In a study released Monday in the Annals of Internal Medicine, Tosteson and colleagues, including lead author Brian Sprague, MD, provide evidence on the benefits and harms of adding ultrasound to breast cancer screening for women who have had a negative mammogram and also have dense breasts. The study will help inform the national legislative discussion about potential regulations requiring health providers to tell women if their mammogram shows that they have dense breasts. …
People who increased their consumption of red meat during a four-year period were more likely to develop Type 2 diabetes in a subsequent four-year period, according to an analysis involving about 150,000 people. The analysis, led by researchers at the National University of Singapore, took data from three long-running Harvard University studies involving mostly nurses and doctors. The results were published online Monday in JAMA Internal Medicine, a journal of the American Medical Association. The studies were funded by grants from the National Institutes of Health. While prior studies have also found a link between red-meat consumption and the development of Type 2 diabetes, the new analysis is believed to be the first time researchers have tracked changes in red-meat consumption over time with the risk of developing Type 2 diabetes. Study participants filled out detailed questionnaires about the types of food and drinks they consumed at the beginning of the study and every four years. The analysis looked at some 20 years of data. Broadly, the study showed that, compared with a group of people who had no change in red-meat intake, increasing red-meat consumption by more than a half-serving per day over a four-year period was associated with a 48 percent increase in the risk of developing Type 2 diabetes during the next four years. However, reducing red-meat consumption by the same amount during the same time period didn't cut the risk of diabetes during the next four years. It did reduce the risk by 14 percent over a longer time period, though. The changes were independent of other factors such as body weight and overall diet quality. “Our results confirm the robustness of the association between red meat and [Type 2 diabetes prevention] and add further evidence that limiting red-meat consumption over time confers benefits forâ€¦prevention,” the study authors wrote. An Pan, an assistant professor at the National University of Singapore's Saw Swee Hock School of Public Health, was the study's lead author. Other doctors say red meat in and of itself isn't necessarily the trouble. “It is not the type of protein (or meat) that is the problem; it is the type of fat,” said William J. Evans, who is affiliated with both Duke University and GlaxoSmithKline PLC., and who wrote a commentary about the study that was also published online in JAMA Internal Medicine. “It's mischaracterizing red meat as high fat,” Evans said in an interview. He said consumers could choose lean cuts of red meat such as sirloin tips or round steak over high-fat cuts like rib-eye. Dr. Pan could not be reached for comment Monday. Click for more from The Wall Street Journal.source : http://www.foxnews.com/health/2013/06/18/major-study-examines-meat-diabetes-link/
We all fib a little, but telling your co-worker her new haircut looks great (when what you're really thinking is “oh my&#33;”) is pretty harmless. Lying to yourself about your own eating habits on the other hand, can wreak some real mental and physical havoc; and a new study shows it may be pretty common. In my private practice, I make it very clear to my clients that my role is not to scold, berate, or act like a food cop. In fact, it's just the opposite, because fostering an open, non-judgmental dialogue about your relationship with food is the only way to uncover some truths you may be pushing under the rug. And until they're exposed, they're pretty impossible to change. Here are five many of my clients reveal, and why coming clean with yourself can be the answer to finally losing weight—for good. 'I eat when I'm hungry, and stop when I'm full' When reviewing my clients' food diaries, I often see snacks, driven by hunger, just an hour or two after fairly substantial meals–generally a sign that something is out of sync. When I ask, “What did the hunger feel like?” it often turns out to be emotional or social, rather than physical in nature. In other words, there are no bodily symptoms that signaled a need for energy or nourishment, and in truth, many clients know this to be true. One once said, “I realize it's not really hunger, but I fool myself into thinking it is, because I don't know what else to do.” Alternative: The toughest part of recognizing that you want to eat, but not because your body is telling you to, is acknowledging that what you really need has nothing to do with food. But once you do just that, and find other healthy ways to cope with what's really going on (anxiety, relationship issuesâ€¦), the weight may effortlessly fall off (day after day after day, just 200 surplus calories can keep you 20 pounds heavier). If you don't keep a food diary already, start one, and include not just what you eat and how much, but also your hunger level before and after meals, in addition to your emotions. The revelations may allow you to break the pattern. Health.com: 20 Snacks That Burn Fat 'I'm not a big drinker' I've heard this from many clients who, according to the Centers for Disease Control and Prevention criteria, are chronic binge drinkers (consuming four or more drinks in a two hour period for women, five for men). For some, the self-categorization is justified, because they don't drink during the week, have already cut back, or are comparing themselves to friends who drink a whole lot more. But after some reflection, I often hear sentiments like, “I know polishing off a bottle of wine by myself isn't good, even if it's only on the weekends.” Alternative: For most of my clients, drinking has a domino effect that travels in both directions. Knocking a few back drinks on Saturday night often leads to eating more at dinner, followed by going out to brunch on Sunday, skipping the gym Monday morning, and giving into the office candy dish Monday afternoon.&#160; On the flip side, cutting back on booze often leads to feeling “cleaner,” more in control, and motivated to eat healthier and be more active—changes that can be transformative for both your waistline and health. If you're using alcohol as an emotional crutch, or it's integral to your social scene, reach out to someone you trust. I've had clients break out of this pattern simply by connecting with a close friend or family member who supported their decision to cut back, or stop drinking all together. Health.com: How to Drink Alcohol Without Gaining Weight 'I eat really healthfully most of the time' I often hear this statement right after a client tells me about a decadent vacation, dinner out, or holiday that involved overeating. And while some believe it to be true, many know that on a day-to-day basis, while they don't pig out, they're not exactly earning gold stars, especially when it comes to hitting the mark for veggies, or reaching for whole, rather than refined grains. After acknowledging that she was looking at her diet through rose-colored glasses, one client said, “I think I was giving myself an A when what I really earned was more like a B-.” Alternative: It's OK to admit that you're not perfect, even if you're not perfect most of the time&#33; You can't set concrete goals that will improve your eating habits without coming to terms with how you really eat. For example, if you realize that you eat too much rice and not enough veggies at dinner, flip-flopping the portions (e.g. a half cup of brown rice and one cup of broccoli, instead of the reverse) shaves 20 grams of carbs from your meal. At one meal a day, that's a savings equivalent to walking on a treadmill at four miles per hour for 85 hours. Health.com: Best Superfoods for Weight Loss 'I eat 5 or 6 small meals a day' The operative word here is “small.” Many of my clients who say this are actually eating five full meals, which by today's portion distortion standards, may seem small, but are actually far more than their bodies need. Admitting to this, one client said, “I think I've just gotten used to eating every few hours, or I thought it was the best thing to do, but it's clearly not working for me.” Alternative: Long stretches without eating can lead to rebound overeating, so well timed meals are key. But whether you eat four, five, or six times a day, your body's needs remain the same, which means if you want to eat more often, you must eat less each time you chow. For example, if you need 1,600 calories a day, you can eat: four 400 calorie meals; five 320 calorie meals; or six 266 calorie meals. The latter is a real challenge, because the meals end up being so mini, they don't feel like meals, leading to extra nibbles, which wind up feeding your fat cells. I don't advocate calorie counting, but if you think that too-frequent eating may be an issue, take inventory for a day or two, to gain some perspective. Health.com: 25 Ways to Cut 500 Calories A Day 'I can eat more because I work out a lot' I work with pro athletes and performers, but most of my clients work full time, on top of juggling family and social responsibilities, which often leads to fitting in far fewer workouts than they'd like. When they do hit the gym, they hit it hard, but many get there three days a week, while continuing to eat as if they're starting every day with a workout. One client confessed, “I think of myself as such an active person, but the truth is, it's more wishful thinking than reality.” Alternative: Rather than following the same routine every day of the week, establish a “baseline” eating plan, for non-exercise days, and add to it on the days you workout. Mentally, it's much easier to add to your plate, rather than take foods away, and with a daily regime that doesn't factor in fitness, if you just can't make it happen, you won't stick yourself with a surplus. Cynthia Sass is a 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 Rangers NHL team and the Tampa Bay Rays MLB team, and is board certified as a specialist in sports dietetics. Her latest New York Times best seller is S.A.S.S&#33; Yourself Slim: Conquer Cravings, Drop Pounds and Lose Inches. This article originally appeared on Health.com.source : http://www.foxnews.com/health/2013/06/13/5-white-lies-that-stall-weight-loss/
I told you so - the government is bamboozling us about Plan B. The Obama administration announced on Monday that it will now allow girls and women of all ages to purchase the Plan B pill without a prescription. This is exactly what I have been warning the American public about. I am now totally convinced that our current federal government loves confusion. When you have a single agenda, and many ways to spin it, the American public never gets a clear answer and that is exactly what has happened with the Plan B emergency contraception controversy. Just last week, a U.S. appeals court ruled that the U.S. Food and Drug Administration (FDA) must make only certain forms of the emergency contraception pill available to children of all ages, without a prescription.&#160; In a confusing ruling, the court stated that while the two-pill version of emergency contraception could be sold over-the-counter to women of all ages, the one-pill version would still only be sold to women age 17 or older. The court did not explain its reasoning. One has to remember that the FDA first approved this form of over-the-counter contraception for women of all ages back in 2011. When that initial FDA ruling came out, there was a loud public outcry and restrictions were quickly put in place barring women under the age of 17 from purchasing these pills. But of course, that was just one spin on the story. In April, a New York judge ruled that restricting access to Plan B was inappropriate, forcing the FDA to reconsider their initial finding that emergency contraception should be available to children of all ages. And then, we got another spin on the story, as the FDA tried to lower the age limit for access to emergency contraception to 15 last month. There was another outcry and more criticism, because we know perfectly well that a 15-year-old may not have a clear understanding of how to utilize emergency contraception. Now, we see that the FDA will get to do what they wanted to do in the first place. How convenient. So, what’s the message here?
An aspiring half-marathon runner in Minnesota whose two-hour training session left her with a sore back was stunned to discover that the pain was not due to a pulled muscle or a slipped disc but that she was about to give birth. Trish Staine says she had no idea she was pregnant. The 33-year-old Duluth mother of three insists she gained no weight, felt no fetal movement - and that her husband has had a vasectomy. Staine says she noticed what she now realizes were labor pains after her run at noon on Sunday but she didn't go to the hospital until the following day. She gave birth to Mira - short for Miracle - at 3:25 p.m. Monday. Mira weighed 6 pounds, 6 ounces, and was 18.9 inches long.source : http://www.foxnews.com/health/2013/06/06/woman-gives-birth-to-surprise-baby-after-10-mile-run/
MONTGOMERY, Ala. &#8211; & A mysterious respiratory illness has left five people hospitalized and two dead in southeast Alabama, state health officials said Tuesday. Seven people have been admitted to hospitals with a fever, cough and shortness of breath in recent weeks, Alabama Department of Public Health spokeswoman Mary McIntyre said in a statement. Two of the seven have died. The Alabama Department of Public Health and the Centers for Disease Control Respiratory Laboratory are analyzing lab tests from all seven patients. McIntyre says officials hope to have preliminary results on the samples back by Wednesday or Thursday morning. The illness was first reported late last week and the last of the seven patients was hospitalized Monday, McIntyre said. It wasn't immediately clear which municipalities the illnesses were concentrated in. “We're only aware of the Southeast, but we don't know -- we haven't received reports from anywhere else,” McIntyre said. “That's why we're trying to get the information out.” McIntyre said it's unclear what's causing the illness but some of the seven patients also had the flu. Authorities are urging hospital staff to wear masks when caring for patients who appear to be suffering from respiratory illnesses. The Centers for Disease Control referred all questions to Alabama health officials.source : http://www.foxnews.com/health/2013/05/22/mysterious-illness-kills-2-in-southeast-alabama/
U.S. health officials say last year was the worst ever for West Nile virus deaths. The final tally reported Monday was 286 deaths - or two more than the record set in 2002. But there were far fewer illnesses overall, and fewer serious cases than in previous years. The Centers for Disease Control and Prevention had predicted it would be a bad year because of weather conditions that promote breeding of the mosquitoes that spread the virus to people. The CDC report Monday showed Texas had nearly a third of the serious cases, and about a third of the deaths. West Nile virus was first diagnosed in Uganda in 1937, but no cases were reported in the U.S. until 1999 in New York. It gradually spread to the West Coast.source : http://www.foxnews.com/health/2013/05/14/deaths-from-west-nile-virus-hit-record-last-year/