Association Between Genetic Variation And Influenza Severity.

It is estimated that in the USA influenza -related deaths in recent years have ranged from 12,000 to 56,000. Factors like age, obesity, pregnancy and such chronic health conditions as asthma, chronic lung disease and heart disease are associated with an elevated risk of complications and death.

However, there are no proven genetic markers of influenza risk with an established mechanism of action. Interferon Induced Transmembrane Protein 3 (IFITM3) is an anti-viral protein that helps to block influenza infection of lung cells and to promote survival of the killer T cells that help clear the infection in the airways.

Image: A scanning electron micrograph of a CD8+ T cell engaging a virus.

(Photo courtesy of Dennis Kunkel).

A group of scientists collaborating with those at St. Jude Children's Research Hospital (Memphis, TN, USA) searched for other possible IFITM3 variants that correlated with gene expression, levels of the IFITM3 proteins and were common in influenza patients in the USA. The search led to an IFITM3 variant known as rs34481144. They checked 86 children and adults in Memphis with confirmed influenza infections and found two-thirds of patients with the most severe symptoms carried at least one copy of the newly identified high-risk IFITM3 variant. The high-risk variant was found in just 32% of patients with milder symptoms.

The team also found an association between the newly identified high-risk variant and severe and fatal influenza infections in 265 critically ill pediatric patients hospitalized in one of 31 intensive care units nationwide. The patients did not have health problems that put them at high risk for severe influenza. Of the 17 patients in this group who died from the infection, 14 carried at least one copy of the newly identified high-risk variant. Further study revealed how binding differed between the high-risk and protective variants. Those differences led to lower levels of the IFITM3 protein in individuals with two copies of the high-risk gene variant compared to other patients. The Memphis influenza patients also had fewer of the killer T cells in their upper airways. The study identifies a new regulator of IFITM3 expression that associates with CD8+ T cell levels in the airways and a spectrum of clinical outcomes.

Paul Thomas, PhD, an immunologist and corresponding author of the study, said, “A genetic marker of influenza risk could make a life-saving difference, particularly during severe influenza outbreaks, by helping prioritize high-risk patients for vaccination, drug therapy and other interventions. These results raise hopes that this newly identified IFITM3 variant might provide such a marker.” The study was published on July 17, 2017, in the journal Nature Medicine.

Source: labmedica

How Body Fat May Make You More Prone to This Cancer

Most of the time people try to lose a few pounds so they like that reflection in the mirror a little more, but it turns out the benefits of weight loss may extend well beyond looking better in your swimsuit.

A new study suggests that, if you’re an older woman, shedding excess pounds may also reduce your risk of developing endometrial cancer, a potentially deadly disease with which tens of thousands of women are diagnosed each year.

Read more: How Body Fat May Make You More Prone to This Cancer

A close-up image of a slim young woman with a belly fat after giving birth. Woman's torso with
some belly fat. Abdominal fat.

Source: msn.com/en-us/health/medical

Spike In Teen Obesity Explained By Decreased Calorie Burn In Puberty

The rise in obesity rates during adolescence may be due to a substantial fall of calories burned during the rapid growth phase of puberty, finds a new study by the University of Exeter Medical School in the United Kingdom.

According to the Centers for Disease Control and Prevention, around 20 percent of adolescents age 12-19 years are obese in the United States. Obese teenagers are more likely to have prediabetes, a condition in which blood glucose levels indicate a high risk for the development of diabetes.

Adolescents who are obese are also at a greater risk for bone and joint problems, sleep apnea, social and psychological problems, and they are more likely to have risk factors for cardiovascular diseases, such as high cholesterol or high blood pressure.

Read more: Spike In Teen Obesity Explained By Decreased Calorie Burn In Puberty

During puberty, the number of calories girls and boys burn while at rest plummets.

Source: MedicalNewsToday

Short-Chain Fatty Acids In Control Of Body Weight And Insulin Sensitivity

The connection between the gut microbiota and the etiology of obesity and cardiometabolic disorders is increasingly being recognized by clinicians. Our gut microbiota might affect the cardiometabolic phenotype by fermenting indigestible dietary components and thereby producing short-chain fatty acids (SCFA). These SCFA are not only of importance in gut health and as signaling molecules, but might also enter the systemic circulation and directly affect metabolism or the function of peripheral tissues.

In this Review, we discuss the effects of three SCFA (acetate, propionate and butyrate) on energy homeostasis and metabolism, as well as how these SCFA can beneficially modulate adipose tissue, skeletal muscle and liver tissue function.

Read more: Short-Chain Fatty Acids In Control Of Body Weight And Insulin Sensitivity

Short-Chain Fatty Acids (SCFA) and liver function.

Source: NatureReviewsEndocrinology

How Reliable Is The Glycemic Index?

Individual response to glycemic index values vary so much that it may not be useful in indicating blood sugar response, says research published in the American Journal of Clinical Nutrition.

The glycemic index (GI) of a food indicates the speed with which blood sugar can be expected to rise after a person eats it. Each food gets a score out of 100 on the index, for example, 40 for baked beans.

Glycemic load is a measure that applies the GI to a portion of food. The glycemic load for a 150-gram serving of baked beans would be 6.

GI is used to help people with diabetes to control their blood sugar. Some food labels carry GI measurements. More recently, a number of popular diets have been based on GI. Lists are available for people to check the GI and glycemic load of different foods.

Read more: How Reliable Is The Glycemic Index?

People use the glycemic index as a guide to suitable foods, but is it a valid measure?

Source: medicalnewstoday

Cesarean Delivery May Increase Risk of Childhood Obesity

Children born by cesarean delivery may have an increased risk of becoming obese, compared with their siblings born by vaginal delivery, says study. This finding may have significant implications for the almost 1.3 million cesarean births per year in the United States.

Cesarean delivery is the most common U.S. surgical procedure and accounts for one third of deliveries nationwide.

The most common risk to children born via cesarean delivery is respiratory problems, while increasing evidence suggests children may also have an increased risk of other adverse health outcomes as adults.

Read more: Cesarean Delivery May Increase Risk of Childhood Obesity

Cesarean delivery can increase a child's risk of obesity into adulthood, study finds.

Source: medicalnewstoday

Cracking the Enigma of Fatty Liver Disease

Nonalcoholic fatty liver disease (NAFLD) affects one out of four people in the world, making it the most prevalent of all liver diseases and a major public health problem. The disease is defined by abnormally increased fat deposition in liver cells, which can progress with the addition of inflammation and cell damage to nonalcoholic steatohepatitis (NASH), leading to progressive stages of fibrosis and, finally, cirrhosis. Early NASH is characterized by fat and inflammation associated with minimal amounts of fibrosis, and late NASH is associated with advanced fibrosis or cirrhosis. NAFLD is most closely associated with obesity and diabetes, although there are likely other genetic, nutritional, and environmental factors involved in the pathogenesis.

Although there are no approved pharmacologic treatments for NAFLD, NASH, or cirrhosis, there are over a dozen different companies researching possible treatments. However, the development of drug therapies for the NAFLD spectrum of disease is hampered by a number of challenges:

• the chronic nature of the disorder and ultimately low morbidity and mortality,
• the impact of weight loss on the disease,
• a complex and poorly defined pathophysiology,
• the lack of easily administered diagnostic testing, and
• the evolving status of regulatory endpoints.

Read more: Cracking the Enigma of Fatty Liver Disease

The results of multiple clinical trials over the next few years will clarify potential therapies and target
pathways.  © Sebastian Kaulitzki/Fotolia]

Source: genengnews

Gallstones Raise the Risk of Heart Disease by a Fifth

A new meta-analysis, using data from hundreds of thousands of individuals, finds that gallbladder disease and heart disease are more intertwined than previously thought. The reasons behind this connection are, as yet, unclear.

Gallstones are small, hard deposits that form in the gallbladder - an organ that sits below the liver.

In wealthier countries, they are a common occurrence, affecting 10-15 percent of all adults.

Gallstones are thought to be produced due to an imbalance in the makeup of bile - a digestive aid produced by the liver and concentrated in the gallbladder.

Although generally small and often symptomless, over the years, gallstones can grow to the size of pebbles.

Read more: Gallstones Raise the Risk of Heart Disease by a Fifth

Gallstones' links to heart disease run deeper than previously thought.

Source: medicalnewstoday

'Feeling Full' Hormone Increase in Seniors May Explain 'Anorexia of Aging'

Elderly adults often experience loss of appetite, resulting in weight loss and undernutrition. Now, researchers suggest this may be down to increased production of a hormone called peptide YY, which tells humans when they are feeling full.

Termed "anorexia of aging," loss of appetite is common among elderly adults, with around 15-20 percent of seniors experiencing unintentional weight loss as a result.

While loss of appetite in seniors can be driven by emotional issues, such as depression or grief, in many cases, no underlying cause can be found.

Previous research has suggested loss of appetite in the elderly may be down to reduced production of ghrelin - a hormone that tells humans when they are hungry.

However, the new study - conducted by Mary Hickson, professor of dietetics at Plymouth University in the United Kingdom, and colleagues - found the hormone peptide YY may be to blame.

Read more: 'Feeling Full' Hormone Increase in Seniors May Explain 'Anorexia of Aging'

Researchers identified increased production of the "feeling full" hormone PYY in elderly women,
which may explain why older adults often experience loss of appetite.

Source: medicalnewstoday

The Pathophysiology of Defective Proteostasis in the Hypothalamus — From Obesity to Ageing

Hypothalamic dysfunction has emerged as an important mechanism involved in the development of obesity and its comorbidities, as well as in the process of ageing and age-related diseases, such as type 2 diabetes mellitus, hypertension and Alzheimer disease. In both obesity and ageing, inflammatory signalling is thought to coordinate many of the cellular events that lead to hypothalamic neuronal dysfunction. This process is triggered by the activation of signalling via the toll-like receptor 4 pathway and endoplasmic reticulum stress, which in turn results in intracellular inflammatory signalling. However, the process that connects inflammation with neuronal dysfunction is complex and includes several regulatory mechanisms that ultimately control the homeostasis of intracellular proteins and organelles (also known as 'proteostasis'). This Review discusses the evidence for the key role of proteostasis in the control of hypothalamic neurons and the involvement of this process in regulating whole-body energy homeostasis and lifespan.

Key points

• Specialized neurons of the hypothalamus control caloric intake and energy expenditure in response to hormonal, nutritional and neural signals that reflect the energy stores in the body
• Malfunction of the hypothalamus occurs in obesity and ageing, which leads to an imbalance between caloric intake and energy expenditure resulting in positive energy balance and reduced lifespan
• The excessive consumption of certain nutrients and ageing affect different aspects of proteostasis in selected neurons of the hypothalamus, contributing to neuronal dysfunction in obesity and ageing
• Inflammation is one of the most important outcomes of disturbed proteostasis to occur in the hypothalamus during obesity and ageing
• Several genetic and pharmacological approaches used to correct the defects of proteostasis and reduce inflammation have proven effective in reducing obesity and increasing lifespan in experimental models

Read more: The Pathophysiology of Defective Proteostasis in the Hypothalamus — From Obesity to Ageing

Figure 1: Control of energy balance and lifespan by the hypothalamic network. Neurons of the
medium hypothalamus respond to systemic signals of whole-body energy status. Blood levels of
insulin fluctuate acutely in response to carbohydrates present in food and chronically in response
to increased adiposity.

Source: Nature Reviews Endocrinology

How Fat Becomes Lethal, Even Without Weight Gain

Recent findings have the potential to help scientists better understand a growing class of often fatal metabolic diseases.

Sugar in the form of blood glucose provides essential energy for cells. When its usual dietary source – carbohydrates – is scarce, the body goes into starvation mode and the liver can produce glucose with the aid of fat.

But new research from Johns Hopkins adds to evidence that other tissues can step in to make glucose, too. The research also found that the liver’s role in breaking down fats is vital to protect the organ from a lethal onslaught of fat.

Read more: How Fat Becomes Lethal, Even Without Weight Gain

Source: scothealthcare

Borderline Diabetes: What You Need to Know

The term borderline diabetes refers to a condition called prediabetes. Prediabetes is a condition in which blood sugar levels are higher than normal but not high enough to be classed as type 2 diabetes.

Prediabetes is to be considered a risk factor for type 2 diabetes. It is estimated that 10 to 23 percent of people with prediabetes will go on to develop type 2 diabetes within 5 years.

Prediabetes can be accompanied by other risk factors. It is associated with conditions such as obesity, especially abdominal obesity, high blood pressure, high blood fat levels and low levels of "good" cholesterol.

When these risk factors "cluster" together in a person, there is a higher risk of not just type 2 diabetes but heart disease and stroke as well.

Read more: Borderline Diabetes: What You Need to Know

Source: medicalnewstoday

Obesity Linked to Abnormal Reward Response to Sugary Foods

An unhealthy diet is considered a key contributor to obesity. When it comes to cravings for sweet treats, however, impairments in the brain's reward system might be to blame.

In a new study published in the journal Diabetes, researchers found age and receptor levels of the reward-associated chemical dopamine influence preference for sweet foods among people of a healthy weight, but not for people who are obese.

First author M. Yanina Pepino, Ph.D., of the Washington University School of Medicine, and colleagues reached their findings by enrolling 44 adults aged 20-40 years.

Read more: Obesity Linked to Abnormal Reward Response to Sugary Foods

Researchers say the reward system in the brains of obese individuals appears to be impaired in
response to sweet foods.

Source: medicalnewstoday

Fat vs Carbs: What’s Really Worse for Your Health?

The traditional balanced diet may be way out of whack. To fight obesity and diabetes, doctors and nutritionists are embracing diets that were once called fads.

“PEOPLE have told me what I do is dangerous. They have walked away from me at meetings,” says David Unwin, a doctor practising in Southport, UK. Unwin suggests to his patients with type 2 diabetes or who want to lose weight that they do the opposite of what official health advice recommends. He advises them to stop counting calories, eat high-fat foods – including saturated fats – and avoid carbohydrates, namely sugar and starch. Telling people to avoid sugar is uncontroversial; the rest is medical heresy.

Read more: Fat vs Carbs: What’s Really Worse for Your Health?

Source: NewScientist

Neurotensin, A Hormone Found In The Digestive Tract, May Play Role In Obesity By Aiding In Fat Absorption From Food

A hormone predominantly found in our guts may help us absorb fat from our diets and could contribute to the development of obesity under certain circumstances, according to a new study published Wednesday in Nature.

The researchers, primarily hailing from the University of Kentucky, conducted a series of experiments on lab mice, fruit flies, and humans that examined how the hormone, called neurotensin (NT), functions in the gut. Mice deficient in NT proved less able to absorb fat from food and they appeared to be protected from conditions like obesity, fatty liver, and insulin resistance that are associated with a high-fat diet. On the other hand, fruit flies engineered to produce NT accumulated more fat in their bodies than normal.

Aside from seeing a similar fat absorption effect in human gut cells, the researchers also analyzed data from an earlier, long-running population study of middle-aged adults and found that obese and insulin-resistant individuals were more likely to have high levels of a precursor hormone, Pro-NT, in their blood. Those who weren’t obese but had the highest levels of Pro-NT were more than twice as likely to eventually develop obesity than people with the lowest levels of Pro-NT.

Read more: Neurotensin, A Hormone Found In The Digestive Tract, May Play Role In Obesity By Aiding In Fat Absorption From Food

New research suggests that a hormone found in our gut may help us break down fats, like the kind in
butter, above, and possibly contribute to obesity

Source: Pixabay, Public Domain

Breast milk hormones found to impact bacterial development in infants' guts

Intestinal microbiome of children born to obese mothers significantly different from those born to mothers of healthy weight

A new study finds that hormones in breast milk may impact the development of healthy bacteria in infants' guts, potentially protecting them from intestinal inflammation, obesity and other diseases later in life.

The study, published Monday in the American Journal of Clinical Nutrition, examines the role of human milk hormones in the development of infants' microbiome, a bacterial ecosystem in the digestive system that contributes to multiple facets of health.

"This is the first study of its kind to suggest that hormones in human milk may play an important role in shaping a healthy infant microbiome," said Bridget Young, co-first author and assistant professor of pediatric nutrition at CU Anschutz. "We've known for a long time that breast milk contributes to infant intestinal maturation and healthy growth. This study suggests that hormones in milk may be partly responsible for this positive impact through interactions with the infant's developing microbiome."

Researchers found that levels of insulin and leptin in the breast milk were positively associated with greater microbial diversity and families of bacteria in the infants' stool.

Read more: Breast milk hormones found to impact bacterial development in infants' guts

A new study examined the role of human milk hormones in the development of infants' microbiome

Source: ricardoferrando/Fotolia

Heart Attack Patients Are Getting Younger and More Obese.

Young people tend to feel invincible to danger, but they're not, especially when it comes to their heart health. One of the most common misconceptions about heart health is that older people are the only ones who need to worry. 

Patients who suffer from the most severe and deadly type of heart attack, STEMI, are getting younger and more obese, according to Dr. Samir Kapadia, professor of medicine and section head for interventional cardiology at Cleveland Clinic.

"On the whole, the medical community has done an outstanding job of improving treatments for heart disease, but this study shows that we have to do better on the prevention side," said Kapadia in a statement. "When people come for routine checkups, it is critical to stress the importance of reducing risk factors through weight reduction, eating a healthy diet, and being physically active." He presented his research at the American College of Cardiology's 65th Annual Scientific Session.

Read more: Heart Attack Patients Are Getting Younger and More Obese.

Video link: Younger obese people are at risk of getting heart attacks!

Source: HealthDay

Obesity, stress and even cellphone use can influence men's ability to conceive

Certain lifestyle factors are linked to higher rates of damage in the genetic material in men’s sperm. This could affect men’s ability to conceive as well as the genes they pass on to their children.

According to researchers, the damage may stem from factors such as obesity, stress and even cellphone use.

Semen analysis usually looks at the numbers and the condition of whole sperm. But the authors of a small study in Poland believe the degree of breakage, or fragmentation, in DNA strands in the sperm might be a better indicator of fertility. DNA carries the cell’s genetic information and hereditary characteristics.

Men with fragmentation have lower odds of conceiving naturally and through such procedures as in vitro fertilization, the scientists write in the International Journal of Impotence Research.

Researchers have noticed before that lifestyle factors can influence the level of sperm DNA fragmentation, said Ricardo P. Bertolla of Sao Paulo Federal University in Brazil, who was not part of the new study.

Read more: Obesity, stress and even cellphone use can influence men's ability to conceive

In a new study, older men and those with higher work stress had more fragmentation of the DNA in
their sperm, which might affect their ability to conceive as well as the genes they pass on to their children.

Source: De Agostini/Getty Images

Wondering why your belly fat won't disappear?

You work hard to lose weight, but the pooch won't budge. Our friends at Shape share some reasons as to why this is happening.

You can work out like a champ, eat virtuously, and get sound sleep but still stay thick around the middle. Blame some newly discovered triggers that undermine your slim-down efforts by making you pack on the belly flab. Take note, and trim down.

Living on a Busy Street

Regular exposure to traffic noise makes you 29 percent more likely to have a bigger waistline, according to findings in Occupational & Environmental Medicine. Other research found that such noise may spike your cortisol, a hormone associated with ab fat. Three suggestions for you: Drown out the noise by playing soothing music (studies revealed that such tunes lower cortisol levels), muffle the clamor with a background- noise machine, or pop in noise-canceling earbuds when you need to focus.

Your Fizzy Drink Habit

Ironically, people who sip the no-cal stuff in an effort to cut calories are actually more likely to gain belly fat. Diet soda drinkers who averaged about a can and a half a day packed 3.2 inches onto their waistlines over the course of nine and a half years, while those drinking fizzy drinks gained less than an inch, a recent study at the University of Texas Health Science Center found. One reason is that artificial sweeteners prevent the brain from registering satiety, thus increasing cravings for sweets, so you end up eating more, says study author Helen Hazuda.

Read more: Wondering why your belly fat won't disappear?

Reasons You Might Not Be Able to Lose Belly Fat

Source: Shutterstock 

Still too high in fat and sodium in kids' meals.

What will it take to get children to choose fruit instead of ice cream when eating out? Despite a move by many restaurants toward healthier kids' meals, research published in the Journal of Nutrition Education and Behavior shows that while calorie ratings have improved, there is still a way to go in reducing fat, sodium and sugar.

For many American children, eating out is routine.

Studies show that, while home-prepared food has more nutritional value than restaurant meals, the diets of most children in the US already lack fruits, vegetables and low-fat dairy items.

The options available in restaurants, meanwhile, often contain excess calories, solid fats, sodium and added sugar.

Many restaurants have already begun offering healthier choices for children, in anticipation of legislation that will require calorie counts to be included on menus from December 2016.

For the past 6 years, healthier children's dishes have been among the top 10 food trends in the National Restaurant Association's annual survey of chefs.

Read more: Still too high in fat and sodium in kids' meals.

Fat and sodium still feature excessively in kids' meals.

Source: medicalnewstoday