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Archive for May, 2009

Chronic Fatigue Syndrome Remains Difficult to Treat

Sunday, May 31st, 2009


Source: Foot.com
Publication date: 20090531

Dear Dr. Gott: Have you ever heard of chronic fatigue syndrome? I have been diagnosed with this, but it seems there is no cure. I have high blood pressure, which is controlled with medication. I also have had chronic lymphocytic leukemia (CLL) for the past 11 years. I am not taking any medication, as it is under control.Dear Reader: Chronic fatigue syndrome (CFS) is a disorder that causes extreme tiredness that doesn’t improve with sleep or rest. The disorder may appear after an infection, during or after severe stress, or it may develop gradually.

Symptoms include sleep disturbance, loss of memory and concentration, headaches, sore throat, pain that moves from one joint to another without swelling or redness, mildly enlarged and painful armpit or neck lymph nodes, unexplained muscle soreness and extreme exhaustion that lasts more than 24 hours after mental or physical exercise.

The exact cause of CFS is unknown. Currently, relief is aimed at the underlying cause (if one can be found) and symptoms. This includes moderating daily activities, cognitive behavior therapy, antihistamines or decongestants for allergy-like symptoms, antidepressants and more. There are several experimental therapies such as Attention Deficient Disorder (ADD) and Attention Deficient and Hyperactivity Disorder (ADHD) medication, antiviral drugs, acupuncture, corticosteroids and immune-boosting medications.

You say that you have had CLL for 11 years. Perhaps you should be rechecked (if you haven’t been already), as extreme fatigue can be a symptom. If the leukemia is worsening, the fatigue could be a warning sign.

Also, overtreatment of hypertension can lead to blood pressure that is too low, which can cause fatigue.

Write Dr. Gott c/o United Media, 200 Madison Ave. 4th floor, New York, NY 10016.

Originally published by PETER GOTT Newspaper Enterprise Association.

(c) 2009 Tulsa World. Provided by ProQuest LLC. All rights Reserved.

‘Invincible’ Athlete’s Death Renews Cardiac Questions

Sunday, May 31st, 2009


Source: Foot.com
Publication date: 20090531

Every time an elite athlete dies suddenly from heart failure while competing — and thankfully, that doesn’t happen often — disbelief and concern are the dominant reactions.Such was the case Wednesday when triathlete, former professional cyclist and ex-Davis resident Steve Larsen, 39, collapsed and died on a track in Bend, Ore., during interval training with 40 other runners. Medical examiners ruled the death the result of sudden cardiac arrest; an autopsy is pending.

“I don’t know a fitter human being,” fellow triathlete Matt Lieto told the Bend Bulletin. “I always thought of him as invincible.”

Larsen’s death, coming not so long after the sudden cardiac arrest deaths of Ryan Shay during the 2007 Olympic Marathon trials and Adam Nickel just after finishing 18th in the Little Rock (Ark.) Marathon in 2008, has made some wonder about the health and safety of athletes in endurance sports.

Those raising concerns also point to the 1984 death of so-called running guru Jim Fixx, who wrote the best-seller “The Complete Book of Running” and dropped dead on the road of cardiac arrest.

Medical researchers and exercise scientists have long studied the effects of exercise on the heart.

A study presented this month at the International Conference of the American Thoracic Society in San Diego showed that marathon runners’ heartbeats and ventricle pumping capabilities had abnormalities immediately after the race. But follow-up tests by University of Manitoba (Canada) researchers showed the runners had no signs of permanent injury to the heart.

The study rebuts a 2006 study in the journal Circulation that showed heart abnormalities among 60 non-elite participants in the Boston Marathon.

While tests on Larsen’s heart are pending, nearly all the other athletes who have died suddenly were later proved to have preexisting genetic conditions, such as an enlarged heart or a coronary artery anomaly.

Dr. Barry Maron of the Minneapolis Heart Institute Foundation, who has studied sudden death in athletes for three decades, says about 125 athletes under age 35 succumb to sudden cardiac death every year.

In many cases, athletes had no previous indication of heart problems. Even those who had been alerted to heart abnormalities — such as Shay, who was diagnosed with a slightly enlarged heart when he was 14 — were given clearance and clean bills of health from physicians to pursue endurance sports.

Toxicology tests on Shay, who was 28 when he died Nov. 3, 2007, at the five-mile mark of the Olympic trials, determined that he had an irregular heartbeat from an enlarged and scarred heart. The scarring, doctors said, looked as if it was an “old” injury to the muscle. Shay had pneumonia when he was 14, but doctors aren’t sure whether that was a cause of scarring.

“Tough scars can set up abnormal electrical currents,” Dr. Paul Thompson, a Hartford cardiologist specializing in heart disease among athletes, told the New York Times in 2008. “If normal conductivity gets blocked, it can result in fast, abnormal rhythms, and a person can die.”

Experts, therefore, say Shay’s death could not be linked to the so-called athlete’s heart syndrome — undetectable hereditary conditions like a thickening of the muscle called hypertrophic cardio- myopathy.

That condition first gained national attention in 1990 when Loyola Marymount University star basketball player Hank Gathers collapsed and died during an NCAA tournament game. NBA player Reggie Lewis, 27, died three years later of a condition similar to Shay’s — an enlarged and scarred heart. Nickel, the Arkansas marathoner, was later found to have artery dysplasia, a narrowing of the arteries that restrict blood flow.

The doctor who performed Nickel’s autopsy, Charles Kokes, told the Arkansas Democrat- Gazette that an electro- cardiogram could have detected the condition.

American Heart Association guidelines for cardiac screenings for young athletes (high school age) call for an extensive medical history questionnaire and tests that check for high blood pressure and heart murmurs. Some medical professionals believe it should include a more thorough heart test. An Italian study in the Journal of the American College of Cardiology reported that EKGs can reduce the risk of sudden cardiac death by nearly 90 percent. (Italy has had routine EKG screening for athletes since 1982.) In the United States, the National Basketball Association in 2007 started echocardiograms and EKGs for all players.

But most doctors say that endurance athletes don’t need EKGs unless their doctors find reason to suspect problems.

A study from French researchers released Wednesday showed a link between people with an excessive increase in heart rate prior to engaging in exercise and those at risk of sudden cardiac death at a later point.

“Few measurements in medicine are as inexpensive and as easy to obtain in large general populations as to measure the heart-rate difference between resting and being ready to perform an exercise test,” said Dr. Xavier Jouven from Hopital Europeen Georges Pompidou, Paris, in a statement.

The researchers followed non-elite athletes (7,746 male civil servants) for 23 years. They compared resting heart rate with that measured just before they rode a stationary bicycle. Eighty-one of the subjects died from sudden cardiac death during the two- decade followup.

Experts caution that the number of sudden deaths during endurance sports still is small. The Boston Globe reported that for every 1 million marathon racers, four to eight die each year. For triathletes, the numbers jump to 15 out of a million. The increase, posits Minneapolis Heart Institute researcher Dr. Kevin Harris, might have to do with problems from cold water in the swimming portion.

There is some good news on the research front, though: Stanford University researchers found that runners ages 50 and older had significantly less heart disease than non-runners and showed a lower number of physical disabilities as they aged.

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To see more of The Sacramento Bee, or to subscribe to the newspaper, go to http://www.sacbee.com.

Copyright (c) 2009, The Sacramento Bee, Calif.

Distributed by McClatchy-Tribune Information Services.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

International Congress on Mental Health Opening in Havana

Sunday, May 31st, 2009


Source: Foot.com
Publication date: 20090531

According to Cuban News Agency: The president of the event’s Organizing Committee and director of Cuba’s Mental Health Center (CENSAM), Dr. Mar?a Julia de Vales, told ACN that participating experts come from Argentina, Spain, Italy, Peru and Panama, and of course Cuba. Vales that the number of specialists travelling to Havana for the Congress will probable increase, due to the interest awoken by themes included on its agenda, like schizophrenia, emotional diseases, alcoholism, drug addiction, neurotic disorders, sexual dysfunctions, psychic exhaustion and stress. She announced that one of the most outstanding experiences of her institution will be presented during the opening session: personalized and comprehensive treatment of patients from the physical, intellectual, emotional and spiritual points of view, as well as from the viewpoint of human relations. The 3rd International Congress on Mental Health includes a University Student Symposium and training courses at CENSAM, in the Havana municipality of Playa, founded 44 years ago. Its medical and paramedical staff has also offered its services, since 1997, to patients from other nations, in the specialties of general psychotherapy, drug addiction, relaxation and yoga, debates on films, and traditional medicine, by way of a warm family treatment contributing to a speedy recovery.Originally published by Info-Prod Strategic Business Information.

(c) 2009 Info-Prod Research (Middle East). Provided by ProQuest LLC. All rights Reserved.

DIABETES CONTROL: Tough Glucose Control Doesn’t Cut Deaths

Sunday, May 31st, 2009


Source: Foot.com
Publication date: 20090531

Stringent targets for blood glucose in diabetes set by NICE and in the QOF may not bring any benefits for reducing overall mortality from the disease, new research suggests.The meta-analysis of five trials found that while more intensive blood glucose control in type 2 diabetes led to a ‘consistent’ reduction in heart attacks and coronary events, it had no significant effect on stroke or all-cause mortality.

The study, published in the Lancet last week, will add further weight to the growing controversy over the stringent new QOF targets for diabetes - and whether the benefits of aggressive treatment outweigh the potential risks.

HbA1c was on average 0.9% lower, at 6.6%, in patients given more intensive treatment than in those given standard treatment, at 7.5%.

Patients in the high-intensity treatment group had a 17% reduced risk of non-fatal heart attacks and a 15% reduction in coronary events, but their risk of stroke or all-cause mortality was not significantly different from those receiving standard treatment.

Study leader Dr Kausik Ray, senior clinical research associate at the University of Cambridge, concluded that rather than focus on lowering blood glucose, GPs should focus their efforts on lowering cholesterol and blood pressure.

‘Our findings provide reassurance about the effectiveness of glycaemic control for cardiovascular risk reduction, but we have not proven a clear benefit for all-cause mortality.

‘By contrast, strong evidence suggests lipid-lowering and blood pressure reduction does benefit all-cause mortality, which reinforces the crucial importance of these treatments.’

Dr Pam Brown, a GP in Swansea and a member of the Primary Care Diabetes Society steering committee, said: ‘Macrovascular disease risk is multifactorial and it’s not just about tight glucose control. The earlier we can lower blood glucose, as well as lipids and blood pressure, the better.’

Copyright: UBM Information Ltd.

(c) 2009 Pulse. Provided by ProQuest LLC. All rights Reserved.

Easier Way to Track Child Hypertension

Sunday, May 31st, 2009


Source: Foot.com
Publication date: 20090531

A U.S. doctor says a simplified chart may help speed up diagnosis of high blood pressure in children.Dr. David Kaelber of Case Western Reserve University School of Medicine in Cleveland says nearly 75 percent of cases of hypertension and 90 percent of cases of prehypertension in children and adolescents currently go undiagnosed.

Kaelber heads a team that has simplified the blood pressure tracking chart to make it easier to spot children with abnormal readings that need further evaluation by a physician.

The chart and a description are scheduled to be published in the June issue of the journal Pediatrics.

“We know that children with high blood pressure often become adults with heart disease and other serious medical conditions,” Kaelber says in a statement.

“Anything that helps healthcare providers in identifying this life-threatening condition early is essential. The long-term solution will no doubt involve electronic medical records and other electronic tools, but until that is available in all healthcare settings, this simplified table should be a helpful screening tool.”

Shake It Up: Healthy Reasons to Lay Off the Salt

Friday, May 29th, 2009


Source: Foot.com
Publication date: 20090529

Learn more about how to reduce your sodium intake from the American Heart Association.Whether you’re young, old, fat, thin, ill or healthy, you’re probably eating more salt than you should.

The recommended daily allowance of sodium for an average person’s diet is about 2,300 milligrams — equal to about a teaspoon of table salt.

But most Americans eat about 6,000 to 10,000 milligrams per day, said Cassie Wrich, a registered dietitian at Hillcrest Exercise and Lifestyle Program. And a recent report from the Center for Science in the Public Interest shows that you may be eating that much sodium in a single meal, if you’re not careful about what you order at popular chain restaurants.

Researchers for the CSPI examined 17 chains and found that 85 out of 102 meals had more than a day’s worth of sodium, and some had more than four days’ worth of sodium content. Some of the restaurant meals were the equivalent of eating three whole teaspoons of salt.

“Because we eat out so much, it’s just ridiculous how much sodium we’re eating,” Wrich said. “Everybody needs to worry about it, because even if they don’t have health problems now, eating too much sodium could cause

them later.”

The size of salt Eating less salt is one of the best ways to prevent high blood pressure, heart attacks and strokes. Sodium is an essential mineral, but our bodies only need about 200 to 500 milligrams per day — way less than the 6,000 to 10,000 milligrams most Americans are eating, Wrich said.

And people who have high blood pressure and people middle-aged or older should consume no more than 1,500 milligrams of sodium daily, according to dietary guidelines.

Part of the problem with many restaurant meals is portion size — the sodium content equals several meals’ worth because the single entree should actually serve two to three people, Wrich said.

But pre-packaged and processed foods eaten at home, including lunch meats and canned soups, are often some of the worst hidden-sodium culprits in our diets, she said. The majority of the sodium we eat — 77 percent — comes from processed and prepared foods.

Check the labels and you may be surprised to find out that your lunch meat contains half a day’s worth of sodium, or that a single cup of ramen noodles can equal your entire recommended daily allowance of sodium.

Watch out for misleading labels such as “reduced sodium” or “no added salt” — those don’t mean products are low sodium, Wrich said.

Opt for fresh or frozen vegetables or make sure to drain and rinse canned vegetables to reduce sodium content, she said. Or try using fresh garlic or no-salt herb blends to season your food instead of salt or salt blends, and know that your taste buds will eventually adjust to eating food with less salt. Our taste for salt is acquired, so it is reversible.

“It really only takes about four to six weeks for the taste buds to change,” she said.

What not to eat… If you’re trying to reduce your sodium intake, avoid these high-sodium meals at popular chain restaurants:

Red Lobster “Admirals’ Feast” with caesar salad, creamy lobster-topped mashed potatoes, a cheddar bay biscuit and a lemonade = 7,106 milligrams of sodium

Chili’s Buffalo chicken fajitas with tortillas and condiments and a Dr Pepper = 6,916 milligrams

Olive Garden “Tour of Italy” meal with a breadstick, garden fresh salad with house dressing and a Coca-Cola = 6,176 milligrams

Source: CSPI

Cary Aspinwall 581-8477 cary.aspinwall@tulsaworld.com

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To see more of the Tulsa World, or to subscribe to the newspaper, go to http://www.tulsaworld.com.

Copyright (c) 2009, Tulsa World, Okla.

Distributed by McClatchy-Tribune Information Services.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

NYSE:DRI,

Special K(R) Brand Shakes Things Up With New Weight-Management Protein Shake

Friday, May 29th, 2009


Source: Foot.com
Publication date: 20090529

One of the most widely anticipated product launches of the season doesn’t feature the bells and whistles of most sought-after new products, such as phones and video games, but consumers can’t wait to get their hands on it just the same. Kellogg’s(R) Special K(R) brand is introducing the brand’s first weight-management protein shake — featuring great taste, protein, fiber and a reclosable plastic bottle — a creamy, delicious way to take the edge off hunger(1) and help women stay on track with their weight-management goals.While the new Special K(TM) Protein Shakes began appearing in the diet and nutrition aisles of supermarkets nationwide as early as May 1, current supplies are already selling out nationwide. However, consumers should continue to keep an eye out for Special K(TM) Protein Shakes in the diet and nutrition aisle of their local grocery stores. Kellogg Company is working to increase production of Special K(TM) Protein Shakes to ensure that the avid fans of Special K(R) products can pick it up in their local retailer soon.

“The Special K brand is excited to introduce new Special K(TM) Protein Shakes to give weight-managers yet another simple, all-day, weight-management solution that doesn’t sacrifice great taste,” said LaKesha Hatch, Special K(R) brand manager, Kellogg Company. “These new shakes already are a huge hit among consumers and may be tough to find for a few months. In the meantime, we are increasing production to meet consumer demand.”

Special K(TM) Coupon

As Kellogg increases production of the new Special K(TM) Protein Shakes, the Special K(R) brand is offering a coupon at www.specialkcoupon.com that consumers can redeem as the new shakes become available in their local markets. The brand also has established an online group at Yahoo! where women can share with one another where they were able to purchase this new offering from the Special K(R) brand. While Special K(TM) Protein Shakes will be more broadly available as the summer progresses, online outlets like SpecialK.com and Special K’s Yahoo! group are great ways for consumers to learn where they can find Special K(TM) Protein Shakes in their local markets.

“We hope that through these online forums, Special K(R) women will be encouraged to reach out to one another where they connect the most to help each other find the shakes in stores and enjoy this new and highly desired product,” Hatch added.

Special K(TM) Protein Shakes are the brand’s debut weight- management shake and the newest addition to its ensemble of all- day, weight-management products, which includes eight varieties of cereal. The new protein shakes are the perfect grab-and-go breakfast for on-the-go women. Each shake is ready to drink and comes in a convenient, single-serving, reclosable plastic bottle — giving women the perfect partner for all-day, weight-management success. Deliciously smooth, the shakes are available in three flavors: Milk Chocolate, French Vanilla and Strawberry.

Each meal replacement shake contains 10 grams of protein and five grams of fiber to help take the edge off hunger(1). And at 180 calories for French Vanilla and Strawberry, and 190 calories for Milk Chocolate, these great-tasting shakes contain vitamins A, C, D and E, along with other nutrients like calcium necessary for women managing their weight.

Shaking up the Special K Challenge(TM)

With the Special K Challenge(TM), women can get ready for bathing suit season and lose up to six pounds — or one inch in waist circumference — in two weeks(2). The introduction of Special K(TM) Protein Shakes gives women even more options to shake up their weight-management goals and get ready for that two-piece bathing suit. So, lounging at the pool, looking great and feeling great just got easier, especially for on-the-go women who miss a nourishing breakfast, but want something great-tasting to hold them over until lunch. For more information on new Special K(TM) Protein Shakes or to create your own Special K Challenge(TM) victory plan, visit www.SpecialK.com or search Yahoo! for “Special K.” To download a coupon for Special K(TM) Protein Shakes, visit www.specialkcoupon.com.

About Kellogg Company

With 2008 sales of nearly $13 billion, Kellogg Company is the world’s leading producer of cereal and a leading producer of convenience foods, including cookies, crackers, toaster pastries, cereal bars, fruit-flavored snacks, frozen waffles and veggie foods. The Company’s brands include Kellogg’s(R), Keebler(R), Pop- Tarts(R), Eggo(R), Cheez-It(R), All-Bran(R), Mini-Wheats(R) Nutri- Grain(R), Rice Krispies(R), Special K(R), Chips Deluxe(R), Famous Amos(R), Sandies(R), Bear Naked(R), Kashi(R), MorningStar Farms(R), Gardenburger(R) and Stretch Island(R). Kellogg products are manufactured in 19 countries and marketed in more than 180 countries. For more information, visit www.kelloggcompany.com. Kellogg Company’s Corporate Responsibility report including its approach, progress and future direction in the marketplace, workplace, environment and community can be found at www.kelloggcompany.com/CR. For information on Kellogg Company’s commitment to nutrition, visit www.kelloggsnutrition.com.

(1) Special K Protein products are designed to promote a feeling of fullness by increasing daily intake of protein and fiber. See nutrition information for details.

(2) Consult your physician before starting any diet or exercise program. Average waist-circumference reduction when replacing meals with two cereal meals is 1.3 inches. Weight loss may vary.

SOURCE Kellogg Company

Originally published by Kellogg Company.

(c) 2009 PRNewswire. Provided by ProQuest LLC. All rights Reserved.

Tally Your Steps to Fitness With a Pedometer

Friday, May 29th, 2009


Source: Foot.com
Publication date: 20090529

Jogging outdoors as a path to fitness is not for everyone. A dedicated walking routine however, might offer some a more attractive mode of regular fitness.A pedometer counts the number of steps a person takes, whether during concerted exercise time or running errands. The device detects body motion to count footsteps. Prices for Pedometers prices vary, but the least expensive models can run less than $20. When shopping for a pedometer, keep these guidelines in mind:

_ Basic models count steps. But for a more detailed account of your walking experience, you may want to explore pedometers that provide distance walked and calories burned or other measurements. A more advanced style allows the user to upload walking data to a computer.

_ Look for a display monitor visible under varying lighting conditions, particularly if the walking takes place in both indoors and outdoors settings, and at different times of the day.

_ Select a lightweight model that fits comfortably on walking clothing.

_ Go with a pedometer that will perform accurately during a walk. A sturdy clip and a security strap can hold the pedometer in place.

SOURCE: Mayo Clinic

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(c) 2009, McClatchy-Tribune Information Services.

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Finally, Something Good About E. Coli: Scientist Makes Vitamin A From It.

Friday, May 29th, 2009


Source: Foot.com
Publication date: 20090529

Escherichia coli gets a bad rap for making people violently ill, even though most strains are perfectly harmless. You could say it’s a bug in need of a good press agent.Or a biologist such as Jennifer R. Anthony, at the University of the Sciences in Philadelphia.

By inserting a series of carefully selected genes into the microbe, she has turned E. coli into a living factory for making small amounts of Vitamin A.

The goal is to provide a low-cost supply of the vitamin to the developing world, where deficiencies of that nutrient cause widespread blindness and even death.

The early-stage project, in which Anthony’s lab has made one strain of the bug with an eye-catching shade of carroty-orange, is part of a fast-growing field called synthetic biology.

Rather than pasting in a single gene here or there, researchers are adding entire genetic pathways to bacteria or yeasts, inducing them to manufacture compounds for uses that range from textiles to automotive fuel. The approach can be a greener alternative to traditional synthetic chemistry.

“We could potentially ask these bacteria to make anything, if we could find the genes for the pathway and put it in,” Anthony said.

Before coming to Philadelphia, for example, Anthony was part of a University of California, Berkeley, team that modified E. coli to produce artemisinin, a key drug in the fight against malaria.

Elsewhere, in a joint venture with Tate & Lyle P.L.C., DuPont Co. uses an altered form of the bacteria to produce 1,3 propanediol — a chemical used in the manufacture of both cosmetics and carpets. Other companies are using designer microbes to make diesel fuel.

While there are just a handful of commercialized products made with synthetic biology, more are in the works.

The fast-growing field has spurred some critics to urge caution — warning, for example, that this sort of genetic tinkering could theoretically be used to make chemical weapons.

Such concerns are worthy of discussion, but there is no reason for alarm, said microbiologist Jack Newman, who was at Berkeley with Anthony and is now a senior vice president at Amyris, a California biotech firm that further developed the anti-malaria drug.

“It is rocket science,” Newman said. “Not everybody can do this. It’s not like a dirty bomb or something.”

Anthony, 34, a Wisconsin native who came to the University of the Sciences in 2007, is using the technique to address a serious public-health problem.

Hundreds of thousands of people worldwide do not get enough Vitamin A, leading to widespread blindness and — because the nutrient plays a key role in the immune system — higher rates of death from ailments such as measles and diarrhea.

She decided to start by modifying E. coli because the bacterium naturally makes chemical compounds that belong to the terpenoids, a broad chemical family that includes Vitamin A. Some other members of this family, such as the common solvent turpentine and the cancer drug Taxol, are derived from plants.

But E. coli’s natural process for making precursors to terpenoids is tightly controlled. The bacterium makes only enough for its own use, in its cell membrane.

So Anthony’s lab inserted a series of eight genes to make the necessary precursors in greater amounts — almost like a second assembly line alongside the first. Six of these genes came from yeast; two were extra copies of genes already present among the 3,200 genes of E. coli.

Then she added an additional four genes, copied from another kind of bacteria, to take those precursors and advance the process further. These genes transform the chemical building blocks first into lycopene — the reddish compound found in tomatoes — and then into beta carotene, the orange compound in carrots.

The lab has made versions of E. coli that produce each of these compounds as a final product, resulting in red and orange bacteria.

But in order to make Vitamin A, she needed to add still another gene — one that could cleave the beta carotene in two. Humans have such a gene; Anthony used a copy of a similar gene from a mouse.

Both animals need such a gene to derive Vitamin A from the beta carotene in vegetables. Contrary to popular belief, carrots do not contain Vitamin A itself.

With the added genes in place, the custom strain of E. coli yielded its first Vitamin A this year. The vitamin is extracted, so there is no bacteria in the final product. (In any event, the lab starts with an even milder strain of the bug than what is typically found in the human gut.)

So far, the amount of vitamin made is quite small, in the range of micrograms per liter of broth. To make the process commercially viable, Anthony needs to increase production by many thousands of times — a feat she expects to achieve in a couple of years.

That will require further tinkering and “optimizing” the strain of bacteria, and determining the best kind of growth medium for it to live. Currently funded by the university, she is applying for federal grants.

Anthony aims to make her process competitive with the current method of making Vitamin A, which uses methanol. That ingredient comes from natural gas or petroleum, and is subject to big price fluctuations.

The exact wholesale price that Anthony’s method would be competing against is unclear. UNICEF buys the vitamin to distribute in developing nations for less than two cents a capsule; the bulk of the supply comes from in-kind donations.

The biggest issue in getting Vitamin A to undernourished people is the logistics of distribution, said Alfred Sommer, a leading Vitamin A expert at the Johns Hopkins Bloomberg School of Public Health. Still, he said the work in Philadelphia sounded promising.

“This is the thing that we all sort of dream about — that is, that some commercial venture will take seriously the needs of the developing world,” Sommer said. “The fact that they’re willing to spend their time and energy and money and creativity on things that by definition need to be sold inexpensively, is terrific.”

Consumers in the United States give little thought to Vitamin A. Even if they don’t eat enough foods that naturally contain the nutrient, such as eggs, milk and liver, it is routinely added to cereals and bread.

The U.S. Food and Drug Administration recommends a daily intake of 1,500 micrograms, assuming a daily diet of 2,000 calories. A person can easily get the equivalent amount or more from one large carrot.

But in the developing world each day, millions get a small fraction of that amount, Sommer said. So UNICEF distributes large-dose capsules twice a year.

In 2008, the organization gave out more than 540 million capsules, most of them containing 200,000 International Units of the nutrient — equal to 60,000 micrograms. The vitamin is fat-soluble so the body can store the excess in the liver.

For now, it is all made with old-fashioned chemistry. But if Anthony has her way, one day some of the supply could come from a helpful bug.

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Contact staff writer Tom Avril at 215-854-2430 or tavril@phillynews.com.

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To see more of The Philadelphia Inquirer, or to subscribe to the newspaper, go to http://www.philly.com/inquirer.

Copyright (c) 2009, The Philadelphia Inquirer

Distributed by McClatchy-Tribune Information Services.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

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Keep Track of Your Workouts for Greater Success

Friday, May 29th, 2009


Source: Foot.com
Publication date: 20090529

When it comes to getting the most out of your fitness program, it may not be the number of reps you crank out or the amount of weight you heave.The secret to success may be a whole lot simpler - just write it down.

Personal trainers have long had their clients track daily calories, log workouts and weigh themselves on a regular basis. But now research suggests that this advice actually leads to more weight loss and greater progress.

Jotting down your workouts and meals helps keep you on target, experts say, and thanks to new technology, it’s easier than ever to do.

“People who actually write it down, especially with nutrition, do better,” said Clayton King, a Sherman Oaks-based personal trainer.

Last year, Kaiser Permanente’s Center for Health Research found that people who kept daily food records lost twice as much weight and consumed fewer calories than those who kept no records, just because they wrote it down.

Likewise, women who monitored their steps with pedometers walked more than those without them, according to a 2005 study by the American College of Sports Medicine.

And recent research out of Brown University suggests that people who weigh themselves daily are more likely to keep off the pounds.

“It comes down to accountability and keeping track, either with a friend or fitness professional or - just some sort of accountability. That’s a really big thing in starting and staying on a fitness program,” said Trey Blaubach, a Long Beach-based personal trainer.

Writing down your food intake, trainers agree, is crucial to any weight-loss program. It may be difficult to determine whether you’re burning more calories than you consume if you don’t consistently track your meals and snacks, they say.

Janel Bilal, a personal trainer at 24 Hour Fitness in Carson, requires her clients to track their calories by writing down what they eat, how much and at what time. The food journals provide more than just a glimpse into nutritional health.

“It’s going to allow me to see not just what they’re eating but what they’re aware of,” she said. “It shows me what we need to work on.”

The same is true of exercise.

Personal trainers often take copious notes during a client’s workout, noting the number of repetitions and sets, the amount of weight lifted and the tempo. People who work out on their own can benefit from this same sort of rigorous record-keeping. The ability to review past workouts lets you measure progress and spot trouble areas.

“Keeping track of everything allows us to really be thorough and analytical in identifying what’s working and what’s not,” Blaubach said.

And writing down results isn’t just for beginners.

“If you plateau, your trainer or yourself can change the workout,” King said. “A workout log can go as in-depth as you need it to. The more information you have, the better to find out what’s wrong and what’s working.”

In fact, keeping a workout journal may be even more important for hard-core fitness buffs. A detailed account of your workouts can help doctors and trainers diagnose exercise-related injuries and aches, Blaubach said.

These days, high-tech gadgets and online resources make it easier than ever to keep track. Online calorie counters and fitness logs let you record results from any location, and many sites will analyze your nutritional intake and caloric burn. Pedometers, heart- rate monitors and GPS-based distance trackers allow users to chart their workout progress in real time and over the long term.

Gardena resident Lauren Yee, 28, credits her 20-pound weight loss in part to the bodybugg, a device that measures motion, exertion and body temperature to calculate the exact number of calories burned.

Users keep the bodybugg strapped to their arm throughout the day and upload the information to a computer to chart their weight loss.

Although Yee had tried Weight Watchers and its calorie-based point system, she’s had more success with the high-tech bodybugg.

“I really like using it, because in Weight Watchers, I didn’t have something to keep track of how many calories I was burning,” she said. “With the bodybugg, it’s more precise.”

But you don’t need to get too fancy, trainers say.

“It can be a pad of paper,” King said. “Just keep track.”

Back to basics

What: When it comes to charting your progress, it doesn’t get easier than paper and pen. You can create your own fitness and food journal using an inexpensive composition book or invest in a ready- made health log, such as the one available at www.knockknock.biz. Or, do a quick Internet search to come up with hundreds of free downloadable templates.

Cost: Free to minimal.

Pros: Inexpensive, widely available, easy to toss in a gym bag or purse.

Cons: Makes detailed and long-term analysis difficult, falls victim to wear and tear, relies on user to consistently and honestly record habits.

Middle of the road

What: Online fitness logs and calorie counters bring more sophistication to the old pen and paper. Several Web sites, including www.sparkpeople.com, www.onlinefitnesslog.com and www.my- calorie-counter.com let you record calories, track workouts and gauge progress. Many will let you customize entries (saving information about your favorite meal or workout), and almost all sites have some sort of analysis capability.

Cost: Free to minimal.

Pros: Inexpensive, accessible from any location via the Internet, provides some performance analysis.

Cons: May not be suitable for the tech-challenged, relies on user to consistently and honestly record habits.

Cutting edge

What: For the data-obsessed - or those who prefer to cruise on autopilot - check out the latest in fitness tracking technology from devices such as bodybugg (www.bodybugg.com) and the Timex Bodylink System (www.timex.com/bodylink). These mini-computers precisely analyze physical exertion, calories burned and performance levels using heat sensors, heart rate monitors and GPS-based speed and distance trackers.

Cost: $250 to $300 (plus, in some cases, additional monthly rates).

Pros: Highly detailed tracking capabilities, lets you do real- time and long-term analysis, takes the guesswork out of performance.

Cons: Expensive, may not be suitable for the tech-challenged, requires front-end setup and programming.

Renee Moilanen is a freelance writer based in Redondo Beach.

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