Living to 100 -- Easier Than You Think?

CHICAGO (AP) - Living to 100 is easier than you might think.

Elderly laughing
Research shows that Americans are living longer than ever, to an average age of 78. But we may be even to live even longer.
(PhotoDisc)

Surprising new research suggests that even people who develop heart disease or diabetes late in life have a decent shot at reaching the century mark.

"It has been generally assumed that living to 100 years of age was limited to those who had not developed chronic illness," said Dr. William Hall of the University of Rochester.

Hall has a theory for how these people could live to that age. In an editorial in Monday's Archives of Internal Medicine, where the study was published, he writes that it might be thanks to doctors who aggressively treat these older folks' health problems, rather than taking an "ageist" approach that assumes they wouldn't benefit.

For the study, Boston University researchers did phone interviews and health assessments of more than 500 women and 200 men who had reached 100. They found that roughly two-thirds of them had avoided significant age-related ailments.


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Nothing to sneeze at — decoding the common cold

By LAURAN NEERGAARD, AP Medical Writer - Fri Feb 13, 3:53 AM PST

WASHINGTON - Scientists have unraveled the genetic code of the common cold — all 99 known strains of it, to be exact. But don't expect the feat to lead to a cure for the sniffling any time soon. It turns out that rhinoviruses are even more complicated than researchers originally thought.

In fact, the genetic blueprints showed that you can catch two separate strains of cold at the same time — and those strains then can swap their genetic material inside your body to make a whole new strain.

It's why we'll never have a vaccine for the common cold, said biochemist Ann Palmenberg of the University of Wisconsin-Madison, who led the three teams that assembled the family tree of the world's rhinoviruses.

"No vaccine, but maybe a drug," she said.

Why? The outside of these viruses — the part your body's immune system must recognize — are hugely variable, making it hard to envision a vaccine that would work against very many strains. But the inside components, what Palmenberg calls the guts of the virus, are remarkably similar from strain to strain, offering targets for therapy.

Adults typically get two to four colds a year, while schoolchildren may get as many as 10. But they do more than cause a runny nose. Rhinoviruses can trigger asthma attacks and play a role in sinusitis, certain ear infections and pneumonia.

Yet these viruses are remarkably mysterious for such a common bug. It was only in the past two years that scientists discovered there aren't two main groups of the viruses but three_ and this new "Group C" collection is nasty, tending to lodge deep in the lungs, Palmenberg said.

Wisconsin researchers paired with teams at the University of Maryland and J. Craig Venter Institute to decipher the genetic sequences of all known Group A and B rhinovirus strains and see how they're related to the newer Group C strains.

The resulting cold family tree, reported online Thursday by the journal Science, organizes human rhinoviruses into 15 distinct branches that evolved over time. Now the hunt is on to define the viral commonalities on each branch, in the quest for anti-cold drugs.

Are You Wasting Money on Multivitamins?

By Simeon Margolis, M.D., Ph.D. - Posted on Wed, Feb 11, 2009, 3:28 pm PST
Behind the Headlines
by Simeon Margolis, M.D., Ph.D. a Yahoo! Health Expert for Nutrition

Advertisements with tantalizing promises of improved health, prevention of cancer and heart disease, and greater energy have lured millions of Americans to spend billions of dollars on the purchase of multivitamins.

An article in the February 9 issue of Archives of Internal Medicine reported that multivitamin use did not protect the 161,808 postmenopausal women enrolled in the Women's Health Initiative Study from common forms of cancer, heart attacks, or strokes. And the numbers of deaths during the 8 years of the study were the same in vitamin users as in non-users. Still, it is important to recognize that this was an observational study, not a more meaningful clinical trial. Although these findings apply only to women, other studies have failed to show benefits of multivitamins in older men.

These results are not at all surprising for several reasons. No large study has shown that multivitamins significantly benefit healthy men and women. In addition, for some years physicians prescribed folic acid and vitamins B12 and B6 in the hopes of preventing heart attacks and strokes by lowering blood levels of homocysteine. (High blood levels of homocysteine are associated with an increased risk of coronary and other vascular diseases.) A number of recent studies, however, have shown that, while these vitamins do lower homocysteine levels, they do not prevent heart attacks or strokes.

Many doctors have also prescribed the antioxidants vitamin E and beta-carotene to reduce the risk of cardiovascular diseases and cancer. Alas, studies have now proven that these supplements are not protective--and may even be harmful.

No one denies that an adequate intake of vitamins is essential; however, vitamins can and should be obtained from eating enough healthy foods rather than from swallowing vitamin supplements.

Then what about vitamins being a great source of energy? Some multivitamin ads do indeed claim that their supplements boost energy; and some professional athletes gobble handfuls of vitamin pills to increase their energy and strength. But researchers proved long ago that energy comes from calories, not vitamins. The highly touted cholesterol-lowering effects of substances added to some multivitamin supplements? Still unproven.

All this is not to say that specific vitamins supplements are never desirable. Vitamins can be valuable in certain situations:

  • Folic acid supplements in women who are pregnant or plan to become pregnant can help to prevent serious neural-tube defects that affect the baby's brain and spine.
  • Supplements that contain more vitamin D and calcium than is present in regular multivitamin pills can help older men, and especially women, avoid osteoporosis and bone fractures.
  • Supplements of vitamins C and E, beta-carotene, zinc, and copper may slow the progression of vision loss in people with early macular degeneration.

And multivitamins are beneficial for some entire groups of people:

  • those on a very-low-calorie weight-loss diet
  • strict vegetarians
  • heavy alcohol drinkers
  • individuals who are not getting an adequate diet because they are too sick or too poor--or live by themselves and are unable to prepare proper meals for themselves

I also agree with a comment made by one of the coauthors of the Archives of Internal Medicine article about postmenopausal women mentioned above. An 8-year follow-up period may not be long enough to show that multivitamins protect against cancers that take many years to develop.

All the same, the results of the studies on vitamins so far point to one conclusion: Healthy people who eat enough calories from a varied diet do not benefit from multivitamin supplements.

Stogie News: Smoking Cigars Can Improve Your Health?

Thanks to politicians, self-interested health organizations, and biased doctors, most of us probably don’t fully understand the many advantages of tobacco. It may surprise you to learn that smoking cigars poses some serious health benefits. That’s right. Benefits.

DoctorI discovered some of tobacco’s benefits when a letter from Dr. William Campbell Douglass II came across my desk this week. Once voted “Doctor of the Year” by the National Health Federation, Dr. Douglass says, “When practiced in moderation, smoking can load you up with health benefits you never imagined possible.”

The letter, which likely dates back to 2004 when Dr. Douglass’ The Health Benefits of Tobacco was published, says the author is not on Big Tobacco’s payroll and does not advocate smoking in excess. But he does say “mountains of evidence” suggest smoking and health are not necessarily at odds.

According to Dr. Douglass, smoking can:

Slash your risk of Alzheimer’s and Parkinson’s
Improve your memory and concentration
Help prevent thyroid, breast, and skin cancer
Produce new blood vessel growth around blocked arteries


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Feds will help with COBRA payments

The federal government will subsidize 65 percent of the cost of health insurance through COBRA for workers who lost their jobs between Sept. 1, 2008 and Dec. 31, 2009.

The provision was included in the economic stimulus package signed into law Feb. 17. The Consolidated Omnibus Budget Reconciliation Act, enacted in 1985, currently allows individuals to retain their company insurance coverage for up to 18 months after they leave their employer. Individuals who elect COBRA coverage pay both the employee’s and the employer’s share of the premiums, plus a 2 percent administrative charge.

Business groups are relieved the final stimulus bill didn’t include a broader expansion of COBRA. The original House bill would have allowed former employees who are 55 or older, or who have been with a company for 10 years, to receive health coverage through COBRA until they are eligible for Medicare at 65.

Business groups said covering this age group through COBRA would have cost employers more than what the former employees would have paid for it, especially since individuals 55 and over tend to have more serious health issues than younger workers.

For more information about COBRA, see www.dol.gov/dol/topic/health-plans/cobra.htm .

Drug Improves Mobility in Some MS Patients

FRIDAY, Feb. 27 (HealthDay News) -- The drug fampridine improves walking ability in some people with multiple sclerosis.

In a phase III study that included 301 patients, aged 18 to 70, the participants were randomly assigned to receive either 10 milligrams of fampridine or a placebo twice a day for 14 weeks. The patients' walking speed was assessed after two weeks, six weeks, 10 weeks and 14 weeks.

The number of timed walk responders -- those who achieved a faster walking speed in at least three of the four assessments while on treatment compared to when they weren't on treatment -- was 78 out of 224 (35 percent) in the fampridine group and six out of 72 (8 percent) in the placebo group. The patients in the fampridine group also showed greater improvement in leg strength.

Eleven patients (5 percent) in the fampridine group had to withdraw from the study due to adverse events, but only two serious adverse events (focal seizure and severe anxiety) were considered to be connected with the drug, according to Andrew Goodman, of the University of Rochester Medical Center, and colleagues. But they added that the risk of seizure noted in previous studies seems to increase in a dose-dependent way with fampridine.

"Treatment with fampridine produces clinically meaningful improvement in walking ability in some people with multiple sclerosis, irrespective of disease course type or concomitant treatment with immunomodulators," the researchers concluded.

The study was published in this week's edition of The Lancet.

MS patients suffer a progressive decline in mobility, but there are few treatment options available to complement physiotherapy. While it has been suggested that fampridine may improve visual function, strength, walking ability, fatigue and endurance in MS patients, there are questions about the drug's efficacy and safety.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more about multiple sclerosis.

Documents on Seroquel show drugmaker

TRENTON, N.J. (AP) — Internal AstraZeneca reports and e-mails written by company officials show they knew a decade ago that their psychiatric drug Seroquel caused diabetes and major weight gain, plaintiffs' lawyers said Friday after releasing dozens of the previously sealed documents.

"They not only failed to warn about the risk of diabetes, but they marketed it as not having that risk," said Houston attorney Ed Blizzard, one of the lead attorneys representing roughly 15,000 plaintiffs suing the British drugmaker.

The plaintiffs claim Seroquel, approved for treating schizophrenia and bipolar disorder, caused diabetes, weight gain and related health problems, from kidney failure and heart attacks to amputations and damage to the pancreas, which makes insulin.

AstraZeneca spokesman Tony Jewell said plaintiffs' lawyers are "mischaracterizing that we knew that it caused diabetes." He said it remains unresolved whether Seroquel causes diabetes, and that AstraZeneca PLC has shared all relevant and required data with the Food and Drug Administration, both before and after the FDA approved Seroquel as safe and effective in 1997.

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Bypass or Stents?


Some experts say the choice is up to you

http://yourtotalhealth.ivillage.com/bypass-truly-better-than-stenting.html?nlcid=hr|02-27-2009| Results from a new study may make it easier for heart patients and their doctors to decide on a surgical treatment for dangerously blocked arteries. Researchers compared two groups: people who had bypass surgery and those who had angioplasty with stenting. While interpretations of the study results differ, some experts say the pros and cons of the procedures balance out, suggesting that the ultimate choice is up to the patient.

Plus: Breathing exercises before heart surgery may speed recovery and reduce pneumonia risk afterward. Consider asking your heart doctor if breathing workouts could help you.

Chemists Shed Light On Health Benefits Of Garlic

ScienceDaily (Jan. 31, 2009) — A Queen's-led team has discovered the reason why garlic is so good for us.
Researchers have widely believed that the organic compound, allicin – which gives garlic its aroma and flavour – acts as the world's most powerful antioxidant. But until now it hasn't been clear how allicin works, or how it stacks up compared to more common antioxidants such as Vitamin E and coenzyme Q10, which stop the damaging effects of radicals.
http://www.sciencedaily.com/images/2009/01/090130154901-large.jpg
Garlic. Chemists have discovered the reason why garlic is so good for us. (Credit: iStockphoto/Jorge Farres Sanchez)