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Thursday, August 23, 2012

Improve your balance by walking


The sense of balance typically worsens with age. It can be further compromised by certain medical conditions and medications; uncorrected vision problems; or a lack of flexibility. Poor balance often leads to falls, which can cause head and other disabling injuries. Hip fractures, in particular, can lead to serious health complications and threaten independence. A combination of activities such as walking, strength training, and specific workouts can improve balance and prevent falls, especially in older adults.
Walking helps build lower-body strength, an important element of good balance. Walking is safe exercise for most people and, in addition to improving balance, counts toward your aerobic activity goals. If health problems make walking especially difficult for you, a physiatrist or physical therapist can suggest other options.
A good walking plan should be designed to safely boost physical activity whether you're sedentary or fairly active. The minutes count, not the miles. Here's how to tailor a walking plan to your needs:
If you aren't in the habit of exercising, start at the beginning. If you normally use a cane or walker, be sure to do so. As you feel stronger and more comfortable, gradually add more minutes to your walks.
If you already exercise start with a walking plan that best matches your current routine and build from there. If the plan seems too easy, add time, distance, or hills. Aim for at least 150 minutes of walking per week, but don't hesitate to add more.

Friday, August 17, 2012

A Diet Loaded With Sugar Makes Rats Dumber


PROBLEM: The average American consumes roughly 47 pounds of cane sugar and 35 pounds of high-fructose corn syrup per year, mostly through processed foods like soft drinks, condiments, and desserts. Though previous studies have shown how these sweeteners harm the body through its role in diabetes, obesity, and fatty liver, it was unclear if they had impact on mental processes

METHODOLOGY: University of California, Los Angeles, researchers Rahul Agrawal and Fernando Gomez-Pinillatrained two groups of rats on a maze twice daily for five days before serving them a fructose solution as drinking water for six weeks. The second group also received omega-3 fatty acids, which protect against damage to the synapses or the chemical connections between brain cells that enable memory and learning. After this experimental diet period, the researchers tested the rats' ability to recall the visual landmarks the scientists installed to help them escape the maze.

RESULTS: The second group of rats remembered the correct route and were able to exit much faster than the rats that did not receive omega-3 fatty acids in the form of docosahexaenoic acid (DHA) and flaxseed oil. A closer look at the brains of the DHA-deprived mammals showed a decline in synaptic activity and signs of resistance to insulin, a hormone that controls blood sugar and regulates synaptic function.

CONCLUSION: A high-fructose diet sabotages learning and memory, but omega-3 fatty acids can partially offset the damage.

IMPLICATION: Gomez-Pinilla says consuming one gram of DHA per day through foods rich in omega-3 fatty acids like salmon, walnuts, and flaxseeds can protect the brain against fructose's dumbing effects. "It's like saving money in the bank," he says in a statement. "You want to build a reserve for your brain to tap when it requires extra fuel to fight off future diseases."

How Exercise Can Jog the Memory


 It's well established that exercise substantially changes the human brain, affecting both thinking and emotions. But a sophisticated, multifaceted new study suggests that the effects may be more nuanced than many scientists previously believed. Whether you gain all of the potential cognitive and mood benefits from exercise may depend on when and how often you work out, as well as on the genetic makeup of your brain.
For the experiment, published last month in Neuroscience, researchers in the department of psychology and neuroscience at Dartmouth College in Hanover, N.H., recruited 54 adults, ages 18 to 36, from the college and the surrounding community. The volunteers were healthy but generally sedentary; none exercised regularly.
During their first visit to the lab, they completed a series of questionnaires about their health and mood, including how anxious they were both at that moment and in general.
They also gave blood for genetic testing. Earlier studies had shown that exercise can increase levels of a protein called brain-derived neurotropic factor, or BDNF, which is thought to play a role in the positive effects of exercise on thinking. But some people produce less BDNF after exercise than others because they have a variation in the gene that controls BDNF production, though it's unknown whether they derive less cognitive benefit from exercise as a result. So the scientists wanted to determine each volunteer's BDNF gene status.
Then the group submitted to a memory test, consisting of pictures of objects flashed across a computer screen. Soon after, another set of pictures appeared, and the volunteers were asked to note, with keystrokes, whether they'd seen each particular image before.
This task involves a different part of the brain from the one most often focused on in studies of exercise and memory, says David Bucci, an associate professor of psychology and brain science at Dartmouth, who oversaw the study. Other experiments typically examine the effect of exercise on the hippocampus, the brain's primary memory center, he says, but the object-recognition task involves activity in the perirhinal cortex, a portion of the brain essential to remembering particular things or objects and whether they happen to be new in your experience. Without a healthy perirhinal cortex, you might recall where you've put your car keys (a hippocampal memory task), but not what car keys are.
Finally, after completing the tests, the volunteers were randomly assigned to exercise or not during the next four weeks. Half began a supervised program of walking or jogging four times a week for at least 30 minutes. The other half remained sedentary.
After a month, the volunteers returned to the lab for retesting. But first, some exercised. Half of the exercising group walked or jogged before the testing; half did not. Ditto for the sedentary group: Half exercised that day for the first time since the start of the study; the rest did not.
The earlier tests of memory and mood were repeated.
The results were, in certain aspects, a surprise. As expected, many of the volunteers who'd been exercising for the past month significantly improved their scores on the memory and mood tests. But not all of them did. In general, those volunteers who had exercised for the past month and who worked out on the day of retesting performed the best on the memory exam. They also tended to report less anxiety than other volunteers.
Those who had exercised during the preceding month but not on the day of testing generally did better on the memory test than those who had been sedentary, but did not perform nearly as well as those who had worked out that morning.
Interestingly, while exercising before the test didn't improve the memory scores of those who'd remained sedentary for the past month, it did increase their self-reported anxiety levels. They were more jittery than they had been on the first lab visit.
Perhaps most intriguing, though, was what the researchers discovered when they compared the volunteers' BDNF gene variants and their scores on the memory test. They found that those with the variant that blunts BDNF production after exercise -- a fairly common variation, existing in about 30 percent of people of European Caucasian heritage -- did not improve their memories, even if they exercised regularly. (No consumer test exists to check for the variant.)
What all of this means for people who are hoping that exercise will improve their minds is unclear, Dr. Bucci says, but it does suggest that the interplay of physical activity and brainpower is more complex than we have perhaps yet acknowledged.
Some people's ability to recall objects, for instance, "may respond less robustly" to exercise than other people's, he says, if their genetic makeup doesn't promote the release of BDNF.
But the overall message of this study and of ongoing research in his lab, Dr. Bucci adds, is that exercise generally enhances the ability to remember. The people who did improve their memory test scores, he points out, were invariably those who'd exercised throughout the previous month and again the morning of the testing, suggesting a powerful cumulative effect from the exercise sessions, he says.
More generally, Dr. Bucci says, there are many types of memory involving many different areas within the brain, and few seem unaffected by regular, moderate exercise, although the effects may be inconsistent from person to person.
"The current data strongly suggests that people should be physically active" if they wish to enjoy a sturdy, unporous memory in the long term, Dr. Bucci says. Walk or jog regularly, in other words, and most of us can expect to continue recognizing our keys as keys.
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Monday, August 13, 2012

Use glycemic index to help control blood sugar


Picture an old-fashioned roller coaster with plenty of ups and downs. That’s what your blood sugar and insulin levels look like over the course of a day. The highs that follow meals and snacks drop to lows later on. Learning to eat in a way that makes your blood sugar levels look more like a kiddie coaster with gentle ups and downs than a strap-’em-in, hang-on-tight ride with steep climbs and breathtaking drops can make a difference to your health.
How can you do this? A tool called the glycemic index (GI) can help. It rates carbohydrate-containing foods by how much they boost blood sugar (blood glucose). As someone with diabetes, I use the glycemic index as one strategy to keep my blood sugar under control. And there may be other benefits—low glycemic index diets have been linked to reduced risks for cancer, heart disease, and other conditions.

Comparing carbs

Carbohydrates are the main nutrient in bread, pasta, cereals, beans, vegetables, and dairy foods. All carbs are made up of sugar molecules. Some carbs, like sucrose (table sugar), are just a pair of linked sugar molecules, glucose and fructose. Other carbs, like the starches in potatoes, corn, and wheat, are a tangle of glucose molecules strung together in long chains.
How a carbohydrate-containing food affects blood sugar depends on how quickly the digestive system can break apart the food into its component sugar molecules. It also depends on the sugar molecules present.
The glycemic index measures how much a food boosts blood sugar compared to pure glucose. A food with a glycemic index of 28 boosts blood sugar only 28% as much as pure glucose; one with a glycemic index of 100 acts just like pure glucose. Over the past three decades, researchers have measured the glycemic index of several thousand foods.Click here to see the glycemic index of 100 foods. You can also look up glycemic index values from the University of Sydney’s GI website.

Glycemic index and health

New studies on how the glycemic index of a diet affects health are published almost every week. Some of the latest include:

Using the glycemic index

Using the glycemic index to choose a healthier diet is easier than you might think. “It’s actually quite simple,” says Dr. Jennie Brand-Miller, a professor of human nutrition at the University of Sydney and an advocate of the glycemic index. “Swap low glycemic index foods for high ones.” See the table below for examples of these swaps.
Brand-Miller and others suggest three categories of carbohydrate-containing foods:
Low glycemic index (GI of 55 or less): Most fruits and vegetables, beans (Brand-Miller calls beans “star performers”), minimally processed grains, pasta, low-fat dairy foods, and nuts.
Moderate glycemic index (GI 56 to 69): White and sweet potatoes, corn, white rice, couscous, breakfast cereals such as Cream of Wheat and Mini Wheats.
High glycemic index (GI of 70 or higher): White bread, rice cakes, most crackers, bagels, cakes, doughnuts, croissants, waffles, most packaged breakfast cereals.
Choosing healthy, low-GI foods is easier in Australia, where hundreds of foods carry the GI label.

A few caveats

You can’t rely on the glycemic index alone for choosing a healthy diet. Some foods, like carrot and watermelon, have a high glycemic index, but a serving contains so little carbohydrate that the effect on blood sugar is small. Others, like sugary soda, have a moderate glycemic index because they contain a fair amount of fructose, which has relatively little effect on blood sugar. But they also pack plenty of glucose, which does boost blood sugar, cautions Dr. Frank Hu, professor of nutrition and epidemiology at Harvard School of Public Health.
The glycemic index of a particular food can also be influenced by what it is eaten with. Olive oil or something acidic, like vinegar or lemon juice, can slow the conversion of starch to sugar, and so lower the glycemic index.
The glycemic index isn’t a perfect guide for choosing a healthy diet. But it offers useful information that can help you choose foods that have kinder, gentler effects on blood sugar.

 Swaps for lowering glycemic index

Instead of this high glycemic index foodEat this lower glycemic index food
White riceBrown rice or converted rice
Instant oatmealSteel-cut oats
CornflakesBran flakes
Baked potatoPasta
White breadWhole-grain bread
CornPeas or leafy greens
Fruit roll-upWhole fruit