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Study Links Yo-Yo Dieting to Addiction

February 4th, 2010 by admin

Not a big fan of dieting? Join the club. But new research in rats hints at why weight loss is so tough — perhaps as tough as kicking drug addiction.

In the study, rats weaned off a high-calorie diet showed the same effects on the brain as withdrawing from drugs and alcohol.

Rat brains aren’t the same as human brains, of course, and human neurology may work differently. But study author Pietro Cottone said the research suggests there’s indeed a link between yo-yo dieting and cycles of addiction and withdrawal.

Yo-yo dieting, “a common habit of many chronic dieters, generates dependence,” explained Cottone, an assistant professor Boston University School of Medicine. And when people who typically overeat stop overeating, stress hormones in their brain jump into action, he said, potentially leading to “anxiety, decreased motivation and rejection of other food alternatives.”

In other words, their diet fails.

Scientists are fascinated by overeating, in part because of its link to evolution. In the resource-poor world of long ago, humans evolved to understand the importance of finding and recognizing food and coping with its scarcity, Cottone pointed out. Now, however, food is available in many cases, and this “sudden abundance” is killing people through diabetes and heart disease, he said.

Researchers know that food activates circuits in the brain that give us a feeling of reward, he said. Sex and occasional drug use can do the same thing.

But what about the reverse — the brain activity that makes people stressed when they withdraw from drugs? Could it work the same for food?

To find the answer, Cottone and colleagues gave rats a regular diet for five days and then switched them to a chocolate-flavored food that was high in sugar.

Not surprisingly, the rats didn’t want to switch back to the ordinary chow after their glory days of dining on the equivalent of rat junk food. When deprived of the sugary food, they showed signs of anxiety, and their brains acted as if they were withdrawing from alcohol or drugs.

“A history of dieting and relapse generates anxiety. The next attempt to avoid junk foods is going to be more painful and stressful than the previous one, and therefore the likelihood of relapse is going to be progressively higher and higher,” Cottone said.

But there was one bright spot: Researchers found they helped the rats do better by inhibiting a system in the brain that contributes to stress. It’s not clear, though, if a treatment for human obesity could ever arise from this.

The findings were published online in this week’s Proceedings of the National Academy of Sciences.

Cynthia Sass, a registered dietitian and author in New York City, said the study results fit into the wider picture of how people deal with food. “Often, people with compulsive eating blame themselves or feel that if they just had enough willpower they could stop,” she said. “Understanding that this is a disorder similar in nature to drug addiction can help people see that they need formal treatment.”

After all, she said, “the body is really one big chemistry lab, and the chemicals in our body react with chemicals from food or substances like alcohol or drugs. We are seeing that food may parallel the effects of drugs in terms of creating chemical reactions in the body that allow people to avoid negative emotions. The differences are that each drug may carry unique side effects.”

FDA Approves Seasonal Influenza Vaccine Fluarix for Pediatric Use

January 29th, 2010 by admin

The U.S. Food and Drug Administration today approved use of the seasonal influenza vaccine Fluarix for children ages 3 years to 17 years. Previously, this vaccine, which contains inactivated (killed) influenza A and B viruses, had been approved for use in adults, ages 18 years and older.

The safety and effectiveness of Fluarix for use in children ages 3 years and older is documented by a U.S. study comparing 2,115 children who received Fluarix with 1,210 children who received Fluzone, a different influenza vaccine already licensed by the FDA for use in children ages 6 months and older. Study results showed that children 3 years and older vaccinated with Fluarix and Fluzone produced similar amounts of antibodies in the blood at levels considered likely to be protective against seasonal influenza.

Fluarix is a seasonal influenza vaccine not intended to protect against the 2009 H1N1 influenza virus.

“This approval of an additional seasonal influenza vaccine for children provides help in protecting them against influenza,” said Karen Midthun, M.D., acting director of the FDA’s Center for Biologics Evaluation and Research. “Children are very vulnerable to the influenza virus and are more likely to be hospitalized for associated problems.”

With today’s approval, there are now four companies approved by the FDA to manufacture seasonal influenza vaccine for use in children.

Influenza is far more dangerous than the common cold for children, who often require medical care, especially if they are younger than 5 years. It is best to vaccinate children each fall, but vaccination also can occur in the winter months when influenza season often peaks.

Common adverse events experienced after administration of Fluarix are typical of those for flu shots and include pain, redness, and swelling at the injection site as well as irritability, loss of appetite, and drowsiness.

Because Fluarix contains a small amount of egg protein, it should not be administered to anyone allergic to eggs or egg products.

Fluarix is manufactured by GlaxoSmithKline Biologicals of Dresden, Germany.

Health Tip: The Importance of Folic Acid

January 22nd, 2010 by admin

Folic acid is particularly important for pregnant women, and should be taken, if possible, beginning at least three months before they become pregnant.

The U.S. Centers for Disease Control and Prevention says this B vitamin can reduce the risk of major birth defects affecting the spine and brain by as much as 70 percent.

Women who are pregnant or planning to become pregnant should take 400 micrograms of folic acid daily. It can be contained within a multivitamin, or as a separate supplement.

Women also can get folic acid in fortified breakfast cereal. Just make sure the cereal has 100 percent of the recommended daily amount.

FDA Approves New Treatment for Advanced Form of Kidney Cancer

January 15th, 2010 by admin

The U.S. Food and Drug Administration today approved Votrient (pazopanib), the sixth drug to be approved for kidney cancer since 2005.

Votrient is an oral medication that interferes with angiogenesis, the growth of new blood vessels needed for solid tumors to grow and survive.

Votrient is intended for people with advanced renal cell carcinoma, a type of kidney cancer in which the cancerous cells are found in the lining of very small tubes (tubules) in the kidney. In 2009, approximately 49,000 people were diagnosed with renal cell carcinoma and 11,000 people died from the disease.

“The last five years have seen dramatic improvements in treatment options for patients with kidney cancer. Before 2005, the options available offered only limited effectiveness,” said Richard Pazdur, M.D., director, Office of Oncology Drug Products in the FDA’s Center for Drug Evaluation and Research.

The five other drugs approved for kidney cancer and their approval dates are: Sorafenib (December 2005), Sunitinib (January 2006), Temsirolimus (May 2007), Everolimus (March 2009), and Bevacizumab (July 2009).

The safety and effectiveness of Votrient was evaluated in a 435-patient study that examined a patient’s progression-free survival – the length of time, following enrollment in the study, before the tumor began growing again or before the patient died. Progression-free survival averaged 9.2 months for patients receiving Votrient compared to 4.2 months for patients who did not receive the drug.

Adverse reactions included diarrhea, high blood pressure, hair color changes, nausea, loss of appetite, vomiting, fatigue, weakness, abdominal pain and headache. Votrient can also cause severe and fatal liver toxicity. Health care professionals should order blood tests to monitor liver function before and during treatment with the drug. Since Votrient can harm a fetus, it should not be used during pregnancy.

The drug has also been associated with heart rhythm irregularities. Patients receiving Votrient should be monitored with periodic electrocardiograms, which measure heart rhythm, and blood tests to monitor electrolytes since an electrolyte imbalance can lead to an irregular heart rhythm.

Easy Way to Prevent Post-Op Nausea?

January 8th, 2010 by admin

New research suggests that patients need not fear post-operative nausea and vomiting as much if they take dextrose, a form of glucose.

“As one of the most common post-operative complications, [vomiting and nausea] remains one of the main causes of decreased patient satisfaction following surgery,” said Dr. Susan Dabu-Bondoc of Yale School of Medicine, one of the authors of a new study, in a statement. “Along with discomfort, the adverse effects can be extensive and may include aspiration, wound suture opening, prolonged hospital stays, unanticipated admission after outpatient surgery and delayed return of a patient’s ability to function in daily activities.”

The researchers, who were to release their findings Sunday at the annual meeting of the American Society of Anesthesiologists in New Orleans, report that they assigned half of 56 surgery patients to receive dextrose immediately after their operations. The other half got a placebo.

The patients were scheduled for gynecologic laparoscopic and hysteroscopic procedures. All patients were treated with general anesthesia and received a dose of a drug called an antiemetic, which can prevent some nausea and vomiting.

The researchers found that those who received the dextrose were at much lower risk of developing nausea and vomiting. They were also discharged from a post-operative care unit more quickly than the others.

“In light of the ease and low risk of administration of dextrose postoperatively and its apparent benefit to patient care and satisfaction, this therapeutic treatment should be considered in an attempt to prevent or reduce [vomiting and nausea] for patients in the immediate recovery period, ” said Dabu-Bondoc.

She called for more research to understand exactly how administering dextrose prevents nausea and vomiting.

Viagra - Mechanism of Action

December 29th, 2009 by admin

The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. NO then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood. Sildenafil has no direct relaxant effect on isolated human corpus cavernosum, but enhances the effect of nitric oxide (NO) by inhibiting phosphodiesterase type 5 (PDE5), which is responsible for degradation of cGMP in the corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by sildenafil causes increased levels of cGMP in the corpus cavernosum, resulting in smooth muscle relaxation and inflow of blood to the corpus cavernosum. Sildenafil at recommended doses has no effect in the absence of sexual stimulation.

Studies in vitro have shown that sildenafil is selective for PDE5. Its effect is more potent on PDE5 than on other known phosphodiesterases (10-fold for PDE6, > 80-fold for PDE1, > 700-fold for PDE2, PDE3, PDE4, PDE7, PDE8, PDE9, PDE10, and PDE11). The approximately 4,000-fold selectivity for PDE5 versus PDE3 is important because PDE3 is involved in control of cardiac contractility. Sildenafil is only about 10-fold as potent for PDE5 compared to PDE6, an enzyme found in the retina which is involved in the phototransduction pathway of the retina. This lower selectivity is thought to be the basis for abnormalities related to color vision observed with higher doses or plasma levels.

Health Tip: Warning Signs of Dehydration

December 22nd, 2009 by admin

Dehydration, if severe enough, can be life-threatening. While the obvious solution is to drink fluids, drinking even a little bit can sometimes make vomiting or nausea worse.

If you can’t keep a small amount of water down, you should see a doctor as soon as possible.

The U.S. National Library of Medicine lists these warning signs of dehydration:
Dryness or a sticky feeling in the mouth.
Urine that is a dark yellow color.
Not urinating as much as usual or not at all.
Inability to produce tears.
Eyes that appear sunken.
When the “soft spot” at the top of a baby’s head appears sunken.
Feeling tired or having no energy.

Health Tip: Stress Has Its Warning Signs

December 15th, 2009 by admin

Everyone has a certain amount of stress. But too much of it may make us feel quite fearful or worried, not to mention the physical effects it can cause, such as a rise in blood pressure.

The National Women’s Health Information Center offers this list of warning signs that you may be stressed out:
Insomnia.
Diarrhea, constipation, bloating, irritable bowel syndrome or stomach cramps.
Feeling tense, irritable, anxious, sad, angry or depressed.
Difficulty paying attention or feeling like you don’t have any energy.
Significant changes in eating habits or body weight.
Skin reactions, including hives.
Increased symptoms associated with diabetes, asthma or arthritis.
A rise in blood pressure.
Decreased sexual desire.
Pain in the back or neck.

Give your kidneys a break: lose some weight

December 8th, 2009 by admin

Shedding some excess weight through diet, exercise or surgery may help obese adults with kidney disease ward off further decline in kidney function, research hints.

The kidneys filter waste products from the blood and excrete them in the urine. When damaged, their ability to perform these vital functions is reduced.

More than a third of US adults are either overweight or obese, putting them at increased risk for kidney trouble, not to mention heart trouble and diabetes. Weight loss has been shown to improve control of diabetes, lower blood pressure and cholesterol levels, and reduce the effects of heart disease.

To see if losing weight might also help protect the kidneys, Dr. Sankar Navaneethan, from Ohio’s Cleveland Clinic, and colleagues pooled data from 13 studies that examined the impact on kidney function of weight loss achieved through diet, exercise, or surgery. They report their findings in an upcoming issue of the Clinical Journal of the American Society Nephrology.

The researchers found that, in obese adults with kidney disease, losing weight through diet and exercise reduced one hallmark of kidney damage - namely, excess excretion of protein in the urine - what doctors call “proteinuria.”

Diet- and exercise-induced weight loss may also prevent additional decline in kidney function in obese adults with kidney disease, the researchers found.

Weight loss achieved through surgery, on the other hand, seems to help normalize the rate at which the kidneys filter waste products in obese adults with abnormally high filtration rates - a well-known risk factor for the development of kidney disease.

Currently more than 20 million Americans have chronic kidney disease and it’s estimated that by 2015 there will be more than 700,000 people with the most advanced form of kidney disease known as end-stage renal disease or ESRD.

“The health care costs that are associated with this increase are staggering,” Navaneethan and colleagues note.

In obese adults, weight loss may offer real benefits in terms of the kidneys, in addition to the heart-related benefits of shedding excess pounds, they conclude.