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(July
1, 2003 [Volume 4, Issue 14] ) |
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In
this issue of To Your Health:
Chiropractic: Good Even for "Minor"
Pains
Consider the Alternative
Brewing Problems
A Potential Consequence of
High-Protein Diets
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Chiropractic:
Good Even for "Minor" Pains
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About
half of all children will suffer from low-back pain at some
point, with nearly 15% experiencing frequent or ongoing pain.
In North America, the primary providers of spinal manipulation
are chiropractors. More studies are now being done to evaluate
the role of chiropractic in treating back pain in minors.
In a study appearing in the Journal of Manipulative and Physiological
Therapeutics, 15 randomly chosen Canadian chiropractors
provided data on |
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their
pediatric patients between the ages of 4 to 18 and suffering
from lower back pain. Information was gathered on treatment
type and outcome of care, based on patient-rated pain scales.
Characteristics of the children with back pain included:
The average age of sufferers was 13 years old.
Nearly 60 percent were male.
Half attributed pain onset to trauma (usually sports-related).
One in four reported pain of over three months duration.
The most
common diagnosis was a "subluxation," appearing
in half of these children. Patients were almost universally
treated with spinal adjustments, with few requiring other
forms of therapy. After six weeks of treatment, major improvement
(defined as "much improved" or "resolved")
was seen in nearly 90% of patients, based on one of the pain
scales, and there were no reported complications in any of
the patients.
In children,
as in adults, chiropractic treatment is extremely effective
for back pain, regardless of the cause or characteristics.
Your doctor of chiropractic can provide more information about
treating childhood back pain.
Reference:
Hayden JA, Mior SA, Verhoef MJ. Evaluation of chiropractic
management of pediatric patients with low back pain: A prospective
cohort study. Journal of Manipulative and Physiological
Therapeutics 2003:26(1), pp. 1-8.
For more
information about pediatric health, check out www.chiroweb.com/find/tellmeabout/childhood.html.
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Consider
the Alternative
Prostate
and colorectal cancer each kill approximately 30,000 men
in the U.S. every year. However, colorectal cancer accounts
for a larger majority of premature deaths, and regarding
screening for the two cancers, only colorectal cancer screening
has been clearly proven through thorough research to reduce
the risk of death, according to a recent study appearing
in the Journal of the American Medical Association. If medical
practice guidelines are based on research, colorectal cancer
screening should be much more common than screening for
prostate cancer.
Utilizing
a 2001 annual health survey of adults in all 50 states conducted
by the Centers for Disease Control and Prevention, information
was gathered on 50,000 men age 40 or older. Researchers
focused on the percentage of men screened for prostate cancer
using PSA (prostate-specific antigen) testing and colorectal
cancer using fecal occult blood testing (FOBT), colonoscopy
or sigmoidoscopy.
Men
were more likely to have ever been screened for prostate
cancer than colorectal cancer (75% vs. 63% of subjects,
respectively) in those age 50 or older. Subjects of all
ages also more commonly had received PSA screening in the
past year than FOBT in the past year or colonoscopy/sigmoidoscopy
in the last five years. Men were significantly more likely
to be up-to-date on prostate-cancer testing than colorectal-cancer
testing in 27 states, compared to being more up-to-date
on colorectal screening in only one state.
Men
may be more willing to submit to a simple PSA blood test
because it is less convenient and more invasive than testing
required to detect colorectal cancer. Men also may perceive
their risk of death from prostate cancer to be higher because
they know others suffering from the condition. Consider
the alternative to avoiding colorectal cancer screening,
however: You may be allowing a cancer to develop until it
is no longer treatable. Talk to your doctor for more information
about the importance of screening for bowel cancers.
Reference:
Sirovich BE, Schwartz LM, Woloshin S. Screening men for
prostate and colorectal cancer in the United States: Does
practice reflect the evidence? Journal of the American
Medical Association 2003:289(11), pp. 1414-1420.
For
more information on general health issues, visit www.chiroweb.com/find/archives/general.
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| Brewing
Problems?
When a
woman becomes pregnant, she needs to avoid some actions that
increase health risks for the developing child, namely consuming
alcohol, eating certain types of seafood and smoking (if she's
a smoker). Exposure to caffeine during pregnancy has also
been linked to pregnancy problems, including spontaneous abortion
and low infant birth weight. Other lifestyle choices associated
with high caffeine consumption, including drinking alcohol
and smoking while pregnant, have been implicated as the actual
causes for these birth problems. Is caffeine alone dangerous
for your baby?
In an
eight-year Danish study, almost 20,000 pregnant women visiting
a department of obstetrics and gynecology provided information
about coffee consumption before and 16 weeks into pregnancy.
Coffee consumption was classified as 0, 1-3, 4-7 or 8 or more
cups per day. Researchers looked for a possible association
between coffee consumption and stillbirth or infant death
in the first year in this British Medical Journal study.
Pregnant
women consuming eight or more cups of coffee daily while pregnant
were three times more likely to experience a stillbirth than
women drinking no coffee, not considering smoking and alcohol
consumption. After adjusting for these and other factors,
women drinking eight or more cups daily still remained over
two times more likely to have a stillborn child, and women
drinking 4-7 cups daily still showed a 40% increase in risk.
The effects
of caffeine from other sources, including chocolate, cola
and tea consumption, were unknown in this study, because the
women involved were noted to consume very little caffeine
from these sources. Regardless of pregnancy, drinking eight
or more cups of coffee daily is unhealthy for other health
reasons. Limit your caffeine intake to one or two cups of
coffee or tea per day, especially if you're carrying a child.
Reference:
Wisborg K, Kesmodel U, et al. Maternal consumption of coffee
during pregnancy and stillbirth and infant death in first
year of life: Prospective study. British Medical Journal
2003:326, pp. 420-423.
Learn
more about women's health issues at www.chiroweb.com/find/tellmeabout/women.html.
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| A
Potential Consequence of High-Protein Diets
In a world
of countless diet fads and programs, perhaps none is as well-known
as the "Atkins Diet," which severely limits carbohydrate
consumption but allows for high levels of dietary protein
and fats. The possible long-term side-effects of a high-protein,
low-carbohydrate diet are still uncertain, although recent
American Heart Association guidelines suggest that a long-term,
high-protein diet may adversely affect kidney function.
To evaluate
a possible association between dietary protein intake and
functional decline of the kidneys over an 11-year period,
researchers examined approximately 1,600 women ages 42-68.
Protein intake was determined twice over the study period
using a food-frequency questionnaire; renal function was evaluated
through measurements of kidney filtration ability. About 500
women displayed a slight but harmless weakened kidney function
at the start of the study.
In women
with mild kidney deficiency, high protein consumption was
associated with a significant decline in kidney function over
time; those who consumed the most protein showed the greatest
functional decline. Intake of nondairy animal protein, in
particular, was associated with accelerated renal decline
in these women. High protein intake was not related to kidney
function in women with normal initial kidney function.
Long-term,
high-protein diets may have substantial negative side-effects
on kidney function. Roughly one-fourth of all Americans are
considered to display mild renal insufficiency; most of these
individuals are unaware of this. Exercise caution when considering
any fad diet or weight-loss remedy. If you choose a high-protein,
low-carb diet to lose weight, consider only adhering to it
for a short time. A well-balanced diet combined with exercise
is still the safest, most effective way to maintain long-term
weight control.
Reference:
Knight EL, Stampfer MJ, et al. The impact of protein intake
on renal function decline in women with normal renal function
or mild renal insufficiency. Annals of Internal Medicine
2003:138(6), pp. 460-467.
To learn
more about how the nutritional choices you make can affect
your health, go to www.chiroweb.com/find/archives/nutrition.
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