Thursday, 21 June 2012

June 22, 2012 Clippings


Living alone raises risk of death
Living alone may increase risk of mortality, cardiovascular death, according to a new study.
In an international study of stable outpatients at risk of or with arterial vascular disease (such as coronary disease or peripheral vascular disease), living alone was associated with an increased risk of death and cardiovascular death.
Social isolation may be associated with poor health consequences, and the risk associated with living alone is relevant because about 1 in 7 American adults lives alone.
Epidemiological evidence suggests that social isolation may alter neurohormonal-mediated emotional stress, influence health behavior and effect access to health care, which may result in association with or acquisition of, cardiovascular risk, according to the study background.
Jacob A Udell, M.D., M.P.H., of Brigham and Women’s Hospital, Harvard Medical School, Boston, and colleagues examined whether living alone was associated with increased mortality and cardiovascular (CV) risk in the global REduction of Atherothrombosis for Continued Health (REACH) Registry. Among 44,573 REACH participants, 8,594 (19%) lived alone.
Living alone was associated with higher four-year mortality (14.1% vs. 11.1%) and cardiovascular death (8.6% vs. 6.8%), according to the study results.
Based on age, living alone was associated with an increased risk of death among those patients 45 to 65 years old compared with those living with others (7.7% vs. 5.7%), and among those participants 66 to 80 years old (13.2% vs. 12.3%).
However, among patients older than 80 years, living alone was not associated with an increased risk of mortality compared with those living with others (24.6% vs. 28.4%).
“In conclusion, living alone was independently associated with an increased risk of mortality and CV death in an international cohort of stable middle-aged outpatients with or at risk of atherothrombosis,” the researchers concluded.
“Younger individuals who live alone may have a less favorable course than all but the most elderly individuals following development of CV disease, and this observation warrants confirmation in further studies,” they noted.
The study was published Online First by Archives of Internal Medicine, a JAMA Network publication.
22.06.2012


Walk in park boosts memory
A walk in the park benefits people suffering from depression, say researchers on the basis of new evidence.
Marc Berman, post-doctoral fellow at Baycrest's Rotman Research Institute, working with Michigan and Stanford Universities, said: "Our study showed that participants with clinical depression demonstrated improved memory performance after a walk in nature, compared to a walk in a busy urban environment."
Berman, however, cautioned that such walks are not a replacement for existing and well-validated treatments for clinical depression, such as psychotherapy and drug treatment, the Journal of Affective Disorders reports.
Berman's research is part of a cognitive science field known as Attention Restoration Theory (ART) which proposes that people concentrate better after spending time in nature or looking at scenes of nature, according to Baycrest statement.
The reason, according to ART, is that people interacting with peaceful nature settings aren't bombarded with external distractions that relentlessly tax their working memory and attention systems.
In a previous study reported in the journal Psychological Science, Berman showed that adults who were not diagnosed with any illness received a mental boost after an hour-long walk in a woodland park - improving their performance on memory and attention tests by 20 percent - compared to an hour-long stroll in a noisy urban environment.
In this study, Berman and his team explored whether a nature walk would provide similar cognitive benefits, and also improve the mood for people with clinical depression.
They recruited individuals from the University of Michigan and Ann Arbor area with a history of clinical depression. Participants exhibited a 16 percent increase in attention and working memory after the nature walk relative to the urban walk.
22.06.2012






A dream is just a dream. A goal is a dream with a plan and a deadline
Harvey Mackay

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