10/23/17

Monday, October 23, 2017

Woman diagnosed with "broken-heart syndrome" after dog dies

In some patients, severe emotional trauma can bring on heart-attack-like symptoms

From: http://www.cbsnews.com/news/woman-diagnosed-with-broken-heart-syndrome-after-dog-dies/

Mayo Clinic Minute: Let the dogs sleep

From: Mayo Clinic https://www.youtube.com/watch?v=9GbyCDMvMsU

How complicated is it to declare opioids a national emergency?

It's been two-and-a-half months — and thousands of deaths — since Trump said he'd declare the opioid epidemic a national emergency

From: http://www.cbsnews.com/news/how-complicated-is-it-to-declare-opioids-a-national-emergency/

Packaged veggies recalled due to listeria risk

The affected produce includes bagged broccoli, cauliflower, asparagus, zucchini, squash and peppers

From: http://www.cbsnews.com/news/meijer-trader-joes-walmart-recall-some-packaged-produce-due-to-listeria-risk/

FDA approves better vaccine against shingles

Studies funded by the vaccine maker found it prevents painful shingles outbreaks in about 90 percent of people

From: http://www.cbsnews.com/news/fda-approves-better-vaccine-against-painful-shingles-virus/

More Evidence That Depression Shortens Lives

And women have been hit even harder than men over past decades, study finds

From: https://www.webmd.com/depression/news/20171023/more-evidence-that-depression-shortens-lives?src=RSS_PUBLIC

Kids, Don't Touch the Toys at the Doctor's Office

Pediatricians' group updates infection-prevention guidelines for medical offices

From: https://www.webmd.com/cold-and-flu/news/20171023/kids-dont-touch-the-toys-at-the-doctors-office?src=RSS_PUBLIC

Medical Marijuana's Benefit to Kids Still Limited

Helped with chemo-linked nausea, epilepsy, but no evidence for other conditions

From: https://www.webmd.com/a-to-z-guides/news/20171023/medical-marijuanas-benefit-to-kids-still-limited?src=RSS_PUBLIC

Webinar to help dentists understand, create Medicaid compliance plan

ADA members seeking to better understand what a Medicaid compliance plan is and why their practice needs one can register for a free webinar.

From: http://www.ada.org/en/publications/ada-news/2017-archive/october/webinar-to-help-dentists-understand-medicaid

Activity trackers: Can they really help you get fit?

Follow me on Twitter @RobShmerling

Lately, I’ve been checking the number of steps I take each day. It’s not hard to do. My phone tracks it without me even asking it to. It also tracks the number of flights of stairs I’ve climbed and the number of miles I covered. And there are other options: I could track how often I stand up, how many calories I’ve burned by being active, and how many minutes I’ve engaged in brisk activity.

Even my employer has gotten into the act. As is common in many workplaces, one of our hospital’s wellness programs has organized “walking clubs” with teams comparing and competing with each other based on the number of steps team members take each week. Some companies offer prizes, financial incentives, or reductions in health insurance premiums if an employee participates in such a program.

Why all this monitoring?

Technology we carry around with us — our phones, watches, or other gadgets — allows enormous amounts of data to be collected about us every day. It’s important to keep in mind that there is a purpose to all of this. The point of activity trackers is to become more aware of how much (or how little) activity we’re doing so that we can make positive changes. Since the health benefits of physical activity — and the health risks of being sedentary — are well established, increasing activity is a health priority (or should be) for millions of people. Activity trackers are the first, um, step (sorry, couldn’t resist).

Do activity trackers really improve health?

My guess is that most people take for granted that activity trackers are helpful in promoting more physical activity, but that’s based mostly on assumption. That’s why researchers at Duke-National University of Singapore Medical School designed a study to compare full-time employees who used activity trackers with those who did not. Each of the 800 employees enrolled in the study paid the equivalent of $7 to enroll and then were randomly assigned to one of four groups for one year:

use of a Fitbit Zip, a popular clip-on activity tracker (with payment of $3/week to continue in the study regardless of the number of steps taken)
a Fitbit plus a cash incentive ($11 for taking 50,000 to 70,000 steps each week, or $22 for more than 70,000 steps/week)
a Fitbit plus a payment to a charity (which was larger with increased activity)
a control group that did not use an activity tracker; this group also received the $3/week for participation regardless of activity levels.

Researchers monitored more than just the number of steps taken. Study participants also had monitoring of more vigorous exercise and physical activity, weight, blood pressure, fitness levels, and they were asked about quality of life as well.

So, what did they find?

First, the good news

The group receiving the cash incentive increased their daily steps compared to the start of the study. This group was more active than the control group at six months, and 88% of them were still using their Fitbits (compared with about 60% of the Fitbit only and charity incentive groups).

Say it isn’t so!

When incentives stopped, only one in 10 study subjects continued to use the Fitbit. And after a year, with incentives stopped, activity levels fell in the groups receiving an incentive compared to when they started. This is disappointing indeed, especially considering that the participants in this study were probably more motivated than most to focus on their activity levels. They went to the effort and expense of enrolling in the study and agreed to put up with all the monitoring. In addition, most people in the real world probably have no direct financial incentives to maintain a certain level of activity each week.

This study follows another one from the University of Pittsburgh that found less weight loss among young adults who used fitness trackers compared to those who didn’t.

What’s next?

As technology evolves and research provides more information about what works (and what doesn’t), I think we’ll see a new generation of devices that are more customized to individual needs and medical conditions. For example, a person with diabetes might monitor physical activity to provide information about how to coordinate insulin injections and meals.

In addition, activity trackers can do more than simply spit out information about how active you’ve been. A good example comes from another recent study in which activity trackers were incorporated into a competitive game, complete with signed commitments to specific activity goals, an elaborate point system, and reliance on team cooperation and rewards. The study found that those using game-based activity trackers were more active and achieved activity goals more often than those using activity trackers without the game. The study lasted only 12 weeks and improvements waned somewhat after it ended, so the long-term impact of such a program is uncertain.

Physical activity trackers have quickly become a multimillion-dollar product category. I don’t see them going away any time soon. But, to actually get people moving and have a positive impact on health, we’ll probably need to use them in more innovative ways. And if they claim to improve your health, we’ll need high-quality research to back that up.

The post Activity trackers: Can they really help you get fit? appeared first on Harvard Health Blog.

From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/activity-trackers-help-you-get-fit-2017102312594

Health and Nutrition News, Latest Headlines Source

Monday, October 23, 2017

Woman diagnosed with "broken-heart syndrome" after dog dies

Mayo Clinic Minute: Let the dogs sleep

How complicated is it to declare opioids a national emergency?

Packaged veggies recalled due to listeria risk

FDA approves better vaccine against shingles

More Evidence That Depression Shortens Lives

Kids, Don't Touch the Toys at the Doctor's Office

Medical Marijuana's Benefit to Kids Still Limited

Webinar to help dentists understand, create Medicaid compliance plan

Activity trackers: Can they really help you get fit?

Why all this monitoring?

Do activity trackers really improve health?

First, the good news

Say it isn’t so!

What’s next?

Heart Disease, Stroke Cutting Black Lives Short

U.S. Opioid Painkiller Abuse May Be Leveling Off

Breast Cancer Awareness: Mayo Clinic Radio

Mayo Clinic Minute: Time to get vaccinated for flu season

Mayo Clinic Minute: A warning about costume contacts

Infertility: Mayo Clinic Radio

Mayo Clinic Minute: Opioids in the ED

Mayo Clinic Minute: Hysterectomy options

Lung Transplant and Lung Restoration: Mayo Clinic Radio

Spine Talks – Spondylolisthesis, Episode 1

Dr. Jeffrey M. Cole is ADA president-elect

Webinar to explore loan repayment options for dentists

Keep kids safe from germs at the doctor’s office