From the category archives:

Chiropractor Santa Barbara

Regular workouts protected cognitive function of older adults in two studies

By now, everyone should know that exercise is good for both body and mind. Exercise enhances and strengthens every function of the body and “keeps the cobwebs” from forming in the mind. Still not sure about exercise and “mental health”? Then read the following article below about a new study that confirms that exercise has a definitive effect of mental acuity:

(HealthDay News) — Exercise appears to help prevent and improve mild cognitive impairment, two new studies show.

Researchers found that people who did moderate physical activity in midlife or later had a reduced risk of mild cognitive impairment and that six months of high-intensity aerobic exercise improved cognitive function in people with mild cognitive impairment.

Mild cognitive impairment is an in-between state between the normal changes in thinking, learning and memory that come with age and dementia, one of the studies explained. Up to 15 percent of people with mild cognitive impairment develop dementia each year, compared with 1 percent or 2 percent of the general population.

The first study included 1,324 dementia-free volunteers taking part in the Mayo Clinic Study of Aging. The participants completed a physical exercise questionnaire and were assessed and classified as having normal cognition (1,126) or mild cognitive impairment (198).

Those who said they did moderate exercise — such as swimming, brisk walking, yoga, aerobics or strength training — during midlife were 39 percent less likely to have mild cognitive impairment, while those who did moderate exercise later in life were 32 percent less likely to have the condition.

The Mayo team said exercise may guard against mild cognitive impairment through production of nerve-protecting compounds, increased blood flow to the brain, improved development and survival of neurons, and decreased risk of heart and blood vessel diseases.

The second study included 33 adults, average age 70, with mild cognitive impairment. Some were randomly assigned to do high-intensity aerobics for 45 to 60 minutes a day, four days a week. Others were put in a control group that had the same workout schedule, but did stretching exercises and kept their heart rate low.

After six months, the patients who did high-intensity aerobic exercise had improved cognitive function compared to those in the control group. The beneficial effects were more pronounced in women than in men, possibly because the body’s use of and production of insulin, glucose and the stress hormone cortisol differed in women and men. (To read more, click on the healthDay link above.)

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Amidst a great deal of emotion and rhetoric coming out of Connecticut this week regarding the stroke issue The Foundation for Vertebral Subluxation has just released a very clear position statement on the issue of chiropractic and strokes.

Atlanta, GA, January 07, 2010 –(PR.com)– According to the Foundation for Vertebral Subluxation there is no human experimental evidence that chiropractic adjustments or neck manipulations are causally related to strokes.

“While plaintiff’s attorneys and expert witness make claims and statements contending that such a causative link exists, the fact remains that these are based largely on anecdotes, case reports, and case controlled studies and cannot be used to prove causation” stated Foundation President Christopher Kent DC, JD a chiropractic researcher and attorney.

According to researchers and the scientific method itself there are all sorts of biases and distortions that effect conclusions drawn from such studies and other criteria must be used to determine whether such a link exists.

“What this boils down to is a simple lack of understanding of biostatistics and epidemiology” stated Foundation Vice President Matthew McCoy DC, MPH, a chiropractic researcher and public health expert. “Words like ‘association’ and ‘causation’ and ‘risk’ have very specific meanings when it comes to their use in epidemiology and it’s clear that laypersons involved in this debate are using these terms inappropriately.”

While the experience of a stroke can be devastating and no one would suggest ignoring the concerns of those who have suffered one, the reality is that when it comes to the contention that chiropractic causes strokes – the evidence just isn’t there. And while the strokes these people have experienced are indeed real, McCoy suggests there are often other issues involved and offered an example. “Millions of people visit a dentist every year and a certain number of those same people get into car accidents on their way home. If we were to run the stats on it we might find that there is a statistical association between visiting a dentist and getting into a car accident on the way home. But no one would even consider suggesting that the dentists are causing the car accidents.”

Self described chiropractic stroke victims say there is a risk and that people should be advised about it prior to undergoing chiropractic care. The majority of chiropractors would agree that patients should be informed of the risks, benefits and alternatives of any health care intervention, but according to Dr. Kent “Such informed consent must be based on appropriate information and since there is no scientific evidence that chiropractic adjustments or neck manipulations actually cause strokes, it is inappropriate to require a doctor to suggest that such a risk exists.”

Dr. McCoy added another often overlooked issue “Chiropractors utilize a number of techniques to address joint dysfunction and vertebral subluxation and in fact there are over 300 named chiropractic techniques and many do not employ the type of manipulation that has been alleged to be a factor in vertebrobasilar accidents. This adds to the inappropriate nature of such a disclosure.”

In the end, chiropractic has an impressive safety record compared to traditional medical care with estimates are that anywhere from 100,000 (Institute of medicine) to 750,000 (Null et al) people die every year from medical care. In comparison, other than some minor soreness following chiropractic treatment, research has shown chiropractic to be very safe

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Thirty minutes is all it takes, says exercise expert

(HealthDay News) — Want to feel more fit in 2010?

A professor of health and exercise science at Wake Forest University in Winston-Salem, N.C., says adding a half hour of exercise a day is the key to a healthier lifestyle.

“People don’t realize you can get tremendous benefit from regular physical activity even if you never lose a pound,” Peter Brubaker in a news release from the school.

Brubaker, director of the healthy exercise and lifestyle programs at Wake Forest, has these suggestions about how to get more exercise each day:

  • Don’t feel like you need to exercise all at once. A few minutes here and there can add up to what you need.
  • Walk. It’s efficient and easy. If you wear a pedometer to track your mileage, studies suggest you’ll boost your activity.
  • Find ways to get exercise in your daily routine through things like taking the stairs.
  • Track your exercise in a journal and don’t worry so much about weight loss. If you do want to shed pounds, 60 minutes of exercise a day is a good place to start.
  • Try a variety of activities and challenge your family and friends to join you in exercising 30 minutes a day.
  • Set realistic expectations. Change takes time.

More information

The National Institutes of Health has exercise tips.

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Treatments have improved, but Americans fall down on prevention, experts say.

THURSDAY, Dec. 17 (healthDay News) — While physicians and surgeons are getting better at treating heart attacks and other cardiovascular problems, too many Americans are ignoring the basic rules for preventing them, according to new statistics from the American Heart Association.

Topping the list: too little exercise, too much weight.

In fact, 59 percent of adults surveyed last year reported no activity vigorous enough to prompt sweating and a significant increase in breathing or heart rate, according to the update. The findings are published online Dec. 17 in the journal Circulation.

“The things people need to focus on are our weight and our waist,” said Dr. Donald M. Lloyd-Jones, chair of the heart association’s statistics committee. “Those are driving a lot of other risk factors, such as cholesterol and diabetes.”

Tackling inactivity and overweight will be key to turning heart health statistics around said Lloyd-Jones, who is also chairman of the department of preventive medicine and staff cardiologist at Northwestern University Feinberg School of Medicine.  Read more…

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Expert offers tips for coping with common scenarios

SATURDAY, Dec. 12 (HealthDay News) — With pressures from the economic hard times, dysfunctional families and countless other factors, the holidays can contribute to emotional stress and depression.

But there are ways to cope with the various scenarios that people experience at this time of year, according to Dr. Laura Miller, director of women’s mental health in the psychiatry department at Brigham and Women’s Hospital in Boston.

For instance, she suggests:

If seasonal depression gets worse in fall and winter …

  • A therapeutic light box, which provides powerful light beyond what you can come up with yourself, might help in the morning. A doctor can help obtain one.
  • exercise can also make you feel better.

If you’re busy and stressed out …

  • Take time for fun activities such as walking, meditating, exercising and hanging out with friends.
  • Consider buying prepared foods instead of trying to make everything yourself.
  • In general, reduce the number of activities that are more stressful than joyful.    Read more…

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Surprising finding shows it reduces risk of death, recurrence

TUESDAY, Dec. 8 (healthDay News) — Regular, moderate consumption of soy foods can help lower the risk of death and cancer recurrence in women who’ve had breast cancer, new research shows.

What’s more, the association between soy and a reduced risk of death held true even for women with estrogen receptor-positive cancers and women taking tamoxifen, according to the study published in the Dec. 9 issue of the Journal of the American Medical Association.

“We found that women with a history of breast cancer who consumed moderate amounts of soy food were doing better in terms of prognosis. They had reduced mortality and reduced recurrence,” said study author Dr. Xiao Ou Shu, a professor of medicine and a cancer epidemiologist at Vanderbilt University Medical Center in Nashville, Tenn.

There has been some concern that soy might increase the risk of breast cancer or worsen the prognosis for women already diagnosed with the disease because soy is what’s known as a phytoestrogen. That means that it can act like a weak form of estrogen in the body.

However, it appears those concerns may have been unfounded because Shu and her colleagues found that soy actually reduces the availability of naturally occurring estrogen by binding to its receptors.

“In our study, we found that soy food has a very similar effect to tamoxifen,” said Shu. Tamoxifen is a drug that blocks the action of estrogen in the body, which can be helpful for treating cancers that are fueled by estrogen. Read more…

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WASHINGTON (Reuters) – U.S. drug regulators asked on Friday for manufacturers of prescription pain medications to provide more specifics on an industry plan to curb growing abuse of morphine, methadone, oxycodone and other opioid drugs.

The Food and Drug Administration in February had asked manufacturers including Johnson & Johnson and King Pharmaceuticals to come up with a joint plan to deal with the public health problem, particularly involving slow release and long acting versions of the drugs. This is the first time the agency has sought to develop risk evaluation and mitigation strategy for an entire class of drugs.

At a Friday meeting, industry representatives told FDA they intended to develop a phased-in approach to deal with the problem. This could include a voluntary training program for doctors to better educate them about proper use of pain killers and government certification for prescribing of controlled substances.

Currently, a physician must be certified by the U.S. Drug Enforcement Agency to prescribe this class of drugs. Congress would have to approve any requirement for physician training to receive DEA certification.

The director of the FDA’s Office of New Drugs, John Jenkins, said the goal was to find a balance between reducing abuse of the drugs and maintaining access for patients who need the pain killers.

There was concern that doctors might opt out of prescribing the pain killers if the requirements are too burdensome.

FDA will hold more meetings with the industry group, doctors and the public next year.

(Editing by Steve Orlofsky)

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CHICAGO (Reuters health) – Add severe back pain and spine abnormalities to the list of problems overweight and obese adolescents can develop.

Among a group of young people who came to an emergency department for severe back pain, researchers found that many had abnormalities in the lower spine. Most of those abnormalities occurred within the discs, which are sponge-like cushions in between the bones of the spine.

Spinal disc abnormalities were more common in children who were overweight or obese.

“Back pain and degenerative disc disease are yet another problem associated with obesity in children, along with type 2 diabetes,” Dr. Judah G. Burns, of The Children’s Hospital at Montefiore in New York City reported here at the annual meeting of the Radiological Society of North America (RSNA 2009).

“Disc herniation and spinal disease are generally thought of as a problem of older people, but we’re seeing it in obese youngsters, too. This is the first study to show an association between increased body mass index and disc abnormalities in children,” Burns noted.  (Read more…)

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