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Health Tips from Cougars

Pregnancy

Fetal Cells Can Trigger Disease After Pregnancy
Fetal cells that survive in the mother after pregnancy may trigger diseases in the woman many years later. The discovery that these cells can persist in the mother's bloodstream may provide a reason why women are three times more likely than men to suffer from autoimmune diseases. These are a family of about 100 different disorders which all share a common feature. They are caused when the body's own immune system which protects against bacteria and viruses suddenly turns against healthy tissues. Certain tissues are destroyed, leading to diseases such as rheumatoid arthritis, lupus, multiple sclerosis and a progressive and often fatal hardening of tissues called scleroderma. The discovery that the fetus might be an unexpected enemy from within was presented yesterday at the American Association for the Advancement of Science annual meeting in San Francisco. The work was done by Dr Lee Nelson and colleagues of the University of Washington in Seattle. Women on average are three times more likely than men to get an autoimmune disease and for certain diseases 10 times more likely. Dr Nelson's theory was that fetal cells which survived for decades in the woman's bloodstream after pregnancy somehow affected the woman's immune system over time and caused it to malfunction and cause damage. She led a research team looking for "foreign" DNA in blood samples taken from healthy women and from women with scleroderma. They searched for evidence of male DNA, signs of the male Y chromosome. They found what they were looking for. Women with scleroderma had 11.1 fetal cells per million maternal cells tested. Less than one fetal cell in a million was discovered in those without the disease. "Pregnancy is mini-gene transfer," Dr Nelson said. "Those genes that are transferred from the child can ingraft and persist, probably indefinitely." Even 30 years after having a child these foreign cells can be discovered in women who had children. "It turns out that there is cell transfer in both directions," she said. The mother's cells can be found in her sons and there is now also evidence that cells from the grandmother passed to her daughter can reach the bloodstream of the granddaughter. She is now trying to make the connection between these foreign cells and the high rate of autoimmune diseases in women.

Smoking

Link May Exist Between Passive Smoking and Periodontal Disease, Researchers Say
Among U.S. residents who have never used tobacco products, those exposed regularly to environmental tobacco smoke are more likely to develop gum disease than others not exposed to such second-hand smoke, a new University of North Carolina at Chapel Hill study suggests. The study, which involved analyzing data from the Third National Health and Nutrition Examination Survey from 1988 to 1994, or NHANES III, revealed between a 50 percent and 60 percent increased risk of periodontal disease among non-smokers who are around smokers than those who are not. Researchers, who are affiliated with the UNC School of Dentistry, said their findings provide evidence of an association but do not prove it. A report on the research appears in the February issue of the American Journal of Public Health. Authors are Drs. Samuel J. Arbes Jr. and Helga Agustsdottir, former postdoctoral fellows with the Center for Oral and Systemic Diseases, and Dr. Gary D. Slade, associate professor of dental ecology. "We found that among adults in the United States who had never smoked cigarettes, 11 percent of those exposed to environmental tobacco smoke in their homes or at work had periodontal disease, and their risk was about 1.5 times higher than for people not exposed," Arbes said. "Even though this increase in risk is much smaller than the increase in risk associated with active cigarette smoking - up to five times greater - environmental tobacco smoke could account for many cases of gum disease nationwide." Researchers evaluated NHANES III data on a subset of 6,611 U.S. residents age 18 and older who had never smoked or used other forms of tobacco. The survey is the most recent in a series of national surveys conducted by the federal government to help assess the health in this country. "One advantage to using the NHANES III data is that it is a sample of the total civilian, non-institutionalized population of the nation," Arbes said. "Therefore, our results can be generalized to the U.S. population." About a third of non-smoking adults in the study were exposed to environmental tobacco smoke, which also is called "passive smoking," at home or at work, he said. Investigators did not measure the amount. How could the smoke cause gum disease? "Active smoking is one of the most important, if not the most important, risk factor for periodontal disease, and many studies have examined its effects," Arbes said. "One of the many chemicals that gets into the body when a person actively smokes or breathes someone else's smoke is nicotine. "Earlier studies have suggested that nicotine in cigarette smoke impairs the immune system and causes blood vessels to constrict, including blood vessels in the tissues around the teeth. This causes a decrease in oxygen in these tissues which, along with an impaired immune system response, creates a favorable environment for bacteria that cause periodontal disease." Undoubtedly, the real picture is much more complicated, and the mechanism by which other people's smoke may promote the illness has not been studied, he said. Periodontitis destroys soft tissues and bone that support the teeth, which often leads to tooth loss. "We strongly believe that it is premature to claim that passive smoking causes periodontal disease or to make any policy recommendations," Arbes said. "However, we do feel that it is reasonable to use these findings to repeat the known oral health hazards of active tobacco consumption. We also hope the findings further motivate dental health providers to promote tobacco cessation in their practices."

Stress

Baboon Key to Human Stress
The stresses and strains that afflict humans are evident in baboon societies - as are the long-term health effects. The findings of physiologist Robert Sapolsky may suggest ways of limiting the impact of mankind's modern, stressful lifestyle. And cultivating friendships, he suggests, may be the way to alleviate harmful long-term stresses. In many ways, the life lived by baboons holds echoes of our own. Their societies, like Western ones, are rarely threatened by famine, plague or predators - so they invent their own ways of generating stress. Professor Sapolsky gave details of his work to the annual meeting of the American Association for the Advancement of Science. His study claims to be able to spot "Type A" baboons, who cannot cope with stress, and suggests that there may be ways to spot humans who fall into the same group. Professor Sapolsky said: "We're ecologically privileged enough that we can invent social and physiological stress. Baboons are similarly privileged. They ulcerate because of social complexities." Professor Sapolsky, from Stanford University, studied the Serengeti baboons. He anaesthetised them and then collected blood samples to reveal levels of stress hormones, antibodies, and cholesterol. Those with consistently high levels of stress hormones were showing the physical signs: high levels of the "wrong" sort of cholesterol, increased blood pressure and hardening of the arteries. Certain situations were found to be more stressful for the baboons in the study, most of whom were male. Baboons who sensed a problem and started a fight were less stressed than those who sat back and worried if a fight was about to start. In a stable hierarchy, stress levels were lower, while the introduction of a new baboon sent stress hormones up. And males who spent most time grooming and being groomed by females not in heat and playing with infants had the lowest levels of stress hormones. Other studies carried out by Professor Sapolsky on rats suggest that the brain cells which control stress levels can actually be damaged if the individual is too stressed. Continually elevated levels of stress hormones appears to damage the hippocampus, an area of the brain which also has a role in learning and memory. Moderate stress, however, appeared to be good for the brain, he said.

Stroke

An Apple a Day May Really Keep the Doctor Away
A research study recently published in the European Journal of Clinical Nutrition, says that people who eat the most apples have a significantly reduced risk of stroke. Finnish researchers who studied more than 9,000 men and women over a 28-year period said the reasons are inconclusive, however. Apples happen to be rich in quercetin, a member of a group of antioxidant substances called flavonoids. The researchers hoped to explore a link between stroke risk and overall dietary intake of quercetin -- which also is found in onions and other fruits and vegetables. But to their surprise, no such relationship turned up. The link between apple consumption and decreased stroke risk remained, however. The apples' protective effect was "apparently not attributable to quercetin ... and may be due to some other substances in the fruit or simply to a lifestyle associated with apple intake." Perhaps the overall levels of quercetin consumed by the study participants were simply too low for the researchers to uncover an effect, said lead researcher Paul Knekt, a researcher at the National Public Health Institute in Helsinki.

Sleepyheads and Snorers Face Risk of Stroke
Sleeping for more than eight hours a night, snoring and daytime drowsiness was associated with an increased risk for stroke, researchers reported today at the American Stroke Association’s 26th International Stroke Conference. The American Stroke Association is a division of the American Heart Association. Researchers evaluated the association between snoring, sleep duration and daytime sleepiness with stroke and carotid artery narrowing in 1,348 adults who participated in a stroke screening program in Buffalo, New York. Of the group, 6 percent had a previous stroke and 7 percent had carotid arteries that were significantly narrowed. Participants answered a questionnaire on sleep habits and cardiovascular risk factors, were interviewed by a neurologist or neurosurgeon and underwent ultrasound testing on the carotid artery to determine the arterial narrowing or history of stroke. The frequency of prior stroke or transient ischemic attacks (TIAs) was 14 percent among those who reported routinely sleeping eight hours or more a night, while the frequency was 5.4 percent among those who slept for 6-8 hours and 5.4 percent for those who slept less than 6 hours, says the study’s lead author Adnan I. Qureshi, M.D., assistant professor of neurosurgery at the State University of New York at Buffalo. Transient ischemic attacks are temporary, stroke-like events that last for a short time. Like many strokes, TIAs are caused by a blocked blood vessel leading to or within the brain. Of individuals who reported experiencing daytime drowsiness, 14 percent had suffered a stroke or TIA, compared to 4 percent of the participants who remained alert during the day. “We found that certain sleep characteristics such as sleeping for more than eight hours, the tendency to fall asleep during the day and the tendency to snore influence the likelihood of having a stroke,” says Qureshi. “Individuals who snore severely or have trouble staying awake during the day should see a doctor to find out why. These may be signs of certain sleep disorders such as sleep apnea, which is associated with an increased risk of having a stroke.” Sleep apnea is a condition in which breathing stops briefly and repeatedly during sleep. The breathing abnormality often causes snoring and frequent awakening as the sleeper quickly gasps for breath. It can lead to drowsiness during the day. Sleep apnea is recognized as a contributor to heart disease and stroke. Qureshi and colleagues conducted an earlier study using database information in which they found that individuals who reported longer sleep and daytime drowsiness were more likely to experience a stroke during a 10-year follow-up period. The team thought that some of the differences might be attributable to the classic risk factors for heart disease and stroke: age, race, gender, cigarette smoking, high cholesterol, high blood pressure and diabetes. They took these variables into consideration in their latest study and found that the risk for stroke was independently and significantly associated with daytime sleepiness, average hours of sleep and nighttime snoring, Qureshi says. The participants were also examined for the presence of carotid artery stenosis, a build-up of fatty material leading to narrowing of the principal arteries to the neck and head. Carotid artery stenosis is itself an indicator of a higher risk of stroke. After adjusting for the other variables, the researchers found no association between carotid artery stenosis and sleep duration, daytime sleepiness and snoring. Thus, they conclude sleep pattern abnormalities are independently associated with stroke and TIA. Exactly how the disruptions contribute to stroke and TIA risk is still uncertain. Underlying factors, such as depression or sleep apnea, may contribute to the chain of events. Study participants were not asked to distinguish between sleep patterns before and after stroke. But the researchers assumed it was unlikely the strokes and TIAs caused major disruptions in habit because none were disabling. All were able to attend the stroke screening program at the Buffalo clinic where the study interviews took place in 1999 and 2000. “We know from the literature that these patterns are not just habits individuals can change; they are unconscious actions,” he says. “These individuals should see a physician for evaluation.” Qureshi and his colleagues are using the database again to investigate why sleep disruption contributes to stroke and to examine sleep patterns in relation to other diseases. These studies are in the preliminary stages.

Certain Fat Can Raise Female Stroke Risk
Hypertensive women who consume a low amount of a particular type of fat may face a greater risk for an uncommon kind of stroke, new research suggests. Women who ate 20 milligrams or less of saturated fat, the artery-clogging kind of fat, appeared to double their risk of experiencing hemorrhagic stroke, which is triggered by a burst blood vessel. Whether saturated fat has a mechanical effect that would make blood vessels prone to hemorrhagic stroke is still unclear, and the researchers emphasize the study does not suggest people should increase their fat intake. Instead, it indicates the possibility that a moderate fat intake may be suitable for patients with high blood pressure, they said. Dr. Meir J. Stampfer and colleagues at the Harvard School of Public Health in Boston will publish the finding Tuesday in Circulation: Journal of the American Heart Association. The researchers analyzed data from the long-term Nurses Health Study that began in 1980. Within the study, 85,764 women ages 34 to 59 completed questionnaires about their diets; all were free of cancer and heart disease. By 1996, there were 690 strokes, including 74 intraparenchymal hemorrhagic strokes, a less common form of hemorrhagic stroke and far less common than the prevalent ischemic stroke, where blood is choked off to the brain by a blocked artery. Cholesterol and polyunsaturated fat did not effect risk, and researchers say it's unknown whether this link applies to men. "The question comes up, for some people, might a low-fat diet be risky?" Patricia Liehr, an associate professor at the University of Texas at Houston School of Nursing who studies lifestyle and cardiovascular disease, told United Press International. But she added the study isn't a green light to eat saturated fat, found in animal products and processed foods, saying people "shouldn't come away with the idea they should eat all the fat they want because they don't want a stroke."

Cell Transplants Offer Hope of Brain Repair Following Stroke
Rat stem cells developed into neurons and other mature brain tissue when transplanted into normal and stroke-damaged adult rats, according to new research reported today at the American Stroke Association's 26th International Stroke Conference. The American Stroke Association is a division of the American Heart Association. The stem cells grew in the damaged area and formed connections with neighboring cells, indicating the possibility of someday manipulating brains and spinal cords into repairing trauma from stroke or other diseases, says senior author Daniel M. Rosenbaum, M.D., professor of neurology, neuroscience and ophthalmology at Albert Einstein College of Medicine and director of the stroke center at Montefiore Medical Center, New York. "We were not sure the transplanted cells would even survive," he says. "But they did in both normal and stroke-damaged brains. In just seven days some cells had begun differentiating into the basic, yet immature types of cells that form the fundamental structure of the brain." Blood vessels were also seen growing to nourish the transplanted cells. At 21 to 45 days after the transplants most stem cells had developed into mature neurons and other mature brain cells. "The ultimate goal is to take an adult's own cells, expand them in tissue culture in the laboratory and transplant them back into the individual's brain in a way that would lead to functional recovery," says Rosenbaum. Stem cells – which are found primarily in bone marrow in adults or in embryonic tissue – lay down the blueprint for development of all the body's organs including the brain. They have the potential and the flexibility to grow and differentiate into the many kinds of cells needed by the human body. Until about 10 years ago, many people believed that the ability to regenerate neurons, or nerve cells, of the brain and spinal cord disappeared soon after birth. However, Rosenbaum's research team has shown that such repair processes can occur in mature brain cells at a very slow rate. In the current study researchers sought to determine whether stem cells would grow and mature into functioning neurons when transplanted into damaged rat brains. Researchers harvested embryonic cortical cells (which come from the cerebral Cortex – the outer layer of the brain) for the transplants. The cerebral cortex is the mantle of gray substance covering each half of the brain. It's the area responsible for higher mental functions such as thought, reasoning, memory and voluntary movement and is also the area most often damaged by strokes. "Our goal was to replace the dead area of the cortex with neural stem cells that would mature into neurons and other brain cell types," says Gaurav Gupta, M.D., the lead author of the study. In their experiments, the researchers injected the cortical stem cells into the brains of normal adult rats and adult rats damaged by stroke. The cells were marked with a chemical that glows when viewed under a fluorescent microscope, allowing researchers to record their fate for 90 days. Because the growth of cells is often influenced by the surroundings, researchers grew the cells in different "cellular environments." In both healthy and stroke-damaged brains, donor cells were transplanted into three areas: the cerebral cortex, the subventricular zone - an inner layer of the brain - and the eye cavity. Within a week, donor cells grew in all three areas in both healthy and damaged brains. Three to six weeks later, most donor cells had become mature neurons, which made connections with other brain cells. Important differences were found in the rate of growth among the six environments. For example, cortical cells transplanted into healthy rats grew better when transplanted into the cortical area rather than the subventriclular zone, suggesting a preference for cells to grow better in their native environment. However, when the cortical cells were transplanted into stroke-damaged rats, the cells grew more profusely in the subventricular zone (the area that was not as severely damaged) than in the damaged cortex. "Because tissue in the stroke damaged cortex, is replaced by scar tissue and fluid-filled cavities there is relatively poor structural and nutritional support. The transplanted cells do not grow as well as they do in the more fertile subventricular regions which have supportive factors that help the cells grow," says Gupta. "We've demonstrated that transplanted stem cells can survive, multiply and differentiate," Rosenbaum explains. "The other significant finding is that differences in the cell growth depend on the local factors in the areas of the brain in which they're implanted. A greater understanding of what these local factors are may enable us to better manipulate the stem cells to grow new brain tissue." For his work in this area, Gupta has been selected to receive the American Stroke Association Mordecai Y.T. Globus Young Investigator of the Year Award during the conference.

Unique Duke Study to Probe How Genetics and Environment Influence Responses to Stress
Being the main caregiver for a spouse suffering from Alzheimer's disease can be a physically and emotionally draining experience -- the slow, unrelenting progression of the disease and its certain outcome put caregivers under constant pressure that can impact all aspects of their lives. How these caregivers respond physically and emotionally to these demands can vary widely among individuals; some seem able to cope with the pressure while others suffer physically and/or mentally. A group of Duke University Medical Center researchers believes that by carefully studying these caregivers they will be able to unravel the mysteries of why some people can successfully handle life's stresses in general and why others fare poorly. The researchers hope to be able to tease apart the interplay between genetics, neighborhood environment, psychological makeup and other factors with the ultimate goal of identifying those most at risk of succumbing to these stresses so the appropriate interventions can be developed. Negative responses to stress can include such behavioral characteristics as anxiety and depression, as well as physical responses such as cardiovascular disease, hormonal and glucose imbalances, and high blood pressure. The novel Duke research project, which begins this month, is supported by a $2.6 million grant from three agencies of the National Institutes of Health: the National Institute of Environmental Health Sciences, the National Institute on Aging and the National Institute of Mental Health. During the five-year project, the Duke researchers, led by Dr. Redford Williams, will conduct in-depth analyses of 200 caregivers of spouses with Alzheimer's disease or similar dementias. As a control, they will perform the same analyses on 200 people who are similar in all aspects to the caregivers, but who have a healthy spouse. "By the end of this study we hope to better understand the underlying biological and behavioral mechanisms whereby stressful situations -- like caring for a spouse with Alzheimer's disease -- can contribute to health disparities between socioeconomic groups, as well as between racial groups," said Williams, who is director of Duke's Behavioral Medicine Research Center. "This is a truly innovative approach to a complex problem. "The possible payoff is that we might be able to identify groups of people with certain characteristics -- whether psychological, genetic or environmental -- who are at a much higher risk of developing health problems under stressful situations and help them through early intervention," Williams said. "This is truly a study aimed at determining how the environment and genetics interact in contributing to the problems." To better understand how the roles of environment and genetics can impact responses to stress, the researchers chose caregivers of Alzheimer's disease patients because there is a well-described body of scientific literature that shows that these caregivers do suffer from a broad range of physical and emotional problems. "What makes Alzheimer's disease different from other diseases is that you gradually lose the person you love, and while they still have lucid moments, you have to make important decisions about that person without his or her understanding or input," said Lisa Gwyther, director of the Family Support Program (FSP) at the Duke Center for the Study of Aging and Human Development and co-investigator for the study. "Many people have this romanticized vision that taking care of a sick family member comes easily and naturally," Gwyther continued. "But it doesn't come that easily for everyone, and it is not what people expect. Most of the stresses experienced by caregivers come from dealing with the unexpected, which is a hallmark of the disease." In addition to documenting the stresses involved in the actual caregiving, the researchers also plan to conduct a detailed analysis of the environmental stressors present in each caregiver's neighborhood. "We will be using a unique survey developed by our colleagues at the University of North Carolina at Chapel Hill, which not only takes into account census data for the neighborhood, but such factors as the overall quality of the housing, noise levels, safety issues and the social support network within the neighborhood," Williams explained. With this knowledge, the team wants to see how certain moderators, such as genetics and certain personality traits, play into a caregiver's response to stress. One truly unique part of the study, according to Williams, will be elucidating the role of genetics. For each caregiver, the team will be looking for a particular naturally occurring form of a gene that controls the effects of a neurotransmitter called serotonin on the central nervous system. Previous studies have demonstrated that low levels of serotonin have been implicated in such negative behaviors or traits as hostility, depression, anxiety, alcohol abuse and smoking. By the end of this project, we should able to pinpoint how this different form of the gene influences the responses to stress in different races as well as by gender," Williams said. "As results become clear during the study, we plan to share this information with the community to help improve the conditions of family members and caregivers who are under a tremendous amount of stress."

Study: Exercise Boosts Clot-Dissolving Protein (see heart)
Severe Headache May Signal Clot in Brain Vein (see headaches)

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Viagra

Flex Those Love Muscles
Everyone love muscles, and giving them a good workout now may help heat things up in the bedroom later. It's true. The pubococcygeal (PC) muscles--the muscles in the genital area that you use to stop the flow of urine--can be strengthened like any other set of muscles. By squeezing and releasing the PCs up to 30 to 50 times per day, you will strengthen them significantly. What is the result of doing these exercises (known as Kegels) daily? Enhanced lovemaking for both of you--in the form of better, more intense orgasms. Having sex twice per week--which is twice the national average--can make you as much as 1.6 years younger. As an added benefit, women who do Kegels guard against possible later-in-life bladder control problems.

Japanese Find Viagra Ingredient in Chinese Health Drink
Japanese officials have detected the active ingredient of Viagra in a Chinese health drink... and forced it off the market. Government officials discovered that Durui, a health tonic drink imported from China, contains sildenafil - the main component in Pfizer's anti-impotence drug. A Viagra tablet contains between 25 and 50 milligrams of sildenafil, while the imported soft drink contains 64.3 milligrams in a 20 millilitre bottle. As a result, the government has directed the Japanese importer ASG to recall the product because its sale contravenes laws on retailing pharmaceuticals. A spokesman says: "Products containing sildenafil, a component of a medicinal drug, and which patients take by eating or drinking, are deemed to be the same as the medicinal drugs. "Importing and selling this product without approval and permission of the authority violates the Pharmaceutical Business Law." Nagoya-based ASG says it imported 46,656 bottles between February, 2000, and January this year, and has sold 43,438 bottles, priced at 3,000 yen - that's £17.82. According to Kyodo News, ASG says the drink was squeezed from Chinese fruits resembling grapes that could serve as drug ingredients, but it was not aware that it contained sildenafil. Durui was advertised in Japanese weekly magazines as a male anti-impotence beverage, which would "restore the male's sex function", the newspaper states.

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Vitamins

Collard Greens Keep You in the Pink
Want a way to kick up your calcium consumption, but keep down your dairy intake? Go for the collard greens. A favorite staple of Southern cooking, collard is part of the cabbage family--and one of the best nondairy sources of calcium around. In addition to loads of calcium, collard greens have a heaping helping of the antioxidant vitamins A and C. The greens also boast an impressive amount of folate, and like other kinds of cabbage, offer protection against cancer. Best of all, you get all this goodness for a measly 25 calories per half cup of cooked leaves. Getting enough calcium and vitamin D can make you younger as much as 1.1 years.

Bone China
Building your bones may be as easy as serving tea. A recent study showed that women who drink tea regularly may be giving their bones a boost. Researchers analyzed the relationship between diet and bone mineral density in over 1,200 women. They found that those who drank tea regularly had higher bone mineral density measurements than those who did not drink tea, regardless of whether milk was added to the tea. The hypothesis is that the flavonoids in tea may be responsible for the improved bone density.

Antioxidant Vitamins C and E are Found to Protect Against Memory Loss
A new aging study has determined that antioxidant vitamins -- Vitamin C and Vitamin E -- protect against dementia and can improve brain function in later life. In a study of 3,385 Japanese-American men living in Hawaii, scientists looked at the health records of men aged 71 to 93 years and ascertained their use of Vitamin C and Vitamin E. "We found that combined Vitamin E and C supplement use was associated with a reduction of 88 percent in the frequency of subsequent vascular dementia," or memory loss associated with blood vessels, eight researchers reported in the medical journal Neurology, a publication of the American Academy of Neurology. "In separate analyses limited to non-demented subjects," they said, "use of either Vitamin E or C supplements alone ... was associated significantly with better cognitive test performance ... " The study, part of the ongoing Honolulu-Asia Aging Study being conducted at the University of Hawaii and other locations, suggested that "long-term use is required to improve cognitive function in late life." Citing previous studies that suggested a combination of Vitamin E and C might provide more antioxidant effect that either alone, the researchers said that in their current study "there was a strong interaction between Vitamin E and C in promoting cognitive performance. It has been suggested, they reported, that a higher level of Vitamin C can increase Vitamin E levels. "The study has many strengths," the researchers concluded, pointing out that the test subjects have been under medical surveillance for more than 25 years and that participation rates were high. The study population, Japanese-American men, is known to have high rates of stroke. The researchers said their findings supported earlier studies concluding that antioxidant vitamins can slow progression of dementia, or memory loss, and recommended a "primary prevention trial" to examine the potential protective effects of both vascular dementia and Alzheimer's dementia. No protective effect was found for Alzheimer's in the current study.

Vitamin K May Fight Hip Fractures
Of the fat-soluble vitamins - A, D, E and K - vitamin K seems to get the least attention. Although vitamin D, calcium and magnesium are the nutrients traditionally considered important for bone health, vitamin K also seems to play an important role in maintaining proteins required for bone metabolism. Furthermore, it appears to reduce hip fractures in middle-age and older women. In January 2000, a study published in the American Journal of Clinical Nutrition reported that women whose diets were high in vitamin K had a 30 percent lower risk of hip fractures over a 10-year period. The diets observed contained at least 109 micrograms a day, which was well above the recommended amounts of vitamin K at the time of the study (65 micrograms for women and 80 micrograms for men). The National Academy of Science recently updated its recommendations to 20 micrograms for women and 90 micrograms for men. Foods highest in vitamin K are lettuce, broccoli, spinach, cabbage, kale and Brussels sprouts.

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