Friday, November 29, 2013

Smaller bowls help kids eat less: study

A new study suggests that smaller bowls could be an easy way to help children eat less, and therefore weigh less.

Announced last week, the US study involved 69 preschool children who ate cereal and milk from 8- and 16-ounce bowls until they'd had their fill. Children who ate from the larger bowls asked for 87 percent more cereal and milk, the findings showed.

"The quickest way parents can help kids eat less might be to grab them a smaller bowl," said Brian Wansink, professor of behavioral economics at Cornell University and the lead author.

In a second study, involving 18 elementary school children, researchers used secret scales embedded within the tables to weigh each cereal portion before and after the kids ate to measure exactly how much they consumed. The kids with larger bowls requested 69 percent more cereal and milk and also ate 52 percent more.

"Bigger bowls cause kids to request nearly twice as much food, leading to increased intake as well as higher food waste," said coauthor Koert Van Ittersum of University of Groningen. "Based on these findings, using smaller dishware for children may be a simple solution for caregivers who are concerned about their kids' caloric intake."

The study was published recently in the Journal of Pediatrics.

Previous research published in the Journal of Consumer Research last year supports the theory for adults too, finding that subjects who dined from smaller plates and bowls ate less. Another study published in the same journal found that people who use bigger forks also tend to eat less.



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10 Things You Should Know About Narcolepsy

In this day and age, there is no reason for people to go undiagnosed and untreated for narcolepsy. We need to increase not only the public's, but also the medical profession's awareness of this disorder. Sadly, in a recent survey called the AWAKEN Survey dealing with physician knowledge and diagnosis of narcolepsy, only 9 percent of primary care providers said they felt comfortable diagnosing it. Obviously, this needs to improve if we are going to have a significant impact on this devastating disease.

Here's what you need to know:

1. Narcolepsy is a chronic neurologic disorder resulting in severe sleepiness in about 1 of every 2,000 Americans. It is second only to sleep apnea as a cause of daytime sleepiness. It is due to the loss of cells in the hypothalamus that produce the wake-promoting neurotransmitter hypocretin (orexin).

2. We do not know what triggers it. However, genetic, autoimmune, and infectious causes have been suggested. We do know that destruction of nerve cells that produce the neurotransmitter hypocretin is the root cause in the majority.

3. The peak age of onset is from 15 to 25 years of age. Still, it can present as early as 5 years old or as late as 40.

4. 60 percent of narcoleptics are initially misdiagnosed and many go undiagnosed for more than ten years.

5. 75 percent of people with narcolepsy have cataplexy -- defined as a sudden and transient loss of muscle tone, usually in response to emotions such as laughter, anger, or surprise. This symptom usually, but not always, develops after excessive sleepiness has begun.

6. One third of people with narcolepsy experience vivid dream-like hallucinations called hypnogogic hallucinations when they are falling asleep or while awakening. This is frequently accompanied by temporary paralysis known as sleep paralysis.

7. One third of narcoleptics have associated anxiety and depression.

8. Most narcoleptics have disturbed sleep because of frequent shifts from sleep to awakenings throughout the night.

9. Narcolepsy can easily be diagnosed using a test called an MSLT (Multiple Sleep Latency Test), available in most sleep centers. The key is evaluation by someone who recognizes the symptoms and makes the appropriate referral.

10. Narcolepsy is treatable. There are several excellent therapies available with more on the way.



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The Good News, Bad News for Belviq: …Now the Good News

Belviq, Arena Pharmaceuticals' (NASDAQ: ARNA) lead obesity drug, continues to rack up mediocre sales numbers as sales performance continues to lag expectations. Fans of Belviq and Arena still see the drug as a potential blockbuster but questions remain as to how Belviq can still meet lofty pre-launch predictions.

In an earlier article, I noted that Belviq will likely need more time to fit into accepted standards of care and many physicians will simply need more exposure to Belviq before they feel comfortable exposing obesity patients to a new drug. In the meantime, physicians will still rely overwhelmingly on tried-and-true approaches including diet and exercise.

That being said, there is ample good news for Belviq into the mid-to-long term. Arena and marketing partner Eisai (NASDAQOTH: ESALY) remain confident in Belviq's potential and have recently moved to up marketing efforts significantly. Furthermore, physicians will likely warm up over time to a new medication option in an area that is short on decent drugs.

A much needed pep talk
Recent actions on the part of Arena and Eisai seem to indicate that there is a renewed effort to overcome some of the barriers Belviq has faced since June. In particular, Eisai recently announced intentions to double Belviq's sales force by December.

Given that many physicians still need convincing before they switch patients to a new and unfamiliar medication, this can only be seen as a good thing. Additionally, Belviq's label still carries warnings against rare but potentially fatal heart valve and neurological side effects -- increased outreach to physicians would likely go a long way to lessen fears surrounding its safety.




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The Best Cures for Workplace Stress

Forget misfit teenagers or a rocky romantic life. The responsibilities of work are filling up the majority of space in the stress vacuum. That's according to a 2013 Consumer Health Mindset report by Aon Hewitt, a retirement and health solutions company. Of the 2,800 employees and their dependents surveyed, four of the top five reasons for stress were work-related: financial situation (46 percent), work changes (37 percent), work schedule (34 percent), work relationships (32 percent) and influence and control over how the employee did work (32 percent).

Stress has both emotional and physical consequences, according to Bob Rosen, psychologist and CEO and chairman of the consulting firm Healthy Companies International. "Stress is a condition we experience when our minds and bodies respond to changing conditions," he wrote in an email. "Too much stress creates excessive fear and anxiety, conflict and defensiveness, feelings of overwhelm and burnout, and chronic inflammation in the body."

If you're already in a demanding job, laboring under such conditions can only make it that much harder. Below are some issues you may face as well as steps you can take to alleviate some of your workplace stress.

Others feel your wrath. If you're bogged down in heaps of work each day, you may show little restraint in voicing your frustrations with colleagues. While the tongue-lashing of your boss and colleagues may provide some momentary relief, it can create a hostile and distrustful work environment. "This can affect relationships with co-workers in that we can snap at them more often, be more short-tempered, relate to them in a less positive way, which can create more stress not just for us and them, but that can permeate the workplace," says Elizabeth Scott, a stress expert for About.com and author of "Eight Keys to Stress Management."

[Read: Is Your Personality Holding You Back at Work?]

Cure: Blow off steam by exercising. Let your frustrations boil out during your lunch workout in the company gym. If your workplace doesn't have a gym, walking up and down the office stairs or around a nearby park for 15 minutes are great substitutes. "Those who exercise regularly are less reactive to stress when they experience it," Scott says, adding that doing so unleashes an "influx of endorphins" and makes you "more resilient to stress."

Focusing is a struggle. Between fretting about your low salary and the high demands of your boss, your body may be overwhelmed by the emotional toll and release cortisol - a hormone unleashed as a result of stress. Scott explains that this can inhibit logical reasoning, reaction time and other areas of cognitive functioning.

Cure: Meditate. Give your brain a break from the multitasking nature of your job by stepping away from your desk and finding a private area for a few minutes of meditation. According to Rosen, meditation is one of the most effective ways to relieve stress. "It forces us to stop, sit quietly within ourselves, identify the sources of our excessive stress, and focuses us on calming ourselves down, living in the moment - not hijacked by the past or worrying about the future," he says.

There's also evidence that the practice can benefit your brain. In 2011, a team of Harvard-affiliated researchers at Massachusetts General Hospital conducted an eight-week mindfulness meditation program. Meditating for 27 minutes each day, the 16 participants showed measurable changes in parts of the brain associated with memory, sense of self, empathy and stress.




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Thanksgiving For Special Diets: How To Make A Meal Everyone Can Eat

Published: 11/27/2013 08:44 AM EST on LiveScience

What happens when a vegan, a person on the Paleo diet and a gluten-free eater sit down together to a Thanksgiving dinner?

It sounds like the intro to a joke, but it's a real conundrum for the many people who have guests and loved ones with multiple dietary restrictions. Though it can be tough to plan a meal in which every guest can eat everything, there are several strategies that can make Turkey Day dining healthy and nutritious for everyone, experts say.

"The biggest thing is just keeping it simple," said Cassie from DietitianCassie.com (whose last name is Bjork), a registered, licensed dietitian and health coach. "The shorter the ingredient list, the better."

Creating a meal with lots of side dishes that emphasize fruits and veggies can also make the Thanksgiving menu a crowd-pleaser, Cassie said. [Thanksgiving: 10 Tips for Sticking to Healthy Portions]



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