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2 October 2008

Will the 'Mediterranean Diet' Soon Disappear From the Mediterranean?

The birthplace of the famously healthful Mediterranean diet, which emphasizes olive oil, fresh produce and fish, is now overflowing with chocolate shops, pizza places, ice cream parlors, soda machines and fast-food restaurants.
The Mediterranean diet, which has been associated with longer life spans and lower rates of heart disease and cancer, is now more likely to be found in the upscale restaurants of London and New York than in Greece, where two-thirds of children are now overweight and the health effects are mounting.

“This is a place where you’d see people who lived to 100, where people were all fit and trim,” says Cretan pediatrician Dr. Michalis Stagourakis. “Now you see kids whose longevity is less than their parents’. That’s really scaring people.”



Sources:
New York Times September 23, 2008

China Tainted Milk Crisis Triggers Global Recalls

A low intake of heterocyclic amines, combined with high consumption of the omega-6 polyunsaturated fatty acids (PUFAs) which are found in most types of vegetable oil, could increase the likelihood that postmenopausal women will develop breast cancer.

Heterocyclic amines form in meat or fish cooked at high temperatures, and have been tied to breast cancer in rats. Rats fed a diet having a high omega-6 content developed even more tumors in response to dietary heterocyclic amines than rats given a low fat diet.

Now, a new study looked at nearly 12,000 women aged 50 and older. In women with low heterocyclic amine consumption, high omega-6 PUFA intake increased the likelihood of being diagnosed with breast cancer.



Sources:
Reuters September 26, 2008

'Detoxifying' Foot Pads are a Scam

An NPR experiment on Kinoki foot pads tested to see if they'd drawn anything out of a reporter's body.

Reporter Sarah Varney and her husband bought some “detoxifying” Kinoki foot pads and wore them to bed. In the morning, they both awoke find the pads covered in the brown mess that the advertisement had promised. But when they took the foot pads to a lab and had them analyzed and compared with unused pads, the used pads were almost identical to the blank.

Further experimentation showed that the “gunk” in the pads shows up if you hold the pad over a pot of boiling water. Who knew steam had "metabolic waste"?

Sources:
The Consumerist August 19, 2008

Cholesterol-lowering drugs and the effect on muscle repair and regeneration

HILTON HEAD, SC—Statins are powerful drugs that reduce "bad" cholesterol and thus cut the risk of a heart attack. While these medications offer tremendous benefits to millions, they can carry side effects for some. The most frequently reported consequence is fatigue, and about nine percent of patients report statin-related pain. Both can be exacerbated when statin doses are increased, or physical activity is added. The results of a new study may offer another note of caution for high-dose statin patients. Working with primary human satellite cell cultures, researchers have found that statins at higher doses may affect the ability of the skeletal muscles–which allow the body to move–to repair and regenerate themselves.
The study is entitled "Simvastatin Reduces Human Primary Satellite Cell Proliferation in Culture." It was conducted by Anna Thalacker-Mercer, Melissa Baker, Chris Calderon and Marcas Bamman, University of Alabama at Birmingham. They will discuss their findings at the American Physiological Society (APS; www.The-APS.org) conference, The Integrative Biology of Exercise V. The meeting is being held September 24-27, 2008 in Hilton Head, SC.

The Study

Statins have been reported to have adverse effects on skeletal muscle in both human and animal models causing cramping and fatigue and potentially myopathy. Relatively little is known regarding the effect of statins on the muscle progenitor cells (i.e., satellite cells (SC)) which play a key role in skeletal muscle repair and regeneration following exercise or injury. SC remain in a quiescent state until stimulated to proliferate. Statins are known to have antiproliferative effects in other cell types and therefore may inhibit or effect this critical step in muscle repair. Thus it is important to understand the influence of statins on SC function which may further affect the overall health and physiology of human skeletal muscle..

The study examined the proliferative capacity of human satellite cells in culture, which were exposed, to a lipophilic statin: simvastatin. The aim of the study was to determine SC viability during proliferation when treated with statins which may be indicative of the ability of SCs to undergo mitosis (i.e. divide to make new cells).

The research team used primary cell lines isolated from quadriceps muscle biopsies. SC were mixed and grown for 48 hours with several concentrations of statin: 0.0, 0 plus the solvent DMSO (control), 0.05, 0.1, 1.0, 10, or 100µM. The MTS assay was utilized to measure cell viability/reproducibility.

Additionally the investigators determined the effects of varying concentrations of simvastatin on SCs in different states (i.e., undergoing differentiation or differentiated into myotubes).

Key Findings

The researchers found the following:

There was a dose dependent decrease in the viability of the satellite cells at 1.0, 10 and 100µM concentrations of simvastatin. At approximately 5.0 µM concentration the viability of the proliferating cells was reduced by 50% (equivalent to the availability of simvastatin in circulation from a 40 milligram dose per day used in some patients). Specifically, the higher end concentrations led to reduced SC proliferation, which would likely negatively affect the muscle's ability to heal and/or repair itself.
There was no change in the viability of satellite cells at concentrations of 0.05 or 0.1µM.
Cell viability was reduced by approximately half in differentiating cells and myotubes with concentrations of 1.0 and 5.0 µM, respectively.
Next Steps

According to Dr. Thalacker-Mercer, a member of the research team, "While these are preliminary data and more research is necessary, the results indicate serious adverse effects of statins that may alter the ability of skeletal muscle to repair and regenerate due to the anti-proliferative effects of statins."

Looking ahead, she added, "We are very interested in these effects in the older population. It is possible that older adults may not be able to distinguish between muscle pain related to a statin effect or an effect of aging and therefore adverse effects of statins in older adults may be under-reported. Therefore, our next step is to examine statins among older adults."

Blood thinning drug linked to increased bleeding in brain

ST. PAUL, Minn. – A new study shows that people who take the commonly used blood thinning drug warfarin may have larger amounts of bleeding in the brain and increased risk of death if they suffer a hemorrhagic stroke. The study is published in the September 30, 2008, print issue of Neurology®, the medical journal of the American Academy of Neurology.

Warfarin is commonly prescribed to prevent blood clotting. Studies have shown it helps prevent ischemic stroke for patients with an abnormal heart rhythm called atrial fibrillation. However, if the drug makes the blood too thin, it can increase the risk of brain hemorrhage, a type of stroke caused by bleeding in the brain.

The study involved 258 people who had brain hemorrhage, 51 of whom were taking warfarin. Participants were 69 years old on average and lived in or near Cincinnati. The group underwent brain scans to confirm the type of stroke. The brain scans were used to measure the size of the blood clots.

The study found that people who took warfarin and suffered a brain hemorrhage while their international normalized ratio (INR) was above three had about twice as much initial bleeding as those not taking warfarin. However, this effect was not seen in people whose blood was more likely to clot as determined by an INR of less than three. An INR test measures the blood's ability to clot.

"Warfarin is very effective for preventing ischemic strokes among people with atrial fibrillation and for most patients with this condition it is the right choice," said study author Matthew L. Flaherty, MD, with the University of Cincinnati and member of the American Academy of Neurology. "However, people who have bleeding into the brain while taking warfarin are at greater risk of dying than other people with hemorrhagic stroke. Our study may help to explain why. Fortunately, we did not see larger blood clots in people with an INR of less than three. For most patients on warfarin, the goal INR is between two and three. This shows the importance of good monitoring and adjustment of warfarin dose. People should talk to their doctors about the proper management of warfarin and learn the signs of stroke so they can get to an emergency room immediately if a stroke occurs."

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To learn the five signs of stroke, visit www.giveme5forstroke.org. Give Me Five for Stroke is a joint campaign of the American Academy of Neurology, the American College of Emergency Physicians and the American Heart Association/American Stroke Association to encourage people to recognize stroke symptoms, call 9-1-1, and get to the emergency department.

The study was supported by the National Institute of Neurological Disorders and Stroke and a University of Cincinnati College of Medicine Medical Student Summer Research Fellowship.

The American Academy of Neurology, an association of more than 21,000 neurologists and neuroscience professionals, is dedicated to improving patient care through education and research. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as stroke, Alzheimer's disease, epilepsy, Parkinson's disease, and multiple sclerosis.

For more information about the American Academy of Neurology, visit www.aan.com.
Women have been warned to immediately stop using talcum powder around their genitals in the wake of research which suggests particles may travel to the ovaries and trigger a process of inflammation that allows cancer cells to flourish.
Although previous studies have raised concerns over talc, the latest findings from the United States suggest women who use it are 40 per cent more likely to get ovarian cancer - a much greater risk than first thought - the Telegraph newspaper reports.

The findings, published in the journal Cancer Epidemiology, Biomarkers and Prevention, apply only to talcum powder used around the private parts, not on the rest of the body.

Experts from Harvard Medical School in Boston studied more than 3,000 women and found using talc merely once a week raised the risk of ovarian cancer by 36 per cent, rising to 41 per cent for those applying powder every day.

Dr Maggie Gates, who led the study, said that until the outcome of further research women should avoid using talc in the genital area.

One alternative is cornstarch powder.

The study revealed that the risks were greater still for those with a certain genetic profile.

Women carrying a gene called glutathione S-transferase M1, or GSTM1, but lacking a gene called glutathione S-transferase T1 (GSTT1), were nearly three times as likely to develop tumours. Around one in 10 Caucasian women are thought to have this genetic profile, putting them at sharply increased risk.

Ovarian cancer is often termed the silent cancer, as it grows quietly and is often only detected at the final stages, and it is the sixth biggest killer of all cancers for Australian women. About 1,200 new cases are diagnosed annually with 800 deaths.

Until now, it has been thought the main risk factors included a family history of the disease, having already had breast cancer and starting periods at a young age.

Women who are overweight or use hormone replacement therapy are also thought to be more at risk.

Talc is made from a soft mineral called hydrous magnesium silicate, which is found throughout the world. It is crushed, dried and milled to produce powder used in cosmetic products by millions. Some experts say it has chemical similarities to asbestos, which can cause a deadly form of lung cancer.

Laboratory tests show ovarian cells exposed to talc divide more rapidly - a characteristic sign of cancer.

Until recently there was no proof that powder could travel through a woman's reproductive tract as far as the pelvis and then on to the ovaries.

But last year, a separate group of doctors at Harvard Medical School identified tiny particles of powder in the pelvis of a 68-year-old woman with advanced ovarian cancer who had used talc every day for 30 years.

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