Nutrition

Eat this, not that—and the “this” and the “that” change, almost daily. We’ll help sort out myths from facts and use evidence to do that. So, whether you’re interested in the Mediterranean diet or chia seeds muffins, we hope you find useful information!.

Fitness

Fitness is vital to good health from heart disease to cancer. So, get that 30 minutes, or is it 60 minutes of exercise daily 3 times a week or is it supposed to be every day? Again, let's simplify the rules and sort out facts..

General Health

After nutrition and fitness, that leaves a lot of territory from indoor air pollution to needed vaccinations to whether children always need antibiotics for ear infections. Let's look at the most recent evidence in simple terms.

   


From the Blog:

A Mediterranean Diet may ease the pain of chronic obesity…or could you just lose the weight?

Chronic obesity induces an inflammatory state in the body, associated with increased pain. This new study looks at the role of the Mediterranean diet, probably a reduction in inflammation, and decreased pain in the obese. I do have to ask though- how long would folks stay obese IF they followed the Mediterranean diet instead of the high meat, high fat, high potatoes, high junk food diet? So, getting them to eat this healthy diet may be a challenge. However, very interesting and yet another reason to encourage the plant based Mediterranean diet.

Mediterranean Diet May Ease Chronic Pain of Obesity
Study suggests eating fish, plant-based proteins is linked to less inflammation
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Friday, March 10, 2017
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FRIDAY, March 10, 2017 (HealthDay News) — People who are overweight and plagued by chronic pain may find relief in a Mediterranean diet, new research suggests.

The study of 98 men and women between the ages of 20 and 78 builds on growing evidence that a diet heavy on fish, fruits, vegetables, nuts and beans provides significant health benefits. It also sheds new light on why eating these foods might reduce pain associated with obesity.

Because obese people with chronic pain usually also have a high degree of inflammation, lead researcher Charles Emery suspects the foods’ anti-inflammatory properties might explain the reduced pain levels.

“Although the relationship of body fat and pain has been well-documented in prior studies, the mechanism is not known,” said Emery, a professor of psychology at Ohio State University.

“One possibility is the stress of body weight on joints. A second possible mechanism is via inflammatory factors in the bloodstream, because both body fat and pain are known to be associated with elevated inflammation,” he said.

Slightly more than 70 percent of American adults are overweight, with 38 percent considered obese (at least 30 pounds overweight), according to the U.S. Centers for Disease Control and Prevention.

For the study, Emery and his Ohio State colleagues reviewed participants’ eating habits and their answers on a short questionnaire about the pain they experience. The researchers also considered the participants’ age, mental health and use of pain medications.

The upshot: No matter what they weighed, those who ate more fish and plant-based proteins such as nuts and beans had less pain.

While adjusting their findings to account for age-related pain among older participants, the researchers found that a Mediterranean diet benefited men and women of all ages.

Emery said the study had limitations, however: The researchers did not account for chronic pain that lasted more than a month and did not take blood samples to study signs of inflammation. More research is needed to support the initial findings.

Also, only an association was seen between diet and pain, not a cause-and-effect link.

“The next step is to conduct a study with blood markers of inflammation,” Emery said. “Then it would be ideal to conduct an intervention study to evaluate change in body fat, inflammation and pain.”

A nutrition expert who reviewed the study said it reinforces the health benefits of a diet centered on seafood and plant-based proteins.

“This study provides an early look at a possible role diet might play in offsetting pain, but more research is needed,” said Connie Diekman, director of university nutrition at Washington University in St. Louis.

“Studies are needed in healthy adults to see if inflammatory markers are the same with similar pain as they are in obese adults,” she said. “Studies are needed that look at diet over a longer period of time.”

Diekman said it would be beneficial to know, for example, if following a Mediterranean diet while young affected a person’s pain as an adult.

Still, Diekman said the new findings help drive home the point that what you eat matters.

“The bottom line here is that this is an interesting study, it gives us something to think about as we counsel clients — diet might help your pain. But it doesn’t give us a clear answer to whether if you lose weight your pain will go away,” she said. “We need more research to make that connection.”

The study was published recently in the journal Pain.

SOURCES: Charles Emery, Ph.D., director, Cardiopulmonary Behavioral Medicine Program, Department of Psychology, Ohio State University; Connie Diekman, M.Ed., director of university nutrition, Washington University in St. Louis; February 2017, Pain

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News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
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How to decrease your risk of ten cancers…

OR you can sit there not exercising with your belly hanging over your belt (how harsh but it seems like this message would have gotten out there long before now) and INCREASE your risk of 10 cancers. Get moving; stop eating so much junk- is that a simple enough message. Well, here’s the rest of the story…

Endocrinology CME/CE
Nearly a Dozen Cancers Tied to Obesity
Strongest links in cancers of the digestive organs, breast
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SAVED
Activate MedPage Today’s CME feature and receive free CME credit on Medical stories like this one.ACTIVATE CME
by Kristen Monaco
Contributing Writer, MedPage Today
February 28, 2017
This article is a collaboration between MedPage Today® and: Medpage Today
Action Points
Eleven types of cancers showed strong associations with excess body fat, according to a systematic literature review.
In a study to “evaluate the strength and validity of the evidence for the association between adiposity and risk of developing or dying from cancer,” the strongest evidence was seen for cancers of the gastric cardia, colon, rectum, biliary tract system, pancreas, breast, endometrium, ovary, kidney, esophageal adenocarcinoma, and multiple myeloma, reported Maria Kyrgiou, PhD, of Imperial College London, and colleagues.

Postmenopausal breast cancer with no history of hormone replacement therapy (HRT) was associated with weight gain, while endometrial cancer was associated with an increase in waist-to-hip ratio. All other cancer associations were strongly related to an increase in BMI, they wrote in The BMJ.
In 2014, the American Society of Clinical Oncology (ASCO) published their first position statement regarding the growing evidence linking obesity to several types of cancer. The statement outlined the top priorities for addressing obesity-related cancers, such as promoting a healthy lifestyle as an integral part of cancer prevention.
Kyrgiou’s group suggest a clinical need for studies to assess the relationship between obesity and cancer, particularly to identify those patients at high risk, to develop “personalized primary and secondary prevention strategies.”
They conducted an umbrella review of 204 meta-analyses, and found that the increase in the risk of developing cancer for every 5 kg/m increase in BMI ranged from 9% (relative risk 1.09, 95% CI 1.06-1.13) for rectal cancer among men to 56% (RR 1.56, 9% CI 1.34-1.81) for biliary tract system cancer.
For women who never used HRT, every 5 kg/m2 increase in weight was associated with an 11% increase in risk for postmenopausal breast cancer (RR 1.11, 95% CI 1.09-1.13). Women experienced a 21% increase risk for endometrial cancer associated with every 0.1 increase in waist to hip circumference ratio (RR 1.21, 95% CI 1.13-1.29).

Kyrgiou’s group categorized the data into four tiers based on strength and validity of associations — strong, highly suggestive, suggestive, or weak — where strong evidence included a P-value of the meta-analysis random effects model smaller than 10-6 with over 1,000 participants.
Of the 95 studies included in the final analysis, only 12 (13%) meta-analyses had “strongly statistically significant results and no suggestion of bias.” Among the observational studies analyzed, data was included from meta-analyses and systematic reviews involving continuous measures of adiposity among human participants.
Among the 17 (18%) meta-analyses classified as highly suggestive findings, there were associations reported between adiposity and colon, liver, postmenopausal breast, total endometrial postmenopausal, type I and type II endometrial, and kidney cancers.
Because the literature review included meta-analyses, a potential limitation was the inability to assess the quality of the original studies. The authors suggested that their findings were likely conservative estimates.
A recent report from the International Agency for Research on Cancer (IARC) found that the absence of excess body fat lowered the risk of most cancers, such as esophageal adenocarcinoma, gastric cardia, colon and rectum, liver, gallbladder, pancreas, and postmenopausal breast.

In an accompanying editorial, Yikyung Park, ScD, and Graham Colditz, DrPH, MD, MPH, both of Washington University in St. Louis, took issue with the authors’ inability to evaluate the quality of the original studies included in the meta-analyses.
“The IARC report clearly demonstrated the importance of assessing the quality of each meta-analysis, including search strategy, inclusion and exclusion criteria, and data extraction, which is often outside the scope of an umbrella review,” they wrote.
Park and Colditz suggested the authors should have included large pooled analyses instead of conducting an umbrella review of the available data, noting that “the findings from umbrella reviews should be interpreted with caution as they are less comprehensive than reviews based on all available data.”
Despite questioning the study’s methodology, the editorialists did concede that “the unavoidable conclusion from these data is that preventing excess adult weight gain can reduce the risk of cancer … given the critical role of healthcare providers in obesity screening and prevention, clinicians, particularly those in primary care, can be a powerful force to lower the burden of obesity related cancers, as well as the many other chronic diseases linked to obesity.”
The study was funded by Genesis Research Trust, Sigrid Jusélius Fellowship, World Cancer Research Fund International Regular Grant Programme, Ovarian Cancer Action, the Imperial Experimental Cancer Medicine Centre, the Cancer Research UK Imperial Centre, and Imperial Healthcare NHS Trust NIHR BRC.

Kyrgiou and co-authors, and Park and Colditz, disclosed no relevant relationships with industry.
Reviewed by F. Perry Wilson, MD, MSCE Assistant Professor, Section of Nephrology, Yale School of Medicine and Dorothy Caputo, MA, BSN, RN, Nurse Planner
Primary Source
BMJ
Source Reference: Kyrgiou M, et al “Adiposity and cancer at major anatomical sites: umbrella review of the literature” BMJ 2017; DOI: 10.1136/bmj.j477.
Secondary Source
BMJ
Source Reference: Park Y and Colditz G “Fresh evidence links adiposity with multiple cancers” BMJ 2017; DOI: 10.1136/bmj.j908.
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Unnecessary medicine practiced in the US- you betcha!

This article is so good that I tried to “import” it- three times and could not so here is the link in the Atlantic

http://www.medpagetoday.com/primarycare/generalprimarycare/63373