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Thursday, October 4, 2012

Keep the heart healthy by eating apples daily: Study;

A small-scale study funded by the apple industry claims that an apple a day can, indeed, keep the cardiologist at bay.

Published in the Journal of Functional Foods, the research found that healthy, middle-aged adults who ate one apple every day for four weeks succeeded in lowering levels of ‘bad’ cholesterol by 40 percent -- a substance which has been linked to the hardening of the arteries.
To carry out their study, researchers from Ohio State University recruited 16 healthy adults between the ages of 40 and 60 who weren’t regular apple eaters – less than twice a month. Participants were instructed to eat either a Red or a Golden Delicious apple every day for four weeks.
Another 17 participants took oral capsules containing 194 mg of polyphenols for four weeks, and a third group of 18 people took a placebo.
While the polyphenol capsules also yielded measurable results, they weren’t as strong as consuming whole apples, researchers said.
“That could either be because there are other things in the apple that could contribute to the effect, or, in some cases, these bioactive compounds seem to get absorbed better when they're consumed in foods,” hypothesized lead researcher Robert DiSilvestro.
When oxidized LDL or low-density lipoprotein --also known as ‘bad cholesterol’ -- oxidizes after meeting free radicals, the cholesterol is more likely to promote inflammation and cause tissue damage, researchers explain.
DiSilvestro also claims that eating whole apples daily was found to be more effective in this particular capacity -- lowering bad cholesterol levels -- than other antioxidant-rich foods he’s studied separately, including turmeric, green tea and tomato extract.
The latest study builds on previous research vaunting the health benefits of apples. A Florida State University study likewise proved that eating an apple daily lowered ‘bad cholesterol’ levels by 23 percent while also increasing good cholesterol levels by 4 percent. Female participants also lost an average of 1.5 kg (3.3 lbs) during the year-long experiment.

Monday, October 1, 2012

10 Common Allergy Triggers

Uncover your allergy triggers

Nearly 20% of Americans suffer from allergies. Allergies are an abnormal response of the immune system where the body's defenses react to a usually harmless substance in the environment, such as pollen, animal dander, or food. Almost anything can trigger an allergic reaction, which can range from mild and annoying to sudden and life-threatening. Here are 10 of the most common triggers.

Pollen

Exposure to pollen from trees, grasses, and weeds can trigger hay fever or seasonal allergies. Symptoms include sneezing, runny nose, nasal congestion, and itchy, watery eyes. Treatments include over-the-counter products, prescription drugs, and allergy shots. Prevent symptoms by staying indoors on windy days when pollen counts are high, closing windows, and running the air conditioning.

Animal Dander

Proteins secreted by oil glands in an animal's skin and present in their saliva can cause allergic reactions for some. The allergy can take two or more years to develop and symptoms may not subside until months after ending contact with the animal. If your pet is causing allergies, make your bedroom a pet-free zone, avoid carpets, and wash the animal regularly. A HEPA filter and frequent vacuuming may also help. Allergy shots may be beneficial.

Dust Mites

Dust mites are microscopic organisms that live in house dust. They thrive in areas of high humidity and feed on the dead skin cells of humans and their pets, as well as on pollen, bacteria, and fungi. Help prevent dust mite allergies by covering mattresses, pillows, and box springs, using hypoallergenic pillows, washing sheets weekly in hot water, and keeping the house free of dust collecting-items such as stuffed animals, curtains, and carpet.

Insect Stings

People who are allergic to stings can have a severe or even life-threatening reaction. Symptoms include extensive swelling and redness from the sting or bite that may last a week or more, nausea, fatigue, and low-grade fever. Rarely, insect stings may cause anaphylaxis, with symptoms including difficulty breathing, hives, swelling of the face, throat, or mouth, rapid pulse, dizziness, or a sharp drop in blood pressure. For those severely allergic, epinephrine should be administered immediately after a sting; allergy shots are recommended to prevent anaphylaxis with future stings.

Molds

Molds produce allergens, irritants, and in some cases, potentially toxic substances. Inhaling or touching mold (magnified here) or mold spores may cause allergic reactions in sensitive individuals. There are many types of mold; all need moisture to grow. They can be found in damp areas such as basements or bathrooms, as well as in grass or mulch. Avoid activities that trigger symptoms, such as raking leaves. Ventilate moist areas in the home.

Food

Milk, shellfish, nuts and wheat are among the most common foods that cause allergies. An allergic reaction usually occurs within minutes of eating the offending food. Symptoms, which can include asthma, hives, vomiting, diarrhea, and swelling around the mouth, can be severe. Avoid offending foods altogether; but if exposed, treatment with antihistamines or steroids is recommended. In life-threatening situations, an epinephrine injection is needed.

Latex

Latex in gloves, condoms, and certain medical devices can trigger latex allergy. Symptoms include skin rash, eye irritation, runny nose, sneezing, wheezing, and itching of the skin or nose. Allergic reactions can range from skin redness and itching to anaphylaxis, a serious reaction which can cause difficulty breathing, hives. Those allergic should wear a MedicAlert bracelet and carry an epinephrine kit.

Medication

Symptoms of allergies to medications, such as penicillin or aspirin, can range from mild to life-threatening and can include hives, itchy eyes, congestion, and swelling in the mouth and throat. It's best to avoid the drug altogether; however, if exposed, treatment with antihistamines or steroids is recommended. For coughing and lung congestion, bronchodilators may be prescribed. For severe symptoms, epinephrine may be needed.

Fragrance

Fragrances found in products including perfumes, scented candles, laundry detergent, and cosmetics can have mild to severe health consequences. For most people, symptoms abate once the scent is out of range. For some, repeated exposures cause an increase in symptoms that occur more often and last longer. There's some debate as to whether fragrance reactions are a true allergy or simply a response to an irritant.

Cockroaches

Ick! Not only are cockroaches creepy, but a protein in their droppings can be a troublesome allergen. It can be difficult to eradicate cockroaches from your home, especially in a warm climate, or if you live in an apartment building where bugs can pass back and forth to a neighboring unit. Treat for roaches by using pesticides, keeping a clean kitchen, and repairing cracks and holes in floors, walls, and windows to prevent their entry into the home.

Air Pollution and Allergies: A Connection?

Does the "air we breathe" have an impact on the rising incidence of allergies and asthma? Hay feverwas rare in Japan before World War II. However, pollen allergy is now common and mostly affects those living in Japanese cities and near highways. Allergic disease is also more common in highly developed countries in North America and Europe and less common in Third World countries. This suggests that there must be something about modern, urban life that promotes allergy. Let us examine the impact of air pollution.
By far the most important indoor pollutant is tobaccosmoke, which is strongly associated with allergic sensitization, asthma, and other respiratory illnesses. Exposure to smoke results in the body's enhanced ability to produce IgE(the allergy antibody) that attaches to allergens (e.g. pollen, dust mites and dander). The IgE response is a key trigger of allergic reactions.
Parental smoking increases the risk of their children having many respiratory illnesses, including bronchitis, chronic cough, and asthma. Smoking during pregnancy and breastfeeding results in a higher risk for the children to develop allergic eczema (atopic dermatitis). The rate of asthma in an infant of a smoking mother is double that of a non-smoking mother. This is very important, since in North America, 25% of mothers smoke during pregnancy and 40% have a smoker in the home.

The increased rates of allergy and asthma in city environments and in those living close to highways has drawn attention to the role of outdoor pollution. Common air pollutants, such as ozone, sulfur dioxide, and nitrogen dioxide probably act more as irritants than as promoters of sensitization. These pollutants have been shown to be hazardous to adults and children with asthma. Recent studies suggest that prematurely born children are more sensitive to the respiratory effects of outdoor pollution. There may also be an association with diesel exhaust particles and the worldwide increase in respiratory allergies. Diesel exhaust has been shown to enhance the ability to make the allergy antibody, IgE, in response to exposure to allergens.
What is the bottom line? Tobacco smoke is by far the worst and most important air pollutant and it clearly promotes both allergy and asthma. Diesel fumes likely promote allergy, whereas other outdoor air pollutants act more as irritants that can aggravate allergies and asthma, rather than as true promoters of allergy or asthma.
 

Medical Author: Alan Szeftel, MD, FCCP
Medical Editor: William C. Shiel Jr., MD, FACP, FACR