Gestational Diabetes May Lead to More Body Fat on Babies

THURSDAY, May 12, 2016 (HealthDay News) — Babies born to mothers who had gestational diabetes may be more likely to carry excess fat in early life, new research suggests.

At 2 months of age, the babies of mothers with gestational diabetes had 16 percent more body fat than babies of mothers without the disorder. This finding is in contrast to their body fat at birth, when fat levels in both groups were about the same overall, the researchers said.

“Gestational diabetes is becoming more and more common, and babies born to these mothers are at increased risk of developing diabetes when they grow up. Therefore, we need to understand what effects maternal diabetes has on the baby,” said study lead author Karen Logan of Imperial College London.

“This new study suggests diabetes in the mother can trigger changes in the baby at a very early stage,” Logan explained in a college news release.

Although the study doesn’t confirm cause-and-effect, the researchers think it may have something to do with changes to metabolism in the womb or differences in the breast milk of the mothers.

According to study senior author Neena Modi, a professor at Imperial College London, “Previous studies have suggested that diabetes may cause changes in breast milk, so that it contains more sugar, fat or different levels of compounds that control appetite, called hunger hormones.”

Most of the 86 babies in the study — 42 born to mothers with gestational diabetes — were breast-fed. The researchers measured their body fat levels via MRI scans shortly after birth and again when they were 8 to 12 weeks old.

Gestational diabetes — diabetes during pregnancy — causes high blood sugar levels. The condition affects an estimated one in 20 pregnant women in the United Kingdom, the study authors noted. And the U.S. Centers for Disease Control and Prevention suggests the prevalence may be even higher in the United States — up to 9 percent.

Being overweight is a major risk factor for gestational diabetes. However, Logan noted that many of the women in this study weren’t overweight. She said there are other potential causes of the condition, such as a genetic predisposition.

Medication, diet changes and exercise can help control the condition, the researchers suggested.

“All of the women in the study had their condition well-controlled. However, this study suggests that even good treatment during pregnancy may not be enough to prevent longer-term problems in the baby,” Logan said.

The study was published May 12 in Diabetes Care.

More information

For more about gestational diabetes, visit the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.

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Lithium Beats Newer Meds for Bipolar Disorder, Study Finds

By Dennis Thompson
HealthDay Reporter

THURSDAY, May 12, 2016 (HealthDay News) — Lithium outperforms newer mood stabilizers in the treatment of bipolar disorder, a new study has found.

Patients taking lithium had lower rates of self-harm and unintentional injury compared to those taking other bipolar drugs, such as valproate (Depacon, Depakote), olanzapine (Zyprexa) or quetiapine (Seroquel), said lead researcher Joseph Hayes. He is a fellow of psychiatry at University College London.

“This is important because people with bipolar disorder are 15 times more likely to die by suicide and six times more likely to die by accidental injury than the general population,” Hayes explained.

People taking one of the alternative mood stabilizers were 40 percent more likely to harm themselves compared to patients on lithium, Hayes and his colleagues found.

And people on valproate or quetiapine were 32 percent to 34 percent more likely to fall victim to unintentional injury, most likely while experiencing a manic episode, the researchers said.

“Lithium still is the gold standard for the treatment of bipolar. We really haven’t had a medication that surpasses lithium, as far as we know,” said Dr. Raphael Braga. He is physician-in-charge of the Center for Treatment and Research of Bipolar Disorder at Zucker Hillside Hospital in Glen Oaks, N.Y., and was not involved with the study.

Hayes noted that lithium has been used for more than half a century to treat bipolar disorder, but it’s still not clear how the drug stabilizes a person’s mood.

Bipolar disorder, which used to be called manic depression, is characterized by extreme mood swings ranging from emotional highs to depressive lows.

The researchers undertook their study following evidence reviews and studies that suggested lithium might be better than newer medications at preventing suicide and self-harm.

These studies have contended that lithium achieves these results by reducing symptoms such as depression, aggression, risk-taking and impulsive behavior, according to background notes in the study.

Lithium can be hard on the body, the study authors said, increasing a person’s risk of kidney and thyroid disease, but even that may have a positive side in bipolar patients. Because patients must be closely monitored for side effects, they are in more frequent contact with doctors who can pick up on emotional problems that lead to suicide, the researchers contend.

To compare lithium against newer medications, Hayes and his colleagues collected medical data on nearly 6,700 people diagnosed as bipolar and prescribed only one of the drugs — lithium, valproate, olanzapine or quetiapine.

The investigators found that people on lithium were less likely to harm themselves, either intentionally or by accident.

The suicide rate was lower in the lithium group, but too few suicides occurred to allow accurate risk estimates, the study authors said.

The findings were published online May 11 in the journal JAMA Psychiatry.

Lithium can cause kidney disease and hypothyroidism (underactive thyroid gland), Braga and Hayes said.

Doctors need to carefully weigh benefits versus harm when prescribing lithium to people with kidney or thyroid problems, and “if these are severe, it should be avoided,” Hayes said. “Lithium [also] needs to be reviewed on an individual patient basis before pregnancy.”

Braga said psychiatrists often require patients taking lithium to undergo lab tests every three to six months, to make sure their kidney function hasn’t been compromised.

Even with this, lithium is much cheaper than the other medications in the study, Braga said. Hayes noted a 2008 study that found lithium was nearly $500 cheaper per month compared with olanzapine.

“Lithium is a great drug,” Braga said. “It’s definitely a drug every clinician should think about when prescribing for bipolar disorder.”

More information

For more on lithium, visit the National Alliance on Mental Illness.

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Lithium Beats Newer Meds for Bipolar Disorder, Study Finds

By Dennis Thompson
HealthDay Reporter

THURSDAY, May 12, 2016 (HealthDay News) — Lithium outperforms newer mood stabilizers in the treatment of bipolar disorder, a new study has found.

Patients taking lithium had lower rates of self-harm and unintentional injury compared to those taking other bipolar drugs, such as valproate (Depacon, Depakote), olanzapine (Zyprexa) or quetiapine (Seroquel), said lead researcher Joseph Hayes. He is a fellow of psychiatry at University College London.

“This is important because people with bipolar disorder are 15 times more likely to die by suicide and six times more likely to die by accidental injury than the general population,” Hayes explained.

People taking one of the alternative mood stabilizers were 40 percent more likely to harm themselves compared to patients on lithium, Hayes and his colleagues found.

And people on valproate or quetiapine were 32 percent to 34 percent more likely to fall victim to unintentional injury, most likely while experiencing a manic episode, the researchers said.

“Lithium still is the gold standard for the treatment of bipolar. We really haven’t had a medication that surpasses lithium, as far as we know,” said Dr. Raphael Braga. He is physician-in-charge of the Center for Treatment and Research of Bipolar Disorder at Zucker Hillside Hospital in Glen Oaks, N.Y., and was not involved with the study.

Hayes noted that lithium has been used for more than half a century to treat bipolar disorder, but it’s still not clear how the drug stabilizes a person’s mood.

Bipolar disorder, which used to be called manic depression, is characterized by extreme mood swings ranging from emotional highs to depressive lows.

The researchers undertook their study following evidence reviews and studies that suggested lithium might be better than newer medications at preventing suicide and self-harm.

These studies have contended that lithium achieves these results by reducing symptoms such as depression, aggression, risk-taking and impulsive behavior, according to background notes in the study.

Lithium can be hard on the body, the study authors said, increasing a person’s risk of kidney and thyroid disease, but even that may have a positive side in bipolar patients. Because patients must be closely monitored for side effects, they are in more frequent contact with doctors who can pick up on emotional problems that lead to suicide, the researchers contend.

To compare lithium against newer medications, Hayes and his colleagues collected medical data on nearly 6,700 people diagnosed as bipolar and prescribed only one of the drugs — lithium, valproate, olanzapine or quetiapine.

The investigators found that people on lithium were less likely to harm themselves, either intentionally or by accident.

The suicide rate was lower in the lithium group, but too few suicides occurred to allow accurate risk estimates, the study authors said.

The findings were published online May 11 in the journal JAMA Psychiatry.

Lithium can cause kidney disease and hypothyroidism (underactive thyroid gland), Braga and Hayes said.

Doctors need to carefully weigh benefits versus harm when prescribing lithium to people with kidney or thyroid problems, and “if these are severe, it should be avoided,” Hayes said. “Lithium [also] needs to be reviewed on an individual patient basis before pregnancy.”

Braga said psychiatrists often require patients taking lithium to undergo lab tests every three to six months, to make sure their kidney function hasn’t been compromised.

Even with this, lithium is much cheaper than the other medications in the study, Braga said. Hayes noted a 2008 study that found lithium was nearly $500 cheaper per month compared with olanzapine.

“Lithium is a great drug,” Braga said. “It’s definitely a drug every clinician should think about when prescribing for bipolar disorder.”

More information

For more on lithium, visit the National Alliance on Mental Illness.

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Tween Magazine Gives Swimsuit Advice, Internet Explodes

Don’t Blame Kids’ Behavior on Full Moon

THURSDAY, May 12, 2016 (HealthDay News) — Many parents swear their children’s behavior changes when the moon is full, but new research suggests otherwise.

“Our study provides compelling evidence that the moon does not seem to influence people’s behavior,” said Dr. Jean-Philippe Chaput, from the Eastern Ontario Research Institute, in Canada.

To investigate possible effects of lunar cycles on human behavior, the researchers focused on those most vulnerable to changes in behavior and sleep habits: children.

In all, the study involved more than 5,800 kids from five continents.

“We considered that performing this research on children would be particularly more relevant because they are more amenable to behavior changes than adults and their sleep needs are greater than adults,” said Chaput.

The children were from a wide range of socioeconomic and cultural backgrounds. The researchers considered their age, gender, size, nighttime sleep habits, level of physical activity and sedentary time. The education level of their parents was also taken into account.

The kids were tracked for 28 months, or 28 lunar cycles. During this time, the researchers divided the data they collected into one of three moon phases: full moon, half moon and new moon.

The study showed nighttime sleep duration was an average five minutes shorter around the time of a full moon than a new moon. The researchers found no other significant changes in behavior among any of the children.

The study results were published recently in Frontiers in Pediatrics.

“The only significant finding was the 1 percent sleep alteration in full moon, and this is largely explained by our large sample size that maximizes statistical power,” Chaput said in a journal news release.

The researchers noted a five-minute reduction in the kids’ sleep during a full moon doesn’t pose a risk to their overall health.

“Overall, I think we should not be worried about the full moon. Our behaviors are largely influenced by many other factors like genes, education, income and psychosocial aspects rather than by gravitational forces,” Chaput added.

More investigation is needed to determine if human biology is in sync with the cycles of the moon or if the moon has a greater effect on those with mental or physical health issues, the researchers noted.

More information

NASA provides more about the moon.

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How Your Car Side Window May Be Harming Your Skin, Eyes

THURSDAY, May 12, 2016 (HealthDay News) — The front windshield of your car probably shields you from the sun’s UV-A rays as you drive, but the same may not be true for side windows, a new study finds.

Experts have long known that prolonged exposure to ultraviolet A (UV-A) rays can raise the odds for skin cancer and cataracts.

And with the long hours many Americans drive each day, one researcher in California wondered how much sun protection today’s cars might offer.

To find out, Dr. Brian Boxer Wachler, of the Boxer Wachler Vision Institute in Beverly Hills, analyzed the ultraviolet protection provided by the glass in 29 cars from 15 different automobile manufacturers.

Boxer Wachler measured levels of ambient UV-A radiation behind the front windshield and behind the driver’s side window of the cars, which were produced between 1990 and 2014.

While windshield windows tended to offer good protection against UV-A, protection was lower and inconsistent for the side windows of cars, the study findings showed.

The study found front windshields blocked an average of 96 percent of UV-A rays, compared to 71 percent for side windows.

Overall, only 14 percent of the cars offered a high level of side-window UV-A protection, the research revealed.

This could contribute to a higher prevalence of left eye cataracts and skin cancer on the left side of people’s faces, Boxer Wachler said. He believes that, based on the new data, “automakers may wish to consider increasing the degree of UV-A protection in the side windows of automobiles.”

Dr. Doris Day is a dermatologist and skin cancer expert at Lenox Hill Hospital in New York City. She said UV-A rays can be especially dangerous to the skin.

“The World Health Organization has designated all wavelengths of ultraviolet radiation as known carcinogens,” Day said.

“While UV-B is a shorter wavelength of light and is blocked by glass, UV-A is longer and goes deeper into the skin — causing both skin cancer and premature aging as it breaks down collagen,” she explained. “UV-A also goes through glass, making it a potential issue for those who have daily commutes or spend extended periods in the car.”

What to do?

Day recommends that people wear sunscreen that protects against both UV-A and UV-B rays. She also noted that drivers can purchase special window tint products that block 99 percent of UV rays.

“This is a great option for those who have older cars or cars that don’t have the protection already built in,” she said.

The study findings were published online May 12 in JAMA Ophthalmology.

More information

The U.S. National Institutes of Health has more about the health effects of sunlight.

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Even Mild Football Head Hits Can Harm Vision

By Dennis Thompson
HealthDay Reporter

THURSDAY, May 12, 2016 (HealthDay News) — Repeated blows to the head can cause near vision to blur slightly, even if the individual impacts aren’t strong enough to cause a full-fledged concussion, a new study says.

During a regular football season, about two dozen college players developed a vision problem known as “near point of convergence,” even though none suffered a concussion, according to the report.

Near point of convergence occurs when the muscles that control the eyes — the ocular-motor system — are unable to perfectly align both eyes to focus on close-up objects, said senior researcher Keisuke Kawata, a Ph.D. student at Temple University in Philadelphia.

As a result, words could appear blurry or doubled, Kawata said.

In the case of these players, the vision problem was so mild that they didn’t notice it, Kawata said, and it didn’t appear to affect them on the football field or in the classroom.

But vision tests showed the condition persisted throughout the football season, “because they were practicing almost every day,” Kawata said.

The problem cleared up on its own within three weeks after the season, when players were no longer sustaining regular impacts during play, he said.

“This tells us that the ocular-motor system is very slow to recover, and it is vulnerable to even mild head impacts,” Kawata said.

The findings raise concerns about potential long-term damage in athletes who play year-round, and never give their ocular-motor systems a chance to recover from continuous blows to the head, he said.

“You are sustaining a considerable amount of head impact,” Kawata said. “It’s not as strong as concussive blows, but if you sustain cumulative head impact for a long period of time, who knows 20 or 30 years later if that’s going to affect anything?”

It’s vital to understand the effects of repetitive subconcussive impacts because they occur more often than concussions. College football players are reported to sustain as many as 1,350 subconcussive head impacts a season, the researchers said in background notes.

People who suffer full-fledged concussions often complain of symptoms related to near point of convergence, said Dr. Andrew Lee, chair of ophthalmology at Houston Methodist Hospital in Texas.

“If you can’t converge properly, you’ll get a double image and things will be blurry,” said Lee, who wrote an editorial accompanying the study.

The new report follows a previous study in which Kawata and his colleagues asked soccer players to perform 10 “headers,” in which they used their heads to stop a soccer ball shot out of a pitching machine.

The researchers found the players’ near point of convergence “was pretty noticeably worse, and this phenomenon was not recovered after one day of resting, which means it’s a very slow recovery even after a mild head impact,” Kawata said.

To take their study further, the research team recruited 29 Temple University football players. They fitted them with a “smart” mouthguard that tracked the number of head impacts received during play and the magnitude of head acceleration during those impacts.

The researchers then followed the players through five preseason practices, sorting them into two groups — one that received higher-impact blows to the head during play, and those who received lower-impact blows. None of the blows was strong enough to cause a concussion.

These subconcussive head impacts didn’t cause any symptoms noticeable to players, regardless of how often and how hard they were hit, researchers found.

However, vision tests found the higher-impact group suffered from compromised near point of convergence. Those vision problems remained three weeks later when tested at the end of training camp.

But after three weeks’ rest postseason, their eyes returned to normal, according to follow-up vision exams.

The findings were reported May 12
in the journal JAMA Ophthalmology.

Although more research involving a larger group is needed, Lee said this pilot study shows a vision test could be useful in judging the severity of a brain injury, either on the sidelines or following a traumatic accident.

“It could be used possibly as a screening device and a diagnostic device,” Lee said. “The convergence problem might be the tip of the iceberg, in terms of more significant neurocognitive deficits.”

More information

For more on convergence, visit the American Association for Pediatric Ophthalmology and Strabismus.

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Many Breast Cancer Patients Try Alternative Medicine First: Study

By Steven Reinberg
HealthDay Reporter

THURSDAY, May 12, 2016 (HealthDay News) — Women with early stage breast cancer who turn to alternative medicine may delay recommended chemotherapy, a new study suggests.

And although most of the more than 300 women in the study eventually had recommended chemotherapy, 11 percent did not, the researchers said.

“Previous studies have shown that timely initiation of breast cancer chemotherapy is associated with better breast cancer survival,” said lead researcher Heather Greenlee. She is an assistant professor of epidemiology at Columbia University’s Mailman School of Public Health in New York City.

The findings show that “women who do not initiate [chemotherapy] are more likely to be users of dietary supplements, and use many different forms of complementary and alternative therapies simultaneously,” she said.

“Breast cancer patients and their doctors need to discuss expectations and concerns around chemotherapy, and also talk about motivations and goals for use of complementary and alternative therapies,” Greenlee said.

To determine the effect of alternative medicine use on the decision to have chemotherapy, Greenlee and colleagues studied nearly 700 women with early stage breast cancer. All were under the age of 70.

The researchers looked at five types of alternative treatments, including: vitamin and mineral supplements; herbs and botanicals; other natural products (such as fish oil or melatonin); mind-body self-practice (such as yoga and meditation); and practitioner-based mind-body practices (such as acupuncture).

In all, 306 women were advised to undergo chemotherapy. After a year, 89 percent of these women had started treatment. Among the other women, for whom chemotherapy was optional, only 36 percent opted for treatment, the researchers found.

Of all the women in the study, 87 percent said they used some type of alternative therapy, most commonly dietary supplements and mind-body practices. Many women used two alternative therapies, and 38 percent used three or more, the findings showed.

Use of dietary supplements was related to the decision whether or not to have chemotherapy, while the use of mind-body practices was not related to starting chemotherapy, the investigators found. But the study could not prove that using alternative medicine caused these women to delay chemotherapy.

In addition, no association between starting chemotherapy and alternative therapy was found among women for whom chemotherapy was optional, the study authors said.

The report was published online May 12 in the journal JAMA Oncology.

One expert said the findings suggest that doctors need to try harder to communicate the benefits of chemotherapy to these patients.

“While there may be several reasons for using complementary and alternative medicine, a considerable proportion of patients — in particular those who use dietary supplements — believe that this will have a beneficial effect on their cancer,” said Robert Zachariae, from the department of oncology at Aarhus University Hospital in Denmark. He wrote an editorial that accompanied the study.

Therefore, users of complementary and alternative medicine may be a particularly vulnerable group of patients, Zachariae said.

“Our research has also shown not only that they generally are more depressed than nonusers, but also that continued use — in particular use of dietary supplements — is associated with more depressive symptoms over time,” he added.

Doctors need to improve their ability to get patients to disclose and discuss their use of complementary and alternative medicine, Zachariae said.

“This requires communication skills that enable them to respectfully and non-judgmentally explore patients’ preferences and beliefs about complementary and alternative medicine, and provide the best information about the available treatment options,” Zachariae explained.

More information

Visit the American Cancer Society for more on breast cancer.

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The Easy Way to Stop Yourself From Overeating

Photo: Getty Images

There’s a reason you find yourself snacking in the break room so often at work. It turns out that mental work can deplete people of energy, causing their bodies to crave a re-boot—often in the form of food. However, a small new study reveals that a good way to combat the office munchies is exercise.

It may seem counterintuitive, but emerging research is suggesting that exercise actually makes people feel less hungry, possibly due to better regulation of the hormones associated with hunger. In a recent study, published in the journal Medicine & Science in Sports & Exercise, researchers found that people who exercised after doing mental work—like the work we all do at the office each day—ate fewer calories compared to people who did mental work and then remained sedentary.

In the study, researchers randomly assigned 38 college students to either complete a graduate entrance level exam and then spend 15 minutes resting, or complete the exam and spend 15 minutes doing high intensity interval training (HIIT) on a treadmill. The men and women also separately spent 35 minutes relaxing as a control condition. Afterwards, the men and women in the study were told they could eat as much pizza as they wanted.

RELATED: The Case For the One-Minute Workout Is Getting Stronger

The researchers found that the people who did mental work and rested ate an average of 100 calories more than when they simply relaxed, suggesting that working our brains expends energy and makes us hungry. Conversely, the people that exercised after mental work didn’t eat more calories, even though they used more energy working out. “Exercise has the ability to increase available fuel sources in the body that may signal to the brain: ‘Here is the energy source I need, I don’t need to replenish it through food,’” says study author William H. Neumeier of the University of Alabama at Birmingham.

More research is needed to understand why exercise might combat hunger pangs, but Neumeier suggests it may be due to its effect on hormones like ghrelin, which can increase hunger. That could explain why people often don’t want to eat immediately after exercise, he says: exercise might be enough of a reward.

“Perhaps it’s the distraction that buffers the desire for food,” he says. “I think this will be highly applicable to a number of individuals who perform sedentary tasks that are mentally demanding but not physically demanding.”

The study sample is very small, but it’s not the first to look at the connection between work and eating more food. Similar studies will need to be done to determine how great a role exercise plays in keeping appetite in check, as well as how much exercise is needed to curb hunger.

This article originally appeared on Time.com.

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Learn from These People Who Made Really Expensive Beauty Mistakes

Photo: Getty Images

On a recent Reddit thread posted in the makeupaddiction subreddit, user MerryKerry posed the question, “What was your most expensive makeup-related mistake?” As you’d expect, participants didn’t hold back when it came to revealing their costly cosmetic mishaps. We’re sharing five big beauty mistakes below, some of which you probably can relate to. Running lipstick through the wash = goodbye favorite white t-shirt.

RELATED: We Found the Rose Perfume for People Who Don’t Like Floral Perfumes

Leaving Foundation in a Hot Car

User MakeupFeb, who punctuated her reply with four teary emoticons (we feel you), wrote, “Bought my [holy grail] foundation during a Sephora sale. Got backups because they were on sale.” Seems wise enough, right?

Her unfortunate move happened when she left said purchases in the car…in Phoenix…in the middle of the summer. “Car got so hot that the glue from the mirror in the compact remelted and dropped into the cream (now liquefied due to heat) foundation. Spillrage. Foundation, foundation everywhere. Probably half of the product leaked through the bag into my car seats.”

Pointing at the Wrong Acne-Causing Culprit

“I spent probably $300 total over a year(ish) span on different foundations, convinced they were breaking me out and I just needed to find one that wouldn’t,” explains user maeEast. The real culprit? Her skin-care routine. She’d followed advice from elsewhere, only to realize that just because products work for other people, that doesn’t mean they’ll work for everyone.

RELATED: Reapplying Your Sunscreen On-the-Go Just Got So Much Easier

Leaving an Entire Makeup Collection On Vacation

Everyone needs a good vacation, and many would feel remiss if they didn’t pack skin care and makeup products from their regular routine. You just have to make sure you don’t leave said products behind if you decide to bring them, which is what happened to user MoonsOverMyDani. “Made a VERY last minute decision to attend a 3-day-long music festival. Packed my stuff in a hurry, and packed 90% of my makeup because I thought I might need it. This was in the Okanagan Valley in the dead of summer, I barely wore it. Worst part? I left the bag that had all my makeup at the festival grounds. My makeup was all gone. Had to build up my collection from scratch.”

We’re crying for you.

Running Lipstick Through the Wash

We’ve all ruined a load—or two—of laundry before, but when the culprit is a splurgy lipstick, that makes it so much worse. Read: devastating. That’s what happened to user periodicstudier, but the final twist makes this mistake even more painful. “It ruined my lipstick, sheets, pillow cases, mattress cover, shirts, and underwear I had in the machine,” she writes. “After this mishap I was way more careful with the replacement I bought, until my dog ate it. Twice this lipstick hasn’t survived my life. Guess it’s not meant to be.”

RELATED: How to Update Your Everyday Hairstyle

But now you have an excuse to buy another?

This article originally appeared on InStyle.com/MIMI.

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