Posted by on January 2, 2014 - 11:23pm

Do hormone levels in postmenopausal women affect cognitive function? New research sheds light on the postmenopausal brain.

In a recently published study, researchers found that estrogen levels after menopause may have no impact on cognitive skills, but progesterone levels might. Progesterone had some association with global cognition and verbal memory among newly postmenopausal women.

643 healthy postmenopausal women were part of the study, ranging from 41 to 84 years old. Neuropsychological tests were done to assess cognition and memory, and hormone levels were determined including estradiol, estrone, progesterone, and testosterone. The findings showed no association between estrogen and cognitive skills. However, women with higher levels of progesterone had better outcomes on the verbal memory and global cognition tests, particularly in those who had started menopause less than six years prior. None of the hormones appeared to have any association with depression or mood either.

More research must be done to confirm the new findings regarding progesterone levels. Also, there is no way to directly measure hormone concentrations at the brain level, but this research implies that estrogen therapy may not have a significant effect on cognitive skills. To learn more about when hormone therapy is beneficial , visit Northwestern's menopause website here.

 

Source reference: Henderson VW, et al "Cognition, mood, and physiological concentrations of sex hormones in the early and late menopause" PNAS 2013; DOI: 10.1073/pnas.1312353110.

Posted by on December 30, 2013 - 1:11am

New research shows that women with high blood pressure during pregnancy may be at higher risk of having troublesome menopausal symptoms in the future. A research study from the Netherlands examined the relationship between hypertensive diseases and hot flashes and night sweats.

Investigators looked at 853 women who regularly visited a cardiology clinic. Among these women, 274 had a history of high blood pressure during their pregnancy, such as preeclampsia. Participants were classified as having hypertension (high blood pressure) if her systolic blood pressure was 140 mmHg or higher, if her diastolic was 90 mmHg or higher, or if she took antihypertensive medication.

The study revealed that women with a history of hypertensive pregnancy disease were more likely to have vasomotor symptoms of hot flashes and night sweats during menopause. Hot flashes and night sweats are considered vasomotor because of sudden opening and closing of blood vessels near the skin. 82% women with history of hypertension during pregnancy had hot flashes and night sweats, compared to 75% women without. Moreover, women with hypertension during pregnancy reported experiencing hot flashes and night sweats for a longer time period.

Researchers concluded that the findings were modest but more research needs to be done to establish a definite association. One must also consider that every woman experiences menopause differently; you  might have symptoms that are barely noticeable, while your friends could experience almost all of them. To learn more about the different types of symptoms during menopause, visit the Women's Health Research Institute's menopause website here.

 

 

 

Posted by on December 20, 2013 - 8:36pm

Women undergoing menopause experience symptoms including hot flashes, sleeplessness, depression, joint pain, and poor concentration, to name a few. Hormone therapy has proven to improve some of these symptoms in menopausal women, but new research shows that treatment may only improve quality of life in those who undergo a significant number of hot flashes.

A recently published study done in Finland, looked at use of hormone therapy in women who had recently gone through menopause. 150 women were divided into two groups, those with seven or more moderate to severe hot flashes per day, and those with three or fewer mild hot flashes per day. In each group, half the women used hormone therapy and half received only a placebo.

All women were asked to track their hot flashes as well as their additional menopausal symptoms. After six months, hormone therapy improved the overall health of women with moderate to severe hot flashes in symptoms including sleep, anxiety, memory and concentration, joint and muscle pain, and hot flashes. Hormone therapy made no difference in those with mild or no hot flashes.

Though the Finland study may not apply to women of other ethnicities, the research demonstrates how treatment must be personalized for women undergoing menopause. Physicians should take into account the different symptoms that a woman is experiencing when recommending treatment. Women should also always consider all the options in improving symptoms, from lifestyle to herbs to hormones. To read more about the different treatments available to minimize menopausal symptoms, visit http://menopause.northwestern.edu/

Posted by on December 18, 2013 - 10:30am

As enrollment statistics in the new health insurance marketplaces start to become available, there is a growing focus on whether the enrollment of so-called “young invincibles” will be sufficient to keep insurance markets stable according to the Kaiser Family Foundation excerpted below.

Why does the age distribution of enrollees matter?

The Affordable Care Act (ACA) requires insurers in the individual market to cover anyone who wishes to enroll and restricts how insurers can vary premiums based on enrollee characteristics. Premiums cannot vary at all based on health status or gender. Premium variations based on age are limited to a ratio of three to one (meaning the premiums for a 64 year-old is three times the premium for a 21 year-old). Previously, premium variations based on age were more typically about five to one.

The limit on age rating means that, on average, older adults will be paying premiums that do not fully cover their expected medical expenses, while younger adults will be paying premiums that more than cover their expenses. For this system to work, young people need to enroll in sufficient numbers to produce a surplus in premium revenues that can be used to cross-subsidize the deficit created by the enrollment of older people. If that does not occur, premium revenues will fall short of expenses and insurers may seek to raise premiums the following year.

While enrollment in the federal and state-based marketplaces have tended to receive the most attention – and are the only enrollment statistics currently being reported – it is the age distribution across the entire individual market that matters from the perspective of the risk pool. That is because insurers are required to set premiums based on a “single risk pool” that encompasses all plans newly-purchased or renewed after January 1, 2014, both inside and outside the marketplaces.

Also, risk pooling occurs state by state, so if one state enrolls a substantial number of young adults, it will not help the insurance market in a state that is less successful.

What happens if enrollment among young adults falls short?

Because young adults will be cross-subsidizing older adults, they need to enroll in sufficient numbers for that cross-subsidy to be sufficient. If enrollment among young adults falls short, then the total amount of premiums collected by insurers will be less than the total health care expenses of enrollees plus administrative overhead and profit. And, if insurers believe that those enrollment patterns will continue into 2015, then they may raise premiums higher to compensate for the loss.

However, because premiums are still allowed to vary substantially based on age, the financial consequences of lower enrollment among young adults are not as great as conventional wisdom might suggest.

To learn more on this topic, read the full report from the Kaiser Family Foundation.

Posted by on December 13, 2013 - 4:26pm

We all know that eating sweet and starchy foods is not the best for our health: but did you know that these foods have been found to increase a woman’s risk of endometrial cancer?  Endometrial cancer begins in the uterus and, if it progresses, can lead to a hysterectomy, or even death.  Dr. Bandera, of Rutgers University, found that foods containing refined sugar or white flour (found in sweet and starchy foods) can increase one’s glycemic load, which can greatly increase one’s risk for endometrial cancer.  The American Institute for Cancer Research (AICR) estimated that 59% of endometrial cancer cases could be prevented in the United States if women exercise for at least 30 minutes daily and maintained a healthy body weight.  Estrogen is a known cause for endometrial cancer, and as fat cells secrete estrogen, obesity has been shown as a major cause of this cancer.

Bandera states, “women who are obese have two to three times the rate of endometrial cancer” than those who exercise and maintain a healthy body weight. Bandera also revealed an unexpected piece of research that points to how a certain beverage can protect a woman against endometrial cancer.  Interestingly, eight studies have found that coffee can actually lower this risk.  Coffee helps regulates insulin and is loaded with antioxidants—both of which can reduce one’s risk of this type of cancer.  While Bandera stresses other not-so-positive side effects of coffee (“everything in moderation!”), the decrease in endometrial cancer risk is pretty exciting.

Source: Today Health

 

Posted by on December 11, 2013 - 11:57am

Concerns about hormone therapy safety have made many women turn to alternatives, such as phytoestrogens (soy, flaxseed, etc)  to alleviate their menopausal symptoms.  A recent systematic review of flaxseed intervention was recently done and reported in the journal Menopause.   Their findings:  "Flaxseed is currently not indicated for the alleviation of vasomotor symptoms in postmenopausal women, and there is little evidence to support an effect on circulating sex hormones.  A paucity of appropriate randomized controlled studies indicates that the effects of flax intervention on BMD are inconclusive."

To learn more about menopause symptom management, visit the Women's Health Research Insitute's Menopause Decision Tool.

Source:  Dew T and Williamson G, Menopause. 2013;20(11):1207-1215.

 

 

Posted by on December 4, 2013 - 9:12am

About 50% of pregnancies in the U.S. are unintended and are higher among adolescents and young women, minorities and women with less educational and financial resources.  Thus strategies to prevent unintended pregnancies include assisting women at risk in choosing appropriate contraceptive methods and helping women use those methods properly and consistently.  A new report prepared by the National Center for Chronic Disease Prevention and Health Promotion is now available and addresses sometimes controversial or complex issues regarding specific contraceptive methods.    They utilize recommendations originally made by the World Health Organization but they have been tailored more specifically to the U.S.

Posted by on December 2, 2013 - 3:02pm

Polio, or poliomyelitis, has been nearly eradicated by the polio vaccines developed in the 1950’s, sparing countless children and adults from symptoms such as muscle weakness and acute flaccid paralysis. However, there are still three countries (Nigeria, Pakistan, and Afghanistan) that have never been polio-free. These countries are starting to serve as “exporters” of the polio virus, affecting China and Syria, countries that had previously been polio-free.

In 2011, a polio outbreak shocked the northwestern province of Xinjiang, China. There, 21 cases of acute flaccid paralysis were confirmed as wild-type poliomyelitis. China had been certified as polio-free since 2000 and was shocked at the outbreak in Xinjiang. A rigorous investigation and mass vaccination ensued to snuff out the source. A genetic analysis found that the virus had been imported from Pakistan, despite the fact that the originating subject (a 16-month-old girl) and family had no history of travel outside their province in China. China’s response was immediate and vigorous, administering 43 million doses of vaccine in late 2011, and there have been no new cases in China after October 9, 2011. While China was able to attack this outbreak quickly and successfully, Syria's recently confirmed cases of polio have been harder to contain as Syria's public health services are disrupted by civil war.

As humans are the only host for the polio virus, it is theoretically possible to eradicate it. The only way to truly eradicate polio is to vaccinate 100% of people routinely in each country. Poliomyelitis is carried in the intestines and can make its way into the sewage and water systems, but if everyone is vaccinated, it has nowhere to go—outbreaks cannot happen if everyone is immune. The recent outbreaks in China and Syria have been linked to suboptimal immunization rates, therefore leading to susceptible people in these populations.

Nigeria, Pakistan, and Afghanistan remain the three countries that have never been polio-free. Collectively, Nigeria, Pakistan, and Afghanistan have reported 119 cases of polio so far this year, showing a decrease from these nations that reported 182 cases in 2012. Preventing potential outbreaks in these countries will require vaccinating or re-vaccinating millions of people—which is challenging in countries facing civil turmoil. William Schaffner, MD, Professor of Preventative Medicine at Vanderbilt Medical Center urges continued awareness of the importance of vaccination. These outbreaks in China and Syria confirm that global transmission of poliomyelitis can only be prevented if 100% of citizens are vaccinated in a routine and systemized way.

Source: MedPage Today

Posted by on November 26, 2013 - 12:33pm

The Supreme Court on Tuesday, November 26,  agreed to hear cases on whether corporations may refuse to provide insurance coverage for contraception to their workers based on the religious beliefs of the corporations’ owners.   President Obama’s health care law has exempted many religious groups from the law but did not exempt for-profit corporations because of owners' religious objections.

The National Women’s Law Center (NWLC) will be submitting a “friend of the court” brief to the Supreme Court that lays out how birth control advances the health and rights of women. Nearly 99 percent of women use contraception at some point during their reproductive years who come from a variety of religious faiths.  And currently nearly 27 million women can get free birth control without copays — a number that will increase as the health care law continues to go into effect.

Most women's organizations believe that allowing bosses to make women’s health care decisions is a dangerous precedent that could lead to companies refusing to abide by other laws that protect their employees, such as employment protections like minimum wage or equal pay. 
Sign the pledge to say all women deserve to make their own birth control decisions — no matter where they work.

 

 

 

Posted by on November 20, 2013 - 2:53pm

Women are 90-95% more likely to be victims of domestic violence than men.  While domestic violence is more common among women (one in four women experience domestic violence in the United States), men and children are victimized too, totaling in epidemic-like proportions.  Verizon Wireless has decided to take action. In their community outreach program called HopeLine, Verizon collects hundreds of thousands of donated phones and turns them into support for domestic violence organizations across the nation. The fact that phones and technology are an “especially safe and reliable way for domestic violence victims and survivors to reach emergency or support services in times of crisis,” proves that this type of resource can save lives.

How it works: HopeLine collects used wireless phones and accessories and refurbishes or recycles them, using profits from the refurbished phones to fund non-profit agencies to buy wireless phones for victims of domestic violence.  The recycled phones have kept more than 260 tons of electronic waste and batteries out of landfills since HopeLine’s inception in 2001.  In total, over 10 million phones have been collected by HopeLine, $18.1 million dollars has been donated to domestic violence prevention organizations, and 151,000 HopeLine phones have been donated to victims and survivors since 2001. To donate your used phone to the HopeLine program, simply drop off your phone at any Verizon Wireless store.  To read more about HopeLine, click here.

To read more about domestic violence, click here.

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