Domain: lww.com
Stories and comments across the archive that link to lww.com.
Stories · 8
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Standing Desks Are Overrated (nytimes.com)
Standing desks have become trendy in recent years -- so much so that they have been promoted by some health officials as well as some countries. Research, however, suggests that warnings about sitting at work are overblown, and that standing desks are overrated as a way to improve health. From a report: Dr. David Rempel, a professor of medicine at the University of California, San Francisco, who has written on this issue, said, "Well-meaning safety professionals and some office furniture manufacturers are pushing sit-stand workstations as a way of improving cardiovascular health -- but there is no scientific evidence to support this recommendation." Let's start with what we know about research on sitting, then explain why it can be misleading as it relates to work. A number of studies have found a significant association between prolonged sitting time over a 24-hour period and increased risk for cardiovascular disease. A 2015 study, for instance, followed more than 150,000 older adults -- all of whom were healthy at the start of the study -- for almost seven years on average. Researchers found that those who sat at least 12 hours a day had significantly higher mortality than those who sat for less than five hours per day.
For convenience and comfort, it's nice to have options if you have various aches and pains -- "Alternating standing and sitting while using a computer may be useful for some people with low back or neck pain," he said -- but people shouldn't be under the illusion that they're getting exercise. A 2012 study in JAMA Internal Medicine followed more than 220,000 people for 2.8 years on average and found similar results. Prolonged sitting over the course of a day was associated with increased all-cause mortality across sexes, ages and body mass index. So did a smaller but longer (8.6 years on average) study published in 2015 in the Journal of Physical Activity & Health. Another study from 2015, which followed more than 50,000 adults for more than three years, also found this relationship. But it found that context mattered. Prolonged sitting in certain situations -- including when people were at work -- did not have this same effect. -
Kids' Apps Are Flooded With Ads (reuters.com)
An anonymous reader quotes a report from Reuters: Those cute little apps your child plays with are most likely flooded with ads -- some of which are totally age-inappropriate, researchers have found. A stunning 95 percent of commonly downloaded apps that are marketed to or played by children age five and under contain at least one type of advertising, according to a new report in the Journal of Developmental & Behavioral Pediatrics. And that goes for the apps labeled as educational, too, researchers say. Often the ads are intrusive, spread across in a banner or even interrupting play, said study coauthor Dr. Jenny Radesky, an assistant professor of pediatrics at the University of Michigan and the University of Michigan C. S. Mott Children's Hospital.
Perhaps the most insidious ads are the ones you need to click a little "x" to get rid of, Radesky said. "The little 'x' doesn't show up for about 20 seconds," she explained. "If you're a 2- or 3-year-old you might think the ad is a part of the game. And you don't know what to do. You might click on the ad and that could take you to the app store. Many of these ads require you to do things before the 'x' will appear." Some ads are for products that aren't appropriate for kids, Radesky said. "I've seen banner ads for bipolar treatment in some of these apps," she added. One of the problems with these ads is that kids often can't tell where the game leaves off and the ad begins. "There's science to show that children aged 8 and younger can't distinguish between media content and advertising," Radesky said.
The researchers surveyed 135 of the most downloaded free and paid apps in the "age five and under" category in the Google Play store and found that 95 percent of them "contained at least one type of advertising, which included use of popular cartoon characters to sell products, teasers suggesting the purchase of the 'full' version of the app, and advertising videos that interrupted play to promote in-app purchases or purchases of other products," reports Reuters. -
Smartphones Are 'Contaminating' Family Life, Study Suggests (theverge.com)
An anonymous reader quotes a report from CBS News: Mobile devices like smartphones and tablets can be distracting from child-rearing, upending family routines and fueling stress in the home, a small, new study finds. Incoming communication from work, friends and the world at large is "contaminating" family mealtime, bedtime and playtime, said study lead author Dr. Jenny Radesky. She's an assistant professor of developmental behavioral pediatrics at the University of Michigan Medical School. Her comments stem from her team's study involving interviews with 35 parents and caregivers of young children in the Boston area. "This tension, this stress, of trying to balance newly emerging technologies with the established patterns and rituals of our lives is extremely common, and was expressed by almost all of our participants," Radesky said. "We have to toggle between what might be stress-inducing or highly cognitively demanding mobile content and responding to our kids' behavior," she said. The result, said Radesky, is often a rise in parent-child tension and overall stress. Modern parents and caregivers interact with tablets, smartphones and other communication devices for about three hours a day, the study authors said in background notes. Radesky's team previously found that when parents used mobile devices during meals they interacted less with their children, and became stressed when children tried to grab their attention away from the device. The new study included 22 mothers, nine fathers and four grandmothers. Participants were between 23 and 55 years old (average age 36) and cared for toddlers or young children up to age 8. Roughly one-third were single parents, and nearly six in 10 were white. On the plus side, many parents said that mobile devices facilitated their ability to work from home. But that could fuel anxiety, too. Some said smartphones provided access to the outside world, and alleviated some of the boredom and stress of child-rearing. On the down side, caregivers described being caught in a tug-of-war between their devices and their children. The study findings were published in the Journal of Developmental and Behavioral Pediatrics. -
Study Finds Higher Rates of Premature Birth Near Fracking Sites (jhsph.edu)
An anonymous reader writes: Researchers from the Johns Hopkins Bloomberg School of Public Health have published a study (abstract) noting that pregnant women are more likely to give birth prematurely if they live close to fracking sites. The researchers used data from 40 counties in Pennsylvania, in which 10,946 babies were born between January 2009 and January 2013. They compared the data with the fast spread of fracking sites across the state — thousands have been built since 2006.
"The researchers found that living in the most active quartile of drilling and production activity was associated with a 40 percent increase in the likelihood of a woman giving birth before 37 weeks of gestation (considered pre-term) and a 30 percent increase in the chance that an obstetrician had labeled their pregnancy "high-risk," a designation that can include factors such as elevated blood pressure or excessive weight gain during pregnancy. When looking at all of the pregnancies in the study, 11 percent of babies were born preterm, with the majority (79 percent) born between 32 and 36 weeks." -
Protein Converts Pancreatic Cancer Cells Back Into Healthy Cells
An anonymous reader writes: Scientists working in the area of pancreatic cancer research have uncovered a technique that sees cancerous cells transform back into normal healthy cells. The method relies in the introduction of a protein called E47, which bonds with particular DNA sequences and reverts the cells back to their original state. The study (abstract) was a collaboration between researchers at the Sanford-Burnham Medical Research Institute, University of California San Diego and Purdue University. The scientists are hopeful that it could help combat the deadly disease in humans. -
3 Short Walking Breaks Can Reverse Harm From 3 Hours of Sitting
An anonymous reader writes: Medical researchers have been steadily building evidence that prolonged sitting is awful for your health. One major problem is that blood can pool in the legs of a seated person, causing arteries to start losing their ability to control the rate of blood flow. A new experimental study (abstract) has discovered it's quite easy to negate these detrimental health effects: all you need to do is take a leisurely, 5-minute walk for every hour you sit. "The researchers were able to demonstrate that during a three-hour period, the flow-mediated dilation, or the expansion of the arteries as a result of increased blood flow, of the main artery in the legs was impaired by as much as 50 percent after just one hour. The study participants who walked for five minutes for each hour of sitting saw their arterial function stay the same — it did not drop throughout the three-hour period. Thosar says it is likely that the increase in muscle activity and blood flow accounts for this." -
Med Students Unaware of Their Bias Against Obese Patients
An anonymous reader sends news of a study which found that "two out of five medical students have an unconscious bias against obese people." The study, published in the Journal of Academic Medicine (abstract) examined med students from many different cultural and geographical backgrounds. "The researchers used a computer program called the Weight Implicit Association Test (IAT) to measures students’ unconscious preferences for 'fat' or 'thin' individuals. Students also answered a survey assessing their conscious weight-related preferences. The authors determined if the students were aware of their bias by seeing if their IAT results matched their stated preferences. Overall, 39 percent of medical students had a moderate to strong unconscious anti-fat bias as compared to 17 percent who had a moderate to strong anti-thin bias. Less than 25 percent of students were aware of their biases. 'Because anti-fat stigma is so prevalent and a significant barrier to the treatment of obesity, teaching medical students to recognize and mitigate this bias is crucial to improving the care for the two-thirds of American adults who are now overweight or obese,' Miller said. 'Medical schools should address weight bias as part of a comprehensive obesity curriculum.'" -
When Are You Dead?
Hugh Pickens writes "Dick Teresi writes in the WSJ that becoming an organ donor seems like a noble act, but what doctors won't tell you is that checking yourself off as an organ donor when you renew your driver's license means you are giving up your right to informed consent, and that you may suffer for it, especially if you happen to become a victim of head trauma. Even though they comprise only 1% of deaths, victims of head trauma are the most likely organ donors. Patients who can be ruled brain dead usually have good organs, while organs from people who die from heart failure, circulation, or breathing deteriorate quickly. But here's the weird part. In at least two studies before the 1981 Uniform Determination of Death Act, some 'brain-dead' patients were found to be emitting brain waves, and at least one doctor has reported a case in which a patient with severe head trauma began breathing spontaneously after being declared brain dead. Organ transplantation — from procurement of organs to transplant to the first year of postoperative care — is a $20 billion per year business, with average recipients charged $750,000 for a transplant. At an average of 3.3 donated organs per donor, that is more than $2 million per body. 'In order to be dead enough to bury but alive enough to be a donor, you must be irreversibly brain dead. If it's reversible, you're no longer dead; you're a patient,' writes David Crippen, M.D. 'And once you start messing around with this definition, you're on a slippery slope, and the question then becomes: How dead do you want patients to be before you start taking their organs?'"