Tag Archives: Studies

Harvard’s “Housing America’s Older Adults 2019” Study Highlights Increasing Housing Cost Burdens For The 65+

From a Harvard Joint Center for Housing Studies report:

As both the number and share of older households in the United States increase to unprecedented levels, inequalities are becoming more evident. Within the 65-and-over age group, most recent income gains have gone to the highest earners, and the number of households with housing cost burdens has reached an all-time high. Ensuring that middle- and lower-income households in this age range have the means to live affordably and safely in their current homes or move to other suitable housing will be a growing challenge.

Over the Next 20 Years, Households in Their 80s Will Be the Fastest-Growing Age Group Harvard

Meanwhile, many households in the 50–64 year-old age group have not recovered from the Great Recession, leaving them with lower incomes and homeownership rates than their predecessors at similar ages. For the nearly 10 million households in this age group that are cost burdened, ensuring financial and housing security in retirement will be a struggle.

 

https://www.jchs.harvard.edu/sites/default/files/Harvard_JCHS_Housing_Americas_Older_Adults_2019.pdf

Health Care: How “Non-Profit” Hospitals Are Driving Up Medical Costs

From an NPR online article:

Yale School of Public HealthThe irony is most hospitals are “nonprofit,” a status that makes them tax exempt. Many (but not all) do enough charity work to justify tax benefits, yet it’s clear nonprofit hospitals are very profitable. They funnel much of the profits into cushy salaries, shiny equipment, new buildings, and, of course, lobbying. In 2018, hospitals and nursing homes spent over $100 million on lobbying activities. And they spent about $30 million on campaign contributions. Health industries have also been funneling hefty sums into dark money groups. But their political power isn’t just the result of lobbying or electioneering. Hospitals are often the biggest employers in states and cities across America.

recent study by Yale School of Public Health economist Zack Cooper and colleagues takes a look at hospital politics and helps shed light on why American health care is so insanely expensive.

Cooper and his colleagues have spent years investigating whether this was true, filing Freedom of Information Act requests and crunching data. They’ve uncovered evidence that suggests it was true. They find that legislators who were on the fence and voted “yea” for the legislation were 700% more likely to see a large bump in Medicare payment rates to hospitals in their district. Between 2005 and 2010, Congress shelled out over $2 billion to 88 hospitals through the horse-trading Section 508 provision. It was a clear win for these hospitals, which spent the money on more equipment, buildings, services, and staff.

To read more: https://www.npr.org/sections/money/2019/10/15/769792903/how-non-profit-hospitals-are-driving-up-the-cost-of-health-care

Studies: Antibiotics Impair Microbiome Composition, Reducing Flu Immunity

From a Science Magazine online article:

Antibiotic use diminished the gut microbiome composition and impaired the ability of the immune system to generate antibodies. Treatment with antibiotics also disturbed bile acid metabolism and caused inflammatory responses.

From the original findings the Journal “Cell.com”:

Emerging evidence indicates a central role for the microbiome in immunity. However, causal evidence in humans is sparse. Here, we administered broad-spectrum antibiotics to healthy adults prior and subsequent to seasonal influenza vaccination. Despite a 10,000-fold reduction in gut bacterial load and long-lasting diminution in bacterial diversity, antibody responses were not significantly affected. However, in a second trial of subjects with low pre-existing antibody titers, there was significant impairment in H1N1-specific neutralization and binding IgG1 and IgA responses.

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In addition, in both studies antibiotics treatment resulted in (1) enhanced inflammatory signatures (including AP-1/NR4A expression), observed previously in the elderly, and increased dendritic cell activation; (2) divergent metabolic trajectories, with a 1,000-fold reduction in serum secondary bile acids, which was highly correlated with AP-1/NR4A signaling and inflammasome activation. Multi-omics integration revealed significant associations between bacterial species and metabolic phenotypes, highlighting a key role for the microbiome in modulating human immunity.

Diet Studies: “Dietary Fructose” In Soft Drinks, Foods Impairs The Body’s Ability To Burn Fat

From a Cell Metabolism online release:

Cell Metabolism Journal CoverIn summary, dietary fructose, but not glucose, supplementation of HFD impairs mitochondrial size, function, and protein acetylation, resulting in decreased fatty acid oxidation and development of metabolic dysregulation.

Dietary sugars, fructose and glucose, promote hepatic de novo lipogenesis and modify the effects of a high-fat diet (HFD) on the development of insulin resistance. Here, we show that fructose and glucose supplementation of an HFD exert divergent effects on hepatic mitochondrial function and fatty acid oxidation. This is mediated via three different nodes of regulation, including differential effects on malonyl-CoA levels, effects on mitochondrial size/protein abundance, and acetylation of mitochondrial proteins. HFD- and HFD plus fructose-fed mice have decreased CTP1a activity, the rate-limiting enzyme of fatty acid oxidation, whereas knockdown of fructose metabolism increases CPT1a and its acylcarnitine products. Furthermore, fructose-supplemented HFD leads to increased acetylation of ACADL and CPT1a, which is associated with decreased fat metabolism.

To read more: https://www.cell.com/cell-metabolism/fulltext/S1550-4131(19)30504-2?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1550413119305042%3Fshowall%3Dtrue

Health Studies: Reducing Skin Inflammation With “Topical Emollient” Cream Reduces Chronic Disease

From a Wall Street Journal online article:

nci-vol-4604-150…a new small study in humans suggests that using a barrier-forming cream, such as those with an ingredient called ceramide, to treat and prevent problems associated with aging skin—such as dryness, itching and cracking—may help reduce the low-grade inflammation that occurs in otherwise healthy people as they age. Researchers from the University of California, San Francisco and the San Francisco Veterans Hospital say reducing age-related inflammation could help slow the progression of age-related disorders associated with chronic inflammation, such as Type 2 diabetes, heart disease and loss of muscle mass.

Systemic disease usually stems from multiple sources, so skin protection alone is unlikely to be a panacea, experts say. But the hope is that it can help slow the onset or progression of chronic conditions that often crop up in patients with skin disorders such as psoriasis. And the UCSF study, which was published in the Journal of the European Academy of Dermatology and Venereology in March, provides the first hint in humans that protecting the skin with a barrier cream might benefit otherwise healthy adults whose skin invariably starts to lose its barrier function around middle age.

To read PDF of study, click below:

https://onlinelibrary.wiley.com/doi/epdf/10.1111/jdv.15540?referrer_access_token=lXsArqMcf5AHrI-R4oiwg4ta6bR2k8jH0KrdpFOxC67kdqa5-Q_Q8ltT6uQSa3kUEZMm6mEN7_8mvDywkPe9AOCn7aCLNi_CV3iAMck0BQxAu1SyLpdlTkFwF7hXxUCR6TazFFGPRwZ_EfW2P-26dA%3D%3D

To read more: https://www.wsj.com/articles/skin-protection-may-offer-surprising-benefits-for-overall-health-11568599320

Brain Research: We Make Decisions Based On Memories To Maximize Reward Received

From a Geneva University Neurocenter release:

Geneva University Neurocenter.JPG…the optimal strategy when faced with two propositions is to sum up the values associated with the memories you have of each choice, then calculate the difference between these two sums (do I have more positive memories linked to chocolate eclairs or macaroons?). The decision is made when this difference reaches a threshold value, fixed in advance, which determines the time taken in making the decision. This model leads to rapid decision-making when the values of the two possibilities are very far apart. But when two choices have almost the same value, we need more time, because we need to draw on more memories so that this difference reaches the decision threshold.

Our brains are constantly faced with different choices: Should I have a chocolate éclair or macaroon? Should I take the bus or go by car? What should I wear: a woollen sweater or one made of cashmere? When the difference in quality between two choices is great, the choice is made very quickly. But when this difference is negligible, we can get stuck for minutes at a time – or even longer – before we’re capable of making a decision. Why is it so difficult to make up our mind when faced with two or more choices? Is it because our brains are not optimised for taking decisions? In an attempt to answer these questions, neuroscientists from the University of Geneva (UNIGE), Switzerland, – in partnership with Harvard Medical School – developed a mathematical model of the optimal choice strategy. They demonstrated that optimal decisions must be based not on the true value of the possible choices but on the difference in value between them. The results, which you can read all about in the journal Nature Neuroscience, show that this decision-making strategy maximises the amount of reward received.

To read more: https://neurocenter-unige.ch/news/brain-how-to-optimize-decision-making/

 

Nutrional Health Studies: Mediterranean Diet Improves Cognitive Function In Older People

From a Nutritional Neuroscience online release:

Nutritional NeuroscienceOur findings suggest that higher adherence to a Mediterranean diet is associated with better cognitive performance, and therefore less cognitive decline, in older but not middle-aged individuals.

Over a period of five years, higher adherence to a Mediterranean diet was associated with improvements in Global Cognitive Function, Visual-Spatial Organisation and Memory and scanning and tracking in participants ≥70 years.

Adherence to a Mediterranean diet is associated with higher cognitive function and reduced risk of dementia in Mediterranean populations. However, few studies have investigated the association between Mediterranean diet adherence and cognition in populations outside of the Mediterranean basin.

To read more: https://www.tandfonline.com/doi/full/10.1080/1028415X.2019.1655201

Health Studies: Patients With Gout Face Double The Risk Of Kidney Failure

From a  Eurekalert.org online release:

Gout Study - Increased Kidney Failure Risk UL“While we always believed that high levels of uric acid might be bad for kidneys and that patients with gout may have a higher risk of kidney failure, we were quite surprised by the magnitude of the risk imposed by gout in these patients. We were particularly interested in the risk of advanced kidney disease, as these patients in general have a higher risk of kidney failure and death.

Patients with gout are at increased risk of chronic kidney disease and kidney failure, according to new University of Limerick (UL), Ireland led research.

In one of the largest and most detailed studies ever conducted, patients recruited in general practice with a diagnosis of gout were more than twice as likely to develop kidney failure than those without, according to the study led by researchers at University of Limerick’s (UL) Graduate Entry Medical School (GEMS).

Health Studies: Physician Prescribed Omega-3 Fatty Acids Safely Reduce High Triglyceride Levels

From the journal Circulation on August 19, 2019:

Circulation JournalThe use of n-3 FA (4 g/d) for improving atherosclerotic cardiovascular disease risk in patients with hypertriglyceridemia is supported by a 25% reduction in major adverse cardiovascular events in REDUCE-IT (Reduction of Cardiovascular Events With EPA Intervention Trial), a randomized placebo-controlled trial of EPA-only in high-risk patients treated with a statin.

The results of a trial of 4 g/d prescription EPA+DHA in hypertriglyceridemia are anticipated in 2020. We conclude that prescription n-3 FAs (EPA+DHA or EPA-only) at a dose of 4 g/d (>3 g/d total EPA+DHA) are an effective and safe option for reducing triglycerides as monotherapy or as an adjunct to other lipid-lowering agents.

Hypertriglyceridemia (triglycerides 200–499 mg/dL) is relatively common in the United States, whereas more severe triglyceride elevations (very high triglycerides, ≥500 mg/dL) are far less frequently observed. Both are becoming increasingly prevalent in the United States and elsewhere, likely driven in large part by growing rates of obesity and diabetes mellitus.

To read more click on the following link: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000709

Diet Studies: 2-Year Calorie Restriction Diets Lower LDL/Total Cholesterol, C-Reactive Protein & Blood Pressure

From The Lancet Diabetes & Endocrinology:

Calorie Restriction The Lancet Diabetes & Endocrinology Sept 20192 years of moderate calorie restriction significantly reduced multiple cardiometabolic risk factors in young, non-obese adults. These findings suggest the potential for a substantial advantage for cardiovascular health of practicing moderate calorie restriction in young and middle-aged healthy individuals, and they offer promise for pronounced long-term population health benefits.

Calorie restriction caused a persistent and significant reduction from baseline to 2 years of all measured conventional cardiometabolic risk factors, including change scores for LDL-cholesterol (p<0·0001), total cholesterol to HDL-cholesterol ratio (p<0·0001), and systolic (p<0·0011) and diastolic (p<0·0001) blood pressure. In addition, calorie restriction resulted in a significant improvement at 2 years in C-reactive protein (p=0·012), insulin sensitivity index (p<0·0001), and metabolic syndrome score (p<0·0001) relative to control. A sensitivity analysis revealed the responses to be robust after controlling for relative weight loss changes.

To read more click on following link: https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30151-2/fulltext?dgcid=raven_jbs_etoc_email