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Body weight, diet may be risk factors for non-Hodgkin lymphoma

December 17th, 2011 / tags:, , , , / categories: Uncategorized /

ScienceDaily (Oct. 24, 2011) — Body weight in young adulthood and diet appeared to be associated with the risk for non-Hodgkin lymphoma, according to results presented at the 10th AACR International Conference on Frontiers in Cancer Prevention Research, held Oct. 22-25, 2011.

“The causes of non-Hodgkin lymphoma (NHL) are poorly understood, and unfortunately, we don’t know very much about specific ways to prevent or lower the risk for this disease,” said Kimberly Bertrand, Sc.D., research fellow in the department of epidemiology at the Harvard School of Public Health.

In previous analyses of the Nurses’ Health Study at 14 years of follow-up, lead researcher Shumin Zhang, M.D., Sc.D., and colleagues reported positive associations with NHL for trans fat intake and inverse associations for vegetable intake. To expand those findings, Bertrand and colleagues evaluated the association of obesity, specific types of dietary fats, and fruits and vegetables with risk for NHL.

Researchers analyzed questionnaire responses from 47,541 men followed for 22 years in the Health Professionals’ Follow-Up Study and 91,227 women followed for 28 years in the Nurses’ Health Study. Among the women, researchers confirmed 966 incident diagnoses of NHL through 2008, and among the men, they confirmed 566 cases through 2006.

“In analyses that controlled for age, race and other factors, we found that obesity in young adulthood (ages 18 to 21 years) was associated with risk for NHL later in life,” Bertrand said. “Men who were obese (body mass index [BMI] equal to or greater than 30) [in young adulthood] had a 64 percent higher risk for NHL compared with men who were lean, while obese women had a 19 percent higher risk.”

Current BMI was also associated with risk for NHL in men but not in women. Although total and specific dietary fats were not associated with NHL risk, findings also suggested that women who consumed the highest amounts of trans fat in their diets had a nonstatistically significant increased risk for NHL overall. “We observed that women who consumed at least four servings of vegetables per day, compared with those who consumed fewer than two servings per day, had a 16 percent lower risk for developing NHL,” Bertrand said.

“The results from this study, if confirmed in other studies, suggest that body weight and dietary choices may be potentially modifiable risk factors for NHL,” she said. Bertrand and colleagues also plan to investigate associations of obesity and dietary factors with common subtypes of NHL, to evaluate biomarkers of fatty acids related to NHL risk to obtain more information on the possible biological mechanism for these associations, and to investigate other dietary factors including red meat consumption and antioxidants.

The study was supported by the American Cancer Society with funds to senior researcher, Brenda Birmann, M.Sc., Sc.D. (RSG-11-020-01-CNE), and by the National Institutes of Health (CA055075 and CA87969). Bertrand was supported by a training grant from the National Cancer Institute (R25 CA098566).

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The above story is reprinted from materials provided by American Association for Cancer Research.

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Article source: http://www.sciencedaily.com/releases/2011/10/111024084712.htm

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Childhood diet lower in fat and higher in fiber may lower risk for chronic disease in adulthood

December 17th, 2011 / tags:, , , , / categories: Uncategorized /

ScienceDaily (Oct. 27, 2011) — A recent study has found that a childhood behavioral intervention to lower dietary intake of total fat and saturated fat and increase consumption of foods that are good sources of dietary fiber resulted in significantly lower fasting plasma glucose levels and lower systolic blood pressure when study participants were re-evaluated in young adulthood.

The study was accepted for publication in The Endocrine Society’s Journal of Clinical Endocrinology and Metabolism (JCEM).

A Western dietary pattern high in total fat and saturated fatty acids and refined grains is associated with an increased risk of the metabolic syndrome, a cluster of metabolic abnormalities that include abdominal obesity, low levels of high-density lipoprotein cholesterol (sometimes considered “good cholesterol”), higher levels of triglycerides and blood glucose, and elevated blood pressure. This study evaluated the long-term effects of a dietary intervention to reduce fat and increase fiber intake during childhood on components of the metabolic syndrome in young adult women.

“This research is important because it suggests that modest reductions in total fat and saturated fat intake and increased consumption of dietary fiber during childhood and adolescence may have beneficial effects later in life by decreasing risk of chronic diseases such as diabetes and heart disease,” said Joanne Dorgan, PhD, of Fox Chase Cancer Center in Philadelphia, PA and lead author of the study.

In this study, researchers evaluated 230 women between the ages of 25 and 29 years, who nine years before the current study participated in the Dietary Intervention Study in Children (DISC). DISC was a randomized controlled clinical trial of a reduced-fat dietary intervention that strived to limit fat intake to 28 percent of daily caloric intake and increase dietary fiber intake by encouraging consumption of fruits, vegetables and whole grains. The current study was conducted among females who had participated in the DISC trial to determine the longer-term effects of the DISC intervention.

Researchers measured body composition of study participants using whole body dual-energy x-ray absorptiometry (DXA) scans. Blood pressure was measured using automatic blood pressure monitors and blood samples were analyzed to assess levels of plasma glucose, cholesterol and triglycerides.

“Few participants in our follow-up study met the criteria for metabolic syndrome, however the intervention group had statistically significant lower mean systolic blood pressure and fasting plasma glucose levels compared to the control group,” said Dorgan. “Significant differences at the follow-up visit, but not earlier, suggest that adolescent diet may have long-term effects on age-related changes in blood pressure and glycemic control that begin to become apparent in young adulthood. Longer follow-up studies of DISC participants are needed to determine if the differences found in this study persist or widen with increasing age.”

Other researchers working on the study include: Lea Liu of Clinical Trials Surveys Corporation in Owings Mills, MD; Bruce Barton of the University of Massachusetts in Shrewsbury; Snehal Deshmukh of Fox Chase Cancer Center; Linda Snetselaar of the University of Iowa in Iowa City; Linda Van Horn of Northwestern University in Chicago, IL; Victor Stevens of Kaiser Permanente Center for Health Research in Portland, OR; Alan Robson of Children’s Hospital in New Orleans, LA; Norman Lasser of the New Jersey Medical School in Newark; John Himes of the University of Minnesota in Minneapolis; John Shepherd of the University of California San Francisco; Ray Pourfarzib of LipoScience Inc. in Raleigh, NC; Kelley Pettee Gabriel of the University of Texas in Austin; Andrea Kriska of the University of Pittsburgh in PA; and Peter Kwiterovich, Jr. of Johns Hopkins Hospital in Baltimore, MD.

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The above story is reprinted from materials provided by The Endocrine Society.

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Journal Reference:

  1. J. F. Dorgan, L. Liu, B. A. Barton, S. Deshmukh, L. G. Snetselaar, L. Van Horn, V. J. Stevens, A. M. Robson, N. L. Lasser, J. H. Himes, J. A. Shepherd, R. Pourfarzib, K. Pettee Gabriel, A. Kriska, P. O. Kwiterovich. Adolescent Diet and Metabolic Syndrome in Young Women: Results of the Dietary Intervention Study in Children (DISC) Follow-Up Study. Journal of Clinical Endocrinology Metabolism, 2011; DOI: 10.1210/jc.2010-2726

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Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

Article source: http://www.sciencedaily.com/releases/2011/10/111027083045.htm

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Use of over-the-counter thyroid support pills is risky, researcher finds

December 16th, 2011 / tags:, , , , / categories: Uncategorized /

ScienceDaily (Oct. 27, 2011) — People who use over-the-counter “thyroid support” supplements may be putting their health at risk, according to a study being presented at the annual meeting of the American Thyroid Association. The supplements contain varying amounts of two different kinds of thyroid hormones apparently derived in large part from chopped up animal thyroid glands, says the study’s senior investigator, Victor Bernet, M.D., an endocrinologist at Mayo Clinic in Florida.

The hormones are known as T3, or triiodothyronine, and T4, or thyroxine. They are regulated by the U.S. Food and Drug Administration and intended for use only in prescription medication because they can cause significant health issues, such as an increase in heart rate, heart irregularities and palpitations, nervousness, and diarrhea, Dr. Bernet says.

“These hormones have effects throughout the body, which is why they are controlled,” he says.

Not only did nine of the 10 supplements studied have animal hormone, the amount of hormones in the products varied significantly, sometimes exceeding doses used for individual patients and comparable to levels found in prescription thyroid medication, Dr. Bernet says.

The supplements likely do not give most people the results they are seeking, such as weight loss or less fatigue, he says.

“The amount of thyroid hormone a normal person would have to take to lose weight would be dangerously high and there is no evidence that use of thyroid hormone effectively treats fatigue when used in people without actual hypothyroidism,” he says.

Because physicians have seen a number of abnormal thyroid tests from patients using over-the-counter supplements, Dr. Bernet became interested in this issue when he heard reports of such cases as chairman of the American Thyroid Association’s public health committee. He worked with researchers including endocrinologists at Walter Reed Army Medical Center, where he practiced at the time.

The researchers bought 10 commercially available thyroid supplements from stores or websites and used high-pressure liquid chromatography to separate and identify the chemical components of T3 and T4. Nine of the 10 contained T3 and five of them would deliver as much, or more, than 50 percent of the total amount of T3 produced by the body daily.

Four of the 10 supplements contained T4, and some of those contained a dose that could be twice as much as what an adult needs each day. Only one supplement had no detectable T3 or T4.

The results show there is a need for more effective monitoring of the contents of over-the-counter thyroid support products and more patient education about the products’ potential health risks, Dr. Bernet says.

The study was funded by the Department of Clinical Investigation at Walter Reed Army Medical Center, which, in August 2011, became the Walter Reed National Military Medical Center.

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Article source: http://www.sciencedaily.com/releases/2011/10/111027150200.htm

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