UK Doctors list non-beneficial medical treatments

stopSource : Citya.m.com

Maybe it’s time to take note of this list published by the The Academy of Medical Royal Colleges in London.

It might help next time you find yourself or your doctor demanding something that is of no benefit and may even do more harm than good.

 

 

Article

Doctors have drawn up a list of treatments they say bring little or no benefit to the patient and should no longer be used.

The Academy of Medical Royal Colleges – which represents all 21 medical royal colleges in the UK – says doctors are giving patients too many tests and drugs that they don’t need.

List of recommendations

  • Having fluids administered directly into a vein while under the influence of alcohol will not make you feel better any more quickly.
  • When discussing treatment for adult schizophrenia with your doctor or specialist nurse, you should consider whether medications taken by mouth or longer-acting medications given by injection would be better for you.
  • Back pain is not likely to need an x-ray.
  • You should only receive a blood transfusion if it is really necessary, such as for major bleeding.
  • Small fractures in the foot do not usually need to be put in a plaster cast – they can heal just as quickly in a removable boot.
  • Chemotherapy in the final months of life for cancer patients can “do more harm than good”.
  • If you are receiving palliative chemotherapy or radiotherapy, post-treatment CT scans and MRI scans are unlikely to benefit.
  • It is not necessary to have a calcium test for kidney stones, bone disease or nerve-related disorders unless you undergo major surgery.
  • Small fractures on the wrist in children do not normally need a plaster cast – a splint will do.
  • Breathing problems in children usually get better without medical treatment. Breathing tubes have little to no effect.
  • For children with chronic constipation, changes to diet and lifestyle should be considered first before medical treatment.
  • If this is ineffective, children should be given Polyethlene Glycol rather than lactulose.
  • For children having a prolonged seizure, giving medications that can be dissolved in the mouth are preferable to those which are injected – they are just as effective and may stop the seizures sooner.
  • Helmet therapy is not effective in treating what is known as flat-head syndrome in children. Adjusting sleep patterns and physiotherapy are more effective.
  • Women using the coil should be taught how to check its placement every month – professional advice only should be sought when the patient cannot feel the threads.
  • Quality tap water is just as effective for cleaning cuts as saline solution.
  • Routine screening programmes do not exist for dementia.
  • Ineffective antidepressants should be changed or additional medication added.
  • Discussions should be had with patients and families about maintaining life support for those at the end of life.
  • Those who are at the end of their lives should try to decrease the number of medicines they are on. Only those which control symptoms should be used.
  • Minor head injuries do not normally require imaging.
  • You should only be considered for medication to treat blood pressure, prevent heart disease or strokes if you have other risk factors.
  • Those taking statins for high cholesterol do not need to have their levels checked regularly unless they have pre-existing conditions.
  • Some injuries such as hip and shoulder dislocations do not need to go under general anaesthetic to be treated.
  • If you are over 45 you do not usually need blood tests to diagnose the menopause.
  • Pregnant women should not be prescribed sodium Valproate for migraines, epilepsy or bipolar disorder unless other medications are not working.
  • Aspirin, heparin or progesterone should not be used to reduce the risk of further miscarriages.
  • If you have a simple ovarian cyst of less than 5cm in diameter, and have not undergone the menopause, you are unlikely to need a follow up appointment or checking of protein levels.
  • If your doctor suspects you have polycystic ovaries you should have a blood test before other investigations.
  • If you are pregnant, aspirin is not recommended to help reduce the chances of blood clots.
  • Unless you have diabetes, ultrasounds should not be used to check if your baby is bigger than normal.
  • Electronic monitoring of the baby’s heart is only needed in labour if the mother is at high-risk of complication.
  • Unless you are at risk of prostate cancer due to family history, screening does not lead to a longer life.
  • CT or MRI scans of the head can only be used to diagnose psychosis in specific situations.
  • When considering surgery, you should be given the chance to discuss potential benefits and harms.
  • If you are having surgery, day surgery should be the default option to allow a quicker recovery.
  • You do not need to come into hospital the day before your surgery if you have had the right preparations beforehand.
  • Most vaginal discharge is normal and does not require being seen by a professional.

Bacteria is everywhere does that make the “five second rule” nonsense? This MD thinks so

Melbourne is the Allergy capital of the world. Some Australian health experts say this is because of an obsession with hygiene and food allergies. The FDA recently banned antibacterial soap products and we need to ban them here too. These useless products provide no benefit and cause harm to our microbiome.

Unfortunately product marketing has  played on a fear of bacteria without providing a scientific context and instead making us believe we need to protect ourselves from bacteria. In reality bacteria is everywhere and only a few percent are harmful.

This article from the New York Times remind us we are never far away from our tiny allies and enemies.

http://www.nytimes.com/2016/10/11/upshot/im-a-doctor-if-i-drop-food-on-the-kitchen-floor-i-still-eat-it.html?em_pos=small&emc=edit_up_20161012&nl=upshot&nl_art=5&nlid=59638583&ref=headline&te=1

You may have read or heard about the study debunking the five-second rule. It said that no matter how fast you pick up food that falls on the floor, you will pick up bacteria with it.

Our continued focus on this threat has long baffled me. Why are we so worried about the floor? So many other things are more dangerous than that.

I first became interested in the five-second rule years ago, when I was a co-author of a book on medical myths. We cited a number of studiesshowing that food that touched household surfaces — even for brief periods of time — could pick up bacteria or other harmful substances.

This most recent study was similar in that it tested a variety of foods, a variety of substances, for various periods. And, like those other studies, this one found that food touching the floor, even for a very short amount of time, could pick up bacteria.

There’s no magic period of time that prevents transmission. But even though I know bacteria can accumulate in less than five seconds, I will still eat food that has fallen on my kitchen floor. Why? Because my kitchen floor isn’t really that dirty.

Our metric shouldn’t be whether there are more than zero bacteria on the floor. It should be how many bacteria are on the floor compared with other household surfaces. And in that respect, there are so many places in your house that pose more of a concern than the floor.

Perhaps no one in the United States has spent more time investigating the occurrence of bacteria on public surfaces than Charles Gerba. He’s a professor of microbiology and environmental sciences at the University of Arizona, and he has published many papers on the subject.

In 1998, he and his colleagues investigated how well cleaning products could reduce coliform bacteria counts on household surfaces. As part of that research, they measured various locations in the house before any cleaning.

They found that the kitchen floor was likely to harbor, on average, about three colonies per square inch of coliform bacteria (2.75 to be exact). So there are some. But here’s the thing — that’s cleaner than both the refrigerator handle (5.37 colonies per square inch) and the kitchen counter (5.75 colonies per square inch).

We spend so much time worrying about what food might have picked up from the floor, but we don’t worry about touching the refrigerator. We also don’t seem as worried about food that touches the counter. But the counter is just as dirty, if not dirtier.

The same thing happens in the bathroom. I know a lot of people who are worried about the toilet seat, but it’s cleaner than all the things in the kitchen I just mentioned (0.68 colonies per square inch). What’s dirtier in the bathroom? Almost everything. The flush handle (34.65 colonies per square inch), the sink faucet (15.84 colonies per square inch) and the counter (1.32 colonies per square inch).

Things get dirty when lots of hands touch them and when we don’t think about it. We worry about the floor and the toilet seat, so we clean them more. We don’t think about the refrigerator handle or the faucet handle as much.

If we carry this logic out further, there are things we handle a lot and never really clean. One study, for instance, found that about 95 percent of mobile phones carried by health care workers were contaminated with nosocomial bacteria. Of those contaminated with staph aureus, more than half were contaminated with methicillin resistant bacteria (MRSA).

Think about how many people have handled the money in your wallet. A study of one-dollar bills found that 94 percent were colonized by bacteria, 7 percent of which were pathogenic to healthy people and 87 percent of which were pathogenic to people who were hospitalized or who had compromised immune systems. Where do you keep your money? In a wallet or purse? When did you last clean it? It’s probably filthy.

I see people pay for food every day and then eat what they’re handed with no concern that the food might have been contaminated. And the money and the hands that just held it could be much dirtier than the floor.

There are so many studies out there showing that things we touch every day are so, so dirty. Gas pump handles. A.T.M. buttons. Remote controls. Light switches. Computer keyboards.

The dirtiest thing in your kitchen, by far, is likely to be the sponge you keep near the sink. Most people almost never wash or disinfect those sponges. Mr. Gerba found they had, on average, more than 20 million colonies per square inch.

All of this should remind you that it’s always a good idea to wash your hands before you eat. Hand-washing is still one of the best ways to prevent illness.

People react to news like this in one of two ways. One is to become paranoid about everything. Such people start to clean compulsively, worry about all the things they’re touching, and use hand sanitizer obsessively.

 

The alternative is to realize that for most of us, our immune systems are pretty hardy. We’ve all been touching this dirty stuff for a long time, without knowing it, and doing just fine.

I clearly fall into the latter group. If I drop food on the floor, I still eat it. I do that because the harm I might get from the floor is not worth my concern compared with many, many other things. You may feel differently. Either way, make an informed judgment based on relative risks, not on any arbitrary span of time that one thing has been touching another

Aaron E. Carroll is a professor of pediatrics at Indiana University School of Medicine who blogs on health research and policy at The Incidental Economist and makes videos atHealthcare Triage. Follow him on Twitter at @aaronecarroll.


How Vitamin D can help manage Multiple Sclerosis by protecting the nervous system.

 

There is evidence that Vitamin D Deficiency is associated with Multiple sclerosis, an autoimmune disease. Vitamin D supplementation is recommended to protect against progression of MS. In a study published in 2013, in JAMA Neurology the researchers found that higher serum 25(OH)D levels in the first 12 months predicted reduced MS activity and a slower rate of MS progression. By the end of the follow-up at 5 years, participants with serum 25(OH)D concentrations of at least 50 nmol/L (20-ng/mL, a moderate level) had significantly fewer new active lesions, a slower increase in brain lesion volume, lower loss of brain volume, and lower disability than those with serum 25(OH)D concentrations below 50 nmol/L. These results suggest that vitamin D has a protective effect on the disease process underlying MS. (https://www.nih.gov/news-events/nih-research-matters/vitamin-d-levels-predict-multiple-sclerosis-progression).

In a new study (below) published  in October 2016, the authors report how the active form of Vitamin D helps to reduce the inflammatory factors that destroy the myelination of the central nervous system and also helps restore a healthy immune function preventing the destructive demyelination of nerves.

Vitamin D modulates different IL-17-secreting T cell subsets in multiple sclerosis patients

Vitamin D deficiency is an environmental risk factor for MS, a Th17 cell-mediated autoimmune disease that results in demyelination in the CNS. Therefore, we aimed to evaluate the ability of in vitro 1,25(OH)2D in modulating different Th17 cell subsets in MS patients in remission phase. In the present study, the production of Th17-related cytokines (IL-1β, IL-6, IL-17, IL-22), as well as GM-CSF, was significantly higher in cell cultures from MS patients than in healthy subjects (HS). The 1,25(OH)2D reduced all pro-inflammatory cytokines essayed, mainly those released from HS cell cultures. The proportion of both IL-17+IFN-γ+ (CD4+ and CD8+) T cells and IL-17+IFN-γCD8+ T cells was positively related with neurological disorders, determined by EDSS score. The addition of 1,25(OH)2D reduced not only these pathogenic T cell subsets but elevated the percentage of IL-10-secreting conventional (FoxP3+CD25+CD127CD4+) and non-conventional (IL-17+) regulatory-like T cells. Taken together, the results indicate that the active form of vitamin D should benefit MS patients by attenuating the percentage of pathogenic T cells. This effect could be direct and/or indirect, by enhancing classical and non-classical regulatory T cells.

 

Vitamin D modulates different IL-17-secreting T cell subsets in multiple sclerosis patients – da Costa, Denise S.M. Medrado et al. Journal of Neuroimmunology , Volume 299 , 8 – 18


Gluten Sensitivity is not a disease it is a result of changes in your gut

It seems the idea that gluten is bad for us has become so mainstream that it is just accepted as a fact when it is not. Celiac disease is the only disease caused by intolerance of gluten and it involves  a severe immune reaction to any gluten that reaches the intestines. There are specific tests for this disease and there is a genetic component.

Here in Australia celiac affects 1 in 70 people ,which is less than 2% of the population. However it is believed many people remained undiagnosed.   For people with celiac a strict gluten free diet will help them live mostly symptom free.

For the rest of us we have the capacity to breakdown gluten and enjoy all our favourite wheat based snacks and meals. Yet gluten is the now often the first reason people think is causing their gut problems. Gluten is blamed for  bloating, diarrhea , abdominal cramps and even brain fog, fatigue and a myriad of other symptoms you can easily find online. In many cases people test this assumption by switching to a gluten free diet and find that there symptoms have greatly improved.

There is no doubt that people can develop a sensitivity to gluten because the gut is unable to breakdown the protein.  But this neither proves  gluten  is the problem or eradicates the cause.

For non-celiacs the problem is changes in your gut including alterations to  your delicately balanced gut micro-biome, the presence of chronic inflammation in the gut lining and in some more developed cases the permeability , also known as “leaky gut” , becomes loose allowing large molecules and bad bacteria to find their way into your blood stream leading to skin rashes and sometimes autoimmune disease. All of these changes in your gut can be a result of  many health conditions that are have been found to  alter your gut function , micro-biome and causing food sensitivities. For example IBS,  SIBO, Crohns   and UC are all associated with killing off healthy bacteria and causing inflammation in your gut mucosa (lining).

Gluten sensitivity is not a life-sentence. It is reservable when you find and treat the cause. If you suspect you are feeling lousy due to gluten then consult a doctor or health practitioner for a diagnosis including appropriate tests.

 

 

 

 

 


Obesity Is Linked to at Least 13 Types of Cancer (A NYT Article)

By NICHOLAS BAKALAR

A review of more than a thousand studies has found solid evidence that being overweight or obese increases the risk for at least 13 types of cancer. The study was conducted by a working group of the International Agency for Research on Cancer, part of the World Health Organization.

Strong evidence was already available to link five cancers to being overweight or obese: adenocarcinoma of the esophagus; colorectal cancer; breast cancer in postmenopausal women; and uterine and kidney cancers.

This new review, published in The New England Journal of Medicine, links an additional eight cancers to excess fat: gastric cardia, a cancer of the part of the stomach closest to the esophagus; liver cancer; gallbladder cancer; pancreatic cancer; thyroid cancer; ovarian cancer; meningioma, a usually benign type of brain tumor; and multiple myeloma, a blood cancer.

According to the chairman of the working group, Dr. Graham Colditz, a professor of medicine and surgery at Washington University in St. Louis, these 13 cancers together account for 42 percent of all new cancer diagnoses.

Read full article here

 


Resistance Training relieves fatigue in Breast Cancer Survivors

 

A news  study shows how regular resistance training improved fatigue and  quality of life in breast cancer survivors who were previously  sedentary.  Fatigue is common for women breast cancer survivors and it can be debilitating. If you feel fatigued it is hard to motivate yourself to do any exercise, but this can be the very activity that will give you more energy and motivation. This study proves that doing resistance exercise three times a week relieves the fatigue often experienced by breast cancer survivors.

Abstract 

The primary aim of this study was to evaluate the benefits of resistance training (RT) on quality of life (QOL) and fatigue in breast cancer survivors as an adjunct to usual care. We recruited 39 women who had survived breast cancer [mean age (y) 51.9 ± 8.8; time since diagnosis (m) 11.6 ± 13.2]. Primary outcomes were fatigue as assessed by the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT) scale and QOL as assessed by the Functional Assessment of Cancer Therapy – General (FACT-G) scale. ANCOVA was used to assess the change in the primary outcomes while controlling for baseline values, with effect sizes (ES) displayed as partial Eta squared. The experimental group received supervised RT 3 days per week in a university clinic for 16 weeks. Perceptions of fatigue improved significantly in the RT group compared to controls [mean (SD) 6.7 (7.5) points vs. 1.5 (3.7) points], (P = 0.006, ES = 0.20) as did QOL [6.9 (8.5) points vs. 1.6 (4.4) points], (P = 0.015, ES = 0.16). We demonstrated both statistically and clinically important improvements in fatigue and QOL in response to RT in breast cancer survivors.

Authors :Hagstrom A.D., Marshall P.W.M., Lonsdale C., Cheema B.S., Fiatarone Singh M.A. & Green S. (2016)European Journal of Cancer Care 25: 784794 Resistance training improves fatigue and quality of life in previously sedentary breast cancer survivors: a randomised controlled trial

 


A study proves PPIs for GERD (e.g. esomeprazole) causes the symptoms it is prescribed to treat.

Proton-Pump Inhibitor Therapy Induces Acid-Related Symptoms in Healthy Volunteers After Withdrawal of Therapy

It may seem obvious to say that when someone stops taking PPIs they will experience symptoms soon after they discontinued the medication. But what are the implications of this happening to healthy people who took PPIs and did not have heart burn or GERD?

In this study 120 healthy people were put into two groups. One group was given PPIs (esomeprazole) for 8 weeks and the other group given a placebo. After withdrawal the acid related symptoms (reflux, heart burn) were much more prevalent in the group who had taken esomeprazole and these symptoms were recorded in some people up to 12 weeks later.

The implications of this study is that acid reflux after discontinuing PPIs may not be related to your health, it is probably  the medication. When symptoms return after withdrawal this is referred to as “Rebound acid hypersecretion” and it may be the reason many people won’t stop taking their PPIs. PPI’s are not for the long term yet millions of people take them everyday without giving it a second thought. PPIs are also over prescribed and self-prescribed. It is likely many people are on a too high dose and have been taking them for way too long.

Good news is you can withdraw from this medication and there are smarter ways to treat your acid reflux and heart burn with no withdrawal side effects or other long terms health risks . Consult your GP  or natural health practitioner about whether it’s time to try something else.

Copy of study abstract below

Proton-Pump Inhibitor Therapy Induces Acid-Related Symptoms in Healthy Volunteers After Withdrawal of Therapy

Reimer, Christina et al.
Gastroenterology , Volume 137 , Issue 1 , 80 – 87.e1

Background & Aims

Rebound acid hypersecretion (RAHS) has been demonstrated after 8 weeks of treatment with a proton-pump inhibitor (PPI). If RAHS induces acid-related symptoms, this might lead to PPI dependency and thus have important implications.

Methods

A randomized, double-blind, placebo-controlled trial with 120 healthy volunteers was conducted. Participants were randomized to 12 weeks of placebo or 8 weeks of esomeprazole 40 mg/d followed by 4 weeks with placebo. The Gastrointestinal Symptom Rating Scale (GSRS) was filled out weekly. A score of >2 on 1 of the questions regarding heartburn, acid regurgitation, or dyspepsia was defined as a clinically relevant acid-related symptom.

Results

There were no significant differences between groups in GSRS scores at baseline. GSRS scores for acid-related symptoms were significantly higher in the PPI group at week 10 (1.4 ± 1.4 vs 1.2 ± 0.9; P = .023), week 11 (1.4 ± 1.4 vs 1.2 ± 0.9; P = .009), and week 12 (1.3 ± 1.2 vs 1.0 ± 0.3; P = .001). Forty-four percent (26/59) of those randomized to PPI reported ≥1 relevant, acid-related symptom in weeks 9–12 compared with 15% (9/59;P < .001) in the placebo group. The proportion reporting dyspepsia, heartburn, or acid regurgitation in the PPI group was 13 of 59 (22%) at week 10, 13 of 59 (22%) at week 11, and 12 of 58 (21%) at week 12. Corresponding figures in the placebo group were 7% at week 10 (P = .034), 5% at week 11 (P = .013), and 2% at week 12 (P = .001).

Conclusions

PPI therapy for 8 weeks induces acid-related symptoms in healthy volunteers after withdrawal. This study indicates unrecognized aspects of PPI withdrawal and supports the hypothesis that RAHS has clinical implications.


Millions of Australians are predicted to get colon cancer. Here’s some evidence on how to lower your risk.

 

About_Bowel_Cancer_polyp_progression_770newMillions of Australians are predicted to get colon cancer. Here’s some evidence on how to lower your risk.

A while ago a new report released  by leading social demographer Bernard Salt, who said  by 2026, 4.6 million baby boomers and 4 million Gen Xers “ will be subjected to a bowel cancer lottery” purely because of their age. (Source. http://www.smh.com.au/national/millions-of-australians-at-risk-of-bowel-cancer-20160320-gnmlzr.html#ixzz43V3GG58M ).

 

This is concerning  for a preventable cancer. How then do we reduce the risk for ourselves and our families.

To start with there is some evidence that poor diet and nutrition, the amount of alcohol you drink and a sedentary lifestyle increase your relative risk of bowel cancer.  Diabetes and obesity really elevate the risk of bowel cancer and these modern chronic diseases are largely attributed to the same lifestyle choices associated with bowel (colorectal) cancer.

There is also one other major factor , chronic stress. Chronic stress is often associated  with development of chronic disease and cancer.  The stress-response involves many changes in the body as it is prepared to survive a threat. When this happens repeatedly everyday the normal functions of the body become disrupted. Repeated chronic stress causes unrelenting inflammation, which damages tissue in our blood vessels and  inside of our gastrointestinal tract. This inflammation is referred to as mucosal inflammation and this causes a great deal of problems. Mucosal inflammation damages the lining of your intestines (mucosa) and creates a hostile environment for healthy bacteria, which is not good because when your healthy bacteria population dwindle the unhealthy ones often move in.

Several studies implicate unhealthy bacteria and lack of healthy bacteria as a factor in the development of colon cancer. Such Finally stress is not only something that happens externally and you react to it. Your gut can get very distressed when you swallow something that it hadn’t evolved to use and to protect itself from toxic substances the gut immune function starts the inflammation process.  The inflammation makes cells vulnerable to DNA damage and it is also an environment where a cancer tumour thrives.

There is no proven silver bullet to avoid colorectal cancer , but we can change many habits to reduce  mucosal inflammation and create an gut environment that is hostile to bad bacteria. Both of these changes will reduce our risk of colorectal cancer.

Here’s a brief list of lifestyle changes that would help reduce your risk of mucosal inflammation and colon cancer: –

  • Probiotics
  • Fermented foods
  • Look at your comfort eating?  Are you? Why?
  • Don’t binge drink
  • Don’t eat  processed foods
  • Eat fibre
  • Eat some fruit and vegetables everyday or supplement with super food drinks
  • Cook whole foods as much as possible
  • Use eco-friendly toxic chemical free cleaning and household products
  • Eat less processed meats and eat less meat
  • Get a comprehensive blood test every year including inflammatory markers CRP, ESR and all essential vitamins and minerals, fasting glucose, insulin, blood fats and anything else relevant to your health. Then address any nutritional deficiencies and other concerns.
  • Balance your essential fats intake (as Omega 3,6,9)
  • Over 50 and family history of bowel cancer? Consult your doctor for whether you may benefit from test for bowel cancer.
  • Suffering from chronic constipation/diarrhoea/ or an IBD? Consult a integrative medicine practitioner for help.

And work on being less distressed. Bring down those stress levels

  • Find a way to slow down, relax and take time out. Sitting in front of the television is not relaxation, but listening to meditation music with absolutely  no distractions is.
  • Sweat! – do intensive exercise 3-5 times a week
  • Move! – get up from your office chair and move around for 5 minutes every hour

 

Comments

This is a brief and very incomplete explanation of cancer , which is incredibly complex. Never the less it is indisputable that most cancers are not a genetic destiny they are often a result of how we have lived our lives and perhaps some bad luck.

Some sources for this article

 

Gut microbiota and colorectal cancer – (PMID:27350830 PMCID:PMC4917993)

Schwabe RF, Jobin C. The microbiome and cancer. Nat Rev Cancer. 2013;13(11):800–12. doi: 10.1038/nrc3610.

A human colonic commensal promotes colon tumorigenesis via activation of T helper type 17 T cell responses – doi:10.1038/nm.2015

Chronic inflammation, colorectal cancer and gene polymorphisms.

(PMID:21088407 PMCID:PMC2997443)

Alcohol and Cancer Incidence – http://epic.iarc.fr/highlights/alcoholcancerincidence.php

Vitamin D and Colorectal Cancer – http://epic.iarc.fr/highlights/vitamindcolorectal.php


Is working in an office really as unhealthy as smoking?

Well yes sitting down for eight hours a day is slowly killing you and shortening your lifespan equivalent to being a smoker.

Sitting for hours without any activity in the office and then coming home and slumping in front of the television is a ticket to an early grave so the experts are telling us. Good news is physical activity doesn’t mean high intensity training in the gym or running 5km every day. It means movement. but with some exertion e.g. do some chair squats, lunges, chair push-ups,  – who cares what your coworkers think they’ll be pushing up daises whilst you are reaping the benefits of a your office exercises.

Why not walk to a cafe that is a 10 min round trip , find some stairs and walk up and down them 5 times. Do something for a few minutes until you can feel your heart pumping.  This is more or less what the research is saying: do something for 5 minutes every hour in the office. I recommend  including real exercise in your weekly routine where you break a sweat and get your heart racing to 70% of your maximum. However the good news is that recent research says low intensity  frequent activity that adds up to an hour of movement seems to cancel out the deadly consequences of not moving at all.

Here’s some highlights from the article and a link to it

Office workers must exercise for an hour a day to combat the “deadly” risk of modern working life, a major study has found.

Sitting for at least eight hours a day could increase the risk of premature death by up to 60 per cent, the study of more than one million adults published in The Lancet found, with sedentary lifestyles now posing as great a threat to public health as smoking and causing more deaths than obesity.

Workers who spend several hours each day at their desk should change their routine to include a five-minute break every hour, as well as take exercise at lunchtimes and evenings, the study recommended.

An hour of brisk walking or cycling spread over a day was enough to combat the dangers of eight hours sitting in the office, the researchers said.

Current public health advice recommends just half this level of activity – yet almost half of women and one third of men fail to achieve even this.

Prof Ulf Ekelund, the lead scientist, from Cambridge University and the Norwegian School of Sports Sciences, said: “We found that at least one hour of physical activity per day, for example brisk walking or cycling, eliminates the association between sitting time and death.”

He added: “You don’t need to do sport, you don’t need to go to the gym, it’s OK doing some brisk walking maybe in the morning, during your lunchtime, after dinner in the evening. You can split it up over the day but you need to do at least one hour.”

Researchers said the typical modern routine of spending a day in front of a computer, followed by an evening slumped in front of the television was proving fatal.

http://www.smh.com.au/business/workplace-relations/working-in-the-office-is-as-bad-as-smoking-study-finds-20160727-gqfcjz.html


Older Men still being over tested for prostate Cancer – An NYT article

Did you know in USA it is recommended that men over 75 do not have prostate PSA testing. Why? Because even if you have prostate cancer(a non aggressive type) it is so slow to progress  you will most likely  die from something else. Read this short article for more information on why testing in older men is not recommended.

 

If you can’t access this article, let me know and I will forward it to you.