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PostHeaderIcon Chronic disease and sitting time in middle-aged Australian males: findings from the 45 and Up Study

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International Journal of Behavioral Nutrition and Physical Activity. April 2013

Background

Compared to females, males experience a range of health inequities including higher rates of diabetes and cardiovascular disease. Although sitting time is emerging as a distinct risk factor for chronic disease, research on the association of sitting time and chronic disease in middle-aged Australian males is limited.

Methods

A sample of 63,048 males aged 45-64 years was drawn from the baseline dataset of the 45 and Up Study – a longitudinal cohort study on healthy ageing with 267,153 participants from across New South Wales, Australia’s most populous state. Baseline data on self-reported chronic disease (heart disease, cancer, diabetes, high blood pressure, combined chronic diseases), sitting time, physical activity (Active Australia Survey), and a range of covariates were used for cross-sectional analyses. Crude (OR), partially and fully adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated using binary logistic regression.

Results

Compared to those sitting <4 hours/day, participants reporting 4 to <6, 6 to <8, and ≥8 hours were significantly more likely to report ever having any chronic disease (AOR 1.06, 95% CI 1.00 – 1.12, p = 0.050; AOR 1.10, 95% CI 1.03 – 1.16, p = 0.003; AOR 1.09, 95% CI 1.03 – 1.15, p = 0.002, respectively). Participants who reported 6 to <8 hours and ≥8 hours of sitting were also significantly more likely to report ever having diabetes than those reporting <4 hours/day (AOR 1.15, 95% CI 1.03 – 1.28, p = 0.016; AOR 1.21, 95% CI 1.09 – 1.33, p <0.001, respectively).

Conclusions

Our findings suggest that higher volumes of sitting time are significantly associated with diabetes and overall chronic disease, independent of physical activity and other potentially confounding factors. Prospective studies using valid and reliable measures into domain-specific sitting time in middle-aged males are required to understand and explain the direction of these relationships.

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PostHeaderIcon Why fish is so good for you

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Eurekalert. April 2013

Scientists of Friedrich Schiller University Jena and Jena University Hospital decode the antihypertensive impact of omega-3 fatty acids.

Jena (Germany) Fish is healthy: easy to digest and with a high level of precious proteins, fish is considered an important part of a healthy diet. And with the so-called omega-3 fatty acids fish contains real 'fountains of youth'. These fatty acids – like docosahexaeonic acid (DHA) occur mostly in fatty fish like herring, salmon and mackerel. They are thought to lower the blood pressure, to strengthen the immune system and to have positive effects on the development on the nervous system and the cardiovascular system.

"Clinical studies about the intake of nutritional supplements containing omega-3 fatty acids haven't provided complete clarity so far," Prof. Dr. Stefan H. Heinemann from Friedrich Schiller University Jena (Germany) says. "The molecular impact of the omega-3 fatty acids isn't fully understood yet," the biophysicist continues. But now scientists of the DFG research group FOR 1738 based at Jena University are able to bring new facts to light: in two newly published articles for the well-known science magazine 'Proceedings of the National Academy of Sciences, USA' they describe how they analyzed the impact of omega-3 fatty acids on a systemic level and they also described the underlying molecular mechanisms for the first time.

The teams around Prof. Heinemann (Jena University), Prof. Dr. Michael Bauer (Jena University Hospital) and Prof. Dr. Toshinori Hoshi (University of Pennsylvania) were able to show that the so-called 'SLO1' potassium channel is an important component in the effectiveness of omega-3 fatty acids. "These ionic channels act like very specific receptors for DHA and are opened by the binding of the omega-3 fatty acids," Biophysicist Heinemann explains. In the case of other omega-3 fatty acids – like the shorter eicosapentaenoic acid (EPA) or the alpha-linolenic acid (ALA) extracted from plants – the impact is much weaker.

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PostHeaderIcon Mediterranean Diet Curtails Heart Troubles

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MedPage Today. April 2013

By Michael Smith, North American Correspondent, MedPage Today

Published: February 25, 2013

Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner

Action Points

Eating a Mediterranean diet rich in olive oil or nuts reduced the rate of major cardiovascular events by nearly 30% compared with a control group eating a low-fat diet among people at increased risk for heart disease.

Point out that the Mediterranean diet recommended for the study had olive oil, fruit, nuts, vegetables, legumes, some fish and poultry, and limited amounts of dairy products, red meat, soda drinkgs, processed meats, and sweets.

Eating a Mediterranean diet rich in unrefined olive oil or nuts lowered the rate of major cardiovascular events, at least among people at increased risk for heart disease, researchers reported.

In a randomized trial in Spain in high-risk people, those who ate the Mediterranean diet supplemented with extra-virgin olive oil or mixed nuts saw a reduction in the rate of major cardiovascular events by nearly 30% compared with a control group eating a low-fat diet, according to Ramón Estruch, MD, PhD, of the Hospital Clinic in Barcelona, and colleagues.

The results support the use of the Mediterranean diet for "primary prevention" of heart disease, the researchers wrote online in the New England Journal of Medicine.

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PostHeaderIcon Hydrogen sulfide, the next potent preventive and therapeutic agent in aging and age-associated diseases.

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Publimed. March 2013

Zhang Y, Tang ZH, Ren Z, Qu SL, Liu MH, Liu LS, Jiang ZS.

Source

Institute of Cardiovascular Disease and Key Lab for Arteriosclerology of Hunan Province, University of South China, Hengyang City, Hunan Province, People's Republic of China.

Abstract

Hydrogen sulfide (H(2)S) is the third endogenous signaling gasotransmitter, following nitric oxide and carbon monoxide.

It is physiologically generated by cystathionine-γ-lyase, cystathionine-β-synthase, and 3-mercaptopyruvate sulfurtransferase.

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PostHeaderIcon Marriage reduces the risk of heart attack in both men and women and at all ages

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Eurekalert. March 2013

Cohabiting associated with better prognosis after coronary events before and after hospitalization

Sophia Antipolis, 31 January 2013. A large population-based study from Finland has shown that being unmarried increases the risk of fatal and non-fatal heart attack in both men and women whatever their age. Conversely, say the study investigators, especially among middle-aged couples, being married and cohabiting are associated with "considerably better prognosis of acute cardiac events both before hospitalization and after reaching the hospital alive".

The study, published today in the European Journal of Preventive Cardiology, was based on the FINAMI myocardial infarction register data from the years 1993 to 2002.(1,2) The study included information on people over the age of 35 living in four geographical regions of Finland. All fatal and non-fatal cardiac events - known as "acute cardiac syndromes", ACS - were included and cross-referred to the population database. "Our aim," said the authors, "was to study the differences in the morbidity and prognosis of incident acute coronary syndromes according to socio-demographic characteristics (marital status and household size)."

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PostHeaderIcon Arthritis: Sun's Rays May Cut Risk in Women

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Medpage Today. March 2013

In NHS, which began in 1976, women (ages 30 to 55) living in states with the highest ultraviolet B (UVB) intensity had a 21% lower risk for RA compared with those living in states with low UVB levels (hazard ratio 0.79, 95% CI 0.66 to 0.94, P=0.005 for trend), according to Elizabeth Arkema, PhD, and colleagues from Harvard University.

But in NHSII, initiated in 1989 in women ages 25 to 42, no significantly lower risk was seen (HR 1.12, 95% CI 0.87 to 1.44, P=0.37 for trend), the researchers reported online in Annals of the Rheumatic Diseases.

"The later birth cohort of NHSII participants (born between 1946 and 1964) were more likely aware of the dangers of sun exposure and, perhaps, had more sun-protective behavior, making residential UVB not as good a proxy for actual sun exposure in NHSII," they suggested.

Epidemiologic studies have found a correlation between an increased incidence of RA and other autoimmune diseases with higher latitude of residence.

In addition, experimental studies have demonstrated immunosuppressive effects of UVB, such as through influences on T-cells and cytokines.

Exposure to UVB also increases vitamin D synthesis in the skin, which, in turn, has immunomodulatory properties.

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