Quantum Sufficit
Just Enough
Are some people genetically predisposed to anorexia
nervosa? New research published in the Archives of General Psychiatry suggests
that 56 percent of the risk for developing the disease is genetic. Researchers
reviewed data on more than 31,000 Swedish twins born between 1935 and 1958 and
examined seven potential predictors for the development of anorexia in women.
The tendency to exhibit neurotic symptoms early in life, usually a genetic
condition, was the only predictor identified as a risk factor for anorexia.
Researchers say those with inherited neurotic disorders are more sensitive to
environmental factors that trigger anorexia. The authors hope to one day
identify a gene to help predict and treat anorexia more effectively. (Arch Gen Psychiatry, March 2006)
There is new treatment for patients with stroke who have
impaired arm function. Results of a study published in
Stroke claim that rehabilitation
programs in which a patient's good arm is constrained after a stroke can cause
significant improvement in the damaged arm. Researchers recruited 41 patients
with chronic motor deficit and assigned 21 to a rehabilitation group that
required the better arm to be constrained for 90 percent of waking hours. The
other patients were enrolled in a general fitness program. After two weeks, the
rehabilitation group showed a 1.8-point mean increase in motor activity log
score, whereas the control group had no change. Researchers suggest that the
therapy reorganizes the brain and causes it to recruit new brain areas to
influence movement in the affected arm. (Stroke, April 2006)
Women who take birth control pills may have a higher risk
of migraines. According to a study published in
Neurology, women taking oral
contraceptives (OCs) are 40 percent more likely to have migraine headaches and
20 percent more likely to have nonmigraine headaches than women who do not take
OCs. Researchers point out that many women have migraine headaches during
menstruation, when estrogen levels in the body drop. The risk of headache is
particularly increased for women taking OCs because the pills boost estrogen
levels up to four times their normal range before the drop. (Neurology, February 2006)
Does body weight affect a person's chances of dying in a
motor vehicle crash? According to a study published in the
American Journal of Public Health,
men with a body mass index (BMI) of less than 22 [kg per m2] or more than 35 have a significantly higher
chance of dying in a motor vehicle crash. Investigators analyzed data from more
than 22,000 drivers involved in crashes between 1997 and 2001 and found that
being underweight or obese contributed to the likelihood of fatality. Men with
a BMI of around 28, which is considered overweight but not obese, were the
least likely to die because of what researchers called a "cushioning effect."
BMI did not affect the risk of death among women in the study. (Am J Public Health, April 2006)
Teenagers who cut back on soda could lose one pound every
three to four weeks, according to a study published in
Pediatrics. The study included 103
teenagers between 13 and 18 years of age who reported drinking at least one
serving of sugar-sweetened beverages every day. (Sugar-sweetened beverages
included soft drinks, juice drinks, punches, lemonade, iced tea, and sports
drinks.) One half of participants were asked to replace their sweetened drinks
with any noncaloric drink (including water, no-calorie juice drinks, or diet
sodas) for six months, whereas the rest continued their normal drinking habits.
At the end of the study, the noncaloric beverage group saw a modest decrease in
BMI, and the most overweight teens saw a decrease of about one pound per month.
(Pediatrics, March 2006)
Being inside a taxi cab can increase your exposure to
pollution, according to a study published in Atmospheric Environment. Investigators used
video cameras and a special counter that measures pollutant particles to study
five kinds of transportation: bicycles, cars, taxis, buses, and walking. In
taxis, riders were exposed to more than 100,000 ultrafine pollution particle
counts per cm3, the worst of all five
categories. Walking had the lowest particle count, resulting in the least
exposure to pollution. Investigators attributed the amount of ultrafine
particles in taxis to the fact that they are on the road for much longer each
day than noncommercial cars. (Atmos
Environ, January 2006)
| Copyright © 2006 by the American
Academy of Family Physicians. |









