Tag Archives: study

Stressful childhood may mean earlier death

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Stressful childhood may mean earlier death

Having a stressful childhood may slash decades off a person’s life, researchers from the Centers for Disease Control and Prevention (CDC) report.

Among people who reported experiencing at least six of eight different bad childhood experiences-from frequent verbal abuse to living with a mentally ill person-average age at death was about 61, compared to 79 for people who didn’t have any of these experiences as children, the researchers found.

Dr. David W. Brown and Dr. Robert Anda of the CDC and colleagues from the CDC and Kaiser Permanente have been following 17,337 men and women who visited the health plan between 1995 and 1997 to investigate the relationship between bad childhood experiences and health.

So far, Anda noted in an interview, they have shown links between childhood stressors and heart disease, lung disease, liver disease and other conditions. “The strength of it really surprised me, how powerfully it’s related to health,” the researcher said.

In the current analysis, the researchers reviewed death records through 2006 to investigate whether these experiences might also relate to mortality. During that time, 1,539 study participants died.

Each person was asked whether they had any of eight different categories of such experiences, including verbal abuse, physical abuse, sexual abuse with physical contact, having a battered mother, having a substance-abusing person in the household, having a mentally ill person in the household, having a household member who was incarcerated, or having one’s parents separate or divorce.

Sixty-nine percent of the study participants who were younger than 65 reported at least one of the adverse childhood experiences, while 53 percent of people 65 and older did.

Those who reporting experiencing six or more were 1.5 times more likely to die during follow-up than those who reported none, the researchers found. They were 1.7 times as likely to die at age 75 or younger, and nearly 2.4 times as likely to die at or before age 65.

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For best healthcare, location matters: study

in.reuters.com

For best healthcare, location matters: study

The quality of healthcare Americans receive depends largely on where they live, with insurance coverage, access to preventive medicine and disease treatment varying widely from state to state, according to a study released on Thursday by the Commonwealth Foundation.

“Where you live matters,” said the foundation’s Vice President Cathy Schoen, who co-authored the study for the private research group, in a conference call with reporters. “And it shouldn’t.”

The report found that all of the states that have made healthcare reforms provide better access to medical treatment and prevention and mostly avoid costly hospital procedures.

Residents of Vermont have the best healthcare in the country, the foundation said. The small northern state, which embarked on a radical plan to provide all citizens with healthcare less than a decade ago, also leads the nation in “equity,” or making sure that people of lower income groups have healthcare.

The report comes as the U.S. Congress inches closer to finalizing a plan to reshape healthcare. So far, drafts of the plan have emphasized relying on the states to operate insurance exchanges and possibly to extend more health insurance to families with lower incomes.

“The patterns indicate that public policies, plus state and local health care systems, can make a difference,” according to the report, which was also conducted by Joel Cantor, director of the Center for State Health Policy at Rutgers University.

Hawaii followed Vermont, and Iowa was ranked third on the scorecard. Neither state has a plan to reform healthcare, but Minnesota, which has created public-private collaborations on healthcare, ranks fourth, followed by Maine, which has also implemented sweeping reforms. Massachusetts — the Vermont neighbor that recently began a universal health insurance program — was seventh.

At the other end of the spectrum, Mississippi has the worst healthcare, according to the scorecard. Oklahoma fares mildly better, followed by Louisiana and Arkansas.

Generally, the report found, states in the South, Southwest and lower Midwest have worse insurance rates and less access to good medical treatment.

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Antioxidants may raise diabetes risk: study

antioxidants

Antioxidants may raise diabetes risk: study

Instead of protecting against diabetes, antioxidants — compounds in foods and supplements that prevent cell damage — may actually increase the chances of getting diabetes, at least in the early stages, Australian researchers reported on Tuesday.

“In the case of early type 2 diabetes … our studies suggest that antioxidants would be bad for you,” Tony Tiganis of Monash University in Australia, whose study appears in the journal Cell Metabolism, said in a statement.

Antioxidants are protective proteins that can prevent cell damage caused by charged particles known as reactive oxygen species. This oxidative stress is thought to add to the progression of several diseases, including type 2 diabetes.

Because antioxidants fight oxidative stress, they have become a popular food supplement. But Tiganis said the picture appears to be a bit more complicated.

“We think there is a delicate balance, and that too much of a good thing — surprise, surprise — might be bad,” he said.

Tiganis’ team studied the effects of oxidative stress in mice fed a high-fat diet for 12 weeks. One group of mice lacked an enzyme known as Gpxl, which helps counter oxidative stress.

They found mice that lacked the enzyme were less likely to develop insulin resistance — an early sign of diabetes — than normal mice. But when they treated the enzyme-deficient mice with an antioxidant, “they lost this advantage and become more ‘diabetic,” Tiganis said in an e-mail.

He said oxidative stress may be working not to damage the body but to inhibit enzymes that hurt the body’s ability to use insulin early on in the development of diabetes, and that antioxidants remove this protective mechanism.

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