Eat to Dream: Penn Study Shows Dietary Nutrients Associated with Certain Sleep Patterns

“You are what you eat,” the saying goes, but is what you eat playing a role in how much you sleep? Sleep, like nutrition and physical activity, is a critical determinant of health and well-being. With the increasing prevalence of obesity and its consequences, sleep researchers have begun to explore the factors that predispose individuals to weight gain and ultimately obesity. Now, a new study from the Perelman School of Medicine at the University of Pennsylvania shows for the first time that certain nutrients may play an underlying role in short and long sleep duration and that people who report eating a large variety of foods – an indicator of an overall healthy diet – had the healthiest sleep patterns. The new research is published online, ahead-of-print in the journal Appetite.

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Mediterranean diet may not protect brain

Hopes that a Mediterranean diet would be as good for the head as it is for the heart may have been dampened by a French study that found little benefit for aging brains from the diet rich in fruit, vegetables, whole grains, nuts, wine and olive oil.

The study, published in the American Journal of Clinical Nutrition, looked at the participants’ dietary patterns in middle age and measured their cognitive performance at around age 65, but found no connection between Mediterranean eating and mental performance.

"Our study does not support the hypothesis of a significant neuroprotective effect of a (Mediterranean diet) on cognitive function," writes study leader Emmanuelle Kesse-Guyot at the nutritional epidemiology research centre of the French national health research agency INSERM.

It’s been suggested that the “good” fats in the Mediterranean diet might benefit the brain directly, or that low saturated fats and high fiber in the diet could help stave off cognitive decline indirectly by keeping blood vessels healthy.

Previous research has seemed to uphold that premise.

One large study in the US Midwest, for example, found that people in their 60s and older who ate a mostly Mediterranean diet were less prone to mental decline as they aged. Another study of residents of Manhattan linked a Mediterranean-style diet to a 40 per cent lower risk of Alzheimer’s disease.

No significant difference

Researchers in the French study used data on 3083 people who were followed from the mid-1990s, when they were at least 45 years old.

At the beginning of the study, participants recorded what they ate over one 24-hour period every two months, for a total of six dietary record samples per year. Then, between 2007 and 2009 when the participants were about 65 years old, their memory and other mental abilities were measured.

Researchers then separated participants into three categories depending on how closely they adhered to a Mediterranean-style diet, and compared their mental ability test scores.

Overall, they found that people who ate a diet closest to the Mediterranean ideal performed about the same as those who ate a non-restricted diet.

Associate Professor Nikos Scarmeas, of New York’s Columbia University Medical Center, was not involved with the study but has researched the effects of food on brain health. He says it’s important to note that the new study had some limitations.

For instance, researchers only tested the participants’ mental abilities once, making it impossible to track whether they got better or worse over time, adds Scarmeas.

"We don’t have the strong evidence to go and tell people, ‘Listen, if you follow this diet, it will improve cognition’," he says.

(Image: mediterraneandiet.com)

Circadian rhythms can be modified for potential treatment of disorders

UC Irvine-led studies have revealed the cellular mechanism by which circadian rhythms – also known as the body clock – modify energy metabolism and also have identified novel compounds that control this action. The findings point to potential treatments for disorders triggered by circadian rhythm dysfunction, ranging from insomnia and obesity to diabetes and cancer.

UC Irvine’s Paolo Sassone-Corsi, one of the world’s leading researchers on the genetics of circadian rhythms, led the studies and worked with international groups of scientists. Their results are detailed in two companion pieces appearing this week in the early online edition of the Proceedings of the National Academy of Science (1 , 2).

“Circadian rhythms of 24 hours govern fundamental physiological functions in almost all organisms,” said Sassone-Corsi, the Donald Bren Professor of Biological Chemistry. “The circadian clocks are intrinsic time-tracking systems in our bodies that anticipate environmental changes and adapt themselves to the appropriate time of day. Disruption of these rhythms can profoundly influence human health.”

He added that up to 15 percent of people’s genes are regulated by the day-night pattern of circadian rhythms.

New Research Shows Music Improves Health and Disease

Music has been incorporated into medical practice since before the ancient Greeks. However, though practitioners have been convinced of music’s health benefits for thousands of years, there had been little peer-reviewed research to back them up. But recent studies are providing an empirical backbone for the anecdotal evidence. A 2012 scientific review, published in the journal Nutrition, collects information from a number of studies to support music’s influence on the hypothalamic-pituitary-adrenal (HPA) axis, the sympathetic nervous system (SNS) and the immune system. These results support the experiences of complementary practitioners, who have long used music to help heal.

“As an integrative physician and traditional Chinese medicine practitioner, the healing power of music has always been an important part of my practice and family life,” says integrative medicine pioneer Isaac Eliaz, M.D. “Harmony and tempo help synchronize the rhythms of the natural world with the music of the heart – each person’s individual energetic pattern, expressed in their pulse.”

Proven Medicine
The review highlighted a number of studies that confirm music’s healing potential. For example, music reduces levels of serum cortisol in the blood. An important player in the HPA axis, cortisol increases metabolic activity, suppresses the immune system and has been associated with both anxiety and depression. A number of studies have shown that exposing post-operative patients to music dramatically lowers their cortisol levels, enhancing their ability to heal.

Other studies in the review measured music’s impact on congestive heart failure, premature infants, immunity, digestive function and pain perception. In particular, music’s effects on the limbic and hypothalamic systems reduced the incidence of heart failure. Other studies showed that surgical patients required less sedation and post-operative pain medication.

“These results only confirm what I have observed for many years in my practice,” says Dr. Eliaz. “Music produces quantifiable healing. For example, my daughter Amity, a professional musician, regularly plays her songs for chronically ill patients who express how uplifting her music is. These performances do more than encourage good feelings, they help the body heal on a molecular level.”

Powerful Impact
Perhaps the most interesting aspect of music’s healing properties is how widespread they are. For example, music also aided recovery time following strenuous exercise. Other studies showed that fast-paced music can increase resting metabolism, which may prove helpful for people trying to lose weight.

“Modern science has just begun to scratch the surface of music and sound in terms of healing potential,” says Dr. Eliaz. “However, traditional medical systems from around the world have long revered the beneficial vibrations of music, harmony and rhythm for health and vitality. The effects are instant and tangible, but they are also powerful and long lasting.”

The Case for Drinking as Much Coffee as You Like

"What I tell patients is, if you like coffee, go ahead and drink as much as you want and can," says Dr. Peter Martin, director of the Institute for Coffee Studies at Vanderbilt University. He’s even developed a metric for monitoring your dosage: If you are having trouble sleeping, cut back on your last cup of the day. From there, he says, "If you drink that much, it’s not going to do you any harm, and it might actually help you. A lot."

Officially, the American Medical Association recommends conservatively that “moderate tea or coffee drinking likely has no negative effect on health, as long as you live an otherwise healthy lifestyle.” That is a lackluster endorsement in light of so much recent glowing research. Not only have most of coffee’s purported ill effects been disproven — the most recent review fails to link it the development of hypertension — but we have so, so much information about its benefits. We believe they extend from preventing Alzheimer’s disease to protecting the liver. What we know goes beyond small-scale studies or limited observations. The past couple of years have seen findings, that, taken together, suggest that we should embrace coffee for reasons beyond the benefits of caffeine, and that we might go so far as to consider it a nutrient.

The most recent findings that support coffee as a panacea will make their premiere this December in the American Journal of Clinical Nutrition. Coffee, researchers found, appears to reduce the risk of type 2 diabetes.

Britain launches genome database for patients’ DNA

Up to 100,000 Britons suffering from cancer and rare diseases are to have their genetic codes fully sequenced and mapped as part of government plans to build a DNA database to boost drug discovery and development.

Prime Minister David Cameron said on Monday he wanted Britain to “push the boundaries” of scientific research by being the first country to introduce genetic sequencing into a mainstream health service.

His government has set aside 100 million pounds ($160 million) for the project in the taxpayer-funded National Health Service (NHS) over the next three to five years.

"Britain has often led the world in scientific breakthroughs and medical innovations, from the first CT scan and test-tube baby through to decoding DNA," he said in a statement.

"It is crucial that we continue to push the boundaries and this new plan will mean we are the first country in the world to use DNA codes in the mainstream of the health service."

The government said building a database of DNA profiles will give doctors more advanced understanding of a patient’s genetic make-up, their illness and their treatment needs. This should help those who are sick get access to the right drugs and more personalized care more quickly.

The database should also help scientists develop new drugs and other treatments which experts predict “could significantly reduce the number of premature deaths from cancer within a generation”, Cameron’s office said in a statement,

"By unlocking the power of DNA data, the NHS will lead the global race for better tests, better drugs and above all better care," Cameron said.

"If we get this right, we could transform how we diagnose and treat our most complex diseases not only here but across the world, while enabling our best scientists to discover the next wonder drug or breakthrough technology."

Listen up, doc: Empathy raises patients’ pain tolerance

A doctor-patient relationship built on trust and empathy doesn’t just put patients at ease – it actually changes the brain’s response to stress and increases pain tolerance, according to new findings from a Michigan State University research team.

Medical researchers have shown in recent studies that doctors who listen carefully have happier patients with better health outcomes, but the underlying mechanism was unknown, said Issidoros Sarinopoulos, professor of radiology at MSU.

“This is the first study that has looked at the patient-centered relationship from a neurobiological point of view,” said Sarinopoulos, the lead researcher. “It’s important for doctors and others who advocate this type of relationship with the patient to show that there is a biological basis.”

Published in the journal Patient Education and Counseling, the study was part of a broader effort at MSU, led by professor of medicine Robert Smith, to establish standards for patient-centered health care and measure its effectiveness.

“Medicine has for too long focused just on the physical dimensions of the patient,” said Smith, who co-authored the paper. “Those clinical questions are important and necessary, but we’re trying to demonstrate that when you let patients tell their story in an unfettered way, you get more satisfied patients who end up healthier.”

Vitamin D Tied to Women’s Cognitive Performance

Two new studies appearing in the Journals of Gerontology Series A: Biological Sciences and Medical Sciences show that vitamin D may be a vital component for the cognitive health of women as they age.

Higher vitamin D dietary intake is associated with a lower risk of developing Alzheimer’s disease, according to research conducted by a team led by Cedric Annweiler, MD, PhD, at the Angers University Hospital in France.

Similarly, investigators led by Yelena Slinin, MD, MS, at the VA Medical Center in Minneapolis found that low vitamin D levels among older women are associated with higher odds of global cognitive impairment and a higher risk of global cognitive decline.

Slinin’s group based its analysis on 6,257 community-dwelling older women who had vitamin D levels measured during the Study of Osteopathic Fractures and whose cognitive function was tested by the Mini-Mental State Examination and/or Trail Making Test Part B.

Very low levels of vitamin D (less than 10 nanograms per milliliter of blood serum) among older women were associated with higher odds of global cognitive impairment at baseline, and low vitamin D levels (less than 20 nanograms per milliliter) among cognitively-impaired women were associated with a higher risk of incident global cognitive decline, as measured by performance on the Mini-Mental State Examination.

Annweieler’s team’s findings were based on data from 498 community-dwelling women who participated in the Toulouse cohort of the Epidemiology of Osteoporosis study.

Among this population, women who developed Alzheimer’s disease had lower baseline vitamin D intakes (an average of 50.3 micrograms per week) than those who developed other dementias (an average of 63.6 micrograms per week) or no dementia at all (an average of 59.0 micrograms per week).

These reports follow an article published in the Journals of Gerontology Series A earlier this year that found that both men and women who don’t get enough vitamin D — either from diet, supplements, or sun exposure — may be at increased risk of developing mobility limitations and disability.

(Photo Credit: Paul Burns / Getty Images)