected in blood, urine, hair and other human samples.

Studies of the causes of cancer often focus on tobacco, alcohol and over-exposure to the sun. But the World Health Organization and many other scientists believe nearly 1 in 5 cancers are caused by chemicals and other environmental exposures––not only in the workplaces, but in consumer products, food, water and air.

EWG’s review bolsters the findings and ongoing research of the Halifax Project, a collaboration of more than 300 scientists from around the world who are investigating new ways in which combinations of toxic chemicals in our environment may cause cancer. While most cancer research focuses on treatment, the Halifax Project and EWG’s Rethinking Cancer initiative are looking at prevention by reducing people’s contact with cancer-causing chemicals.

“The presence of a toxic chemical in our bodies does not necessarily mean it will cause harm, but this report details the astounding number of carcinogens we are exposed to in almost every part of life that are building up in our systems,” said Curt DellaValle, author of the report and a senior scientist at EWG. “At any given time some people may harbor dozens or hundreds of cancer-causing chemicals. This troubling truth underscores the need for greater awareness of our everyday exposure to chemicals and how to avoid them.”

EWG estimated that a small subset of the chemicals inventoried in the report were measured at levels high enough to pose significant cancer risks in most Americans ––risks that generally exceed Environmental Protection Agency safety standards. But those estimates are only for individual chemicals and do not account for a question scientists and doctors are increasingly concerned about––how combined exposures to multiple chemicals may increase risk?

EWG’s inventory comes at an auspicious moment for the issue of cancer and chemicals. Last week Congress passed the first reform in 40 years of the nation’s woefully weak toxic chemical regulations, which President Obama is expected to sign soon....“Many of the carcinogens this study documents in people find their way into our bodies through food, air, water and consumer products every day. Dozens of them show up in human umbilical cord blood—which means Americans are exposed to carcinogens before they’ve left the womb,” said EWG President Ken Cook. “We should focus on preventing cancer by preventing human exposure to these chemicals.”

Obesity rates in the US are high! Obesity rates in the US were 35% among men and 40.4% in women in 2013-2014, and extreme obesity (class 3) rates were 5.5% for men and 9.9% for women. Obesity is defined as a body mass index (BMI) 30 or greater (≥30), and extreme obesity or class 3 obesity is a body mass index of 40 or greater (BMI ≥40).

A second study analyzed data from 186 countries and found that global obesity numbers have shot up from 105 million people in 1975 to 641 million in 2014. The senior author Dr. Majid Ezzati of the study said: "Over the past 40 years, we have changed from a world in which underweight prevalence was more than double that of obesity, to one in which more people are obese than underweight."

From Science Daily: Prevalence of obesity in U.S. increases among women, but not men

The prevalence of obesity in 2013- 2014 was 35 percent among men and 40 percent among women, and between 2005 and 2014, there was an increase in prevalence among women, but not men, according to a study appearing in the June 7 issue of JAMA. Between 1980 and 2000, the prevalence of obesity increased significantly among adult men and women in the United States...The analysis included data from 2,638 adult men (average age, 47 years) and 2,817 women (average age, 48 years) from the most recent 2 years (2013-2014) of NHANES and data from 21,013 participants in previous NHANES surveys from 2005 through 2012.

For the years 2013-2014, the overall age-adjusted prevalence of obesity (body mass index [BMI] 30 or greater) was 38 percent; among men, it was 35 percent; and among women, it was 40 percent. The corresponding prevalence of class 3 (BMI 40 or greater) obesity overall was 7.7 percent; among men, it was 5.5 percent; and among women, it was 9.9 percent. 

The authors write that although there has been considerable speculation about the causes of the increases in obesity prevalence, data are lacking to show the causes of these trends, and there are few data to indicate reasons that these trends might accelerate, stop, or slow. "Other studies are needed to determine the reasons for these trends." 

From Medscape: Obesity Now More Common Than Underweight Worldwide

Global obesity numbers have shot up from 105 million people in 1975 to 641 million in 2014, according to the most comprehensive body mass index (BMI) trend analysis to date. Researchers estimate that the age-corrected proportion of men who were obese climbed from 3.2% to 10.8% in that time and the rate among women more than doubled, going from 6.4% to 14.9%. During the same 40-year period, the proportion of men who were underweight globally fell from 13.8% to 8.8% and among women it declined from 14.6% to 9.7%.

Underweight numbers were highest in South Asia in 2014 at 23.4% (95% CI, 17.8%–29.2%) in men and 24% (95% CI, 18.9%–29.3%) in women. Underweight prevalence also stood at more than 12% in women and more than 15% in men in Central and East Africa in 2014, despite some reductions over the 4 decades....Almost half of the world's underweight men (46.2%) and women (41.6%) live in India, the study found.

Polynesia and Micronesia had the highest average BMI in the world. More than 38% of men and over half of women are obese there. The study finds that almost 20% of the world's obese adults (118 million) live in six high-income countries—Australia, Canada, Ireland, New Zealand, the United Kingdom, and the United States. More than a quarter (27.1% or 50 million) of the world's severely obese people also live in these countries. More than one in four severely obese men (27.8%) and 18.3% of severely obese women in the world live in the United States.

An new analysis of published studies found that air pollution is linked to high blood pressure. Yes, breathing polluted air has health effects (here, here, and here). From Science Daily:

High blood pressure linked to short-, long-term exposure to some air pollutants

Both short- and long-term exposure to some air pollutants commonly associated with coal burning, vehicle exhaust, airborne dust and dirt are associated with the development of high blood pressure, according to new research in the American Heart Association's journal Hypertension. "In our analysis of 17 previously-published studies we discovered a significant risk of developing high blood pressure due to exposure to air pollution," said Tao Liu, Ph.D., lead study author and deputy director and epidemiologist of the environmental health division at Guangdong Provincial Institute of Public Health in China.

Researchers performed a meta-analysis of available published studies in the world assessing the health effects of all air pollution on hypertension risk. Meta-analyses combine results from previous studies to estimate the overall effect of a particular variable on a result.....researchers focused on these air pollutants: sulfur dioxide (SO2), which mainly comes from the burning of fossil fuel; nitrogen oxide (NOx), which comes from fossil fuels burned at power plants and vehicle exhaust; Particulate matter (PM) are particles found in the air, including dust, dirt, smoke and liquid droplets. (PM 2.5 is smaller than a speck of dust, and the most common and hazardous type of air pollution. PM10 includes both PM2.5 and PM2.5-10).

The meta-analysis found high blood pressure was significantly associated with: short-term exposure to sulfur dioxide (SO2), PM2.5 and PM10; and long-term exposure to nitrogen dioxide (NO2), which is produced from combustion, and PM10. For the portion of the study that assessed short-term effects of ozone and carbon monoxide exposure, no significant associations were found. Researchers said ozone and carbon monoxide's links to high blood pressure requires further study.

Of the 5,687 air pollution studies initially identified, 17 were the focus of this -- which involves more than 108,000 hypertension patients and 220,000 non-hypertensive controls. High blood pressure was defined as systolic blood pressure more than 140 mm Hg and/or diastolic blood pressure over 90 mm Hg or by antihypertensive drug use. Air pollution exposure was assessed by averaging data from nearest air pollution monitoring stations, or using complex dispersion models or land use regression models.

High blood pressure is a major risk factor for cardiovascular disease and stroke. Previous studies have indicated that air pollution might be a risk factor for hypertension but the results were controversial, Liu said. The mechanism by which air pollution could contribute to the development of high blood pressure includes inflammation and oxidative stress, which may lead to changes in the arteries.

Another piece of the puzzle on how the brain ages. Vitamin B12 is important for brain health, and higher levels are associated with slower rates of brain changes associated with aging. And the opposite is true with homocysteine levels - increased levels are associated with faster rates of brain changes that are associated with aging (such as higher rates of total brain tissue volume loss). Keep in mind that these effects were modest, but this also raises the question of whether long-term B12 supplementation would benefit everyone or only those with a deficiency? From Medscape:

Vitamin B12 May Slow Brain Aging

Individuals with increased levels of circulating homocysteine have faster rates of brain changes associated with aging than other people, whereas higher levels of vitamin B12 are associated with slower rates of brain aging, new research suggests.

Babak Hooshmand, MD, PhD, Center for Alzheimer Research–Aging Research Center, Karolinska Institutet, Stockholm, Sweden, and colleagues found that total brain volume losses were lower in individuals with higher baseline vitamin B12 levels, whereas the opposite was true of those with increased homocysteine levels.

"Vitamin B12 and tHcy [total homocysteine] might be independent predictors of markers of brain aging in elderly individuals without dementia," the investigators write. They add, "[I]f the association is causal, supplementation with B vitamins may be effective for prevention of brain damage due to increased levels of total homocysteine. Adequately timed and powered randomized clinical trials are needed to determine efficient treatment guidelines." The research was published online April 27 in JAMA Psychiatry.

The researchers examined data on 501 participants aged 60 years and older from the Swedish National Study on Aging and Care, in Kungsholmen. All participants were free of dementia at baseline. Of these, 299 underwent repeated structural brain MRI between 2001 and 2009....Venous blood samples were collected at baseline, from which circulating levels of vitamin B12, red blood cell folate, and sulfur amino acids were determined. These were correlated with changes in brain tissue volumes and total white matter hyperintensity (WMH) over 6 years.

He also pointed to the single-center, randomized VITACOG study, in which 271 individuals older than 70 years who had mild cognitive impairment received supplementation with high-dose folic acid and vitamins B6 and B12. "They lost less brain compared to people who had normal homocysteine and normal vitamin levels, meaning that those with high levels of homocysteine or with clinical or biochemical vitamin deficiency can benefit from supplementation," said Dr Hooshmand.

That a male's preconception behaviors and exposure to all sorts of environmental contaminants (alcohol, drugs, medicines, chemicals at work, pesticides, etc) has effects on sperm and is linked to birth defects has been known for decades. What is new is the focus on epigenetics, or as some researchers call it: inherited paternal epigenetics. Three different paternal influences that affect the fetus and child (thus paternal experiences influence what the child inherits) are discussed in a review article: paternal age, environmental factors, and alcohol consumption.The researchers also found that environmental effects during the lifetime of a father can affect not only his immediate offspring, but also future generations.

What is epigenetics? Researchers in the study summarized it as: "Epigenetics are heritable alterations in gene expression that do not involve changes in the germline DNA sequence. It works primarily through three mechanisms: DNA methylation, histone modification, and microRNA (miRNA) expression."

Huh? This means that in epigenetics, the DNA doesn't change, but external or environmental factors switch genes on and off and affect how cells read genes. In other words, it's how the environment can alter gene expression without changing the genetic code. Epigenetic change is a regular and natural occurrence, but can also be influenced by several factors: age, the environment/lifestyle (such as diet, alcohol consumption, and chemical exposure), and disease state.  For example, what you eat and how much you drink (alcohol), where you live, what chemicals you're exposed to, how you exercise, even aging – all of these can eventually cause chemical modifications around the genes that will turn those genes on or off over time. Additionally, in certain diseases such as cancer or Alzheimer’s, various genes will be switched into the opposite state, away from the normal/healthy state. From Science Daily:

Fathers' age, lifestyle associated with birth defects

A growing body of research is revealing associations between birth defects and a father's age, alcohol use and environmental factors, say researchers at Georgetown University Medical Center. They say these defects result from epigenetic alterations that can potentially affect multiple generations. The study, published in the American Journal of Stem Cells, suggest both parents contribute to the health status of their offspring -- a common sense conclusion which science is only now beginning to demonstrate, says the study's senior investigator, Joanna Kitlinska, PhD, an associate professor in biochemistry, and molecular and cellular biology.

"We know the nutritional, hormonal and psychological environment provided by the mother permanently alters organ structure, cellular response and gene expression in her offspring," she says. "But our study shows the same thing to be true with fathers -- his lifestyle, and how old he is, can be reflected in molecules that control gene function," she says. "In this way, a father can affect not only his immediate offspring, but future generations as well."

For example, a newborn can be diagnosed with fetal alcohol spectrum disorder (FASD), even though the mother has never consumed alcohol, Kitlinska says. "Up to 75 percent of children with FASD have biological fathers who are alcoholics, suggesting that preconceptual paternal alcohol consumption negatively impacts their offspring."

The report is a review of evidence, human and animal, published to date on the link between fathers and heritable epigenetic programming. Among the studies reviewed are ones that find: - Advanced age of a father is correlated with elevated rates of schizophrenia, autism, and birth defects in his children; - A limited diet during a father's pre-adolescence has been linked to reduced risk of cardiovascular death in his children and grandchildren; - Paternal obesity is linked to enlarged fat cells, changes in metabolic regulation, diabetes, obesity and development of brain cancer; - Psychosocial stress on the father is linked to defective behavioral traits in his offspring; and - Paternal alcohol use leads to decreased newborn birth weight, marked reduction in overall brain size and impaired cognitive function.