Monday, September 9, 2013

Can Your Stress Affect Your Fetus?

Bringing a new person into the world is no easy task. You worry about everything. Are the foods you eat healthy enough? Is it safe to exercise? How will you juggle work and parenthood once baby arrives?

Some stress during pregnancy is normal, just as it is during other times of life. But if stress becomes constant, the effects on you and your baby could be lasting.

When you’re stressed, your body goes into "fight or flight" mode, sending out a burst of cortisol and other stress hormones. These are the same hormones that surge when you are in danger. They prepare you to run by sending a blast of fuel to your muscles and making your heart pump faster.

If you can deal with your stress and move on, your stress response will recede and your body will go back into balance. But "the kind of stress that’s really damaging is the kind that doesn’t let up," says Susan Andrews, PhD, a clinical neuropsychologist and author of the book Stress Solutions for Pregnant Moms: How Breaking Free From Stress Can Boost Your Baby’s Potential. In fact, constant stress could alter your body’s stress management system, causing it to overreact and trigger an inflammatory response.

Inflammation, in turn, has been linked to poorer pregnancy health and developmental problems in babies down the road. "There are some data to show that higher chronic stressors in women and poor coping skills to deal with those stressors may be associated with lower birth weight and with delivering earlier," says Ann Borders, MD, MPH, MSc. She is an OB/GYN in the obstetrics and gynecology department, Division of Maternal-Fetal Medicine, at Evanston Hospital, NorthShore University HealthSystem.

Chronic stress may also contribute to subtle differences in brain development that might lead to behavioral issues as the baby grows, she adds.

Research in this area is still early, and doctors still need to figure out the exact link between stress and pregnancy outcomes. Even so, it’s an important factor for pregnant women to consider, especially if they’re dealing with chronic stress -- for example, from financial or relationship troubles.

"We know that we want to think about how to reduce unhealthy stress and find ways to help women have better coping mechanisms to deal with the stress in their lives," Borders says. You shouldn’t feel guilty about stress, she adds, but you should try to control it as much as you can.

Andrews offers a few ways to manage stress during pregnancy.

Take stock. Talk to your doctor about what’s causing you to feel stressed. Together you can look for solutions, which might include meditation, prenatal yoga, or talk therapy.

Sing a song. Even if you can’t carry a tune, hum in your head. Music helps control cortisol levels.

Relax. Take a warm bath. Have a cup of tea. Curl up with a book. You’ll have precious few chances to pamper yourself once your baby arrives.

Find more articles, browse back issues, and read the current issue of "WebMD Magazine." 


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gaining too fast?

Hello i was just wondering if there's anyone who can give me some advice?

I'm 14, recovering/recovered from anorexia. I gained weight in hospital at the beginning of my recovery on about 3000 cals and when i got home i gradually decreased to about 2000 - 2500 cals and maintained for 2 and a half months (i was sneaky because i was still supposed to keep gaining, but i insisted that i could take care of things myself and kept fooling my mum and doctor into thinking i was eating loads but maintaining because i was 'banking nutrition'. Silly me i wish i just kept gaining :/ ). 

Recently I wanted to gain a bit more weight to look and feel better. Which is great, i feel like i am really free and over my ed. So for the last couple of weeks i have increased what i eat each day; in just the last week i have been eating pretty much whatever i see, I reckon about 3500-4000+ cals? I am 170cm tall and I weighed 48kg this morning when i woke up. Which means i have gained almost 2 kilos in the last week.

Is this okay or should i try to slow it down a bit since I'm at a healthy weight already and i have had a regular period since i got out of hospital? 


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Programming Implanted Defibrillators to React More Slowly Might Be Safer: Study

Unnecessary shocks from the heart devices are often distressing, come with their own risks, experts sayHeart experts consider point when benefit of

By Serena Gordon

HealthDay Reporter

TUESDAY, May 7 (HealthDay News) -- By slowing down the programmed response rate on implantable cardioverter defibrillators (ICDs), doctors can reduce the number of shocks these devices deliver without causing a significant increase in the risk of fainting or death, new research suggests.

"The aim of [our] study was to evaluate a different programming strategy to reduce unnecessary therapies delivered by the ICD," explained study author Dr. Maurizio Gasparini, chief of the pacing and electrophysiology unit at the Humanitas Clinical and Research Center in Rozzano, Italy.

"The study found that the strategy utilizing a long detection period to recognize arrhythmias [irregular heartbeats] is associated not only to an overall reduction of therapies, but also to less inappropriate shocks experienced by the patients as well as fewer hospitalizations in the 12 months following ICD implant," Gasparini said.

ICDs are small devices implanted in the upper chest. Electrodes from the device are attached to the heart. If an ICD senses a dangerous heartbeat or no heartbeat, it can help correct that through electrical pacing -- like a pacemaker -- or it can deliver a shock to the heart to restore a normal heartbeat, according to the U.S. National Heart, Lung, and Blood Institute.

Results of the study are published in the May 8 issue of the Journal of the American Medical Association. The study was funded by Medtronic Inc., which makes ICDs.

While ICDs can literally be lifesavers, they can also cause problems for some patients.

"Defibrillator shocks, whether for appropriate or inappropriate indications, are associated with adverse effects. These adverse effects include the acute discomfort of the shock, as well as late and longer-lasting psychological trauma including depression and post-traumatic stress disorder," wrote Dr. Merritt Raitt, author of an accompanying journal editorial. Raitt is with the Oregon Health and Science University and the Portland Veterans Administration Medical Center, in Oregon.

The current study included about 1,900 people who were receiving their first ICD implant. Their average age was 65, and 84 percent of the study volunteers were male.

The volunteers were randomly placed into one of two groups: standard programming or programming with a long detection interval.

"Every time the heart beats, an electrical activity is recorded by the device. An interval is the time between two consecutives beats. Basically it is the time between two heartbeats. So, a long detection interval simply means a longer period of time to permit recognition of arrhythmias," Gasparini explained.

During an average of 12 months of follow-up, 530 episodes of an arrhythmia were recorded. The long detection group had a 37 percent lower rate of delivered therapies (pacing or shocks) than the standard therapy group, according to the study.

There were no significant differences in mortality or in fainting (syncope) episodes between the groups.


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help with binging?

I've lost around 15 kilos since last November and have had no problem staying on a 1200 daily calorie intake with an occasional cheat day and I don't feel deprived. This past week however, I have been at a rather loose end at home by myself as it is college holidays for me. I've been stuck at home by myself bored and I've been eating non stop! I've probably had around 3 binge days in the past week but I don't think I would have had anymore that 1500cal access on top of my 1200 daily calories. These have not been 3 days in a row, they have been spread out so eg. Eat lots of junk on wed and go back to 1200 calories thur and fri and then junk on Saturday. I have also been exercising now every second night for around 2 weeks so that that would probably equal to 300cal burned? I only do 40 mins of moderate exercise. Anyway, will these 3 days do any harm? I will continue back to normal now as I have learnt my lesson- I feel like crap and bloated the next day and all over sick. Will I gain weight from these days? I'm really worried that I have reversed some of my weight lost efforts. The reason why I have just started exercising is because I had a collapsed lung and couldn't exercise for around 2 months until I got the 'ok' from the doctor.

Thanks for reading and your replies :)


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Shannon Leto arrives in Washington DC with 30 Seconds To Mars

That Shannon Leto (brother of Jared). Such an urban ninja. 

Sorry, I could not read the content fromt this page.

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Gwyneth Paltrow asks Miranda Kerr: “Is it weird being that pretty?”

Gwyneth Paltrow asked model Miranda Kerr is it was "weird being that pretty" after crowning her the best dressed star at the Met Gala on Monday.

"She was wearing a black Michael Kors dress that was sort of like a sparkling bandeau, and her whole stomach was showing," our cover girl said of the former Victoria's Secret model.

"It was really beautiful. It was a little punk-y. She's just so pretty, it's abnormal."

She went on to admit that she made sure the Aussie star knew it, too.

"I was like, 'Is it weird to be that pretty?' And she was like, 'No.'"

But Paltrow didn't top Kerr's best dressed list. Instead, her pick was Madonna.

"I think Madonna was cool!" she told US Weekly.

"I also think Debbie Harry was awesome. She got up and was singing. It was a fun night -- a really fun night!"

SOURCE: ENTERTAINMENT WEEKLY

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looking for some advice

I have a goal of doing a sprint tri next june.... it thought this was more than doable considering I'll have 2 century rides under my belt by then and several dozen runs..so then the only thing missing is the swimming.  I also thought this was the only time this race was done. Well last night I found out that I could do one the "last chance tri" by the same group at the end of this august.  That would give me about 2 months to conquer the swim of 1500 meters.  Do I go for it? am I pushing myself too hard?  

I got an email from a friend who thinks I am pushing too hard. That I need to slow down on the running/biking a bit. she's concerned that I've triggered the exercise part of the anorexia. Part of me sees her point and part of me is like no its ok.   She suggested getting a coach/trainer to push me but also to reign me in. However trainers around here are expensive and I don't have the cash to do that at this point. 

I'm so confused at this point! =( Do I wait? do I push and if so how do you train for something like that?


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Joint Replacement: Risks vs. Benefits

How to decide if a hip or knee replacement is right for you.

After a skiing injury 30 years ago, Bert Pepper, MD, got osteoarthritis in his left knee. "I stopped skiing and gave up tennis, running, and other sports that are tough on the knee," he says. "I turned to speed-walking to stay fit, but the knee kept me from walking at a good pace."

As his pain got worse and walking became harder, he looked into having a knee replacement. It's not a decision to make lightly, says Pepper, who is a psychiatrist. "It's a major life event. You have to be prepared to lose a few months to pain after surgery, limited mobility, and vigorous rehabilitation." And like any surgery, it's important to weigh the risks and benefits carefully.

An Exercise Fix for Knee Osteoarthritis

Jerry Wade used to love bird-watching with his wife, an avid birder. "I'm not a birder myself, but I like being active and getting out there with her," he says. "Bird-watching puts you into natural areas and some rough terrain -- it's not an easy physical activity." But in the fall of 2005, the 66-year-old Columbia, Mo., resident, who had retired in 2000 from a career in community development, started noticing "pains and twinges" in his knees. A visit to his doctor in January 2006 brought...

Read the An Exercise Fix for Knee Osteoarthritis article > >

"There are two main reasons to have a joint replacement," says Charles Bush-Joseph, MD, a professor of orthopaedic surgery at Rush University Medical Center. "The best reason is pain relief."

During a hip or knee replacement, a surgeon removes the painful, damaged surfaces of the joint and replaces them with plastic or metal implants. This gets rid of the pain, because the diseased cartilage and bone are no longer there.

The second reason is to improve joint function, Bush-Joseph says, but these results are less predictable. After a joint replacement, many people can walk more easily. Some may be able to ride a bike or play golf. But there are no guarantees.

Joint replacements carry the same risks as other major surgeries. This includes the risk of dangerous infections or blood clots. People with heart conditions, poorly controlled diabetes, or weak immune systems are the most vulnerable. Surgeons use antibiotics and blood thinners to try to prevent some complications.

The other major risk is that the new joint may not work as well as hoped. Weakness and stiffness are common problems, particularly in the knee. "Patients who don't actively rehabilitate will not regain the maximum range of motion," Bush-Joseph tells WebMD. For best results, knee surgery patients should stick to their rehab schedule of exercise, rest, and medicines.

Less common problems include an implant that becomes loose or dislocates. And it's important to know the implant could wear out after about 20 years. That means you may need another joint replacement down the road.

Joint replacement may be the right choice if you're in a lot of pain and other treatments haven't helped enough. But you want to be sure the joint is the true source of pain, says Michaela M. Schneiderbauer, MD, an orthopedic surgeon with the University of Miami Miller School of Medicine. "The source could be something other than the joint itself, even if arthritis is visible on an MRI."

If you actually have nerve or muscle pain, a joint replacement won't help, Schneiderbauer says. Your doctor can tell the difference by doing a careful physical exam and by asking you questions about your pain. "Be cautious if a doctor tells you you need a hip or knee replacement without doing a physical exam," she adds.


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Help! Few questions befor doctor! My diet, feel like relapsing :(

Hi, recently I've been trying to recover from anorexia and I aim for at least 2500 calories a day although I find it very hard to get to it without eating lots of carbs and sugar and processed foods. All of my snacks consists of a sweet rather than savory food items such as Lunabars, Clif bars, donuts, cookies, biscuits, yogurt. I have a lot of questions and I will be seeing a nutritionist soon this week but I would like to have some answers beforehand.

1.) Is it truly alright for me to eat this much carbs and junk? I realized that my diet is very narrow and kinda unbalanced. Does it matter, at this stage, what I eat or is it more important to get the right amount, not caring about where it comes from??

2.) Will eating more of carbs and sugar make me more fat than of I were to eat proteins and fats?

3.) And this is kinda if topic but I was just wondering, is it bad to be even a little underweight? I mean I look completely normal, like my belly is larger than before (A LOT larger!) and before my ED when I was at a normal weight I would look out of shape and chubby, although I ran cross country and ate a balanced meal. I'm scared that I'll look a lot worse than before I got my ED and look even fatter and unfit.?

4.) Do I really need to have 2500+ calories? I'm 5' 3'' and weigh currently 95 lbs. I don't look terribly skinny, and I actually look pretty normal. I've had tried a diet of around 1800-2000 calories and seemed to gain weight perfectly fine. Why is 2500+ the magic number for recovery?

5.) Will I look like a fatty or something because of all the sugar I eat? I read everywhere that glucose and sugar just gets stored as fat. I'm really scared and confused. I eat way too much, won't I get diabetes or something or like cause an even worse disease, worse than my current state?

6.) Can I exercise? Or is it absolutely no exercise?! I can't believe that to recover, you have to eat a minimum of 2500 AND with no exercise? Won't I just be even more out if shape looking and look like a flabby, chubby person? THANK YOU!! ?For anyone that replies! Any advice is appreciated right now, especially with all the questions, stress and confusion I have. I really need some answers, anything even a tip. All this pressure is making feel like relapsing which I am trying to prevent and conquer! Thank you!!


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Alexa Chung at the Tate Americas Foundation dinner

Black and blue were a definite DON'T when we were kids - but how times have changed. Alexa Chung proves the colour combination works in this strapless silk dress. 

Shop Spring Jackets


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New trial muddies the water about diet, exercise, and diabetes

Howard LeWine, M.D.
Posted June 25, 2013, 1:50 pm Too much

Long-awaited results from a nearly 10-year trial exploring the effect of changes in diet and exercise among people with diabetes weren’t what most people expected. The Look AHEAD trial found that intensive efforts to lose weight by eating less and exercising more didn’t provide any more protection against heart disease—a common co-traveler with diabetes—than standard diabetes support and education. The spin from some media reports is that weight loss doesn’t reduce heart disease risk among people with type 2 diabetes, but I think that’s the wrong interpretation.

In the Look AHEAD trial, researchers recruited more than 5,000 men and women with type 2 diabetes. All were overweight. Half were assigned to a program aimed at losing weight by exercising and cutting calories. People in this group were asked to eat between 1,200 and 1,800 calories a day and to exercise for at least 175 minutes a week. Their goal was to lose at least 7% of their starting weight, and maintain that weight loss. The other half of the volunteers met three times a year for group counseling sessions that focused on the importance of lifestyle changes like more exercise, a better diet, and greater social support to control their diabetes.

Both groups lost weight and did a pretty good job keeping it off. Those in the intensive-change group lost a little more weight (about 18 pounds) than those in the comparison group (about 14 pounds). After almost 10 years, the rates of heart attacks, strokes, heart-related deaths, and hospitalizations for chest pain were the same in both groups.

There are several ways to explain why the intensive intervention didn’t seem to do any better than standard care, at least for heart disease. Here’s the “obvious” one: Weight loss clearly helps lower blood sugar, but it may not play an important role in heart attack and stroke risk.

I think a closer look at the Look AHEAD participants, and other findings, tell a more important story:

Both groups lost weight at the end of the 9.6 years of the study. The average difference between the two groups was 2.5% of starting weight. It’s possible that weight loss matters for type 2 diabetes and heart disease, but greater weight loss is needed.Fewer people in the intensive intervention group needed medications to lower blood pressure and cholesterol, probably because their diets and exercise did that for them. More people in the usual care group were treated with such medications, which have been shown to decrease the risk of heart attack and stroke.The volunteers generally had their diabetes under control. One measure of diabetes control is a blood test called hemoglobin A1c. The goal for people with type 2 diabetes is a reading under 7.0. Those in the intensive change group had an average of 7.2; those in the comparison group, 7.3. Greater benefits may be in store for lifestyle interventions among people with poorly controlled diabetes.People in the intensive lifestyle intervention group were instructed to eat a standard low-calorie diet that was relatively high in carbohydrates and lower in fat. But such diets aren’t best for cardiovascular health. Urging the intensive change volunteers to adopt a Mediterranean-style diet may have had a greater payoff.

People with diabetes are two to four times more likely to have a heart attack or stroke than those without diabetes. And deaths from heart conditions and stroke are the leading causes of death and disability among people with diabetes.

Lifestyle changes have been emphasized as the mainstay of diabetes treatment, especially for people with type 2 diabetes. Exercising more, losing weight, and adopting a healthier diet are clearly good for lowering blood sugar, which translates to benefits around the body.

The results of the Look AHEAD trial don’t contradict the value of lifestyle changes. People in that group improved their blood sugar with fewer drugs, saving an estimated $600 per year. Those in the intensive change group were 30% less likely to have developed chronic kidney disease, a feared complication of diabetes. They also had less self-reported vision problems (diabetes is a leading cause of vision loss), less depression, and reported feeling better.

The Look AHEAD results reinforce for me that diabetes care needs to be tailored to the individual. It is not a one-size-fits-all recipe. It should go beyond blood sugar control and weight loss, and give equal priority to preventing all of the many complications that follow in the wake of diabetes.

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Hello, Lover

It may be 10 years (no, really) since Sex And The City took its final bow, but 'we couldn't help but wonder' how much Carrie Bradshaw would die for this bag from the new Joseph collection.

It's Joseph's first line of leather handbags, and they've come out strong, with a smart (more on this later), timeless collection created with Katie Hillier, the acccessories queen who has worked with Victoria Beckham, Marc Jacobs and Loewe to name a few.

Ranging from £145 to £925, the line packs high-end detailing (just look at that shoulder strap) with purpose (multi pockets for organisation are a huge plus).

The collection translates the brand's signature clean aesthetic into monochrome clutches, and versatile shoulder bags that double as clutches (see image to the left), mixing smooth, firm textures with soft, supple leather. VB is sure to be a fan, considering she's been spotted holding her oversized purses in one hand since fashion week.

Speaking of the new line, Erin Moscow, head of accessories at Selfridges, said: "The bags speak to a woman who desires function in equal measure to style, and in our ever-evolving contemporary accessories offering we're seeing a huge appetite for luxury design at more accessible price points."

Joseph's collection is exclusive to Selfridges until the end of this month, when it goes on sale in Joseph stores as well. 

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Pets a Boon for the Human Heart, Cardiologists Say

American Heart Association cites stress-busting, dog-walking benefits of companion animalsAmerican Heart Association cites stress-busting,

By Robert Preidt

HealthDay Reporter

THURSDAY, May 9 (HealthDay News) -- That four-legged friend of yours may be more than a companion -- he also may be boosting your heart health, experts say.

An official statement released Thursday by the American Heart Association says there is evidence that having a pet, particularly a dog, may lower your risk of heart disease.

Cardiology specialists weren't all that surprised.

"Pets really might be man's best friend," said Barbara George, director of the Center for Cardiovascular Lifestyle Medicine at Winthrop-University Hospital in Mineola, N.Y.

"Studies have shown people who own pets, particularly dogs, have lower blood pressure, increased mood-related brain chemicals, better cholesterol numbers, lower weight and improved stress response," George said.

Members of the American Heart Association (AHA) committee that wrote the statement reviewed data from an array of relevant studies. They found that pet ownership appears to be associated with a reduction in heart disease risk factors such as high blood pressure, high blood cholesterol levels and obesity -- and improved survival among people with heart disease.

Dog ownership in particular may help reduce heart risk, the statement said. People with dogs may get more exercise because they take their dogs for walks. A study of more than 5,200 adults found that dog owners did more walking and physical activity than those who didn't own dogs, and that dog owners were 54 percent more likely to get the recommended level of physical activity.

"Walking your dog is a healthy chore; it is a great way to exercise without thinking about it," said Dr. Nieca Goldberg, clinical associate professor in the department of medicine at the Tisch Center for Women's Health at NYU Langone Medical Center in New York City. "Pet owners increase their physical activity simply by walking their dogs."

Pets can also have a positive effect on the body's reactions to stress, according to the AHA. George agreed, saying pets can be "a tool for weight loss, socialization, calming our nerves and easing anxiety and depression."

The AHA stressed, however, that the studies they reviewed cannot prove that owning a pet directly reduces heart disease risk.

"It may be simply that healthier people are the ones that have pets, not that having a pet actually leads to or causes reduction in cardiovascular risk," statement committee chairman Dr. Glenn Levine, a professor at Baylor College of Medicine in Houston, said in an AHA news release.

"There probably is an association between pet ownership and decreased cardiovascular risk," he said. "What's less clear is whether the act of adopting or acquiring a pet could lead to a reduction in cardiovascular risk in those with pre-existing disease. Further research, including better quality studies, is needed to more definitively answer this question."

In the meantime, George said, humans can benefit from the mental and physical rewards of furry companions. "Pets tug at our heartstrings," she said. "But they also improve our health -- both mental and physical -- helping us to live longer and happier lives."

The AHA statement was published online May 9 in the journal Circulation.


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staying motivated

Hi Guys,

I have made a few posts on here since starting recovery this year. I discharged from IP treatment 3 weeks ago after spending a month in there and getting my BMI to just over 14. I have done really well holding my weight and am sticking to my MP, but my dietician has given me increases to get my weight moving up. I'm really scared because I feel completely normal again, and am eating very well. Has anyone else felt a reluctance and fear to keep moving forward? My life is amazing now and my head is much better- I'm not depressed, eat to my appetite so don't feel a need to gain

X


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