Showing posts with label Health Insights. Show all posts
Showing posts with label Health Insights. Show all posts

Sunday, October 4, 2009

Scientists find path to fountain of youth

by Jean-Louis Santini Jean-louis Santini – Thu Oct 1, 11:10 pm ET

WASHINGTON (AFP) – The fountain of youth may exist after all, as a study showed that scientists have discovered means to extend the lifespan of mice and primates.

The key to eternal -- or at least prolonged -- youth lies in genetic manipulation that mimics the health benefits of reducing calorie intake, suggesting that aging and age-related diseases can be treated.

Scientists from the Institute of Healthy Ageing at University College London (UCL) extended the lifespan of mice by up to a fifth and reduced the number of age-related diseases affecting the animals after they genetically manipulated them to block production of the S6 Kinase 1 (S6K1) protein.

Scientists have shown since the 1930s that reducing the calorie intake by 30 percent for rats, mice and -- in a more recent finding -- primates can extend their lifespan by 40 percent and have health benefits.

By blocking S6K1, which is involved in the body's response to changes in food intake, similar benefits were obtained without reducing food intake, according to the study published in the US journal Science.

The results corroborated those of other recent studies.

"Blocking the action of the S6K1 protein helps prevent a number of age-related conditions in female mice," explained UCL professor Dominic Withers, the study's lead author.

"The mice lived longer and were leaner, more active and generally healthier than the control group. We added 'life to their years' as well as 'years to their lives.'"

The genetically altered female mice lived 20 percent longer -- living a total of 950 days -- or over 160 days more than their normal counterparts.

At age 600 days, the equivalent of middle age in humans, the altered female mice were leaner, had stronger bones, were protected from type 2 diabetes, performed better at motor tasks and demonstrated better senses and cognition, according to the study.

Their T-cells, a key component of the immune system also seemed more "youthful," the researchers said, which points to a slowing of the declining immunity that usually accompanies aging.

Male mice showed little difference in lifespan although they also demonstrated some of the health benefits, including less resistance to insulin and healthier T-cells. Researchers said reasons for the differences between the two sexes were unclear.

"We are suddenly much closer to treatments for aging than we thought," said David Gems of UCL's Institute of Healthy Aging, one of the authors of the study, which was primarily funded by the Wellcome Trust.

"We have moved from initial findings in worm models to having 'druggable' targets in mice. The next logical step is to see if drugs like metformin can slow the aging process in humans."

Other studies have also found that blocking S6K1 were channeled through increased activity of a second molecule, AMPK, which regulates energy levels within cells.

AMPK, also known as a master "fuel gauge," is activated when cellular energy levels fall, as takes place when calorie intake is reduced.

Drugs, such as the widely-used metformin, that activate AMPK are already being used in human patients to treat type 2 diabetes.

Recent studies by Russian scientists suggested that metformin can extend mice's lifespan.

Another drug, rapamycin, was found to extend the lifespan of mice, according to a study published in the British journal Nature.

As rapamycin is already used in humans as an immunosuppresant -- to prevent a patient from rejecting an organ after transplant -- it could not be administered as an anti-ageing drug in its current form.

But rapamycin blocks S6K1 activity and could thus extend lifespan through its impact on S6K1.

Seizing on the potential, US firm Sirtris Pharmaceuticals uses resveratrol, a powerful anti-oxidant found in red wine, as well as other fruits than raisin.

Sirtris scientists -- including co-founder David Sinclair, also a researcher at Harvard Medical School -- have found that resveratrol activates the production of sirtuin proteins, which also unleash the same physiological effects as reducing calorie intake.

Sirtris has produced highly concentrated doses of resveratrol and is currently leading clinical trials with diabetes patients and others suffering from liver and colon cancer.

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Sunday, August 23, 2009

5 medical tests that could save your life

5 medical tests that could save your life


Cardiac CT angiography, virtual colonoscopy are worth the time
By Justin Park
Mens Health
updated 9:57 a.m. PT, Sun., Aug 23, 2009
There are health tests we need, and those we don't. Pelvic ultrasound? Sounds ultrasuspicious. Occult blood test? Only if it comes with an exorcism. Urinalysis? Great, now I'll be kicked off the tour...
It's tough to know which of these are truly essential, especially when they're packaged with dozens of other tests and called an "executive health exam." And yet thousands of men sign up for these screenings — at an out-of-pocket cost of up to $10,000 apiece — based on the sales pitch that a test may uncover a hidden health condition.
Of course, 10 grand might be worth it if all that random screening actually did any good: But a seminal study by the Rand Corporation found that patients who had the most screenings over 5 years were no healthier than those given less medical attention. This isn't to say executive health exams are scams. They can be quite valuable — if you know which of the procedures are worthwhile. So we asked our experts to create an a la carte menu to bring to your GP. Think of these as the best tests for a recession.
Cardiac CT angiography
These colorful 3-D images allow radiologists to calculate one of your most important heart numbers: your coronary artery calcium score, a measure of how much plaque is piling up in your arteries. A 2007 study of over 10,000 people published in the journal Atherosclerosis reported that calcium scores alone can predict heart attacks, while a 2003 study found that a high calcium score is associated with a tenfold increase in heart-disease risk. This is compared with a less-than-twofold increase in risk from traditional risk factors such as diabetes and smoking. The test has one significant downside: The radiation exposure from your average cardiac CT is equal to 600 chest x-rays, according to a study in the Journal of the American Medical Association. This produces a 1-in-5,000 risk of cancer, another study reveals.

Who needs it: Men with some of the risk factors for heart disease whose physicians may be on the fence about starting treatment. "In these medium-risk cases, cardiac CT scans and calcium scoring can provide the extra level of information that we feel we need," says Gerald Fletcher, M.D., a professor of cardiology at the Mayo Clinic. The lower the calcium score, the lower the risk. If you reach 112, your physician might recommend aspirin or statins.

Cost: $350 to $900. Most insurance companies will reimburse you if you've previously had an abnormal stress test or chest pain.

Bone density scan
Think osteoporosis affects only old ladies? Fact is, men begin losing bone mass at age 30. That's why it's important to assess the state of your skeleton now with a dual energy X-ray absorptiometry (DEXA) scan, which uses low-radiation X-rays to gauge bone mineral density (it can also measure body fat percentage). "DEXA scans allow us to identify people at high risk for fracture so they can start treatment to strengthen their bones before a fracture occurs," says Murray J. Favus, M. D., director of the bone program at the University of Chicago medical center. Your doctor might suggest adding strengthening workouts to your exercise program and supplementing your daily diet with up to 1,000 milligrams of calcium and up to 400 IU of vitamin D.
Who needs it: Anyone with any osteoporosis risk factors: inactivity, smoking, a family history of the disease.
Cost: $250 to $300. To increase the odds of your insurance covering the scan, make sure your doctor notes any risk factors.
VO2 max test
With the VO 2 max test, you hop on a treadmill or stationary bike and give your maximum effort while wearing a mask that captures your every breath. By analyzing the amount of oxygen you consume, the test determines how efficiently your body extracts and uses oxygen from the air. This makes it the gold standard of fitness markers, as well as a strong indicator of your overall health. "Blood pressure, cholesterol — those are what we call 'remote markers.' The best predictor of your longevity is going to be your fitness," says Walter Bortz, M. D., a longevity researcher at Stanford University.

Who needs it: Anyone who wants their blood to pump. If your score is under 18 ml/kg/min, talk to your doctor about increasing the intensity of your workouts.

Cost: $110 to $160. The test is available at physical therapy, rehab, or cardiopulmonary centers. Insurance providers won't cover it.

Virtual colonoscopy
By definition, something "virtual" usually can't compare to the real thing. But with a virtual colonoscopy, you avoid the two downsides of a traditional colonoscopy — sedation and the risk of a perforated colon — while still benefiting from the one big upside: test results you can stake your life on. "Virtual colonoscopies have the same sensitivity for detecting large polyps, which are the precursor lesions of colon cancer," says Judy Yee, M. D., a professor of radiology at the University of California at San Francisco. Though the CT scanning technology of a virtual colonoscopy can miss some smaller polyps, a University of Wisconsin study found that these are usually benign anyway. And don't sweat the radiation; you'll receive about 5 to 8 millisieverts, an amount that isn't considered dangerous, says Dr. Yee.

Who needs it: People ages 50 and older, especially those on blood thinners, because an "oops" with a regular scope could cause dangerous internal bleeding. The exception: If your family has a history of colon cancer, you should be screened at least 10 years before the age your relative was when he or she was first diagnosed, Dr. Yee says. People who are overweight or inactive, drink or smoke heavily, or have an inflammatory bowel disease should also consider early screening.

Cost: $500 to $1,000. Many health care plans now recognize the effectiveness of virtual colonoscopies and increasingly cover them.

Nutritional evaluation
While it's not a test per se, putting your diet under the microscope could result in a leaner body and a longer life. "The benefits of meeting with a dietitian are accountability, moral support, and troubleshooting if your progress stalls," says Alan Aragon, M. S., the Men's Health Weight Loss Coach. In a 2008 Kaiser Permanente study, diabetic patients who received nutritional counseling were nearly twice as likely to lose weight as those who had no guidance. To find a registered dietitian who can see beyond the food pyramid, Aragon recommends going to the American Dietetic Association's Web site (eatright.org) and clicking on "Find a Nutrition Professional." Then call the R.D. and ask how he or she stays up on the latest research, which should include reading journals such as the American Journal of Clinical Nutrition or the Journal of Applied Physiology.
Who needs it: Anyone who should lose weight or simply wants to know how they can eat to beat disease.

Cost: $40 to $75 a session. Your insurance company may reimburse you if you have a condition that can be improved with diet changes. Ask your doctor for a referral.

URL: http://www.msnbc.msn.com/id/31892143/ns/health-mens_health/page/2/


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