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Anti-Smoking Drug Chantix May Help Women Sooner Than Men

TUESDAY, Oct. 13, 2015 (HealthDay News) — An effective prescription drug used to help people quit smoking initially helps women more than men, new research suggests.

The study, from Yale School of Medicine, found that Chantix (varenicline) helped women more than men for the first year of treatment. After a year, however, the anti-smoking medication worked equally well for both men and women.

“Studies show that women have a harder time quitting smoking than men, even as quitting has shown greater benefits to women’s cardiovascular and respiratory health,” Sherry McKee, professor of psychiatry and lead researcher of Yale’s Specialized Center of Research, said in a university news release.

“With this first comprehensive analysis of sex differences in the effectiveness of this drug, now women and their health care providers can better decide how to successfully quit and live longer, healthier lives,” she added.

In the study, McKee’s team looked at clinical trial data on more than 6,700 people who used Chantix to try and quit smoking.

The study found that, not adjusting for other factors, Chantix produced similar rates of smoking cessation for men and women — a 53 percent quit rate after three months, the researchers said.

The trials were placebo-controlled, however, meaning that some people thought they were taking Chantix but were only taking a “dummy” placebo. According to the researchers, that’s important, because many studies suggest that women are less likely than men to quit while taking a placebo, thus skewing the study results.

So, after taking this weaker placebo effect for women into account, McKee’s team adjusted the data and found that Chantix was 46 percent more effective in boosting the odds of quitting for women versus men after three months of treatment.

And after six months, the drug was still 31 percent more effective at maintaining complete abstinence among women than men, the researchers found.

“While it’s clear that sex differences in varenicline [Chantix] efficacy exist, we don’t yet know why varenicline is particularly effective for women,” McKee said.

It’s possible that sex differences in the brain’s nicotine receptor system could help explain why Chantix is initially more effective for women, the researchers reasoned.

According to the U.S. Centers for Disease Control and Prevention, cigarette smoking kills more than 480,000 Americans each year, making it the leading preventable cause of sickness and death in the United States. It also costs nearly $170 billion in medical expenses and more than $156 billion in lost productivity.

The study was published Oct. 7 in the journal Nicotine and Tobacco Research.

More information

The U.S. Centers for Disease Control and Prevention provides tips on how to quit smoking.





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Prescription Painkiller Abuse Rate Down, But Many Are Addicted: Study

By Alan Mozes
HealthDay Reporter

TUESDAY, Oct. 13, 2015 (HealthDay News) — The percentage of American adults who are abusing prescription narcotic painkillers has dipped slightly in the last decade, a new survey reveals.

That’s the good news. The bad news: Those who do abuse these powerful drugs are doing so more frequently and they are more likely to become addicted.

“It is encouraging that the percentage of nonmedical use of opioids [narcotics] decreased,” said study author Dr. Beth Han, a statistician with the Center for Behavioral Health Statistics and Quality at the U.S. Substance Abuse and Mental Health Services Administration.

But at the same time, the mixed results “underscore the importance of treatment for substance use disorders,” Han added.

“Most adults with prescription opioid [narcotic] use disorders or other substance use disorders neither receive treatment nor perceive a need for treatment,” said Han. Her team’s report is published in the Oct. 13 issue of the Journal of the American Medical Association.

A second report published in the same journal backs that up: Eighty percent of narcotics abusers fail to get any treatment for their addiction. In fact, treatment rates have remained essentially static since 2004, said the researchers from Johns Hopkins School of Public Health in Baltimore.

The Han analysis included responses provided between 2003 and 2013 by more than 472,000 adults who participated in the annual surveys on drug use.

Respondents indicated whether or not they had ever used prescription narcotics for a non-prescribed purpose during the prior year.

People who said they had were then asked to indicate how often they had done so, how they had obtained the drugs, and at what age they had first abused prescription narcotics.

The same group was also asked to discuss any history of depression and/or substance abuse or dependence. Those substances included alcohol, pot, cocaine and heroin, as well as a wide range of stimulant and/or sedative types of prescription meds.

In addition to a small drop in overall prescription narcotic painkiller abuse between the first survey and the last, investigators also observed a small drop in the percentage of people who said they had abused prescription narcotics for the first time in the prior year (from 1 percent in 2003 to 0.6 percent by 2013).

However, in the same timeframe, more of those who said they abused prescription narcotics abused them more frequently (0.6 percent in 2003 and 0.9 percent by 2013).

Such dependence typically manifests as an uncontrollable desire to keep taking drugs, even in the face of harmful consequences and even when drug use begins to take over a person’s life. Increased tolerance (requiring more drugs to achieve the same high) is another sign of dependence, as is difficulty stopping.

A decade of data obtained from the U.S. National Vital Statistics System further revealed that more American adults are now dying from prescription narcotics abuse than before.

Specifically, the analysis found that while 4.5 out of every 100,000 Americans died from a related overdose in 2003, that figure had risen to 7.8 by 2013.

Dr. Lewis Nelson, author of an accompanying editorial, suggested that the findings demonstrate that “the problems associated with opioid [narcotic] misuse are still massive.”

According to Nelson, “We have a generation of patients addicted to and overdosing on medications that are unlikely to have been beneficial in the first place.” Nelson is a professor in the department of emergency medicine at the NYU School of Medicine at NYU Langone Medical Center in New York City.

“The silver lining may be that fewer patients are using opioids [narcotics] nonmedically, but the dark cloud is that more patients are misusing greater quantities, suffering more [addiction], and are dying,” Nelson said.

Reining in the problem will require accepting the fact that “we cannot make [narcotics] safer, and they do not work for most chronic pain,” Nelson added.

“We have to reset the expectations for pain relief and function among our prescribers and patients to match this reality,” he said. “To this end, raising the bar for the use of opioids for the treatment of either acute or chronic pain will expose fewer patients to their risks.”

More information

There’s more on painkiller drug abuse at the U.S. National Institute on Drug Abuse.





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Victoria Justice’s Crazy-Flattering Swimsuit Would Look Incredible on Anyone

Photo: James White

Photo: James White

Victoria Justice looks absolutely flawless on our November cover, it’s true. But we are also convinced that every body would look amazing in the gorgeous one-piece suit she’s wearing.

Why?

It features criss-crossed straps across the chest that highlight the décolletage, and a flattering midriff-baring cutout that reveals some skin while still covering most of the tummy. Adjustable straps and a back clasp allow you to tighten or loosen as needed for a fully custom fit. And unlike many swimsuits out there, this one provides full butt coverage without looking the least bit dowdy.

The denim shirt also makes for an adorable cover-up, if we do say so ourselves. But the cute doesn’t stop there. Here’s a sneak peak at the rest of our shoot with Victoria, plus all the info you need to shop each look.

Victoria’s wearing on the cover: L Space Madi ($165, nordstrom.com), The Current Elliot denim shirt ($198, neimanmarcus.com) and Stanmore Verses ring ($140, stanmorenyc.com)

Photo: James White

Photo: James White

Victoria’s wearing: Ashish lace slip dress (freepeople.com for similar styles). Augden sweater (augden.com)

Photo: James White

Photo: James White

Victoria’s wearing: Nili Lotan halter gown ($495; barneys.com)

RELATED: 8 Gym Bags for Every Type of Workout

 




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This Mirror Can Detect Your Bra Size

Photo: Getty Images

Photo: Getty Images

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Last year Swiss lingerie company Triumph conducted an international survey of 10,000 women and found that 64 percent are wearing the wrong size bra. What’s worse is that 29 percent knew they should be properly fitted and did nothing about it.

Why? Because getting fitted for a bra is one of those awkward womanly rites of passage that we prefer not to experience more than once. Until now.

Meet the 3D fitting mirror, which debuted in Rigby & Peller’s Hong Kong location. It can calculate your bra size simply by doing a slow 360 turn in front of it while wearing your current lingerie. It registers 140 measurements of your body, then offers up the correct size and how that size correlates to different lingerie brands. And it has a name – Catherine.

The technology was such a hit in the Hong Kong store that Rigby & Peller have installed the smart mirror in their London location as well. Check out the video to see “Catherine” in action.

This article originally appeared on MIMIchatter.com.

More from MIMI:

The Inspiring Lingerie Line That Is Kicking Breast Cancer’s Ass

This “Plus-Sized” Model Is Launching Her Own Body-Positive Lingerie Line

popsugarblack_small.jpg MIMI Chatter is an endless stream of beauty content. We bring together the must-knows and the how-tos from your favorite sites, beauty influencers, our editors, and YOU.



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The Stress Hormone That’s Messing With Your Diet

Photo: Getty Images

Photo: Getty Images

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We’ve all had those weeks where crazy amounts of stress leave us soothing our woes with late-night ice cream binges. But before your shame-spiral over your lack of self-control, weak willpower isn’t the only thing at blame in these scenarios.

Meet the stress hormone cortisol, which is responsible for your body’s “fight or flight” mechanism (more on that later). It’s been called public health enemy number one for its link to heart disease, diabetes, high blood pressure, memory loss and more. And it might be responsible for weight gain and throwing your eating habits off the rails, too. Here’s how cortisol might be messing with your body — and what you can do about it.

RELATED: How to Get Good at Stress

Fight or Flight: What Is Cortisol?

Imagine this: You’re driving along in your car and you almost get into an accident. As your tires screech, your body activates its fight or flight response, preparing to protect yourself from harm. The hypothalamus region of the brain, responsible for triggering this response, sends messages to the adrenal glands telling them to release cortisol and adrenaline. This causes the liver to release sugar into the bloodstream and increase blood flow to the heart, increasing heart rate, explains Jen Landa, MD, chief medical officer of BodyLogicMD, a group of physicians specializing in bioidentical hormone therapy.

“When you get in a car accident, you need a high amount of sugar in your bloodstream in case you need to lift a car off your companion,” says Landa. “But the problem is that many are living at 80 percent ‘car accident’ [mode] all the time, and having a stress response going on chronically becomes dysfunctional.” This response is helpful for dealing with short-term crises, but in today’s culture where many people feel stressed out all-day-every-day, this constant fight or flight response can spell trouble.

RELATED: Is Chronic Stress Wrecking Your Workouts?

Cortisol vs. Your Waistline

It’s not just obvious daily stressors — like your boss nagging you all day — that elevate your levels. Lack of sleep, caffeine, alcohol and even skipping a meal can all raise cortisol, Landa says. “Your body sees a skipped meal and low blood sugar as a mini emergency,” she says.

Research shows that high cortisol levels may be to blame for stress eating, with one study finding that women ate more on days they were stressed out than on days they weren’t (especially sweets). That’s because the sugar-release triggered by elevated cortisol doesn’t enter the cells for energy, but instead stays in the bloodstream, says Academy of Nutrition and Dietetics spokesperson Jennifer McDaniel, RD, who specializes in weight management. “This disrupted system increases hunger signals to the brain, leading to an increased appetite for high-calorie foods,” she says.

RELATED: How Bad Is Your Food From 1 to 10? Try This Food Calculator

Stress eating is just one way this hormone messes with your weight. Elevated cortisol levels also cause fat to be de deposited deep in the abdomen, which can lead to obesity or weight gain, says McDaniel. This visceral fat, or fat stored around the organs, produces more cortisol compared to other types of fat tissue, she says, which could help explain why it’s so easy to gain weight, but so hard to lose it.

6 Ways to Fight Back Against Stress Eating

Stress and cortisol don’t have to wreck your diet. These simple tricks can help keep your levels in check — and help you feel better all over.

1. Eat anti-inflammatory foods.
McDaniel encourages her clients to consume a variety of nine servings of fruits and vegetables and two to three servings of fatty fish per week, plus fiber-rich foods like beans and nuts (Here’s what 200 calories of nuts looks like). “What we avoid is important as well,” she says. Reduce or skip pro-inflammatory foods like trans fats, alcohol, refined or processed grains and sugar-rich foods.

RELATED: Is Inflammation Hurting Your Health?

2. When cravings hit, do something different.
Most cravings are part of a habit cycle, says Landa. Luckily, habits can be changed if you alter your response to stimuli. “When you’re stressed out, instead of reaching for a candy bar, reach for a cup of relaxing herbal tea, which will help [calm] you and keep your mouth and hands busy to avoid unnecessary snacking,” she says.

3. Meditate.
There are many reasons to get your ‘om on. But researchers in Thailand found that medical students who participated in mindfulness meditation, a practice of focusing on the present moment, had significantly lower cortisol levels after just four days of the program. If you’re new to the practice, here are some easy tricks to help you meditate (even if you’re really impatient).

4. Put a barrier between food and an emotion.
If you usually eat when you’re stressed, try grabbing a glass of water, calling a friend, getting out of the house or making some tea instead. “A 15-minute distractor is usually able to reroute an emotional food binge,” says McDaniel.

5. Get outside.
Access to green space can significantly lower self-reported stress and cortisol levels, according to Scottish researchers. Just another reason to unplug and spend some time outdoors.

6. Create space for yourself.
If you’re constantly putting the needs of something else (work, friends, family, you name it) in front of your own, you won’t have enough resources left to handle your own stress. Instead, carve out some time that’s just yours. “One of the techniques I personally use is powering down while eating and just eating,” says McDaniel. “When I do this, I often find my mind goes to a place of gratitude for my food, or mind-centering places. This pause rejuvenates a working mother of two toddlers with one on the way.”

More from Life by DailyBurn:

The Beginner’s Guide to Clean Eating

Low-Calorie Foods That Will Actually Fill You Up

The 2-Second Trick to Slash Calories from Your Pizza

dailyburn-life-logo.jpg Life by DailyBurn is dedicated to helping you live a healthier, happier and more active lifestyle. Whether your goal is to lose weight, gain strength or de-stress, a better you is well within reach. Get more health and fitness tips at Life by DailyBurn.



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Early Physical Therapy Not a Cure-All for Low Back Pain: Study

By Steven Reinberg
HealthDay Reporter

TUESDAY, Oct. 13, 2015 (HealthDay News) — Early physical therapy provides only modest benefits for low back pain, and the discomfort usually subsides by itself, a new study has found.

The study followed more than 200 people with recent-onset low back pain who were randomly assigned to physical therapy or no treatment for the first month after their pain began. Physical therapy included back manipulation and exercise.

Early physical therapy produced a modest improvement in the study participants’ ability to function after three months, compared with no physical therapy. However, after a year, no significant difference in function was found between the two groups.

And, the participants reported no improvement in pain after one month, three months or one year of therapy, the researchers said.

“People with lower back pain tend to get better quickly, and the physical therapy helped them get there a little quicker,” said lead researcher Julie Fritz, a professor of physical therapy at the University of Utah.

“But the difference between the improvement that comes with time and the improvement that comes with therapy is not a huge difference,” she said.

The best treatment for low back pain is to stay active and exercise even though it’s painful, Fritz said. “The goal is to keep people moving to help them recover, and that often happens without assistance,” she added.

Low back pain afflicts about 70 percent of people in their lifetime and accounts for 2 percent to 5 percent of all doctor visits, according to background notes in the study.

The study was published in the Oct. 13 issue of the Journal of the American Medical Association.

“Chronic back pain is a very complex problem influenced by many psychological, social and medical factors,” said Edward Michna, director of the pain trials center at Brigham and Women’s Hospital in Boston.

It makes sense to be as active as possible when new back pain occurs, and early physical therapy can assist, he suggested. “But the physical therapy does not change overall long-term outcomes and does not prevent back pain-related disability in the long term,” said Michna, who was not involved with the study.

Current guidelines advise delaying physical therapy for a few weeks to permit spontaneous recovery, the study authors said, but other recent research has suggested early physical therapy could be beneficial.

The new study results aren’t an indictment of physical therapy. It can be useful for someone who needs assistance starting to exercise or staying active while recovering from back pain, Fritz said. In such cases, “physical therapy can help accelerate the process a little bit,” she said.

And physical therapy won’t be harmful, said Anthony Delitto, professor and chair of physical therapy in the School of Health and Rehabilitation Sciences at the University of Pittsburgh.

“If you’d rather try that than drugs or anything else, it’s certainly worth a try,” Delitto said.

He also advises people to remain active. “That’s counter to what we were telling people 20 years ago. People were told to go to bed, and that is clearly something they should not do,” Delitto said.

However, patients shouldn’t go to physical therapy expecting a cure-all, Delitto added. “If you’re willing to sit it out, you’re likely to get better without it,” he said.

More information

For more on low back pain, visit the U.S. National Institute of Neurological Disorders and Stroke.





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5 Reasons It’s Harder to Lose Weight Now (And What to Do About Each)

Photo: Getty Images

Photo: Getty Images

Stuck in a dreaded weight loss plateau? Nope, it’s not in your head: Weight loss really is harder today than it was just a few decades ago, according to new research.

Now, I’m usually not an “I told you so” kind of person, but the study, published in the journal Obesity Research & Clinical Practice, draws a conclusion I’ve been preaching for quite some time that not all experts agree withweight loss is a whole lot more complicated than calories in versus calories out.

To reach their findings, York University researchers looked at the dietary data of more than 35,000 Americans between 1971 and 2008, and the exercise data of nearly 15,000 people between 1988 and 2006 (the only years that info was available), and found that today’s 25-year-olds have to eat less and exercise more than young people in the 70s and 80s to achieve the same body mass index.

The investigators used mathematical models to show that in 2006, if a given person ate the same number of calories, consumed the same proportion of macro-nutrients (like protein and carbohydrates), and exercised the same as a counterpart in 1988, they would still weigh about 10% more.

RELATED: Why You’re Not Losing Belly Fat

How can this be? Well, the researchers pointed to many of the things I’ve talked about here as possibilities, like the amount of environmental chemicals and artificial sweeteners in our food supply. These things may affect the way your body recognizes, uses, or stores calories. It’s also true that Americans may be more stressed and sleep-deprived today, two things that have also been shown to affect appetite and in turn, weight gain.

The good news (aside from the fact that your frustration is now completely validated) is there are still ways to outsmart these metabolism-busting menaces. Here are five key factors the study’s authors identified, and tips for circumventing their potential impact on your waistline.

Cut your exposure to these chemicals

Several studies have now shown that exposure to certain industrial compounds called “endocrine-disrupting chemicals” can impact your weight, primarily due to their effect on hormones. For example, a 2012 study in the Journal of the American Medical Association, found that higher body levels of bisphenol A (BPA), a substance found in many packaged and canned foods, was tied to higher rates of obesity in children and teens.

Other endocrine-disrupting chemicals run the gamut from pesticides, fragrances, and flame retardants, and they are found in many everyday products like detergent, furniture, electronics, food, and plastics.

Tips: While you can’t completely avoid these chemicals, you can reduce your exposure. Two simple ways are to buy more fresh foods and all-natural products, and spend more time outside in fresh air.

Set some specific goals, then measure and track them. For example, if you typically eat a packaged snack in the afternoon, trade it for a piece of fresh fruit and a golf ball sized portion of nuts (purchased in bulk, and stored in a BPA-free container). Carve out 15 minutes or more each day to walk outside, without talking, texting, or scrolling Facebook.

RELATED: 5 Ways to Eat Less Packaged Food

Get help if your meds are making you gain

Scientists point out that since the ‘70s and ‘80s there’s been a sharp rise in the use of medications like Prozac. And antidepressants, now one of the most commonly prescribed drugs in the U.S., have been linked to weight gain.

Tips: Never stop taking a drug that’s been prescribed by your doctor without discussing it with him or her, but do discuss the issue of weight gain if you’re experiencing it as a side effect. Ask for a referral to a dietitian/nutritionist, or find out if your health insurance covers fitness center fees. Some plans allow a certain dollar amount, sometimes $200 per person per year, as reimbursement for membership dues.

Feed your gut microbes

In one of the most fascinating new areas of nutrition research scientists have found that the type, amount, and balance of microbes in your digestive tract is related to a number of bodily processes, including appetite regulation, and inflammation.

In one new study, researchers found a link between a healthy balance of gut bacteria to not only weight and body fat, but also good cholesterol levels.

A change in the makeup of gut microbes over the past 20 to 30 years is likely another reason we’re more prone to weight gain today. For example, the York University researchers point out that Americans are eating more meat now than a few decades ago, and most of it is raised using synthetic hormones and antibiotics, all factors that may influence the makeup of human gut flora.

RELATED: 14 Ways You Lie to Yourself About Your Weight

Tips: There are several ways to give your gut microbes a healthy “makeover.” First, cut back on sugar and highly processed foods. Eat more plant-based foods (fruits, veggies, whole grains, and plant fats like avocado and nuts). And if you eat meat, trade some of your regular fare for seafood and pulses (beans, peas, and lentils), which provide protein, and have been shown to help good gut bacteria flourish. And finally eat more fermented or “probiotic” foods, like sauerkraut, kimchi, and kefir, to add more friendly microbes to your gut.

Avoid artificial sweeteners

Studies have shown that while fake sweeteners don’t provide calories, they may wind upping triggering weight gain anyway. For example, a new study in the Journal of the American Geriatrics Society, found that diet soda drinkers gained almost triple the amount of belly fat over nine years as non-diet soda drinkers, even after controlling for exercise, diabetes, and other factors.

An earlier study from the Washington University School of Medicine may shed light on why: these researchers had obese volunteers without type 2 diabetes consume either water or an artificial sweetener before they consumed glucose (sugar). After downing the artificial sweetener, the subjects’ blood sugars peaked at a higher level than when they drank only H2O, and their insulin levels rose about 20% higher. In other words, artificial sweeteners may affect insulin levels in a way that encourages fat storage.

Tips: Some of my clients quit artificial sweeteners cold turkey, and others wean themselves off gradually. After deciding which approach is best for you, make an action plan. Have replacements at the ready, and be sure to read ingredient lists, as faux sugars may be in foods you aren’t aware of, like cereal. While the first week or so may be tough, I’ve heard over and over from clients that the results are powerful, including a diminished sweet tooth, better awareness of hunger and fullness, and enhanced taste perception, such as enjoying the natural flavor of healthy foods that used to seem blah, like fruit and veggies.

RELATED:  5 Steps to Quit Artificial Sweetners.

Sleep more

Numerous studies have shown that a lack of sleep drives up appetite, especially for not so healthy foods. In addition, working when your body would prefer to be sleeping has been tied to weight gain. A University of Colorado at Boulder study found that people who work the night shift burn fewer calories during a 24-hour period than those who work a normal schedule. All this is to say that burning the midnight oil makes it easier to gain weight, even without an increase in calories.

Tips: Make sleep as much a priority as clean-eating and exercise. To get started develop good “sleep hygiene.” Nix caffeine at least six hours before bed, establish a relaxing bedtime routine, and make your bedroom conducive to sleepcool, dark, and quiet, with no TV, phone, or laptop. Exposure to natural sunlight during the day, even through a window, has also been shown to help improve nighttime sleep, so if you’re stuck in an inner office all day, take a quick outdoor walk before work, or sit by a window while you eat lunch.

If all of these steps seem like too much at once, work on just one at a time, and stay positive. While simply counting calories alone may no longer be enough to regulate your weight, there are many factors within your control, and focusing on your overall lifestyle will lead to benefits that go far beyond what the scale says.

What’s your take on this topic? Chat with us on Twitter by mentioning @goodhealth and @CynthiaSass.

Cynthia Sass is a nutritionist and registered dietitian with master’s degrees in both nutrition science and public health. Frequently seen on national TV, she’s Health’s contributing nutrition editor, and privately counsels clients in New York, Los Angeles, and long distance. Cynthia is currently the sports nutrition consultant to the New York Yankees, previously consulted for three other professional sports teams, and is board certified as a specialist in sports dietetics. Sass is a three-time New York Times best-selling author, and her brand new book is Slim Down Now: Shed Pounds and Inches with Real Food, Real Fast. Connect with her on FacebookTwitter and Pinterest.

RELATED: 16 Ways to Lose Weight Fast




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Mixed Martial Arts Fighters May Go to Dangerous Lengths to Shed Pounds

TUESDAY, Oct. 13, 2015 (HealthDay News) — The grueling mixed martial arts known as “cage fighting” may harm participants in ways spectators may not even realize, a new study suggests.

Researchers in Britain say their study of U.K. cage fighters found that many are resorting to drastic methods to quickly lose weight before a fight.

These practices “are dangerous to health, may contribute to death, and are largely unsupervised” in cage fighting, warned the researchers, led by Dr. James Morton, a sports and exercise scientist at Liverpool John Moores University.

As Morton’s team explained, cage fighting has 11 different weight classes. And fighters often try to compete at the lowest possible weight by using chronic dehydration methods such as saunas, sweat suits, hot baths and pills that boost fluid loss (diuretics).

Two years ago, Brazilian cage fighter Leandro Souza died in a sauna after he tried to lose 20 percent of his body weight — 33 pounds — in seven days. And there have been several recent cases of fighters who had to withdraw from competition or retire due to problems caused by repeated rapid weight-loss methods, the researchers said.

In the study, Morton and his colleagues surveyed 30 U.K. cage fighters in five weight classes, and came up with what they called “alarming” results.

About two-thirds of the fighters used a weight-loss practice called “water loading,” where fighters reduce their salt intake and boost their water consumption to about 6 gallons over three days.

Seventeen percent of the fighters used commercial products to increase their sweating — either by stimulating circulation or blocking pores. Also, 37 percent took prescription and/or over-the-counter diuretics, and 13 percent used intravenous lines and glycerol to rehydrate after a weigh-in. Weigh-ins typically occur 24 to 36 hours before a fight, Morton’s team said.

The researchers also found that nearly three-quarters of fighters used nutritional supplements while losing weight, but 60 percent did not know if these had been tested for banned substances. All of the fighters either fasted completely or ate a low-carbohydrate diet in the three to five days before the weigh-in — putting them at risk for energy depletion, the researchers said.

Only 20 percent of the fighters sought dietary advice from a qualified sports dietitian or nutritionist. Instead, most got dietary advice from coaches, other fighters or the Internet, according to the study published Oct. 13 in the British Journal of Sports Medicine.

In addition to other health dangers, rapid and extreme dehydration also boosts the risk that blows to the head during a fight will cause brain damage, the researchers said.

They made a number of recommendations, including adding more weight classes, shortening the time between weigh-in and competition, and offering fighters more education on how to lose weight safely.

More information

The U.S. National Institute of Diabetes and Digestive and Kidney Diseases explains how to select a safe and successful weight-loss program.





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Calcium Supplements Tied to Kidney Stone Risk in Study

By Amy Norton
HealthDay Reporter

TUESDAY, Oct. 13, 2015 (HealthDay News) — People with a history of kidney stones may have a higher risk of recurrence if they use calcium supplements, a new study finds.

The findings, based on records from more than 2,000 patients, add to evidence linking calcium supplements to kidney stone risk.

But researchers also said that people taking calcium under a doctor’s advice should not stop on their own.

“We’re definitely not advocating that people stop taking calcium supplements if their doctor prescribed them for their bone health,” said Christopher Loftus, the lead researcher on the study and an M.D. candidate at the Cleveland Clinic Lerner College of Medicine.

Loftus is scheduled to present his findings next month at the American Society of Nephrology’s annual meeting in San Diego. Data and conclusions presented at meetings should be considered preliminary until published in a peer-reviewed medical journal.

Kidney stones develop when high levels of crystal-forming substances — such as calcium, uric acid and a compound called oxalate — build up in the urine. Most kidney stones contain calcium.

Doctors used to advise people who are “stone formers” to cut down on their calcium intake, said Dr. Mathew Sorensen, an assistant professor of urology at the University of Washington in Seattle.

And while that “makes sense intuitively,” Sorensen said, research since the 1990s has indicated the opposite is true: People can help lower their risk of kidney stone recurrences by getting the recommended amount of calcium — if the calcium comes from food.

Calcium supplements, on the other hand, have been tied to an increased risk of kidney stones in some studies.

Loftus said supplements have been linked to higher odds of passing a large stone that causes painful symptoms. Often, though, small stones pass unnoticed, so Loftus and his colleagues looked at whether supplement users had a greater risk of forming stones at all based on CT scans.

The researchers looked at records for more than 2,060 people with a history of kidney stones who underwent two CT scans within two years. Almost 1,500 of those patients were on calcium supplements, while 417 took vitamin D only. The rest used no supplements.

While researchers only saw an association, they found that calcium users had a faster rate of new stone formation than either of the other two groups.

People may be confused by the finding, given that calcium in food helps prevent kidney stones, Loftus said.

“But there’s a difference between dietary calcium and supplements,” he said. “When people eat calcium-containing foods, they’re getting other nutrients at the same time.”

Many foods contain at least a small amount of the compound oxalate, for example. “The oxalate in food binds to calcium, and you excrete it,” Loftus said.

Still, some people might need supplemental calcium for the sake of their bone density.

So if a doctor has advised you to take calcium, do not simply stop on your own, Sorensen said.

“In general, it’s best to get your calcium from food,” Sorensen said. “But if you’re on a supplement that’s been prescribed to protect your bones, we usually recommend taking it along with a meal.”

Loftus agreed. He added, though, that stone formers who started using calcium supplements on their own might want to ask their doctor whether that’s really necessary.

The findings come in the wake of a study from New Zealand that concluded extra calcium — either in food or supplements — may not help aging bones at all. That study was published in the BMJ.

Sorensen offered some advice for people with a history of kidney stones: “The most important thing,” he said, “is to drink enough fluid every day.”

That keeps the urine diluted, and helps flush away materials that can form stones. Typically, stone formers should aim for 2 to 3 liters of water and other fluids each day, according to the U.S. National Institutes of Health.

Cutting back on sodium is also wise, Sorensen said, since sodium causes the kidneys to excrete more calcium into the urine.

Stone formers could also try limiting their intake of meat and other animal proteins, Sorensen said, since those foods might contribute to calcium stones by making the urine more acidic.

People who form another kind of kidney stone — uric acid stones — are often advised to limit their meat intake to 6 ounces per day, the NIH says.

More information

The U.S. National Institutes of Health has more on preventing kidney stones.





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Many Cancer Survivors Eat Poorly, Study Finds

By Randy Dotinga
HealthDay Reporter

TUESDAY, Oct. 13, 2015 (HealthDay News) — One might expect cancer survivors to be fanatically healthy eaters, but a new study suggests they eat a little worse than people who never had cancer.

Survey results from more than 1,500 U.S. adult cancer survivors found they were less likely than others to adhere to national dietary guidelines. The findings raise questions about whether oncologists should do more to educate cancer patients about the health benefits of improving their diets.

“In the past, when a person was diagnosed with cancer, we kind of gave the message that they should go home, eat whatever they want, put their feet up,” said study co-author Wendy Demark-Wahnefried, a nutrition scientist and associate director at University of Alabama at Birmingham Comprehensive Cancer Center.

“But most people with cancer are going to survive their cancer at least five years,” she added. “The message has changed: The chances are you are going to survive.”

With survival, she said, comes greater risk of a return of cancer or some other diseases. But better nutrition could potentially improve their odds, Demark-Wahnefried said.

Unhealthy diets have been linked to higher rates of cancer. The research doesn’t clarify why the diets of cancer survivors are unhealthier, and it’s possible they actually began to eat better after they became ill.

The study involved just over 1,500 U.S. cancer survivors surveyed from 1999 to 2010, and nearly 3,100 people never diagnosed with cancer. Participants recalled what they ate over the previous 24 hours.

Cancer survivors scored only about 47 out of 100 on adherence to U.S. Dietary Guidelines for Americans. Consumption of vegetables and whole grains was especially poor, the researchers said. Adults who had not had cancer scored somewhat better — about 48 overall.

Compared to those who had not had cancer, the survivors consumed a bit more fat, added sugar and alcohol. They also ate a little less fiber, the findings showed.

Overall, the cancer survivors also failed to consume the recommended daily amounts of vitamin D, vitamin E, potassium and calcium. And they went beyond recommended levels of saturated fat and salt, according to the report published online Oct. 13 in Cancer.

The surveys didn’t examine when the participants were diagnosed with cancer, so it’s not known how the timing of their illness might have affected their eating habits, the study authors pointed out.

“One possibility is that their diets were poor before, and they’re still poor now,” Demark-Wahnefried said. “After you’ve been diagnosed with cancer, sometimes you might say, ‘What the heck, what’s a brownie?’ That could be a factor. We really don’t know what drives these decisions.”

When the study zeroed in on the four major cancers — breast, prostate, lung and colon — lung cancer survivors had the worst diets, said study lead author Dr. Fang Fang Zhang, assistant professor with Tufts University’s Friedman School of Nutrition Science and Policy in Boston.

Breast cancer survivors had the healthiest diets, she said.

“The differences may be due to differences in cancer symptoms and treatment-associated side effects that can impact diet,” Zhang said, “or psychosocial factors, such as anxiety and depression associated with different cancer diagnoses.”

Still, there were only modest dietary differences between cancer survivors and other people, said Dr. Stephen Freedland, director of the Center for Integrated Research in Cancer and Lifestyle at Cedars-Sinai Samuel Oschin Comprehensive Cancer Institute in Los Angeles.

“It’s not like one group has horrible diets and the other has amazing diets,” he said. “They’re different but only slightly different.”

There’s little research telling cancer survivors what they should eat, said Freedland. “We have some guidelines, but the quality of the data is not great. I can’t tell a patient if you eat X, your risk of cancer coming back will be lower,” he said.

Freedland said some of his patients embrace better diets. “But the vast majority are ‘no’: Their cancer is cured, they’ve put it behind them, and dropped off to their pre-cancer diet patterns.”

The study authors urge cancer doctors to do more to educate survivors about their diet choices. “A lot of providers do not discuss this with patients unless they ask,” Freedland said. “When you bring it up with a patient, they tend to be receptive.”

More information

For more about nutrition for cancer survivors, see the National Comprehensive Cancer Network.





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