Saturday, February 2, 2013

Physical activity and modernization: Heart disease indicators almost non-existent among Tsimane, indigenous population

Jan. 31, 2013 ? Heart disease continues to be the leading cause of death in the United States, and a sedentary lifestyle is often cited as a major contributing factor. Among the Tsimane, an indigenous population in the lowlands of Bolivia's Amazon basin, however, indicators of heart disease are practically non-existent -- cholesterol is low, obesity is rare, and smoking is uncommon.

That's according to researchers at UC Santa Barbara and the University of New Mexico, who have been studying hunter-gatherers and forager-horticulturists to understand how their physical activity levels are affected by modernization; whether that, in turn, has increased the incidence of obesity, hypertension, and other conditions related to heart disease; and how their findings might apply to adults in the U.S. Their research is highlighted in an article published February 1 in the journal PLoS ONE.

The simple answer, according to Michael Gurven, professor of anthropology at UCSB and lead author of the study, is that physical activity alone -- or lack thereof -- does not relate to obesity or body fat among the Tsimane, and despite a subsistence lifestyle, activity alone is unlikely to account for their relative absence of chronic disease. As Gurven noted, the research demonstrates that, although a high level of physical activity may be important in staving off heart disease and diabetes, it's unlikely to be the "magic bullet" that explains why a group like the Tsimane maintains a healthy chronic disease profile.

"Indigenous populations like the Tsimane are very physically active," said Gurven, who is also director of UCSB's Integrative Anthropological Sciences Unit and the Broom Demography Center's Biodemography and Evolution Unit. "There are people who think physical activity alone is enough to have a healthy heart. They assumed the Tsimane activity level was equal to running a marathon every day. But we did the analysis, and they aren't."

By measuring the physical activity level (PAL) of individual Tsimane men and women over 24-hour periods using a combination of spot observations and accelerometers, combined with heart rate monitors, Gurven and his team found is that while the Tsimane are, indeed, physically active -- more so than average Americans -- their PAL is not so great that it separates them from that of developed populations. "We found that while the Tsimane are more active than we are, there's a decent amount of overlap," he said. "Tsimane are not more vigorously active than athletic Americans with a high activity level. In fact, Tsimane do not spend much time in 'vigorous' activity, but instead spend a lot of time in light to moderate activity. Rather than characterizing the Tsimane as vigorously active, I'd more safely say they are not sedentary."

The researchers also examined issues related to obesity and body mass index (BMI). "One idea is that we're less active than we used to be, so we get heavier," Gurven explained. "But that's actually kind of controversial. The heavier you get, the more weight you have to move around. So even though you may be less active, you could be expending more energy. There's plenty of data that even when people are experimentally manipulated to increase their activity levels, after a three month period, their weight doesn't shift all that much. Or it shifts and goes back again."

That might be due to increased appetite and subsequent excess food intake, Gurven suggested. "Depending on your hunger levels, you might be eating more than the increase in your activity can accommodate, so you end up gaining weight. When we looked at people's BMI and levels of physical activity, we found no relationship. People with higher BMI's weren't less active than people with low BMI's."

That finding, he said, is consistent with the idea that it's not physical activity, but excess food intake that is more responsible for the "obesity epidemic" of the last several decades.

Another important finding is that physical activity does not appear to correlate with modernization, as measured by village distance to town, Spanish fluency, and formal schooling. This pattern contradicts robust findings in other areas of the world, where even short periods of socioeconomic change can radically alter activity patterns and diet, and, therefore, subsequent risk of chronic disease. "And that's not particularly surprising," he said. "Even Tsimane in the most acculturated villages, who speak Spanish and have wage labor jobs, continue to work fields, and they still fish. In addition, most jobs themselves are labor-intensive -- logging, working as ranch hands, or transporting resources from one place to another. "It's all physically active work," he said. "Modernization hasn't changed that."

However, women do not typically participate in these labor intensive jobs, and so while modernization didn't affect their activity levels, modern Tsimane women were more likely to be overweight. "Tsimane men are more physically active than women at all ages, and less likely to be overweight; and so the few cases of hypertension and other ailments characteristic of cardiovascular disease are observed more among Tsimane women than men -- a striking contrast with what is commonly observed in the U.S.," Gurven concluded.

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Story Source:

The above story is reprinted from materials provided by University of California - Santa Barbara, via EurekAlert!, a service of AAAS.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. Michael Gurven, Adrian V. Jaeggi, Hillard Kaplan, Daniel Cummings. Physical Activity and Modernization among Bolivian Amerindians. PLoS ONE, 2013; 8 (1): e55679 DOI: 10.1371/journal.pone.0055679

Note: If no author is given, the source is cited instead.

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.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/top_health/~3/H8vYwxqTfVk/130201100253.htm

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Generic competition, charges cut Merck Q4 profit

Merck & Co.'s fourth-quarter profit fell 7 percent because of hits from generic competition and one-time charges, and the company pushed back plans to seek approval of a key experimental osteoporosis drug.

The quarterly results beat Wall Street expectations, but Merck shares fell in premarket trading Friday as investors learned Merck is reviewing safety and efficacy data from a crucial late-stage patient test of odanacatib.

During a morning conference call with analysts, Merck said that instead of applying for approval of odanacatib in the first half of this year, it won't do so until 2014. That will allow Merck time to finish an extension of an odanacatib study that includes about 8,200 women, so that Merck can also submit those longer-term results to regulators ? apparently a strategy to improve chances the drug will be approved.

In early trading, Merck shares fell $1.42, or 3.3 percent, to $41.83.

The world's third-biggest drugmaker by revenue said net income was $1.4 billion, or 46 cents per share, down from $1.51 billion, or 49 cents per share, a year earlier.

Excluding one-time restructuring and acquisition charges totaling $1.14 billion, net income was $2.54 billion, or 83 cents per share, 2 cents more than analysts polled by research provider FactSet were expecting.

The maker of Januvia and other diabetes pills says revenue totaled $11.74 billion, down 5 percent from 2011's fourth quarter. Analysts expected $11.47 billion.

The sales drop was due to generic competition for asthma and allergy drug Singulair, which had brought Merck about $5.5 billion in annual sales until its U.S. patent expired in August, as well as for blood pressure medicines Cozaar and Hyzaar.

"Merck did have a very strong fourth quarter and a good year overall," CEO Kenneth Frazier told the analysts.

He said that despite the generic competition, the company expected to keep revenue this year at about the same level as last year's $47.27 billion.

Analysts on the conference call repeatedly asked exactly why Merck was changing its plans for odanacatib, and whether the data showed a serious risk that could block approval of the drug, which is viewed as a potential blockbuster. Company executives declined to give details.

"We continue to believe in the potential of this drug to meet the unmet needs of people with osteoporosis," CEO Kenneth Frazier told the analysts.

He noted that most women with osteoporosis aren't being treated with medication, and about a quarter of patients find they can't tolerate side effects of osteoporosis drugs in an older class called bisphosphonates, including heartburn, nausea, diarrhea and joint pain and swelling. Merck's Fosamax, which has had generic competition for four years, was the first drug in that class and had been the top seller.

Along with the weak global economy and government health programs in many countries trying to rein in spending, Merck has been hurt by generic rivals to what had been its top seller. Singulair, which treats asthma and allergies, lost patent protection in the U.S. in early August. In the last quarter, its global sales nosedived 67 percent to $480 million.

That pulled down total prescription drug sales by 6 percent, to $10.09 billion. Most of Merck's other big drugs produced higher sales, led by the Januvia Type 2 diabetes drug, up 18 percent to $1.13 billion, and Janumet, a diabetes combo pill, up 17 percent to $452 million.

Cholesterol-lowering drug Zetia posted a 6 percent increase in sales to $676 million, and sales jumped 61 percent to $442 million for Gardasil a vaccine against sexually transmitted cancers.

Merck's smaller divisions saw increased sales, however. Veterinary medicine sales edged up 3 percent to $898 billion. Sales of consumer health products such as Dr. Scholl's foot care products climbed 9 percent to $395 million.

Merck, based in Whitehouse Station, N.J., forecast 2013 earnings per share of $3.60 to $3.70, excluding charges. Analysts were expecting $3.68 per share.

For the full year, Merck reported net income of $6.66 billion, or $2.16 per share, up from $6.27 billion, or $2.02 per share. But sales in 2012 dipped nearly 2 percent, to $47.27 billion.

______

Linda A. Johnson can be followed at http://twitter.com/LindaJ_onPharma

Source: http://news.yahoo.com/generic-competition-charges-cut-merck-q4-profit-123216845--finance.html

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Friday, February 1, 2013

Investment from China rises amid concern

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Work It Out! Stars' Secrets to Shaping Up

Get fit and stay healthy with celeb-approved workouts and tips that keep the stars (Kim Kardashian! Reese Witherspoon!) and more looking great

Source: http://www.ivillage.com/celebrity-fitness-tips-january-2013/1-b-518966?dst=iv%3AiVillage%3Acelebrity-fitness-tips-january-2013-518966

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Softbank 3Q profit doubles on iPhone sales

(AP) ? Japanese phone company Softbank, owned by billionaire Masayoshi Son, says its net profit more than doubled in the October-December quarter from a year earlier, helped by strong sales of Apple's iPhone and iPads.

Net profit rose to 65.9 billion yen ($724 million) in the last quarter of 2012 compared with 32.83 billion yen a year earlier.

Sales rose 7 percent to 932.7 billion yen ($10.2 billion).

Softbank is seeking approval from U.S. authorities for its $20 billion purchase of a 70 percent stake in Sprint Nextel Corp. that would be Japan's biggest foreign acquisition ever.

Softbank, which also offers fixed-line broadband services, has carried out an aggressive marketing drive in recent years, starring a talking white dog that has proved popular among Japanese.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/495d344a0d10421e9baa8ee77029cfbd/Article_2013-01-31-AS-Japan-Earns-Softbank/id-ddfd972f9a9140ea902eb769cc8bfcc3

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Healing gardens: Horticulture therapy takes root in South Florida

Allspice and heirloom roses scent the garden where Robert Bornstein starts his work day at his home, tending plants meant not for show but for healing.

"We have 35 years of scientific documentation to tell us we were meant to be with nature,? says Bornstein, potting an Everglades tomato that his seniors with limited mobility can grow indoors. ?I need at least ten minutes in the garden or I?m no good.?

Bornstein?s work, called horticultural therapy, uses gardens and gardening activities to improve memory,, physical coordination, rehabilitation and social skills. According to Elizabeth Diehl, editor-in-chief of the Journal of Therapeutic Horticulture, a growing body of research shows horticulture therapy?s benefits among older populations.

?Having access to natural spaces reduces violent behavior in Alzheimer?s patients,? Diehl says.

As hospitals and treatment centers become aware of the benefits, they are adding horticultural activities to their recreational therapy programs. Bornstein, who began his career working with patients who had been declared criminally insane, now has a busy practice serving 40 senior residence facilities across South Florida and charges roughly $90 an hour for his services.

Ten minutes slip to thirty.

?I?m late!? he realizes, and jumping into his Prius, guns it to Deerfield Beach.

"You see, ladies? He?s always running," Geraldine Markiewicz, a retired first-grade teacher, tells fellow Horizon Club residents as the therapist races into the assisted living facility bearing bags of materials for a flower arranging hour. Fifteen residents range around the common area, some in wheelchairs. Bornstein passes around thimble-sized plastic containers that look like champagne glasses, followed by sprigs of eucalyptus, cattails and dried flowers. Each person selects an element, decides its arrangement, and attaches it to a thumbnail of floral foam with all the hand-eye coordination he or she can muster.

Neuropathy, rheumatoid arthritis and the shaking hands of Parkinson?s disease can make such fine movements difficult. Yet as the arrangements take shape, no bigger than a salt shaker, they look as fine as if a caterer had created them for a wedding table.

Activities Assistant Gwenda Rodriguez stands by as a resident who can barely move wills her hands to place a purple flower in the cup. The woman?s face beams. She has made the most elegant arrangement of all.

* * *

Elena Naranjo used to be an assistant director at a mental health center, dealing with continual crisis management. Then she got a license in permaculture, the design of holistic living spaces based on sustainable agriculture. ?I think there?s a very healing application working with nature. It?s where I wanted to end up,? Naranjo says.

Now she, a small staff, and the homeless and formerly homeless families of Verde Gardens, a 145-unit affordable housing community of Miami-Dade Homeless Trust and Carrfour Supportive Housing, are reaping their first full harvest on the Farm at Verde Gardens.

Modeled on the Homeless Garden Project in Santa Cruz, Calif., the 22-acre farm on former Homestead Air Reserve Base land offers skills and business opportunities to community members like Xavier Wright, as well as fresh food

?I?m an outdoor person. My grandparents grew cotton and peaches,? says 25-year-old Wright who arrived at the Chapman Partnership homeless shelter a single father with full custody of his autistic son. ?I love this,? he says, setting pigeon pea seedlings in the soil.

Source: http://www.miamiherald.com/2013/01/27/3200386/healing-gardens-horticulture-therapy.html

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Vegetarianism can reduce risk of heart disease by up to a third

Jan. 30, 2013 ? The risk of hospitalisation or death from heart disease is 32% lower in vegetarians than people who eat meat and fish, according to a new study from the University of Oxford.

Heart disease is the single largest cause of death in developed countries, and is responsible for 65,000 deaths each year in the UK alone. The new findings, published in the American Journal of Clinical Nutrition, suggest that a vegetarian diet could significantly reduce people's risk of heart disease.

'Most of the difference in risk is probably caused by effects on cholesterol and blood pressure, and shows the important role of diet in the prevention of heart disease,' explains Dr Francesca Crowe, lead author of the study at the Cancer Epidemiology Unit, University of Oxford.

This is the largest study ever conducted in the UK comparing rates of heart disease between vegetarians and non-vegetarians.

The analysis looked at almost 45,000 volunteers from England and Scotland enrolled in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Oxford study, of whom 34% were vegetarian. Such a significant representation of vegetarians is rare in studies of this type, and allowed researchers to make more precise estimates of the relative risks between the two groups.

The EPIC-Oxford cohort study was funded by Cancer Research UK and the Medical Research Council and carried out by the Cancer Epidemiology Unit at the University of Oxford.

Professor Tim Key, co-author of the study and deputy director of the Cancer Epidemiology Unit, University of Oxford, said: 'The results clearly show that the risk of heart disease in vegetarians is about a third lower than in comparable non-vegetarians.'

The Oxford researchers arrived at the figure of 32% risk reduction after accounting for factors such as age, smoking, alcohol intake, physical activity, educational level and socioeconomic background.

Participants were recruited to the study throughout the 1990s, and completed questionnaires regarding their health and lifestyle when they joined. These included detailed questions on diet and exercise as well as other factors affecting health such as smoking and alcohol consumption. Almost 20,000 participants also had their blood pressures recorded, and gave blood samples for cholesterol testing.

The volunteers were tracked until 2009, during which time researchers identified 1235 cases of heart disease. This comprised 169 deaths and 1066 hospital diagnoses, identified through linkage with hospital records and death certificates. Heart disease cases were validated using data from the Myocardial Ischaemia National Audit Project (MINAP).

The researchers found that vegetarians had lower blood pressures and cholesterol levels than non-vegetarians, which is thought to be the main reason behind their reduced risk of heart disease.

Vegetarians typically had lower body mass indices (BMI) and fewer cases of diabetes as a result of their diets, although these were not found to significantly affect the results. If the results are adjusted to exclude the effects of BMI, vegetarians remain 28% less likely to develop heart disease.

The findings reinforce the idea that diet is central to prevention of heart disease, and build on previous work looking at the influence of vegetarian diets, the researchers say.

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Story Source:

The above story is reprinted from materials provided by University of Oxford.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. Francesca L Crowe, Paul N Appleby, Ruth C Travis, and Timothy J Key. Risk of hospitalization or death from ischemic heart disease among British vegetarians and nonvegetarians: results from the EPIC-Oxford cohort study. Am J Clin Nutr, January 30, 2013 DOI: 10.3945/ajcn.112.044073

Note: If no author is given, the source is cited instead.

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.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/top_health/~3/IJ0lcI6VkJY/130130121637.htm

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