Randomized Trial: Healthy Diet Reduced Depression Symptoms

Published on October 10, 2019

By Kelly Young

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM

Young adults with depression may experience improvements following a brief dietary intervention, according to a small, randomized trial in PLOS One.

In Australia, roughly 100 young adults (aged 17 to 35) with moderate-to-severe depression symptoms and poor diet were randomized to a dietary intervention or their usual diet. Participants in the intervention group were instructed to reduce their intake of processed foods and increase their intake of vegetables, fruits, whole grains, healthy proteins, unsweetened dairy, olive oil, turmeric, and cinnamon.

At 21 days, the intervention group had lower depression scores than the control group after controlling for baseline scores. Anxiety and stress scores also favored the intervention group.

The authors conclude: "The current intervention involved such a small degree of face-to-face contact and very little cost or risk, thus there are few downsides to adopting this approach to improving mood. Conversely, there is a lot to gain not just in terms of improvements to mood but also in enhanced physical health outcomes."

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Eamonn Vitt
The Message of Measles

Published by the New Yorker August 26, 2019

By Nick Paumgarten

As public-health officials confront the largest outbreak in the U.S. in decades, they’ve been fighting as much against dangerous ideas as they have against the disease.

One day in the early sixties, Saul Zucker, a pediatrician and anesthesiologist in the Bronx, was treating the child of a New York assemblyman named Alexander Chananau. Amid the stethoscoping and reflex-hammering of a routine checkup, the two men got to talking about polio, which was still a threat to the nation’s youth, in spite of the discovery, the previous decade, of a vaccine. At the time, some states had laws requiring the vaccination of schoolchildren, but New York was not one of them. In his office, on the Grand Concourse, Zucker urged Chananau to push such a law, and shortly afterward the assemblyman introduced a bill in the legislature. The proposal encountered resistance, especially from Christian Scientists, whose faith teaches that disease is a state of mind. (The city’s health commissioner opposed the bill as well, writing to Chananau, “We do not like to legislate the things which can be obtained without legislation.”) To mollify the dissenters, Chananau and others added a religious exemption; you could forgo vaccination if it violated the principles of your faith. In 1966, the bill passed, 150–2, making New York the first state to have a vaccination law with a religious exemption. By the beginning of this year, forty-six other states had a version of such a provision; it has proved to be an exploitable lever for people who, for reasons that typically have nothing to do with religion, are opposed to vaccination. They are widely, and disdainfully, known as anti-vaxxers.

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Eamonn Vitt
How the Microbiome Might Enhance Athletic Performance

Published by NEJM Journal Watch General Medicine on August 6, 2019

By Anthony L. Komaroff, MD

Marathoners had higher gut concentrations of Veillonella atypica than did nonathletes.

Gut microbes (the microbiome) produce many molecules that affect human physiology. To determine how the microbiome might affect athletic performance, investigators obtained daily stool samples from 15 runners for 1 week before and 1 week after the Boston Marathon and compared the microbiome findings to those of a group of 10 sedentary controls. They then confirmed their findings in a second group of athletes and controls.

Athletes had a higher abundance of one bacterial species, Veillonella atypica, than controls. This species was even more abundant following exercise; in addition, the bacterial genes that convert lactate to propionate were activated by exercise. The researchers then fed V. atypica (isolated from the athletes) to mice. Mice that were fed V. atypica were able to exercise longer than mice fed a lactobacillus control. Blood lactate generated by exercise spilled into the gut lumen, where it was metabolized to propionate by V. atypica; it then was reabsorbed in the colon and entered the circulation. Mice given an intrarectal instillation of propionate also could exercise longer — indicating that additional propionate (not just less lactate) might contribute to better exercise capacity.

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Eamonn Vitt
Cutting 300 Calories a Day Shows Health Benefits

Published by the New York Times on July 16, 2019

By Anahad O’Connor

Calorie restriction led to weight loss, lower cholesterol and less inflammation. Whether it extends life span and wards off disease long-term remains unproven.

Scientists have long known a fairly reliable way to extend life span in rodents and other lab animals: Reduce the amount of calories they eat by 10 percent to 40 percent.

This strategy, known as caloric restriction, has been shown to increase the life span of various organisms and reduce their rate of cancer and other age-related ailments. Whether it can do the same in people has been an open question. But an intriguing new study suggests that in young and middle-aged adults, chronically restricting calorie intake can have an impact on their health.

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Eamonn Vitt
Supplements and Diets for Heart Health Show Limited Proof of Benefit

Published by the New York Times July 8, 2019

By Anahad O’Connor

Some supplements may actually be harmful for cardiovascular health.

Millions of Americans use dietary supplements and a variety of diets to protect their heart health. But a large new analysis found that there was strikingly little proof from rigorous studies that supplements and some widely recommended diets have the power to prevent heart disease.

The new research, published in the Annals of Internal Medicine, reviewed data from hundreds of clinical trials involving almost a million people and found that only a few of 16 popular supplements and just one of the eight diets evaluated had any noticeable effect on cardiovascular outcomes.

Folic acid, reduced salt diets and omega-3 fatty acids, the kind found in fish oil, showed some benefits. But the evidence was fairly weak. And at least one showed evidence of harm: Taking calcium with vitamin D increased the risk of stroke, possibly because it increases blood clotting and hardening of the arteries.

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Eamonn Vitt
Could a Gut Bacteria Supplement Make Us Run Faster?

Published by the New York Times June 26, 2019

By Gretchen Reynolds

Running a marathon ramps up levels of a gut bacteria that made mice run faster, but it’s unclear whether it would work in people.

Could an infusion of bacteria from the guts of athletes help inactive people to exercise more easily?

A new study of marathoners, mice and their respective intestines toys with that possibility. It finds that strenuous endurance exercise by human athletes increases the numbers of certain bugs in their microbiomes and that giving those bacteria to mice allows them to run longer.

But the study’s results and implications also raise many questions, including how fully we understand the intricate, entwined effects of exercise on our insides and our insides on exercise and whether, even if we can commercialize and provide athletes’ intestinal flora to other people, we should.

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Eamonn Vitt
You’re Covered in Fungi. How Does That Affect Your Health?

Published by the New York Times April 9, 2019

By Kaleigh Rogers

Following extensive study of the body’s bacterial occupants, researchers are turning to how our fungal residents may contribute to inflammatory bowel diseases and other maladies.

The connections among different parts of the human body are full of surprises, but here’s one you might not have considered: Could a thing that causes dandruff on your head also be contributing to your digestive problems?

That’s one mystery that scientists are trying to unravel with research into the fungi that live in your gut. While the bacteria that colonize our intestines have been a scientific focus for more than a decade, the fungal critters there are starting to get more attention.

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Eamonn Vitt
Can What We Eat Affect How We Feel?

Published by the New York Times March 28, 2019

By Richard Schiffman

Nutritional psychiatrists counsel patients on how better eating may be another tool in helping to ease depression and anxiety and may lead to better mental health.

The patient, a 48-year-old real estate professional in treatment for anxiety and mild depression, revealed that he had eaten three dozen oysters over the weekend.

His psychiatrist, Dr. Drew Ramsey, an assistant clinical professor of psychiatry at Columbia University, was impressed: “You’re the only person I’ve prescribed them to who came back and said he ate 36!”

Dr. Ramsey, the author of several books that address food and mental health, is a big fan of oysters. They are rich in vitamin B12, he said, which studies suggest may help to reduce brain shrinkage. They are also well stocked with long chain omega-3 fatty acids, deficiencies of which have been linked to higher risk for suicide and depression.

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Eamonn Vitt
Exercise vs. Drugs to Treat High Blood Pressure and Reduce Fat

Published by the New York Times March 13, 2019

By Gretchen Reynolds

Exercise can lower blood pressure and reduce visceral body fat at least as effectively as many common prescription drugs, two new reviews report.

Exercise can lower blood pressure and reduce visceral body fat at least as effectively as many common prescription drugs, according to two important new reviews of relevant research about the effects of exercise on maladies.

Together, the new studies support the idea that exercise can be considered medicine, and potent medicine at that. But they also raise questions about whether we know enough yet about the types and amounts of exercise that might best treat different health problems and whether we really want to start thinking of our workouts as remedies.

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Eamonn Vitt
Is There an Optimal Diet for Humans?

Published by the New York Times on December 18, 2018

By Anahad O’Connor

A study of modern hunter-gatherer groups found that they exhibit generally excellent metabolic health while consuming a wide range of diets.

Nutrition experts have long debated whether there is an optimal diet that humans evolved to eat. But a study published this month adds a twist. It found that there is likely no single natural diet that is best for human health.

The research, published in the journal Obesity Reviews, looked at the diets, habits and physical activity levels of hundreds of modern hunter-gatherer groups and small-scale societies, whose lifestyles are similar to those of ancient populations. They found that they all exhibit generally excellent metabolic health while consuming a wide range of diets.

Some get up to 80 percent of their calories from carbohydrates. Others eat mostly meat. But there were some broad strokes: Almost all of them eat a mix of meat, fish and plants, consuming foods that are generally packed with nutrients. In general, they eat a lot more fiber than the average American. Most of their carbohydrates come from vegetables and starchy plants with a low glycemic index, meaning they do not lead to rapid spikes in blood sugar. But it is also not uncommon for hunter-gatherers to eat sugar, which they consume primarily in the form of honey.

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Eamonn Vitt
Having the same GP halves chance of early death

Published by The Times on June 29, 2018

By Chris Smyth

Seeing only one family doctor cuts the risk of dying early by up to 53 per cent, an international analysis has found.

Having repeated appointments with the same GP was as effective at reducing death rates as some drugs, according to an overview of 22 studies.

Sir Denis Pereira Gray, who led the work, said NHS policy needed a “complete change” to recognise the value of a personal relationship with a family doctor, rather than diverting GPs from their regular patients to provide evening and weekend appointments.

“If you can build a worthwhile relationship with a doctor it will be to your advantage and theirs over time,” he advised patients.

Four fifths of the studies covered in the research showed that continuity of care had clear benefits over periods ranging from a weekend in hospital to 17 years. Previous work has shown that patients who see the same doctor regularly are more satisfied and less likely to go to A&E, but Sir Denis argued that health chiefs should stop seeing this continuity as a luxury “like a nicely decorated room”.

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Eamonn Vitt
Germs in Your Gut Are Talking to Your Brain. Scientists Want to Know What They’re Saying.

Published by the New York Times January 28, 2019

By Carl Zimmer

The body’s microbial community may influence the brain and behavior, perhaps even playing a role in dementia, autism and other disorders.

In 2014 John Cryan, a professor at University College Cork in Ireland, attended a meeting in California about Alzheimer’s disease. He wasn’t an expert on dementia. Instead, he studied the microbiome, the trillions of microbes inside the healthy human body.

Dr. Cryan and other scientists were beginning to find hints that these microbes could influence the brain and behavior. Perhaps, he told the scientific gathering, the microbiome has a role in the development of Alzheimer’s disease.

The idea was not well received. “I’ve never given a talk to so many people who didn’t believe what I was saying,” Dr. Cryan recalled.

A lot has changed since then: Research continues to turn up remarkable links between the microbiome and the brain. Scientists are finding evidence that microbiome may play a role not just in Alzheimer’s disease, but Parkinson’s disease, depression, schizophrenia, autism and other conditions.

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Eamonn Vitt
Can a Nice Doctor Make Treatments More Effective?

Published by the New York Times January 21, 2019

By Lauren C. Howe and Kari Leibowitz

Connecting with patients doesn’t just make them think someone cares. It can make a difference for health outcomes.

In the age of the internet, it’s easier than ever to pull together lots of information to find the best doctor. And if you’re like most patients, the metric you probably rely on most is the doctor’s credentials. Where did she go to school? How many patients has he treated with this condition?

You might also read some Yelp reviews about how nice this doctor is; how friendly and how caring. But all that probably seems secondary to the doctor’s skills; sure, it would be great to have a doctor whom you actually like, but that’s not going to influence your health the way the doctor’s competence will.

But our research in the psychology department at Stanford University suggests that this view is mistaken. We found that having a doctor who is warm and reassuring actually improves your health.

The simple things a doctor says and does to connect with patients can make a difference for health outcomes.

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Eamonn Vitt
Regular Exercise May Keep Your Body 30 Years ‘Younger’

Published by the New York Times on November 21, 2018

By Gretchen Reynolds

The muscles of older men and women who have exercised for decades are indistinguishable in many ways from those of healthy 25-year-olds.

The muscles of older men and women who have exercised for decades are indistinguishable in many ways from those of healthy 25-year-olds, according to an uplifting new study of a group of active septuagenarians.

These men and women also had much higher aerobic capacities than most people their age, the study showed, making them biologically about 30 years younger than their chronological ages, the study’s authors concluded.

All of us are aging every second, of course, which leads many of us also to be deeply interested in what we can expect from our bodies and health as those seconds — and subsequent years and decades — mount.

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Eamonn Vitt
Even a 10-Minute Walk May Be Good for the Brain

Published by the New York Times October 24, 2018

By Gretchen Reynolds

Ten minutes of mild exercise can immediately alter how certain parts of the brain communicate and coordinate with one another and improve memory function.

Ten minutes of mild, almost languorous exercise can immediately alter how certain parts of the brain communicate and coordinate with one another and improve memory function, according to an encouraging new neurological study. The findings suggest that exercise does not need to be prolonged or intense to benefit the brain and that the effects can begin far more quickly than many of us might expect.

We already know that exercise can change our brains and minds. The evidence is extensive and growing.

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Eamonn Vitt
The Problem With Probiotics

Published by the New York Times October 22, 2018

By Aaron E. Carroll

There are potential harms as well as benefits, and a lot of wishful thinking and imprecision in the marketing of products containing them.

Even before the microbiome craze — the hope that the bacteria in your gut holds the key to good health — people were ingesting cultures of living micro-organisms to treat a host of conditions. These probiotics have become so popular that they’re being marketed in foods, capsules and even beauty products.

Probiotics have the potential to improve health, including by displacing potentially harmful bugs. The trouble is that the proven benefits involve a very small number of conditions, and probiotics are regulated less tightly than drugs. They don’t need to be proved effective to be marketed, and the quality control can be lax.

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Eamonn Vitt
Your Lifetime Health Checkup Roadmap

Published by the New York Times

By Anahad O'Connor

Many of the leading killers of Americans are chronic diseases that can be prevented with healthy habits like a good diet and plenty of exercise. But there’s a key part of prevention that should not be overlooked: At every stage of your adult life, you should undergo routine screening exams to catch any health problems so you can try to nip them in the bud. Read on for the lowdown on the routine but potentially lifesaving tests and preventive procedures that you need at every stage of your adult life. 

Routine Maintenance

There are some tests that come up again and again. Know when to look for them. 

GET A FLU SHOT EVERY YEAR

For most people, the flu shot is an inconvenience. You might think you don’t need it because the flu doesn’t seem that serious. But every year, more than a hundred thousand people in the United States are hospitalized with the flu, and about 57,000 people die from it. The flu is a top killer of Americans. It’s the eighth leading cause of death, right behind diabetes – even though it can be prevented in most cases with a quick and easy vaccine. 

Everyone who is older than 6 months of age should get the flu vaccine annually, except for people who have a rare, life-threatening allergy to it or people with a history of Guillain-Barré syndrome. For more about the flu vaccine and where to find it, you can read this primer from the Centers for Disease Control and Prevention

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Eamonn Vitt
Lifestyle changes reduce the need for blood pressure medications

Published by the American Heart Association on September 08, 2018 

Study Highlights:

  • Men and women with high blood pressure reduced the need for antihypertensive medications by making lifestyle changes.

  • A 16-week program, focused on the DASH diet, weight management and exercise, resulted in the most dramatic declines in blood pressure.

Embargoed until 1:30 p.m. CT / 2:30 p.m. ET Saturday, Sept. 8, 2018

CHICAGO, Sept 8, 2018 —  Men and women with high blood pressure reduced the need for antihypertensive medications within 16 weeks after making lifestyle changes, according to a study presented at the American Heart Association's Joint Hypertension 2018 Scientific Sessions, an annual conference focused on recent advances in hypertension research.

Lifestyle changes are the first step in reducing blood pressure according to the 2017 American College of Cardiology/American Heart Association Hypertension Guideline.

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Eamonn Vitt
Weight Training May Help to Ease or Prevent Depression

Published by the New York Times June 6, 2018

By Gretchen Reynolds

Benefits essentially were the same whether people went to the gym twice a week or five times a week.

Lifting weights might also lift moods, according to an important new review of dozens of studies about strength training and depression. It finds that resistance exercise often substantially reduces people’s gloom, no matter how melancholy they feel at first, or how often — or seldom — they actually get to the gym and lift.

There already is considerable evidence that exercise, in general, can help to both stave off and treat depression. A large-scale 2016 review that involved more than a million people, for instance, concluded that being physically fit substantially reduces the risk that someone will develop clinical depression. Other studies and reviews have found that exercise also can reduce symptoms of depression in people who have been given diagnoses of the condition.

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Eamonn Vitt
Trying to Put a Value on the Doctor-Patient Relationship

Published by the New York Times May 16, 2018

By Kim Tingley

IN ITS PUSH FOR PROFITS, THE U.S. HEALTH CARE SYSTEM HAS MADE IT DIFFICULT FOR PATIENTS TO GET PERSONAL ATTENTION FROM DOCTORS. BUT WHAT IF HANDS-ON MEDICINE ACTUALLY SAVES MONEY — AND LIVES?

In October 2014, my father was startled to receive a letter announcing the retirement, in a month’s time, of our family physician. Both he and his doctor were in their late 60s by then, and their relationship went back about 30 years, to the early 1980s, after my father followed his father and paternal grandparents, all from the Midwest, to Southwest Florida. How they began seeing the doctor is beyond memory, but as my father’s grandparents grew increasingly frail, his father frequently drove them to their doctor for checkups. At one of them, in the mid-’80s, the doctor suggested that it might be less strenuous for my great-grandparents if he met them in the parking lot. From then until they died, he came downstairs from his seventh-floor office with his black bag and climbed into the back seat of their yellow Oldsmobile 88 to give them their physicals.

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Eamonn Vitt