Thursday, November 29, 2007

At Least 25 Grams Of Fiber Each Day - Oatmeal 4, Berries 8, Peas/Beans 11

A Few Tricks to Easier Self-Control during the Holidays

Posted by: "Francesca Skelton" fskelton@erols.com   fskelton2002

Wed Nov 28, 2007 11:26 am (PST)

Washington Post
By Sally Squires
Tuesday, November 27, 2007; Page HE05

Finding ways to feel full with fewer calories is a trick that can help you
sidestep nutritional mischief and added pounds, especially during the
tempting holiday season.

But what are the best choices to help you pull a fast one on your stomach?

Holding the line on weight is always important so that you don't increase
your risk of diabetes or other weight-related health problems. But it takes
on special meaning at the holidays, when food temptations are as common as
corner Santas.

"People already overweight or obese are at particular risk for packing on
the holiday pounds," notes Susan Yanovski, co-director of the Office of
Obesity Research at the National Institute of Diabetes and Digestive and
Kidney Diseases.

As part of a study of holiday weight gain, Yanovski and her colleagues
examined a group of healthy adults and found that overweight and obese
people were at greater risk of gaining five or more pounds from Thanksgiving
to New Year's than their leaner counterparts.

The team tracked some of the participants who added holiday pounds for a
full year. Although they lost a little weight from January through March, a
year after the study began they weighed roughly 1 1/2 pounds more. The
results suggest, Yanovski says, that "all of us are at risk for not only
holiday weight gain, but weight-gain retention."

That's where those high-volume, lower-calorie foods come in handy, an
approach to eating known as volumetrics. Research from Pennsylvania State
University indicates that eating foods with water as a main ingredient --
think fruit and vegetables, soup and stews -- helps reduce overall caloric
intake. Puffed and whipped foods -- popcorn and whipped yogurts, for example
-- do the same, because they contain so much air. So does food with a lot of
fiber.

It also turns out that some types of fiber may be better than others at
helping you feel full -- a tip that can come in handy at any time of year.

At last month's annual meeting of the Obesity Society, a professional group,
Minnesota researchers reported that fiber from bean, barley or oats was best
at helping study participants feel full and satisfied three hours after
eating. By comparison, polydextrose, a fiber substance used as a fat
substitute in some commercially prepared products, was least likely to do
so.

Most people fall short on eating the fiber recommended by the National
Academy of Sciences. Women are advised to aim for 25 grams per day; men, 38
grams.


There are plenty of easy ways to reach those goals. Start the day with
whole-grain cereal. Whether it's a steaming bowl of oatmeal (about four
grams of fiber per cup)
or a serving of shredded wheat (about six grams of
fiber per cup)
, you'll get flavor and fiber. Add a cup of berries for an
additional eight grams of fiber.


Whole-wheat crackers, bread and pasta provide two or more grams of fiber per
serving
. A medium sweet potato with the skin packs five grams of fiber. A
pear has four grams, while a banana and an orange clock in at three grams
each.

But beans are the fiber winner. Just one cup can provide at least 11 grams.
So split pea, lentil and navy bean soups are smart choices that won't make
you feel like you're chewing hay. Other easy options include hummus and bean
dips.


Staying active also can help you avoid mindless eating. That's why this
week's activity goal is to add another five minutes of walking or other
activity per day beyond what you did before Thanksgiving. Add that to the 10
extra minutes that was the goal last week, and you'll be doing 15 minutes
more of exercise.

Remember, no need to do it all at once. If you get up every hour for five
minutes to move around your office or around the block, you can add 15 more
minutes of activity in a morning. Plus, when you're walking, you're probably
not eating. Just avoid strolling past the holiday goodies your colleagues
are bound to bring in.

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CT Scan Radiation Health Risk - 20 Million People Exposed Unnecessarily

Over 20 Million People Unnecessarily Exposed To Radiation From CT Scans Each Year, Study Suggests

http://www.sciencedaily.com/releases/2007/11/071128172402.htm

ScienceDaily (Nov. 29, 2007) — Computed Tomography (CT) scans are an increasingly used X-ray-based tool for providing a three-dimensional view of a particular organ or tissue. The value of CT scanning to diagnose injury, cancer and other health problems is undisputed. But are these scans being used too frequently, in some cases unnecessarily? What are the health consequences of having too many CT scans over the course of a person's life?

In a Nov. 29, 2007 article in The New England Journal of Medicine, David J. Brenner, Ph.D., and Eric J. Hall, Ph.D., from the Center for Radiological Research at Columbia University Medical Center, argue that the potential carcinogenic effects from using CT scans may be underestimated or overlooked. This is of particular concern, because perhaps one-third of all CT scans performed in the United States may not be medically necessary, the radiation researchers say.

It is estimated that more than 62 million CT scans per year are currently given in the United States, compared to three million 1980. Because CT scans result in a far larger radiation exposure compared with conventional plain-film X-ray, this has resulted in a marked increase in the average personal radiation exposure in the United States, which has about doubled since 1980, largely because of the increased CT usage.

It used to be widely believed that all radiological examinations were essentially harmless, because of the small amounts of radiation involved, but Drs. Brenner and Hall show that this is unlikely to be true for CT scans. In particular, Japanese atomic bomb survivors who were about two miles away from the explosions, actually received radiation doses quite similar to those from a CT scan.

Sixty years of study of these survivors have provided direct evidence that there will be an increased individual cancer risk, though small, for those who have this same dose of radiation from CT scans. Although the individual risk is small, the large number of CT scans currently being given may result in a future public health problem. In particular, Drs. Brenner and Hall suggest that, in a few decades, about 1½ to 2 percent of all cancers in the United States may be due to the radiation from CT scans being done now.

Defensive Medicine Leads to Overuse

Drs. Brenner and Hall suggest that the rapid increase in CT usage represents a potential public health problem in the United States that should be proactively addressed. This is particularly important for children, who are more sensitive than adults to radiation exposure. The issue arises, for example, when CT scans are requested in the context of so-called "defensive" medicine, or when scans are repeated as a patient passes through different parts of the medical system.

Compounding the issue, surveys suggest that the majority of radiologists and emergency-room physicians may not appreciate that CT scans are likely to increase the lifetime risk of cancer. Ultimately, the health care system, the doctor, and the patient (who can perhaps best track of the number of CT scans performed when dealing with multiple doctors) may have to share the burden of monitoring the appropriate dosage and number of scans.

Drs. Brenner and Hall suggest three strategies for proactively addressing the potential increased radiation risks associated with CT scans:

  1. Reduce the CT-related radiation dose in individual patients.
  2. Replace CT use, when appropriate, with other options that have no radiation risk, such as ultrasound or magnetic resonance imaging (MRI).
  3. Decrease the total number of CT scans prescribed.

Drs. Brenner and Hall suggest in their paper's conclusion that these strategies could potentially keep 20 million adults and, crucially, more than one million children annually in the United States from being irradiated unnecessarily. They stress, however, that in the majority of individual cases, the benefits associated with a correct diagnosis through CT will far outweigh the individual risk.

Adapted from materials provided by Columbia University Medical Center.


Researchers at Columbia University Medical Center suggest in a new study that the potential carcinogenic effects from using CT scans may be underestimated or overlooked. (Credit: iStockphoto)

Related Stories


Full-body CT Screening Increases Risk Of Cancer Death (Aug. 31, 2004) — The risk of cancer mortality from a single full-body computed tomography (CT) scan is modest, but not negligible, and the risks resulting from elective annual scans are much higher, according to a ...  > read more


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Wednesday, November 21, 2007

DANGEROUS BEAUTY: EUROPE REMOVES ALL TOXICS IN EVERYDAY COSMETICS

DANGEROUS BEAUTY: TAMING TOXICS IN EVERYDAY COSMETICS

WorldChanging, November 13, 2007
http://www.precaution.org/lib/07/prn_dangerous_beauty.071114.htm

 [Rachel's introduction: In 2003, the European Union passed legislation outlawing the use of known carcinogens, mutagens, and teratogens in cosmetics -- more than 1,000 chemicals in all.

Their regulatory approach is similar to the "precautionary principle"

-- the idea that we should err on the side of caution when regulating products (or, more often, technologies) with potential for negative repercussions.]

By Erica Barnett

As someone who's used cosmetics since early adolescence (I'm from Texas, okay?), I'm particularly horrified by the awful stuff in ordinary makeup -- chemicals that cause infertility, birth defects, learning disabilities, and even cancer. (We've written before about the growing concerns around -- and awareness of -- the toxic substances that lurk in everyday household products.) I've long wished that someone would create a one-stop resource detailing what's safe, what's not, and why. That's why I'm eagerly awaiting my copy of Stacy Malkan's new book "Not Just a Pretty Face: The Ugly Side of the Beauty Industry."

Malkan, communications director for the Campaign for Safe Cosmetics, explores the health risks that are inflicted on women by the beauty industry. In an interview with Alternet, Malkin explained her motivation for writing the book:

I think cosmetics is something that we're all intimately connected to. They're products that we use every day, and so I think it's a good first place to start asking questions. What kinds of products are we bringing into our homes? What kinds of companies are we giving our money to?... I think of it as global poisoning. I think that the ubiquitous contamination of the human species with toxic chemicals is a symptom of the same problem (as global warming), which is an economy that's based on outdated technologies of petrochemicals -- petroleum. So many of the products we're applying to our faces and putting in our hair come from oil. They're byproducts of oil.

The Campaign for Safe Cosmetics got its start in 2002, when a coalition of women's, public health, labor, environmental health and consumer-rights nonprofits got together and tested 72 beauty products for phthalates, chemicals that act as plasticizers and hormone disrupters and cause birth defects, particularly in males. They discovered the chemicals were nearly ubiquitous, although none of the products they tested listed phthalates on their labels. In fact, Malkan says, the typical American woman uses 12 products containing about 180 chemicals every single day.

Nonetheless, the cosmetics industry remains virtually unregulated, with minimal oversight from the Food and Drug Administration, which must prove in court that a product is harmful before it can take any action.

In 2003, the European Union passed legislation outlawing the use of known carcinogens, mutagens, and teratogens in cosmetics -- more than 1,000 chemicals in all. Their regulatory approach is similar to the "precautionary principle" -- the idea that we should err on the side of caution when regulating products (or, more often, technologies) with potential for negative repercussions. In the US, only California has followed in the EU's footsteps. In her interview with Alternet, Malkan said the most surprising toxin her organization has discovered in cosmetics is lead in lipstick; last month, the Campaign issued a controversial report claiming to have found lead in nearly a dozen brand-name lipsticks.

The Campaign for Safe Cosmetics offers a guide to "safer" companies that have signed its Compact for Safe Cosmetics, pledging not to use chemicals that are known or strongly suspected of causing cancer, mutation or birth defects in their products. Skin Deep, a cosmetic database that's searchable by name, is another useful resource, while Teens for Safe Cosmetics offers not only resources but grassroots youth action to tackle the problem (like Operation Beauty Drop -- which places large bins in malls for teens to drop their unsafe cosmetics -- and a successful campaign to pass a California law requiring cosmetics manufacturers to notify the Department of Health Services about any toxic or carcinogenic components in their makeup).


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Wednesday, November 7, 2007

A Few Walnuts, Blueberries Improve Brain Function As Do Eating Fruits & Vegetables

Diet Of Walnuts, Blueberries Improve Cognition; May Help Maintain Brain Function

ScienceDaily (Nov. 7, 2007) — Junk food junkies take notice. What you eat does more than influence your gut. It also may affect your brain. Increasing evidence shows that mom was right: You should eat your vegetables, and your blueberries and walnuts, too.

Scientists are confirming that this age-old adage is worth following. And new studies show that diet may have implications for those who suffer from certain brain ailments.

Diets containing two percent, six percent, or nine percent walnuts, when given to old rats, were found to reverse several parameters of brain aging, as well as age-related motor and cognitive deficits, says James Joseph, PhD, of the U.S. Department of Agriculture Human Nutrition Research Center at Tufts University in Boston.

In previous research, Joseph and his colleagues showed that old rats maintained for two months on diets containing two percent high antioxidant strawberry or blueberry extracts exhibited reversals of age-related deficits in the way that neurons function and in motor and cognitive behavior. In the brain, antioxidant molecules wage war against molecules known as free radicals, which can harm brain cells and brain function. The present research extends these findings and shows that walnuts can have a similar effect.

Walnuts contain alpha-linolenic acid (ALA), an essential omega-3 fatty acid, and other polyphenols that act as antioxidants and may actually block the signals produced by free radicals that can later produce compounds that would increase inflammation. Findings from the studies by Joseph and his colleague Barbara Shukitt-Hale, PhD, show for the first time that shorter chain fatty acids found in plants, such as walnuts, may have beneficial effects on cognition similar to those from long chain fatty acids derived from animal sources, which have been reported previously.

A six percent diet is equivalent to a person eating 1 ounce of walnuts each day, which is the recommended amount to reduce harmful low-density lipoprotein, or LDL, cholesterol, while a nine percent diet is equivalent to people eating 1.5 ounces of walnuts per day. "Importantly," Joseph says, "this information, coupled with our previous studies, shows that the addition of walnuts, berries, and grape juice to the diet may increase 'health span' in aging and provide a 'longevity dividend' or economic benefit for slowing the aging process by reducing the incidence and delaying the onset of debilitating degenerative disease."

Joseph and his colleagues are currently assessing whether increased neurogenesis or alterations in stress signaling, or both, may be involved in the mechanisms through which the walnut diets could be producing their effects. Ongoing research suggests that walnuts involve more than the mere "quenching" of free radicals and may in fact involve direct effects on blocking the deleterious "stress signals" generated by the oxidative stressors. "The beneficial effects of walnuts also may be the direct result of enhancements of signals which mediate such important functions as neuronal communication and the growth of new neurons," says Joseph.

A great deal of data suggests that the deficits associated with aging, for example, Alzheimer's disease and cardiovascular diseases, arise as a result of an increasing inability of the aging organism to protect itself against inflammation and oxidative stress, providing fertile ground for the development of neurodegenerative diseases. "The good news," Joseph says, "is that it appears that compounds found in fruits and vegetables -- and, as we have shown in our research, walnuts -- may provide the necessary protection to prevent the demise of cognitive and motor function in aging."

Other research shows that walnut extract may play a role toward developing novel treatments for Alzheimer's. Amyloid-ß plaques are the primary physiological hallmark of Alzheimer's. The presence of the enzyme acetylcholinesterase within these plaques has been confirmed, and the enzyme has been shown to induce plaque formation.

Modern Alzheimer's drugs typically target either acetylcholinesterase activity or plaque formation, but do not simultaneously inhibit both. "Therefore, they only have limited success in slowing the progression of the disease," says Gina Wilson, of Baldwin-Wallace College in Berea, Ohio. Wilson and her colleagues have discovered through the use of strictly chemical techniques in the absence of living cells that walnut extract and two of its major components, gallic and ellagic acids, act as "dual-inhibitors" of the enzyme acetylcholinesterase. Chemical techniques included enzyme kinetics and colorimetric analyses of congo red, a dye that binds to amyloid-ß aggregates. It was found that gallic and ellagic acids not only inhibit the site of acetylcholinesterase associated with amyloid-ß protein aggregation, but will also inhibit the site of acetylcholinesterase responsible for the breakdown of acetylcholine.

"Initially, we confirmed earlier results showing that walnut extract inhibits amyloid-ß protein aggregation in the presence of acetylcholinesterase and breaks apart preformed aggregates," says Wilson. "However, the new findings have not been presented elsewhere or replicated by other laboratories, to the best of our knowledge." Wilson's research is the first set of data to demonstrate inhibition of acetylcholine breakdown by walnut extract and to isolate specific chemicals from that extract, gallic and ellagic acids, responsible for the observed dual-inhibition. The research is the first to suggest that ellagic acid, and possibly gallic acid, can break up preformed aggregates.

While exact replications are needed, Wilson and her colleagues plan to extend their research to live animals. They plan to inject rats with an amyloid-ß protein fragments that will aggregate in their brains. Experimental animals will then be treated with either chemical. This will allow for measurements of brain acetylcholinesterase activity, plaque formation, and oxidative damage. Additionally, this procedure will provide comparisons of cognitive-behavioral data between treated and untreated groups.

Acetylcholine is a brain chemical particularly important for learning and memory. Levels of acetylcholine found in the brains of Alzheimer's patients are significantly depleted. However, this is not the sole event responsible for progression of the disease. Abnormal amyloid-ß proteins aggregate and form what are known as plaques, another key feature found in the brains of Alzheimer's sufferers. Amyloid-ß plaques have also been linked to the memory impairments and cognitive decline associated with the disease. Acetylcholinesterase is an integral part of these plaques and accelerates plaque formation.

"It is important," Wilson says, "to investigate 'dual-inhibitors' of acetylcholinesterase in efforts to develop more efficient pharmacological treatments for Alzheimer's disease."

Another avenue of research regarding a link between diet and the brain shows that blueberries contain compounds that can reduce inflammation in the central nervous system. Inflammation in the central nervous system is known to be a key issue in the progression of neurodegeneration, and dietary intake of blueberries has been shown to alleviate cognitive decline associated with disease and aging.

Thomas Kuhn, PhD, of the University of Alaska, Fairbanks, and his colleagues have discovered that Alaska wild bog blueberries contain compounds that efficiently interfere with inflammatory processes in the central nervous system.

The study conducted in Kuhn's lab revealed an interaction between compounds in Alaska blueberries and a specific protein molecule in neuronal cells that reduces detrimental effects of inflammation. Understanding the interaction of these compounds could lead to the development of new drug therapies that would diminish inflammation of the brain and spinal cord.

While the health benefits of fruits and vegetables are largely attributed to polyphenols, molecules with strong antioxidant potential, Kuhn says that, surprisingly, the compounds in Alaska blueberries discovered in their study are neither antioxidants nor polyphenols, yet rather serve as specific inhibitors.

Using a cell-based model of nueroinflammation, Kuhn's lab exposed neuronal cells to tumor necrosis factor alpha (TNFa), a pivotal factor mediating inflammation in the brain and spinal cord. Exposure of neuronal cells to TNFa rapidly stimulates a cascade of reactions, which ultimately leads to the death of neuronal cells. The application of Alaska blueberry extracts to neuronal cells effectively prevented the degeneration of neuronal cells exposed to TNFa.

"Expanding our knowledge of natural products' health benefits and their molecular targets in the nervous system would improve preventative measures and potentially reveal new therapeutic strategies to alleviate inflammation in the brain and spinal cord," says Kuhn. Inflammation in the brain and spinal cord accompanies most chronic degenerative diseases such as Alzheimer's, Parkinson's, ALS, or multiple sclerosis, or acute injuries including stroke and trauma. Moreover, inflammation is highly prevalent in psychiatric disorders such as depression and autism and in the normal aging process.

In other recent studies, Ron Mervis, PhD, of the Center for Aging and Brain Repair at the University of South Florida College of Medicine in Tampa, Fla., who collaborated with Joseph and Shukitt-Hale, has discovered that supplementing the diet of old rats with blueberries for a relatively short period (8 weeks), resulted in maintenance and rejuvenation of brain circuitry. These results, using a small amount of blueberry extract, two percent, to supplement a standard rat diet, are the first to show that a dietary intervention, specifically blueberries, can not only protect against the loss of dendritic branching and dendritic spines (e.g., synapses) seen in aged animals, but can result in neuroplastic enhancement of brain circuitry such that it looks like a much younger brain.

Mervis explains that age-related oxidation and inflammation in the brain can damage neurons. He notes that blueberries also contain various chemical compounds-flavonoids-which have strong antioxidant and anti-inflammatory activities.

"These benefits, along with other indirect mechanisms, may help to minimize, or reverse, the age-related breakdown of communication between neurons," says Mervis, "and optimize brain function in the old rat." A two percent blueberry extract is equivalent to a human having about half a cup of blueberries added to their daily diet.

The decrease in the amount of dendritic branching, or atrophy, of neurons and loss of synapses on the branches in the aging mammalian brain is correlated with memory loss and cognitive dysfunction. Dendrites, which receive and process incoming information from other neurons, comprise about 95 percent of the surface area of the cell, and the vast majority of the synapses are on dendritic spines. Therefore, Joseph says, "analysis of dendritic branching and dendritic spines can accurately reflect the integrity of brain circuits and neuronal communication."

Previous research showed that blueberry-enriched diets fed to aging rats reversed age-related declines in cognitive function. The current data show that a diet supplemented with blueberry extract should be able to protect against the loss of dendritic branching and dendritic spines-in other words, Joseph says, the blueberry supplement diet "would enhance the neuronal circuitry back to the status associated with a younger brain."

While these parameters have not been investigated in humans, it is known that individuals who consume a diet high in fruits and vegetables are less likely to develop some of the neurodegenerative diseases associated with aging and may not exhibit declines in motor and cognitive function that are as great as those seen in people whose consumption is less.

Adapted from materials provided by Society For Neuroscience.



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LED Light - Less Energy Used, No Toxic Mercury Of CFL Light Bulbs

[Here's an ad for LED (Light Emitting Diode) light that replaces both the extremely energy wasteful regular light bulbs and the toxic, with mercury, CFL light bulbs. It looks like they last much longer than CFL lights also. How does cost over the same amount of time compare to CFL? When someone gives these a try, I'd like to know how well they work. Is there a 'dark' side to using them?]

http://led.section9tech.com/


Finally, a practical and elegantly simple way of reducing our impact on the environment! At Section9 LED you will find the lowest prices on the most advanced LED lighting products available that will also significantly save you money on your energy bill and help save the environment at the same time. Our LED lamps typically use 8 times less energy than the equivalent incandescent bulb, and can last up to 50 times longer. Our lamps can last for up to 50,000 hours and our LED Tube Fluorescent replacements can last for up to 50,000 hours as well. Check back often for new product updates as we expand our lighting applications! Please contact us if you have any questions about our products or would like to learn about wholesale/dropshipping opportunities.
Not Found In Retail Stores!

A Lighting Revolution!
L.E.D. Technology advances lighting efficiency, helping us reduce our impact on our environment.

Why does it make so much sense to replace your old standard bulbs with Section9 LED lamps? Consider a standard 40 watt incandescent bulb rated at 1,000 hours in its lifetime will use $4.80 worth of electricity. Now a 5 watt LED bulb giving out the same amount of light will use $30 of electriciy during its rated 50,000 hour lifetime - that is $240 using standard incandescent and only $30 using Section9LED lamps over the operating time of 50,000 hours - not to mention you are burdened with having to buy and replace 50 standard bulbs during that time as well! All while simultaneously saving the environment by cutting down on your use of non-renewable energy sources and greenhouse gas emissions. It's a no-brainer!





Light, Light bulbs, Non-Toxic?, Better?

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Tuesday, November 6, 2007

Just 30 Minutes Vigorous Exercise A Day Can Stabilize Body Mass Index

Just 30 Minutes Vigorous Exercise A Day Can Stabilize Body Mass Index

ScienceDaily (Nov. 6, 2007) — Don't slack off on exercise if you want to avoid packing on the pounds as you age.

A consistently high level of physical activity from young adulthood into middle age increases the odds of maintaining a stable weight and lessens the amount of weight gained over time, according to a new analysis from Northwestern University's Feinberg School of Medicine.

People who reported at least 30 minutes of vigorous activity a day such as jogging, bicycling or swimming were more than twice as likely to maintain a stable Body Mass Index (BMI) over 20 years. BMI is a measure of body fat based on height and weight. But even highly active people who gained weight, gained 14 pounds less over 20 years than those with consistently low activity.

Although activity is often recommended as a way to prevent weight gain, this is one of the first studies to examine the relationship between activity and weight by looking at patterns of exercise over a long period of time.

Researchers examined data from over 2,600 participants in the Coronary Artery Risk Development in Young Adults (CARDIA) study to determine if high activity patterns over time were associated with maintaining a stable BMI. Participants in CARDIA, who were 18 to 30 years old when the study began, have been tracked for 20 years.

"The results will hopefully encourage young people to become more active and to maintain high activity over a lifetime," said Arlene Hankinson, lead author and an instructor in preventive medicine at the Feinberg School. Hankinson presented her findings on Monday, Nov. 5, at the American Heart Association Scientific Sessions in Orlando, Fla.

Adapted from materials provided by Northwestern University.



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Quality Of Life Most Important For Living Longer Better Life

now we know quality of life is a critical factor in determining survival, 

what matters most is what patients themselves are telling us about their quality of life"

quality of life remained the strongest predictor of overall survival.

patient's quality of life increased over time, we saw a corresponding increase in survival,"

underscore the importance of helping our patients improve the quality of life where we can in order to help them live longer better."

"Quality of life measures should be incorporated into treatment decision making and clinical trials,"

+++

 

Quality Of Life Is The Most Important Predictor Of Survival For Advanced Cancer Patients

http://www.sciencedaily.com/releases/2007/10/071030170208.htm

ScienceDaily (Nov. 1, 2007) — Healthcare providers have observed it for years -- patients who appear to have a better quality of life while battling their cancer live longer. Now, a prospective, multi-institutional study examining the quality of life of patients with locally advanced non-small cell lung cancer backs that observation. In fact, quality of life is so important, it out-weighs other classic predictors of survival.



"In the past, we've consider the stage of disease or tumor size along with other empirical data to predict how long a patient will survive, but now we know quality of life is a critical factor in determining survival," said Nicos Nicolaou, M.D., an attending physician in the radiation oncology department at Fox Chase Cancer Center in Philadelphia and lead author of the abstract.

The study included patients with locally advanced non-small cell lung cancer enrolled in a treatment trial (Radiation Therapy Oncology Group 9801 assessing the addition of amifostine to induction chemotherapy followed by concurrent chemoradiation). In addition to quality of life surveys, factors used to predict overall survival, included stage of disease, gender, age, race, marital status, type of tumor, tumor location in the lung, blood oxygen level, and type of treatment.

"Our study shows that what matters most is what patients themselves are telling us about their quality of life", said Benjamin Movsas, M.D., principal investigator of the RTOG study and senior author of the abstract. Movsas is chairman of the Radiation Oncology Department at Henry Ford Hospital in Detroit.

Of the 239 patients analyzed, 91 percent completed a pre-treatment quality of life questionnaire. Patients with a quality of life score less than the median (66.7) had a 69% higher rate of death than patients with a quality of life score greater than 66.7 (p=0.002).

"We conducted two different statistical analysis including all the usual prognostic factors and either way, quality of life remained the strongest predictor of overall survival.

What's more, if a patient's quality of life increased over time, we saw a corresponding increase in survival," Movsas said.

Married patients or those with a partner had the highest quality of life score.

"We found a significantly lower quality of life score for single, divorced and widowed patients which deserves further study," Nicolaou said. "These findings underscore the importance of helping our patients improve the quality of life where we can in order to help them live longer better."

"Quality of life measures should be incorporated into treatment decision making and clinical trials," Movsas concluded.

The results of the study were presented October 30, 2007 at the American Society for Therapeutic Radiology and Oncology's 49th Annual Meeting in Los Angeles.

Adapted from materials provided by Fox Chase Cancer Center.

 


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