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Archive for October, 2008

Vitamin D vital for overall health

From worldhealth.net
A recent paper published in the American Journal of Clinical Nutrition says that an adequate supply of vitamin D is vital for the health of 36 organs, including the bone marrow, colon, kidney, lung, prostate, retina, and skin.

Study author Anthony Norman, professor emeritus of biochemistry and of biomedical sciences at the University of California at Riverside, says that studies have shown that vitamin D plays an important role in the adaptive and innate immune systems, the secretion and regulation of insulin by the pancreas, heart and blood pressure regulation, muscle strength, and brain activity, as well as being vital for bone health. The vitamin is also thought to reduce the risk of cancer.

“It is becoming increasingly clear to researchers in the field that vitamin D is strongly linked to several diseases,” said Norman, in a news release issued by the University of California at Riverside. He recommends that “the nutritional guidelines for vitamin D intake must be carefully reevaluated to determine the adequate intake, balancing sunlight exposure with dietary intake, to achieve good health.”

The current recommended daily intake (RDI) of vitamin D for adults is 200 IU for people aged 18-50, 400IU for those aged 51 to 70, and 600 IU for those aged 70 and over. Norman believes that the RDI should be raised to 2,000 IU for all adults. Just this week, the American Academy of Pediatrics doubled the RDI for children from 200 IU to 400 IU.

Norman AW. From vitamin D to hormone D: fundamentals of the vitamin D endocrine system essential for good health. American Journal of Clinical Nutrition. 2008;88:491s-499s.

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Interventions to Promote Breast-Feeding Succeed

Education before and after birth helps new moms participate, task force says

From healthday.com
Doctors, nurses, hospitals and health systems should encourage and promote breast-feeding, says a new recommendation from the U.S. Preventive Services Task Force.

Members of the task force evaluated more than 25 studies of breast-feeding interventions conducted in the United States and other developed countries and concluded that coordinated interventions throughout pregnancy, birth and infancy can increase breast-feeding initiation, duration and exclusivity (when an infant receives no other food or drink besides breast milk).

The findings and recommendation were published in the Oct. 21 issue of the Annals of Internal Medicine.

“Our review produced adequate evidence that multifaceted breast-feeding interventions work,” task force chair Dr. Ned Calonge, chief medical officer for the Colorado Department of Public Health and Environment, said in an American College of Physicians news release.

“We found that interventions that include both prenatal and postnatal components may be the most effective at increasing breast-feeding duration. Many successful program include peer support, prenatal breast-feeding education, or both,” Calonge said.

In 2005, 73 percent of new mothers in the United States initiated breast-feeding but only 14 percent of infants were exclusively breast-fed for their first six months, as recommended by the U.S. Surgeon General, the American Academy of Pediatrics, and the American Academy of Family Physicians.

“We hope these [task force] recommendations will help women and their physicians understand what they need to do to start and continue breast-feeding their babies. Simply telling mothers they should breast-feed or giving them pamphlets is not enough,” Calonge said.

Breast-feeding offers major health benefits to both infants and mothers, according to background information in the news release. Breast-fed babies have fewer infections and allergic skin reactions than formula-fed babies and are also less likely to fall victim to Sudden Infant Death Syndrome (SIDS). In the long-term, children who were breast-fed are less likely to develop asthma, diabetes, obesity and childhood leukemia.

Women who breast-fed were less likely than those who never breast-fed to develop type 2 diabetes, breast cancer and ovarian cancer.

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Bayer Aspirin With Supplements Is Illegal, U.S. Warns

From bloomberg.com
Pills made by Bayer AG that combine aspirin with dietary supplements to fight osteoporosis and high cholesterol are being sold illegally and could harm consumers, U.S. regulators said.

The non-prescription products are Bayer Women’s Low Dose Aspirin + Calcium and Bayer Aspirin with Heart Advantage, which contains plant-based substances called phytosterols, the Food and Drug Administration said in a statement today. The agency has also sent warning letters to the company.

Dietary supplements generally don’t need FDA approval. The agency is responsible, though, for approving new drugs and has in the past warned companies they need clearance to sell products that combine the two. The regulators focused on the Heart Advantage product after it was introduced this year.

“The marketing of these unapproved drugs is troubling,” said Janet Woodcock, director of the FDA’s Center for Drug Evaluation and Research, in a statement. “The overuse or misuse of these aspirin-containing products can put consumers at risk for internal bleeding and other adverse events.”

The FDA isn’t aware of harmful side effects from the products, the agency said in its statement.

Bayer, of Leverkusen, Germany, gained 63 cents, or 1.6 percent, to 38.52 euros at 1:52 p.m. New York time today in Frankfurt trading. The shares have lost 38 percent of their value this year, compared with a 13 percent decline in the Bloomberg Europe Pharmaceutical Index.

Bayer’s Response

Bayer “stands behind the marketing of both products,” said Anne Coiley, a Bayer spokeswoman, in a telephone interview. The products contain language telling consumers to consult with their doctors, she said. The company will review the warning letters and respond to the FDA, she said.

The FDA said the products’ combination of aspirin and the supplements — along with their beneficial health claims — cause them to be classified as new drugs, requiring agency approval.

The FDA began examining Heart Advantage after it was introduced earlier this year, said Michael Levy, acting assistant director of compliance in the FDA’s drug division. The agency was especially concerned about that product because “it is a combination that we have not seen before,” Levy said in a telephone interview.

Other Product Review

The FDA also decided to examine the women’s aspirin, introduced in 2002, “in the interest of consistency,” he said.

The calcium in the women’s aspirin is intended to help against osteoporosis, a bone-thinning disease, while the phytosterols are intended to lower the bad form of cholesterol.

Aspirin can be combined with calcium for use in buffered aspirin, according to the agency. When combined to make an aspirin product that claims to fight osteoporosis, the product becomes a new drug that needs FDA approval, according to the agency.

Companies that don’t resolve FDA violations raised in warning letters risk sanctions such as injunctions or seizures, according to the FDA.

Two House Democrats — Representatives John Dingell and Bart Stupak of Michigan — wrote to the Health and Human Services Department, which oversees the FDA, on Oct. 14 questioning whether the Heart Advantage product violates agency rules. They cited a May 2000 letter from the FDA saying that the agency recommends that companies refrain from marketing products that combine drugs and dietary supplements.

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Sweetener causes leptin resistance

From worldhealth.net
The sweetener fructose, which is found in many foods, has been found to cause leptin resistance, thus directly linking it to weight gain and obesity.

Alexandra Shapiro, Philip J Scarpace, and colleagues at the University of Florida College of Medicine studied two groups of rats for six-months. Both groups were fed the same diet, except one of the groups was also given fructose. During those six-months the researchers noted no difference in food intake, body weight, and body fat, between the two groups of animals. Furthermore, there were no differences in leptin, glucose, cholesterol or insulin levels. In fact, the only difference the researchers found was that the rats fed fructose had higher triglyceride levels by the end of the six-month period.

The researchers then injected both groups of animals with leptin. Theoretically, both groups of rats should have responded by eating less. However, what they found was that the rats fed fructose had become leptin resistant, and therefore did not alter their food intake, whereas the rats who were not fed fructose began to eat less as expected. They then switched both groups of animals to a high-calorie, high-fat diet. Those fed fructose ate more and gained significantly more weight and fat than the animals fed a fructose-free diet.

In a news release issued by the University of Florida, study co-author Phillip J Scarpace, a professor of pharmacology and therapeutics, said: “If these findings are applicable to humans, then there could be consequences of eating a diet high in fructose, but only if you also consume an excessive amount of calories. If you go on a trip, attend a celebration, or otherwise eat more than you usually eat, a person consuming a low-fructose diet may be able to handle it. But the individual who has set themselves up so that leptin no longer works will be unable to burn the extra calories, and now they gain a lot of weight.”

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Job, Education May Buffer Against Dementia

Cognitive reserve compensates for brain damage, study says
From healthday.com
Having a higher level of education and a mentally demanding job may help protect against the memory loss that precedes Alzheimer’s disease, according to an Italian study.

It included 242 people with Alzheimer’s, 72 with mild cognitive impairment, and 144 with no memory problems. People with mild cognitive impairment have memory problems beyond what’s normal for their age but not the serious memory problems associated with Alzheimer’s disease.

The participants’ memory and cognitive skills were tested, and their brains were scanned to look for changes and damage. They were then followed for an average of 14 months, during which time 21 of those with mild cognitive impairment developed Alzheimer’s disease.

Among people with the same level of memory impairment, those with more education and more mentally demanding jobs had significantly fewer brain changes and damage than those with less education and less mentally demanding occupations.

This was true in both those with Alzheimer’s and those with mild cognitive impairment who developed Alzheimer’s, which suggests the cognitive reserve is already in effect during the mild cognitive impairment that precedes Alzheimer’s.

“The theory is that education and demanding jobs create a buffer against the effects of dementia in the brain, or a cognitive reserve,” study author Dr. Valentina Garibotto, of the San Raffaele University and Scientific Institute and the National Institute of Neuroscience in Milan, said in an American Academy of Neurology news release.

“Their brains are able to compensate for the damage and allow them to maintain functioning in spite of damage. There are two possible explanations. The brain could be made stronger through education and occupational challenges. Or, genetic factors that enabled people to achieve higher education and occupational achievement might determine the amount of brain reserve. It isn’t possible to determine which accounts for our findings,” Garibotto said.

The study was published in the Oct. 21 issue of Neurology.

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