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By GINA KOLATA After three decades of failure, researchers have found a treatment that greatly improves the prognosis for people having the most severe and disabling strokes. By directly removing large blood clots blocking blood vessels in the brain, they can save brain tissue that would have otherwise died, enabling many to return to an independent life. The study, published online Wednesday in The New England Journal of Medicine and conducted by researchers in the Netherlands, is being met with an outpouring of excitement. One reason the treatment worked, researchers suspect, is that doctors used a new type of snare to grab the clots. It is a stent, basically a small wire cage, on the end of a catheter that is inserted in the groin and threaded through an artery to the brain. When the tip of the catheter reaches the clot, the stent is opened and pushed into the clot. It snags the clot, allowing the doctor to withdraw the catheter and pull out the stent with the clot attached. About 630,000 Americans each year have strokes caused by clots blocking blood vessels in the brain. In about a third to half, the clot is in a large vessel, which has potentially devastating consequences. People with smaller clots are helped by the lifesaving drug tPA, which dissolves them. But for those with big clots, tPA often does not help. Until now, no other treatments had been shown to work. One in five patients who had tPA alone recovered enough to return to living independently. But one in three who also had their clot removed directly were able to take care of themselves after their stroke. And that, said Dr. Larry B. Goldstein, director of the Duke Stroke Center, is “a significant and meaningful improvement in what people are able to do.” © 2014 The New York Times Company

Keyword: Stroke
Link ID: 20429 - Posted: 12.18.2014

By James Gallagher Health editor, BBC News website A link between autism and air pollution exposure during pregnancy has been suggested by scientists. The Harvard School of Public Health team said high levels of pollution had been linked to a doubling of autism in their study of 1,767 children. They said tiny particulate matter, which can pass from the lungs to the bloodstream, may be to blame. Experts said pregnant women should minimise their exposure, although the link had still to be proven. Air pollution is definitely damaging. The World Health Organization estimates it causes 3.7 million deaths each year. The study, published in Environmental Health Perspectives, investigated any possible link with autism. It analysed 245 children with autism and 1,522 without. By looking at estimated pollution exposure during pregnancy, based on the mother's home address, the scientists concluded high levels of pollution were more common in children with autism. The strongest link was with fine particulate matter - invisible specks of mineral dust, carbon and other chemicals - that enter the bloodstream and cause damage throughout the body. Yet, the research is unable to conclusively say that pollution causes autism as there could be other factors that were not accounted for in the study. Consistent pattern There is a large inherited component to autism, but lead researcher Dr Marc Weisskopf said there was mounting evidence that air pollution may play a role too. BBC © 2014

Keyword: Autism; Neurotoxins
Link ID: 20428 - Posted: 12.18.2014

by Helen Thomson HAVE you read this before? A 23-year-old man from the UK almost certainly feels like he has – he's the first person to report persistent déjà vu stemming from anxiety rather than any obvious neurological disorder. Nobody knows exactly how or why déjà vu happens, but for most of us it is rare. Some people experience it more often, as a side effect associated with epileptic seizures or dementia. Now, researchers have discovered the first person with what they call "psychogenic déjà vu" – where the cause appears to be psychological. The man's episodes began just after he started university, a period when he felt anxious and was also experiencing obsessive compulsions. As time went on, his déjà vu became more and more prolonged, and then fairly continuous after he tried LSD. Now, he avoids television and radio, and finds newspapers distressing as the content feels familiar. There are different theories as to what is going on, says Christine Wells at Sheffield Hallam University in the UK, who has written a paper on the man's experiences. "The general theory is that there's a misfiring of neurons in the temporal lobes – which deal with recollection and familiarity. That misfiring during the process of recollection means we interpret a moment in time as something that has already been experienced," she says. Surprisingly, when Wells gave the man a standard recall test, he scored more similarly to people of his own age without the condition than those with epilepsy-related déjà vu. An MRI and an EEG scan of his brain activity also showed no abnormalities. © Copyright Reed Business Information Ltd.

Keyword: Emotions; Learning & Memory
Link ID: 20427 - Posted: 12.18.2014

Jason G Goldman We humans don’t typically agree on all that much, but there is at least one thing that an impressive amount of us accept: which hand is easiest to control. If you use one hand for writing, you probably use the same one for eating as well, and most of us – around 85% of our species – prefer our right hands. In fact, "there has never been any report of a human population in which left-handed individuals predominate", according to archaeologist Natalie Uomini at the University of Liverpool in the UK. Lateralisation of limb use – that is, a bias towards one side or the other – usually begins in the brain. We know that some tasks are largely controlled by brain activity in the left hemisphere, while the right hemisphere governs other tasks. Confusingly, there is some crossing of nerves between the body and the brain, which means it’s actually the left side of the brain that has more control over the right side of the body and vice versa. In other words, the brain’s left hemisphere helps control the operation of the right hand, eye, leg and so on. Some argue that this division of neurological labour has been a feature of animals for half a billion years. Perhaps it evolved because it is more efficient to allow the two hemispheres to carry out different computations at the same time. The left side of the brain, for instance, might have evolved to carry out routine operations – things like foraging for food – while the right side was kept free to detect and react rapidly to unexpected challenges in the environment – an approaching predator, for instance. This can be seen in various fish, toads and birds, which are all more likely to attack prey seen in the right eye. © 2014 BBC.

Keyword: Laterality; Evolution
Link ID: 20426 - Posted: 12.18.2014

By Sandhya Sekar A well-fed female mantis is irresistible to a male. She’s chock-full of eggs and draws him in by producing high levels of pheromones. Now, a new study reveals that starving females can deceive males by enticing them to their doom. Researchers have found that female false garden mantises (Pseudomantis albofimbriata, pictured) that were fed just a quarter of what others got actually produced more pheromones than well-fed females—and attracted almost twice the number of males. This is despite the fact that the number of eggs in the starved females was less than 10, compared with more than 60 eggs in well-fed females. The finding, reported online today in the Proceedings of the Royal Society B, is the first experimental demonstration of sexual deception using false chemical signals in any animal. The starving females seem to be treating the males as easy prey to gain nutritional benefits and potentially produce more eggs. © 2014 American Association for the Advancement of Science

Keyword: Chemical Senses (Smell & Taste); Sexual Behavior
Link ID: 20425 - Posted: 12.18.2014

By James Gallagher Health editor, BBC News website Higher rates of obesity and ill-health have been found in shift workers than the general population. Health Survey for England data showed they were in worse health despite often being young. The lead researcher told the BBC that the rise of zero-hours contracts may be increasing the numbers doing shift work and could raise "pretty serious problems" for the nation's health. Scientists said it was "fairly clear now" that shift work was unhealthy. The report, by the Health and Social Care Information Centre, showed 33% of men and 22% of women of working age were doing shift work. They defined shifts as employment outside 0700-1900. Rachel Craig, the research director for the Health Survey for England, told the BBC: "Overall, people who are doing shift work are not quite as healthy as their counterparts doing regular working hours." The data showed 30% of shift workers were obese, compared with 24% of men and 23% of women doing normal hours. Meanwhile, 40% of men and 45% of women on shifts had long-standing health conditions such as back-pain, diabetes or chronic obstructive pulmonary disease compared with 36% and 39% of the rest of the population. Younger people Shift working is most common in the 16-24 age group with nearly half of men and a third of women having this working pattern. The rates fell with age so that fewer than a third of men and a fifth of women were working shifts after the age of 55. Ms Craig said that, overall, young people should be in better health: "You'd expect less ill-health and fewer long-standing conditions that reflect lifestyle like obesity, so it makes it an even stronger relationship [between shifts and poor health]." BBC © 2014

Keyword: Biological Rhythms; Obesity
Link ID: 20424 - Posted: 12.16.2014

|By Marissa Fessenden Songbirds stutter, babble when young, become mute if parts of their brains are damaged, learn how to sing from their elders and can even be "bilingual"—in other words, songbirds' vocalizations share a lot of traits with human speech. However, that similarity goes beyond behavior, researchers have found. Even though humans and birds are separated by millions of years of evolution, the genes that give us our ability to learn speech have much in common with those that lend birds their warble. A four-year long effort involving more than 100 researchers around the world put the power of nine supercomputers into analyzing the genomes of 48 species of birds. The results, published this week in a package of eight articles in Science and 20 papers in other journals, provides the most complete picture of the bird family tree thus far. The project has also uncovered genetic signatures in song-learning bird brains that have surprising similarities to the genetics of speech in humans, a finding that could help scientists study human speech. The analysis suggests that most modern birds arose in an impressive speciation event, a "big bang" of avian diversification, in the 10 million years immediately following the extinction of dinosaurs. This period is more recent than posited in previous genetic analyses, but it lines up with the fossil record. By delving deeper into the rich data set, research groups identified when birds lost their teeth, investigated the relatively slow evolution of crocodiles and outlined the similarities between birds' and humans' vocal learning ability, among other findings. © 2014 Scientific American,

Keyword: Language; Genes & Behavior
Link ID: 20423 - Posted: 12.16.2014

By Candy Schulman My mother’s greatest fear was Alzheimer’s. She got Lewy body dementia, or LBD, instead. This little known, oddly named, debilitating illness afflicts an estimated 1.3 million Americans, the actor and comedian Robin Williams possibly among them. It is often misdiagnosed because its signs, such as hallucinations and body rigidity, do not seem like those of dementia, but in the end it robs people of themselves even more painfully. I first noticed my mother’s cognitive difficulties when she was 88. Until then, she’d led an extraordinarily active life: She was a competitive golfer with a bureau full of trophies, a painter and a sculptor. Every Hanukkah she hosted a lively feast for her eight grandchildren and nine great-grandchildren. This time, though, she needed my help planning, shopping and cooking. She was having difficulty with the guest list, trying to write every family member’s name on a piece of paper, adding up the numbers to see how many potatoes to buy for latkes. Her concentration became frayed and she kept ripping it up and starting again, close to tears. Several months before that, she had sent me a Mother’s Day card that was illustrated with childlike prose, colorful illustrations and glitter hearts. The poem on the cover was printed in a playful purple font: “For you, Mom. For kissing my boo-boos, for wiping my face. . . . For calming my fears with your loving embrace.” On Mother’s Day and the rest of the year, Mom added in a shaky script, “thanks.”

Keyword: Alzheimers
Link ID: 20422 - Posted: 12.16.2014

|By Emilie Reas If you carried a gene that doubled your likelihood of getting Alzheimer's disease, would you want to know? What if there was a simple lifestyle change that virtually abolished that elevated risk? People with a gene known as APOE e4 have a higher risk of cognitive impairment and dementia in old age. Even before behavioral symptoms appear, their brains show reduced metabolism, altered activity and more deterioration than those without the high-risk gene. Yet accumulating research is showing that carrying this gene is not necessarily a sentence for memory loss and confusion—if you know how to work it to your advantage with exercise. Scientists have long known that exercise can help stave off cognitive decline. Over the past decade evidence has mounted suggesting that this benefit is even greater for those at higher genetic risk for Alzheimer's. For example, two studies by a team in Finland and Sweden found that exercising at least twice a week in midlife lowers one's chance of getting dementia more than 20 years later, and this protective effect is stronger in people with the APOE e4 gene. Several others reported that frequent exercise—at least three times a week in some studies; up to more than an hour a day in others—can slow cognitive decline only in those carrying the high-risk gene. Furthermore, for those who carry the gene, being sedentary is associated with increased brain accumulation of the toxic protein beta-amyloid, a hallmark of Alzheimer's. More recent studies, including a 2012 paper published in Alzheimer's & Dementia and a 2011 paper in NeuroImage, found that high-risk individuals who exercise have greater brain activity and glucose uptake during a memory task compared with their less active counterparts or with those at low genetic risk. © 2014 Scientific American

Keyword: Alzheimers; Genes & Behavior
Link ID: 20421 - Posted: 12.16.2014

By Nicholas Bakalar Poor sleep in older adults may be linked to brain changes associated with dementia, a new study has found. Researchers studied 167 men who underwent sleep tests in 1999 and died by 2010. The study, in Neurology, recorded sleep duration, periods of waking up and episodes of apnea, and used pulse oximetry to measure oxygen saturation of their blood. On autopsy, they found that those in the highest one-quarter for duration of sleep at oxygen saturation of less than 95 percent were almost four times as likely to have higher levels microinfarcts, small areas of dead tissue caused by deprivation of blood supply, as those in the lowest one-quarter. Compared with those in the lowest 25 percent for duration of slow-wave (deep) sleep, those in the highest one-quarter were about a third as likely to have moderate or high levels of generalized brain atrophy. “Prior studies have shown an association between certain types of sleep disturbance and dementia,” said the lead author, Dr. Rebecca P. Gelber, an epidemiologist with the Veterans Administration in Hawaii. “These lesions may help explain the association.” © 2014 The New York Times Company

Keyword: Alzheimers; Sleep
Link ID: 20420 - Posted: 12.16.2014

|By Ingrid Wickelgren Confusion is one symptom of a concussion. But confusion may also characterize decisions about how soon to let an athlete play after taking a hit to the head. Sizing up symptoms such as dizziness and nausea is subjective, after all. Now a study suggests that a blood test could objectively determine whether or not the damage is bad enough to put a player on the bench. The work is in the Journal of Neurotrauma. [Robert Siman et al, Serum SNTF Increases in Concussed Professional Ice Hockey Players and Relates to the Severity of Post Concussion Symptoms] A strong blow to the head causes chemical changes within nerve cells that damage their structural proteins. Among the debris is a protein fragment called SNTF—which in more severe cases, spills into the bloodstream. The new study followed 20 professional hockey players who got concussions with symptoms that lasted six days or more. And blood levels of SNTF were much higher one hour to six days later than were levels of the protein fragment in eight other athletes who had gotten concussions that cleared up within five days. Levels were also low in 45 non-concussed players tested during the pre-season. A blood test for SNTF might thus forecast recovery time from a head injury. Combined with other neurological tests, levels of this molecule could help doctors tell athletes when it’s safe to suit up again. © 2014 Scientific American

Keyword: Brain Injury/Concussion
Link ID: 20419 - Posted: 12.16.2014

By David Noonan It was the day before Christmas, and the normally busy MIT laboratory on Vassar Street in Cambridge was quiet. But creatures were definitely stirring, including a mouse that would soon be world famous. Steve Ramirez, a 24-year-old doctoral student at the time, placed the mouse in a small metal box with a black plastic floor. Instead of curiously sniffing around, though, the animal instantly froze in terror, recalling the experience of receiving a foot shock in that same box. It was a textbook fear response, and if anything, the mouse’s posture was more rigid than Ramirez had expected. Its memory of the trauma must have been quite vivid. Which was amazing, because the memory was bogus: The mouse had never received an electric shock in that box. Rather, it was reacting to a false memory that Ramirez and his MIT colleague Xu Liu had planted in its brain. “Merry Freaking Christmas,” read the subject line of the email Ramirez shot off to Liu, who was spending the 2012 holiday in Yosemite National Park. The observation culminated more than two years of a long-shot research effort and supported an extraordinary hypothesis: Not only was it possible to identify brain cells involved in the encoding of a single memory, but those specific cells could be manipulated to create a whole new “memory” of an event that never happened. “It’s a fantastic feat,” says Howard Eichenbaum, a leading memory researcher and director of the Center for Neuroscience at Boston University, where Ramirez did his undergraduate work. “It’s a real breakthrough that shows the power of these techniques to address fundamental questions about how the brain works.” In a neuroscience breakthrough, the duo implanted a false memory in a mouse

Keyword: Learning & Memory; Emotions
Link ID: 20418 - Posted: 12.16.2014

By Bruce Bower In the movie Roxanne, Steve Martin plays a lovesick guy who mocks his own huge schnoz by declaring: “It’s not the size of a nose that’s important. It’s what’s in it that matters.” Scientists demonstrated the surprising truth behind that joke this year: People can whiff an average of more than 1 trillion different odors, regardless of nose size (SN: 4/19/14, p. 6). No one had systematically probed how many scents people can actually tell apart. So a team led by Leslie Vosshall of Rockefeller University in New York City asked 26 men and women to discriminate between pairs of scents created from mixes of 128 odor molecules. Volunteers easily discriminated between smells that shared as much as 51 percent of their odor molecules. Errors gradually rose as pairs of scents became chemically more alike. Vosshall’s group calculated that an average participant could tell apart a minimum of more than 1 trillion smells made up of different combinations of 30 odor molecules. Really good smellers could have detected way more than 1 trillion odor mixtures, the scientists said. Smell lags behind sight and hearing as a sense that people need to find food, avoid dangers and otherwise succeed at surviving. Still, detecting the faint odor of spoiled food and other olfactory feats must have contributed to the success of Homo sapiens over the last 200,000 years. Perhaps many animals can whiff the difference between a trillion or more smells. For now, odor-detection studies modeled on Vosshall’s approach have been conducted only with humans. © Society for Science & the Public 2000 - 2014.

Keyword: Chemical Senses (Smell & Taste)
Link ID: 20417 - Posted: 12.16.2014

by Andy Coghlan It may not sound very appetising, but an edible powder made from waste excreted by bacteria in our guts may help people to avoid gaining weight. Stabilising a person's weight could have a major health impact, says Gary Frost of Imperial College London, because as people on Western diets grow older, they tend to put on between 0.3 and 0.8 kilograms per year on average. A fatty acid called propionate is released when the bacteria in our gut digest fibre. Propionate makes people feel full by activating cells in the large intestine that produce the satiety hormones GLP-1 and PYY: these tell the brain that it's time to stop eating. But to trigger a big enough dose of this appetite-suppressing signal from gut bacteria alone, people would have to eat extremely large amounts of fibre. To get around that, Frost and his team made the molecule in a concentrated form called inulin-propionate ester (IPE). "That gives you eight times the amount of someone following a typical Western diet," he says. To test its appetite-stemming properties, the team gave powdered IPE, mixed in with fruit juice or a milkshake, to a group of overweight volunteers every day for six months. A type of ordinary fibre was given to another set of people, who acted as controls. Only one of the 25 volunteers taking IPE put on more than 3 per cent of their body weight over that time, compared with six of the 24 controls. One reason for this might be that the IPE recipients ate around 9 per cent less over the six months. © Copyright Reed Business Information Ltd.

Keyword: Obesity
Link ID: 20416 - Posted: 12.13.2014

|By Lindsey Konkel For 28 years, Bill Gilmore lived in a New Hampshire beach town, where he surfed and kayaked. “I’ve been in water my whole life,” he said. “Before the ocean, it was lakes. I’ve been a water rat since I was four.” Now Gilmore can no longer swim, fish or surf, let alone button a shirt or lift a fork to his mouth. Earlier this year, he was diagnosed with amyotrophic lateral sclerosis (ALS), or Lou Gehrig’s disease. In New England, medical researchers are now uncovering clues that appear to link some cases of the lethal neurological disease to people’s proximity to lakes and coastal waters. About five years ago, doctors at a New Hampshire hospital noticed a pattern in their ALS patients—many of them, like Gilmore, lived near water. Since then, researchers at Dartmouth-Hitchcock Medical Center have identified several ALS hot spots in lake and coastal communities in New England, and they suspect that toxic blooms of blue-green algae—which are becoming more common worldwide—may play a role. Now scientists are investigating whether breathing a neurotoxin produced by the algae may raise the risk of the disease. They have a long way to go, however: While the toxin does seem to kill nerve cells, no research, even in animals, has confirmed the link to ALS. As with all ALS patients, no one knows what caused Bill Gilmore’s disease. He was a big, strong guy—a carpenter by profession. One morning in 2011, his arms felt weak. “I couldn’t pick up my tools. I thought I had injured myself,” said Gilmore, 59, who lived half his life in Hampton and now lives in Rochester, N.H. © 2014 Scientific American

Keyword: ALS-Lou Gehrig's Disease ; Neurotoxins
Link ID: 20415 - Posted: 12.13.2014

by Colin Barras It's not just great minds that think alike. Dozens of the genes involved in the vocal learning that underpins human speech are also active in some songbirds. And knowing this suggests that birds could become a standard model for investigating the genetics of speech production – and speech disorders. Complex language is a uniquely human trait, but vocal learning – the ability to pick up new sounds by imitating others – is not. Some mammals, including whales, dolphins and elephants, share our ability to learn new vocalisations. So do three groups of birds: the songbirds, parrots and hummingbirds. The similarities between vocal learning in humans and birds are not just superficial. We know, for instance, that songbirds have specialised vocal learning brain circuits that are similar to those that mediate human speech. What's more, a decade ago we learned that FOXP2, a gene known to be involved in human language, is also active in "area X" of the songbird brain – one of the brain regions involved in those specialised vocal learning circuits. Andreas Pfenning at the Massachusetts Institute of Technology and his colleagues have now built on these discoveries. They compared maps of genetic activity – transcriptomes – in brain tissue taken from the zebra finch, budgerigar and Anna's hummingbird, representing the three groups of vocal-learning birds. © Copyright Reed Business Information Ltd.

Keyword: Language; Genes & Behavior
Link ID: 20414 - Posted: 12.13.2014

By Gail Sullivan Chemicals found in food and common household products have been linked to lower IQ in kids exposed to high levels during pregnancy. Previous research linked higher exposure to chemicals called "phthalates" to poor mental and motor development in preschoolers. This study was said to be the first to report a link between prenatal exposure to the chemicals and childhood development. Researchers from Columbia University’s Mailman School of Public Health studied exposure to five types of phthalates, which are sometimes referred to as “hormone disruptors” or “endocrine disruptors.” Among these, di-n-butyl phthalate (DnBP) is used in shower curtains, raincoats, hairspray, food wraps, vinyl and pill coating, among other things — but according to the EPA, the largest source of exposure may be seafood. Di-isobutyl phthalate (DiBP) and Butylbenzyl phthalate (BBzP) are added to plastics to make them flexible. These chemicals may also used in makeup, nail polish, lacquer and explosives. The researchers linked prenatal exposure to phthalates to a more than six-point drop in IQ score compared with kids with less exposure. The study, “Persistent Associations between Maternal Prenatal Exposure to Phthalates on Child IQ at Age 7 Years," was published Wednesday in the journal PLOS One. "The magnitude of these IQ differences is troubling," one of the study’s authors, Robin Whyatt, said in a press release. "A six- or seven-point decline in IQ may have substantial consequences for academic achievement and occupational potential."

Keyword: Intelligence; Neurotoxins
Link ID: 20413 - Posted: 12.13.2014

by Andy Coghlan To catch agile prey on the wing, dragonflies rely on the same predictive powers we use to catch a ball: that is, anticipating by sight where the ball will go and readying body and hand to snatch it from mid-air. Until now, dragonflies were thought to catch their prey without this predictive skill, instead blindly copying every steering movement made by their prey, which can include flies and bees. Now, sophisticated laboratory experiments have tracked the independent body and eye movements of dragonflies as they pursue prey, showing for the first time that dragonflies second guess where their prey will fly to next and then steer their flight accordingly. Throughout the pursuit, they lock on to their target visually while they orient their bodies and flight path for ultimate interception, rather than copying each little deviation in their prey's flight path in the hope of ultimately catching up with it. "The dragonfly lines up its body axis in the flight direction of the prey, but keeps the eyes in its head firmly fixed on the prey," says Anthony Leonardo of the Howard Hughes Medical Institute in Ashburn, Virginia. "It enables the dragonfly to catch the prey from beneath and behind, the prey's blind spot," he says. © Copyright Reed Business Information Ltd.

Keyword: Vision
Link ID: 20412 - Posted: 12.13.2014

|By Claudia Wallis Touch a hot frying pan and the searing message of pain sprints up to your brain and back down to your hand so fast that the impulse to withdraw your fingers seems instantaneous. That rapid-fire signal begins in a heat-sensing molecule called a TRPV1 channel. This specialized protein is abundant on the surface of sensory nerve cells in our fingers and elsewhere and is a shape-shifter that can take an open or closed configuration. Heat opens a central pore in the molecule, so do certain spider toxins and capsaicin—the substance that gives chili peppers their burn. Once the pore is open, charged ions of sodium and calcium flow into the nerve cell, triggering the pain signal. Ouch! As neuroscientist-journalist Stephani Sutherland explains in “Pain that Won’t Quit,” in the December Scientific American, researchers have long been interested in finding ways to moderate the action of this channel—and other ion channels—in patients who suffer from chronic pain. Shutting down the TRPV1 channel completely, however, is not an option because it plays a vital role in regulating body temperature. In two papers published in Nature in December 2013 investigators at the University of California, San Francisco, gave pain researchers a big leg up in understanding TRPV1. They revealed, in exquisite atomic detail, the structure of the channel molecule (from a rat) using an electron cryomicroscope, an instrument designed to explore the 3-D structure of molecules at very low temperatures. One of those investigators, Yifan Cheng, also created this colorful animation, showing how the molecule looks when the channel is open. © 2014 Scientific American

Keyword: Pain & Touch
Link ID: 20411 - Posted: 12.13.2014

By Dr. Mitesh Popat It’s common knowledge that eating better, exercising more, limiting alcohol intake and not smoking can lead to a healthier, longer life. For many, sustaining healthy behaviors is not easy. For diabetics, maintaining healthy behaviors is even more challenging, although it is critical. If well managed, the disease can be held in check; if not, it can be devastating, leading to kidney failure, blindness, stroke and even death. It may be a surprise that there is strong association between depression, anxiety and diabetes. Not only can depression and anxiety seriously affect the ability to manage the disease, but there also is evidence that, for some, depression plays a role in actually causing diabetes. Research indicates that depression is unrecognized and untreated in approximately two-thirds of patients with diabetes. Whether cause or effect, the medical profession needs to do more to address the psychological issues associated with the disease. As a family medicine physician, I see the association on daily basis. Some patients are so overwhelmed by the necessary daily self-care that comes with diabetes that they become highly anxious and depressed. Others who are suffering from complications or are having trouble managing their blood sugar levels may feel a loss of control and get anxious or depressed. These symptoms are often compounded in people who live in poverty, including the low-income Latinos, African Americans and seniors whom we care for at Marin Community Clinics. Diabetes has become an epidemic in these groups. Working three jobs and constantly worrying about making ends meet can trigger depression and anxiety in anyone. Add to that the need to adopt a disciplined healthy lifestyle, and it can be a real struggle.

Keyword: Depression
Link ID: 20410 - Posted: 12.13.2014