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Published on Leave a comment on Overweight and Obesity Is Associated With Reduced Blood Flow In the Brain

There is another great reason to try to lose weight if you are overweight or obese - being overweight or obese lowers blood flow to the brain in older adults. Yikes! However, one bit of good news from a study of 495 adults (average age 69) was that increased physical activity (brisk walks count!) can reduce or eliminate this association.

This could help explain why obesity increases the risk for a number of conditions as a person gets older, such as heart disease, dementia, and Alzheimer's disease.

The study was part of the Irish Longitudinal Study on Ageing. The average BMI (body mass index) was 28, which is considered overweight. One finding was that each 1 cm increase in waist circumference was associated with the same reduction of brain (cerebral) blood flow as 1 year of advancing age. (Yes, brain volume and blood flow typically diminish with age in older adults. So you want to prevent it as much as possible.)

The study found that higher levels of physical activity can reduce or remove this association of overweight & obesity and reduced brain blood flow. So if it's not possible to lose weight - then get really physically active!

How much exercise is beneficial? The researchers recommend at least 1.5 to 2 hours per day of "being active", that is, doing activities that require "moderate" effort - this means breathing somewhat harder than normal (e.g. brisk walking, cycling at a regular pace, carrying light loads). Equally beneficial is to get some "vigorous activity" which results in breathing much higher than normal (e.g., digging, aerobics, fast cycling, carrying heavy loads). But any and all movement is good!

Medical Xpress: Researchers find obesity linked to reduced blood flow to the brain

A new study from scientists at The Irish Longitudinal Study on Aging (TILDA) at Trinity College Dublin reveals important findings, indicating that being overweight or obese significantly reduces blood flow in the brain. The study also shows that increased physical activity can positively modify, or even negate, this reduction in brain blood flow. ...continue reading "Overweight and Obesity Is Associated With Reduced Blood Flow In the Brain"

Published on Leave a comment on Small Skin wounds May Heal Faster Without the Use of an Antibiotic Cream

Nowadays many people apply antibiotic ointments on any and all skin wounds, no matter how minor. This is recommended by doctors in an effort to prevent the wound from becoming infected and to promote wound healing. However, surprising results from a recent small study found that applying an antibiotic ointment on skin wounds actually slows down healing.

The John Hopkins Univ. School of Medicine researchers found that our skin microbes (microbiome), including bacteria thought of as pathogenic, are involved in skin wound healing. The skin wound healing was faster in both humans and mice when antibiotic ointments were not applied.

Their recommendation: “...perhaps people may need to reconsider their use of these products (antibiotic ointments)". Of course more research needs to be done to see if the results from the small study (six adults) hold up. Perhaps a good approach would be to let small skin wounds heal on their own, and only apply an antibiotic ointment if the wound looks infected.

From Medical Xpress: Study examines why skin lacerations may be slow to heal, even with topical antibiotics

When you get a cut, scrape or other minor skin laceration, doctors recommend that you take measures to ensure that the wound doesn't get infected and heals properly. Many people opt to use over-the-counter medications, such as topical antibiotic ointments and liquids, to aid the repair process—and as commonly believed, promote healthy skin healing.  ...continue reading "Small Skin wounds May Heal Faster Without the Use of an Antibiotic Cream"

Published on Leave a comment on Fish oil Supplements and Increased Risk of Atrial Fibrillation

Once again a study finds that taking supplements can be problematic. This time it's fish oil supplements for heart health. Researchers found that taking routine daily fish oil supplements was linked to an increased risk of atrial fibrillation, a heart rhythm disorder. Atrial fibrillation is linked to higher risk of stroke and death.

The international research team analyzed five studies in which people with high blood lipids (elevated plasma triglycerides) took fish oil supplements hoping that it would improve their heart health. The studies were well done, with people randomly assigned to different groups But the results turned out that instead of helping, fish oil supplements appeared to cause a problem - increased risk of atrial fibrillation.

What to do for heart health? Focus on eating a healthy diet with lots of "real" foods, similar to a Mediterranean diet. That is, a diet rich in whole grains, vegetables, fruits, legumes (beans), seeds, nuts, and fish. Avoid fast foods and highly processed foods. Get exercise (at least 2 1/2 hours per week - brisk walks count), and try to lose weight if overweight.

From Science Daily: Fish oil supplements and heart rhythm disorder: New analysis

Omega-3 supplements are associated with an increased likelihood of developing atrial fibrillation in people with high blood lipids. That's the finding of a study published today in European Heart Journal -- Cardiovascular Pharmacotherapy, a journal of the European Society of Cardiology (ESC).  ...continue reading "Fish oil Supplements and Increased Risk of Atrial Fibrillation"

Published on Leave a comment on Eating Mushrooms Associated With A Lower Risk of Cancer

Eating mushrooms has always been considered part of a healthy diet. A group of researchers, after reviewing many studies, concluded that eating mushrooms frequently is associated with a lower risk of cancer, especially breast cancer. Thus consuming mushrooms may be protective against cancer.

The Penn State College of Medicine researchers reviewed 17 studies (from 1966 to Oct 2020), all of them observational, so it doesn't prove that mushrooms are protective, but it looks promising... They think the beneficial effect is from the ergothioneine in mushrooms, an antioxidant and cellular protector, and found in a variety of mushrooms.

In 2020 the same group also published similar/almost the same review of 17 studies from 1966 to 2019. At the time they stated that the mushroom-cancer association was only observed in studies from non-western regions. Perhaps mushrooms were a bigger part of the diet in those cultures? They also said when looking at the dose and response, can see that  a "10/gram per day increase in mushroom intake was associated with a 17% lower risk of cancer", especially breast cancer.

From Medical Xpress: Higher mushroom consumption is associated with a lower risk of cancer

Next time you make a salad, you might want to consider adding mushrooms to it. That's because higher mushroom consumption is associated with a lower risk of cancer, according to a new Penn State study, published on March 16 in Advances in Nutrition.  ...continue reading "Eating Mushrooms Associated With A Lower Risk of Cancer"

Published on Leave a comment on Our Air Is Not So Good
Earth. Credit: Wikipedia

Today is Earth Day, a good day to reflect on the state of the Earth. Our home. Think about the tremendous amount of air pollution in the air we breathe, of which two pollutants of concern are ozone and fine particulate matter.

The American Lung Association released its annual State of the Air 2021 report. Unfortunately, it reports that more than 40% of American (over 135 million people) are living in places with unhealthy levels of ozone or particle pollution.

Air pollution has all sorts of negative health effects (e.g. effects on brain, heart disease, premature death) The report also points out that the burden of living with the unhealthiest air is not shared equally by everyone. A report finding: “People of color are over three times more likely to be breathing the most polluted air than white people.”

On the other hand, things would be even worse without the fifty year old Clean Air Act (passed in 1970, signed into law by President Nixon). The air quality data used in the report is collected at official monitoring sites across the United States by the federal, state, local and tribal governments. Note that wildfires added to levels of air pollution. It's not just industry, power plants, and vehicles.

Which cities in the US have the worst forms of air pollution? Los Angeles remains the city with the worst ozone pollution in the nation. Fairbanks, Alaska is currently the metropolitan area with the worst short-term particle pollution for the first time. And Bakersfield, California returned as the most polluted for year-round particle pollution (for a second year in a row).

Are you wondering about the ozone and particle pollution in X, Y, or Z locations? Go check out the report. Just keep in mind that it is NOT looking at specific chemical emissions in the air, but only 2 things: ozone and fine particulates.

Short summary, from The Hill: Shocking new study finds 4 out of every 10 Americans live in areas with unhealthy air pollution

Easy to read, with lots of links. From the American Lung Association: State of the Air 2021

The report's 25 most polluted cities for ozone and particulate matter: Most Polluted Places to Live

Published on Leave a comment on Fungi Are Living In Your Lungs
Human lungs Credit: Wikipedia

We have millions of all sorts of microbes living throughout our respiratory tract (nose, sinuses, mouth, lungs, etc.). A recent study looked at the microbes in the lungs and found that fungi normally live in healthy lungs, including fungi that are usually thought of as harmful. Surprisingly, the fungi found in lungs of people with COPD (chronic obstructive pulmonary disease) are basically similar to those in healthy people.

The fungi living in different parts of the body is the mycobiome. The lung (pulmonary) microbiome is unique, meaning it is different than in other parts of the respiratory tract, such as the mouth. It used to be thought that the lungs were sterile (unless there was an infection). But now we know that is not true - we normally have fungi, bacteria, and viruses living in our lungs.

University of Bergen researchers analyzed both the oral (mouth) mycobiome and lung mycobiome of 93 persons with COPD and 100 healthy persons (the control group). Surprisingly, both the oral and lung mycobiomes of both healthy and COPD groups were dominated by Candida fungi, with more Candida in the mouth, than in the lungs for both groups. Finding that Candida resides in the lungs of heathy individuals was surprising because it can be a "fungal pathogen" (thus harmful and invasive) in different parts of the body.

One piece of good news - using inhaled steroids didn't seem to affect the lung mycobiome.

Keep in mind that fungi are all around us, both indoors and outdoors, and we are constantly breathing in fungal spores. Our bodies have evolved to handle normal amounts just fine. As the researchers wrote: "Healthy airways possess effective removal of such spores". It's when a person is immunocompromised or has COPD that problems can develop.

From Medical Xpress: Fungi are present in your lungs

The lungs were for a long time considered to be sterile in health, while in diseases like chronic obstructive pulmonary disease (COPD) failure in immune mechanisms were thought to allow microorganisms to proliferate and persist. New sequencing techniques have shown that several microorganisms reside in the lungs of healthy individuals, as well. Few studies have examined the fungal community in COPD and compared it to healthy controls using such techniques. ...continue reading "Fungi Are Living In Your Lungs"

Published on Leave a comment on Reduce Your Risk of Severe COVID-19 Infection By Being Physically Active

Another reason to get more active - a new study finds that being physically inactive (a couch potato) is associated with a higher risk of severe COVID-19 infection, hospitalization and ICU admission for COVID-19, and death from COVID-19. The researchers concluded that being consistently inactive should be viewed as a risk factor for severe COVID-19 outcomes, and that it is a "stronger risk factor than any of the underlying medical conditions and risk factors identified by the CDC except for age and a history of organ transplant". Yikes!

On the other hand, being physically active at least 150 minutes per week, and this includes brisk walking, is linked to lower rates of all of the above. Some activity (but under 150 minutes per week) is also better than none, but 150 minutes or more is better. The researchers state that besides vaccinations, social distancing, and mask wearing - being physically active is the single most important action individuals can take to prevent severe COVID-19 and its complications, including death.

The 150 minutes (2 1/2 hours) of physical activity per week are the recommended US Physical Activity Guidelines for adults, and include moderate and vigorous physical activity. It includes brisk walking. This can be achieved in less than 1/2 hour per day!

The researchers point out that health benefits of regular physical activity include: improved immune function, lower incidence of viral infections, as well as lower intensity and cases of death from viral infections, lowers the risk of chronic inflammation, improves cardiovascular health, increases lung capacity, muscle strength, and improves mental health. Which is why it is not surprising that persons getting a good amount of physical activity each week also generally have fewer problems with COVID-19 infections.

From CNN: Reduce risk of severe Covid with regular activity, study says. Here's how to get in 22 minutes of exercise daily

Some excerpts from the study at British Journal of Sports Medicine (BJSM): Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48,440 adult patients

Abstract: Objectives To compare hospitalisation rates, intensive care unit (ICU) admissions and mortality for patients with COVID-19 who were consistently inactive, doing some activity or consistently meeting physical activity guidelines.  ...continue reading "Reduce Your Risk of Severe COVID-19 Infection By Being Physically Active"

Published on Leave a comment on What You Eat Determines The Type Of Bacteria Living In Your Gut

Another study has confirmed that if a person wants to have beneficial gut microbes that are associated with lower rates of chronic inflammation and many health conditions and diseases, then you need to eat a diet that nourishes the beneficial gut microbes. And once again, research finds that it is a plant based diet that does this.

A plant based diet is one rich in fruits, vegetables, whole grains, legumes (beans), nuts, and seeds, thus containing lots of fiber - and these nourish beneficial gut microbes. In this group is also oily fish. This is an anti-inflammatory diet. It feeds short-chain fatty acid (SCFA)-producing microbes (this is good). A great example of plant foods also containing bacteria, as well as nutrients and fiber: one raw apple has about 10 million bacteria!

On the other hand, a diet rich in processed foods and lots of meat (an animal derived diet), is associated with microbes linked to intestinal inflammation - thus an inflammatory diet . Also includes foods with high amounts of sugar and alcohol. This type of diet is low fiber and considered a Western diet.

To arrive at these conclusions, researchers in the Netherlands looked at the gut microbiome of 1425 persons in 4 groups - those with Crohn's disease, ulcerative colitis, irritable bowel syndrome, and the general healthy population. They found 38 associations between dietary patterns and microbial clusters, as well as 61 individual foods and nutrients with 61 bacterial species. They found that specific foods and nutrients were associated with species known to give mucosal protection and have anti-inflammatory effects.

These beneficial bacterial species are NOT found in probiotics or supplements. You must eat the foods on a daily basis. [Another study with similar findings.] Studies show changes will occur very quickly - within two weeks, both in microbes and effects on the intestines.  Think of the saying: You are what you eat. Yes!

From Medical Xpress: Diet rich in animal foods, alcohol and sugar linked to 'inflammatory' gut microbiome

A high dietary intake of animal products, processed foods, alcohol and sugar is linked to a gut microbiome that encourages inflammation, finds research published online in the journal Gut.  ...continue reading "What You Eat Determines The Type Of Bacteria Living In Your Gut"

Published on Leave a comment on Fewer Respiratory Infections With Vitamin D Supplements

Many people complain of frequent colds and upper respiratory infections. Perhaps even every month. This is an especially big problem for those suffering from chronic sinusitis, because every cold and sore throat also leads to a sinus infection. So a goal is to try to reduce the number of infections, and daily vitamin D supplements may be the answer.

Many studies have looked at vitamin D supplementation, at all sorts of doses, for all sorts of health conditions, including cancer. Unfortunately, when properly done studies with people randomly assigned to different groups are done, then all sorts of correlations don't hold up, or mixed results. Right now it appears that the main positive benefit of vitamin D supplements is lowering the incidence of upper respiratory illnesses that a person gets. Another study just confirmed this finding.

An international team of researchers reviewed data from 43 studies (48,488 participants), and found a small but significant protective effect of vitamin D supplementation in lowering the risk of getting a respiratory infection (when compared with a placebo). The studies revealed that the protective benefits of vitamin D supplements were strongest in 1 to 16 year olds who took between 400 to 1000 IU daily for up to 12 months.

Interestingly, and this may really bother high dose vitamin D advocates, the researchers found that lower doses (400 to 1000 IU daily) had a positive health effect, but NOT larger daily doses. They found that data from 4 recent good studies (with persons randomly assigned to different groups) in which vitamin D was given at daily dose equivalents of 2000 IU/day or more for 2 to 5 years had NO EFFECT. In other words: null data.

These differing findings suggest that frequency (daily is better then weekly or monthly), dose, and duration (no more than 12 months) of vitamin D supplementation are key to its protective effects against respiratory illnesses. It is unclear why higher doses are NOT protective, while smaller doses are protective. It's like the saying: Less is more.

Excerpts from Medical Xpress, which actually is misleading in how the conclusions of the study are described: New research on vitamin D and respiratory infections important for risk groups

Studies have shown that supplementary vitamin D seems to provide a certain degree of protection against respiratory infections. A new study involving researchers from Karolinska Institute has now made the most comprehensive synthesis to date of this connection. The study, which is published in The Lancet Diabetes & Endocrinology, confirms that vitamin D protects against respiratory infections, a result that can have significance for the healthcare services. [NOTE: Protective effect was seen in the 1 to 16 year old age groups, and not other age groups.] ...continue reading "Fewer Respiratory Infections With Vitamin D Supplements"

Published on Leave a comment on COVID-19 Infection Linked to Increased Risk of Erectile Dysfunction

Covid-19 infections are linked to many long-term health problems, but now a surprising one - an increased risk for erectile dysfunction in sexually active men. University of Rome researchers found that the risk of developing erectile dysfunction (ED) increased six-fold after a COVID-19 infection. They also found that a person who already has erectile dysfunction is at five times higher risk for a COVID-19 infection.

They thought that erectile dysfunction after COVID-19 could be either a short or long-term effect  - meaning it might or might not go away over time.

Why would a coronavirus infection lead to erectile dysfunction? Evidence is finding that even "silent" asymptomatic COVID-19 infections may have an effect on small blood vessels so that there is endothelial dysfunction, which is impaired functioning of the inner lining of blood vessels. This means that arteries and arterioles are unable to dilate fully, and so blood supply to the penis can be blocked or narrowed.

Erectile dysfunction (ED) has been often considered a sign (a hallmark) of endothelial dysfunction. Higher rates of erectile dysfunction occur among men suffering from hypertension, obesity, diabetes, and heart disease.

The University of Rome researchers summed it up as get vaccinated or "Mask up to keep it up."

A related finding: Last year a study (conducted in China) that autopsied 12 persons who had died of COVID-19 found that they had damage in the testicles - with inflammation, fluid accumulation, and reduced numbers of Leydig cells (which normally produce testosterone).

Excerpts from Medscape: Risk for Erectile Dysfunction Sixfold Higher in Men With COVID-19

COVID-19 increases the risk of developing erectile dysfunction (ED) by nearly sixfold, according to data from the first study to investigate the association between ED and COVID-19 in young men in a real-life setting. ...continue reading "COVID-19 Infection Linked to Increased Risk of Erectile Dysfunction"