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Tuesday, July 23, 2013
Gulp! Study Suggests Super-Size Soda Ban Could Fizzle
But the research didn't involve actual consumers or beverages
By Randy Dotinga
HealthDay ReporterWEDNESDAY, April 10 (HealthDay News) -- A new study may take the fizz out of New York City's bid to improve health by banning super-sized sugary drinks: It suggests restaurants could bypass the rules, and make more money to boot, by offering pairs of drinks that add up to forbidden sizes.
For now, the Big Apple's ban on drink sizes bigger than 16 ounces is moot -- a judge's ruling put it on hold last month. But if it's upheld, the study findings point to a major loophole, said lead author Brent Wilson, a psychology graduate student at the University of California, San Diego. "The risk is that regulations intended to reduce consumption could unintentionally increase consumption," he said.
However, the research has limitations. The study didn't involve actual drinks or an actual restaurant, and it didn't tackle the logistical issue of whether customers are willing to carry two smaller cups or bottles to get the punch of one big drink. Also, it didn't consider whether restaurants would think of the "drink-bundling" idea, although they may do so now that the study has brought it up.
At issue are giant cups and bottles of sugary soft drinks, which pack a punch of calories. While some restaurant owners and residents cried foul, New York City officials outlawed super-size drinks to combat the obesity epidemic.
"I'm trying to do what's right. I've got to defend my children . . . and everybody else and do what's right to save lives," said Mayor Michael Bloomberg, according to CBS News.
Inspired by the ban, Wilson and his colleagues created an experiment to gauge whether it might be possible for restaurants to get around the purpose of the law, which is to get people to drink less sugary soda.
The researchers asked 100 college students, aged 18 to 39, to consider choices on menus. One "unregulated" menu had these prices for sodas: $1.59 (16 ounces), $1.79 (24 ounces) and $1.99 (32 ounces). Those prices were all taken from a McDonald's menu at the time of the study.
Another menu, with "bundled" options, offered a 16-ounce soda for $1.59, a pair of 12-ounce drinks for $1.79, and a pair of 16-ounce drinks for $1.99. And a third "no bundle" menu only offered a 16-ounce drink for $1.59.
The researchers found that the participants wanted to buy more drinks when they had the choice of "bundling" them. When the participants only had a choice of just one size, only 62 percent chose to buy a soda, compared to 84 percent of those who had a choice of "bundled" options and 79 percent of those who faced the "unregulated" options.
Wilson said the study suggests that restaurants could make 70 percent more money from drinks if they offered the bundled options instead of just 16-ounce drinks. "The bundled options just felt like a better deal" to study participants, Wilson suggested.
confused help me please <3
How do I work out my bmi and what calls should I really be consuming to lose weight
I'm 30 years old and weigh 289 pounds And I soooooo need help..
Anyone out there
Elite Marathoner Shalane Flanagan's Gym Bag Essentials
Of everything that the ridiculously awesome elite runner Shalane Flanagan has done (competed in two Olympics, holds a slew of American records), we were shocked -- shocked! -- to learn she's never run the Boston Marathon. And what's more - the she's from Beantown! No doubt the crowd is gonna go nuts for their hometown hero, but for her, the race to Heartbreak Hill and beyond started way before she sets off from Hopkinton. Though most of us will never run Boston (women ages 18-34 need a qualifying time of 3:35:00), or a sub-2:30 marathon, we can at least train like her! And for that we ask, "Shalane, what is in your gym bag?"
When Shalane goes out for a run, she's clocking major miles -- she pounds out upwards of 117 miles a week! For that, she needs sophisticated, quick nutrition. Cue Gatorade drinks and chews, with their perfect combo of electrolytes, sodium, and hydration, made for serious athletes. They're going to fuel her Boston debut, too!
They're refreshing, crunchy, high in fiber and antioxidants, and totally portable, so we love them as much as she does. Shalane, can we interest you in some awesome apple recipes?
Blonde hair falling in your face when you're busy beasting your competitors? Nobody got time for that! Shalane confesses that she's addicted to them.
These support your lower legs and wick away sweat, which is great for her hard training days. And they go great with the Nike Frees she kicks it in at the gym.
We're huge SPF-pushers here at SELF, so we were stoked to learn that Shalane is so sun-smart. And chic to boot!
If you're doing it right, you're gonna be sweating. The scent is called "Marathon Fresh," which smells a little Old Spice-y. In a totally good way.
Check back on Monday for a full interview with Shalane, plus more Boston Marathon highlights!
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Image Credit: Victah Sailer
More Than a Quarter of Melanoma Survivors Skip Sunscreen, Study Finds
And 2 percent continue to use tanning beds, researchers report
By Amy Norton
HealthDay ReporterMONDAY, April 8 (HealthDay News) -- Even people who have survived melanoma, the deadliest form of skin cancer, often fail to protect themselves from the sun, a new study suggests.
Researchers found that of 171 melanoma survivors in a U.S. survey, more than 25 percent said they never used sunscreen when spending more than an hour outside on a sunny day. What's more, 2 percent said they had used tanning beds in the past year.
"They did do a better job of protecting themselves than the average person," said lead researcher Dr. Anees Chagpar, an associate professor of surgery at Yale University's School of Medicine. "But there is room for improvement," she added.
"Maybe we need to be more vigilant about education," said Chagpar, who was to present the findings Monday at the American Association for Cancer Research annual meeting, in Washington, D.C.
The results are based on a 2010 government health survey that included 27,120 U.S. adults, 171 of whom reported a history of melanoma.
Melanoma is the least common form of skin cancer, accounting for less than 5 percent of skin cancers in the United States, according to the American Cancer Society. Still, most deaths from skin cancer are due to melanoma -- which often spreads to other parts of the body if it's not caught early.
Because too much ultraviolet (UV) light is a major melanoma risk factor, experts advise everyone to limit their exposure. That means staying in the shade, donning sunscreen and covering up when you're in the sun, and avoiding the tanning salon altogether.
You would expect that if anyone would follow that advice, it would be melanoma survivors, Chagpar said.
And some did, her team found. On days when they were going to be in the sun for more than an hour, one-third of melanoma survivors "always" wore sunscreen, versus 17 percent of other Americans. They were also more likely to always wear a cap (31 percent did) or a long-sleeved shirt (12 percent).
On the other hand, 27 percent of melanoma survivors said they never slathered on sunscreen before spending more than an hour in the sun.
"We were very surprised by that," Chagpar said. What "blew her mind," though, was the fact that 2 percent of melanoma survivors visited tanning beds.
She noted that other researchers are studying the possibility that tanning is addictive for some people. It's possible, Chagpar speculated, that even some melanoma survivors may be hooked on the experience.
A dermatologist not involved in the study agreed that some of the findings are troubling. "It is certainly concerning that a quarter of the melanoma survivors never wear sunscreen," said Dr. Hensin Tsao, a melanoma expert at Massachusetts General Hospital in Boston.
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Teen's Death From Chickenpox Highlights Need for Vaccination, CDC Reports
THURSDAY, April 11 (HealthDay News) -- The death from chickenpox of an otherwise healthy 15-year-old Ohio girl should remind parents of the importance of vaccination against the disease, U.S. health officials reported Thursday.
The teenager was admitted to the hospital with severe chickenpox, also known as varicella, and died three weeks later because of serious complications, according to a case study provided by the U.S. Centers for Disease Control and Prevention.
"Varicella can be deadly, even in seemingly normal individuals," said Dr. Kenneth Bromberg, director of the Vaccine Research Center and chairman of pediatrics at the Brooklyn Hospital Center in New York City.
"It is likely that death would have been prevented with prior vaccination," he said.
Chickenpox, which is highly contagious, is usually a mild illness characterized by an uncomfortable, itchy rash. But it sometimes leads to serious illness and death, as this 2009 case demonstrated.
Infants, adults and people with weakened immune systems are at increased risk for severe chickenpox, but most chickenpox-related hospitalizations and deaths occurred among healthy people younger than 20 before the chickenpox vaccine was introduced in 1995, the CDC report said.
"One of the reasons for death is bacterial superinfection of skin lesions with Streptococcus pyogenes [group A strep]," said Bromberg. "The other is disseminated viral infection, which seems to have happened in this case."
The teenager had no underlying conditions that might have raised the odds for severe chickenpox, according to the report.
The article, published in the April 12 issue of the CDC's Morbidity and Mortality Weekly Report, noted that the chickenpox vaccine is safe and more than 95 percent effective at preventing severe illness and death.
Since the vaccine became available, the number of chickenpox cases, hospitalizations and deaths in the United States has decreased substantially.
The 15-year-old's death demonstrates the importance of routine chickenpox vaccination, as well as catch-up vaccination of older children and teens to prevent chickenpox and its complications later in life when the disease may be more severe, the authors added.
Before chickenpox vaccination was included in routine childhood immunization, the disease caused about 11,000 hospitalizations and 100 to 150 deaths in the United States each year. The two dose-vaccine has led to declines of more than 95 percent in chickenpox-related illnesses, hospitalizations and deaths among people who have received routine vaccinations.
The CDC recommends children get the first dose of chickenpox vaccine at age 12 to 15 months and the second dose at age 4 to 6 years. Children, teens and adults who have not had a second dose -- and have not had chickenpox -- should get the catch-up vaccine.
Experts say adult vaccination is critical.
"The varicella vaccine is especially important for healthcare professionals, child care workers, teachers, residents and staff in nursing homes and people who care for or are around others with weakened immune systems," said Dr. Roya Samuels, a pediatrician at Cohen Children's Medical Center in New Hyde Park, N.Y.
-- Robert Preidt 
Copyright © 2013 HealthDay. All rights reserved. SOURCE: Kenneth Bromberg, M.D., F.A.A.P., F.I.D.S., director, Vaccine Research Center, and chairman, pediatrics, the Brooklyn Hospital Center, New York City; Roya Samuels, M.D., pediatrician, Cohen Children's Medical Center, New Hyde Park, N.Y.; U.S. Centers for Disease Control and Prevention, news release, April 11, 2013
Giving Up
Started out (again) at 190 at end of Dec 2012. I have been fluctuating between 161-165 for the last two months. I cannot get into the 150s no matter what I do. I eat 1300 calories a day I stay about 161. I give up and eat bad for one meal (pizza) and I gain 4 lbs in one day. I could eat only 1200 a day for 7 days and still would not get below 160. I just don't understand. I don't know what to do. It just doesn't seem worth it to be watching calories if it doesn't do any good.
Changes to Psychiatry's 'Bible' Could Widen Definition of ADHD
HealthDay Reporter
FRIDAY, April 12 (HealthDay News) -- When the latest version of what is considered the "bible" of psychiatry is unveiled in May, experts believe several changes in it will broaden both the definition and diagnosis of attention-deficit/hyperactivity disorder -- or ADHD.
But experts also differ on whether the shifts in thinking about this neurodevelopmental disorder will be a good thing.
Dr. James Norcross, a child and adolescent psychiatrist at the University of Texas Southwestern Medical Center at Dallas, outlined the major changes that should be coming in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is published by the American Psychiatric Association.
"One is the latest age that someone can have the onset of symptoms," Norcross explained. "In the current version, it's seven years. That will be changed to 12 years in the DSM-5, which may make things easier for adults and adolescents, because they'll be able to better recall some of the challenges that may have occurred."
Another big change that Norcross expects is that those over 17 will only have to meet five criteria, instead of six, to be diagnosed with ADHD. "This could increase the number of adults [who] are diagnosed because the criteria were largely developed for children, and they're not necessarily things we see in adults," he explained. For example, one of the criteria for hyperactivity has been squirming in your seat.
The last significant expected change is that ADHD will no longer be grouped with conduct disorder and oppositional defiant disorder. Instead, it will be grouped with neurodevelopmental disorders.
"They're trying to group disorders by similar pathology, and this is a better description of ADHD. More and more, it's being shown to be a biological process," Norcross explained.
Overall, Norcross said he thought the changes were positive and that they might remove some of the stigma that's been attached to an ADHD diagnosis.
However, another expert said the changes could lead to overdiagnosis of the disorder, and a subsequent jump in the prescribing of stimulants to treat the disorder.
"In trying never to miss a case, they may mislabel millions of people with a disorder they don't have. Everyone has problems with distractibility, but when ADHD is real, it starts early, it's intense and it's unmistakable," said Dr. Allen Frances, chair of the task force for the DSM-4 and former chair of psychiatry at Duke University School of Medicine in Durham, N.C. The fourth edition of the DSM has been in force since 1994.
"We're already overdiagnosing ADHD. Almost 20 percent of teen boys get the diagnosis of ADHD, and about 10 percent of boys are on stimulant drugs. We don't need to make it easier to diagnose ADHD," Frances said.
His biggest concern is that by expanding the diagnosis of ADHD, more children and adults will be put on stimulant medications, such as Adderall, Ritalin, Concerta and Vyvanse.
"In the short-term, performance is improved, which makes it highly desirable. In the long-run, there's a risk of addiction. Would you think it's OK for people to take steroids to improve their tennis game? It's pill-pushing," Frances said.
"If we decide as a society that the use of stimulants is good, it shouldn't be done through a fake medical diagnosis. Making it a medical diagnosis is what's wrong here," Frances explained. "I'm not against these drugs being legal, but I'm against the backdoor medical diagnosis."
Another concern is that people who have other psychiatric disorders may be wrongly classified as having ADHD.
"Every single psychiatric disorder has distractibility as part of it. If you misdiagnose someone with bipolar disorder as having ADHD and put them on stimulants, you'll throw them into mania," he cautioned.
Norcross agreed that ADHD diagnosis in adults needs to be done very carefully. But, he said the traits of inattention and disorganization often do continue into adulthood. And, for teens and young adults, ADHD can have an impact on education and employment opportunities.
Copyright © 2013 HealthDay. All rights reserved. SOURCES: James Norcross, M.D., child and adolescent psychiatrist, the University of Texas Southwestern Medical Center, Dallas; Allen Frances, M.D., professor emeritus, and former chair, psychiatry, Duke University School of Medicine, Durham, N.C.
Hair Loss and Recovery From Anorexia?
I am wanting to recover from anorexia.I went from 200 lbs to 124 lbs in two years and I am 17 and 5'6 and a half.I am desperate.I have experienced slight hair loss but nothing major.I have naturally thin and fine hair though.I have read posts of recovering anorexics losing their hair and it is discouraging.If I am going to lose my hair in recovery,I can't see myself choosing recovery.I need to know if that normally happens in recovery and if anyone has experienced that and how long it lasts.I need to know what to do to keep my hair from falling out before I choose to recover.I eat between 500-800 calories a day and sometimes I throw up.If I get enough protein but still stay under 800 calories,should my hair be okay?Is there any way to keep my hair from falling out while staying under 800 calories if I get enough protein?
I want to get 90 grams of protein and I take a vitamin so should my hair be okay if I do this?My hair is the only thing that has ever gave me beauty.I would rather kill myself than lose my hair.Has anyone went bald because of anorexia?To any anorexics or ex-anorexics,how thin has your hair gotten?
Will I go bald?Will I have to cut or shave my hair?
Does the hair loss eventually stop?Will I lose my hair in recovery?I really need others' experiences because I am panicking and I am really getting borderline suicidal about this because I feel like there's no way out of this.I can't stop crying because it's depressing to keep reading posts about hair falling out in recovery.Please help!
I also am on medication for bipolar disorder and I really can't take much more stress.I need to know if there is any hope for me now and for me in recovery.
Does every anorexic lose their hair while they are anorexic?
Does every anorexic lose their hair while in recovery?
Lana Del Rey leaves the Brewery Hotel in London
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Harley Viera Newton at the Roger Vivier book launch
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Does anyone have experience with Luvox?
I took the past semester off school and have been focusing on recovery from my eating disorder for the past few months, working with both a dietitian and a therapist. I also struggle with OCD (have since childhood) and anxiety (mostly social anxiety). Both my therapist and dietitian highly suggested I meet with a doctor who specializes in EDs and mental health to discuss maybe getting on medication, and I had my appointment with her yesterday.
Since my weight is still low, the Dr. seemed to think that most SSRIs wouldn't work. She said she often prescribes clonazepam for anxiety for patients like myself. I am not sure this is a good med (for me, at least) because of its potential for addiction and sedative properties. The other medication she suggested was Luvox. I did some quick research on it and read that it is used for both OCD and social anxiety, but from what I read, seems to cause a lot of fatigue and loss of motivation, both of which concern me.
I am not really sure I even want to take a medication. I think my treatment providers suggested it because I've been stuck weight-wise at the same weight for awhile and haven't made progress, and also because I do have a lot of anxiety (OCD and just in general). However, the idea of taking medication really scares me. I'm afraid of the side effects, mostly. I also just don't generally like taking meds and rarely even take things like ibuprofen. I feel like my therapist and dietitian expect me to try them though and if I don't, they'll be disappointed in me. I DO want to get my life back and recover, but I am just scared.
Sorry that was so lengthy, but if anyone has any advice or experience with a situation similar to mine, I'd love to hear from you. Thanks so much for reading this.
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