Increase in Overweight Status Among Poor Older Adolescents
Emergency Medicine
Summary and Comment
The trend reflects greater autonomy and poorer lifestyle choices in older teens.
By John A. Marx, MD, FAAEM, FACEP
July 14, 2006
Covering:
Miech RA et al., JAMA 2006 May 24/31; 295:2385-93
Does Fluoxetine Prevent Relapse of Anorexia Nervosa?
These results are consistent with prior studies showing no benefit of antidepressant treatment for anorexia nervosa.
By M. Susan Jay, MD
July 12, 2006
Covering:
Walsh BT et al., JAMA 2006 Jun 14; 295:2605-12
How Do Commercial Weight-Loss Diets Compare?
General Medicine
Summary and Comment
Atkins, Weight Watchers, Slim-Fast, and Rosemary Conley diets resulted in similar weight loss.
By Keith I. Marton, MD
July 11, 2006
Covering:
Truby H et al., BMJ 2006 Jun 3; 332:1309-11
New AHA Diet and Lifestyle Recommendations
Cardiology
Clinical Practice Guideline Watch
Free
The new advice includes specific maximums for daily saturated and trans fat intake.
By JoAnne M. Foody, MD
July 12, 2006
Covering:
Lichtenstein AH et al., Circulation 2006 Jul 4; 114:82-96
Gain Weight Get GERD
Women's Health
Summary and Comment
Increases in BMI are associated with increased risk for frequent symptoms of GERD, even among women of normal weight.
By Andrew M. Kaunitz, MD
June 30, 2006
Covering:
Jacobson BC et al., N Engl J Med 2006 Jun 1; 354:2340-8
Calcium Supplementation in Older Women: Consistency Is Key
Women's Health
Summary and Comment
Calcium supplementation decreased the risk for fractures, but only among women who took at least 80% of their tablets.
By Diane E. Judge, APN/CNP
June 30, 2006
Covering:
Prince RL et al., Arch Intern Med 2006 Apr 24; 166:869-75
Folate Levels and Multiple Births Following IVF
Women's Health
Summary and Comment
Increased folate intake and levels are associated with a greater likelihood of twinning in women undergoing in vitro fertilization.
By Anna Wald, MD, MPH
June 30, 2006
Covering:
Haggarty P et al., Lancet 2006 May 6; 367:1513-9
Steinman G., Lancet 2006 May 6; 367:1461-2
Adult Gastric Banding: Implications for Adolescents
In obese post-pubertal adolescents, gastric banding should be considered.
By Howard Bauchner, MD
June 9, 2006
Covering:
O’Brien PE et al., Ann Intern Med 2006 May 2; 144:625-33
Fluoxetine for Anorexia Nervosa?
General Medicine
Summary and Comment
No benefit of fluoxetine was found in maintenance of remission.
By Thomas L. Schwenk, MD
June 27, 2006
Covering:
Walsh BT et al., JAMA 2006 Jun 14; 295:2605-12
BMI and GERD in Women
Gastroenterology
Summary and Comment
Risk for GERD appears to be directly linked to BMI, even among normal-weight individuals.
By David A. Johnson, MD
June 13, 2006
Covering:
Jacobson BC et al., N Engl J Med 2006 Jun 1; 354:2340-8
Do Lifestyle Changes Improve GERD Outcomes?
Gastroenterology
Summary and Comment
Little evidence is available to support the effect of lifestyle changes on symptoms of reflux.
By David A. Johnson, MD
June 13, 2006
Covering:
Kaltenbach T et al., Arch Intern Med 2006 May 8; 166:965-71
Moderate Drinking Does Not Compromise Statin and Anticoagulant Safety
Cardiology
Summary and Comment
Men with histories of bypass surgery who took lovastatin and warfarin did not suffer adverse effects from moderate alcohol intake.
By Joel M. Gore, MD
June 15, 2006
Covering:
Mukamal KJ et al., Am J Med 2006 May; 119:434-40
Can Fluoxetine Reduce Relapse in Anorexia Nervosa?
Psychiatry
Summary and Comment
For patients receiving CBT, fluoxetine failed to prevent additional relapse in anorexia nervosa.
By Joel Yager, MD
July 11, 2006
Covering:
Walsh BT et al., JAMA 2006 Jun 14; 295:2605-12
Omega-3 Fatty Acids for Kids with Depression
Psychiatry
Summary and Comment
The outcomes were promising in a small study that used preparations similar to commercially available ones.
By Barbara Geller, MD
July 11, 2006
Covering:
Nemets H et al., Am J Psychiatry 2006 Jun; 163:1098-100
Parker G et al., Am J Psychiatry 2006 Jun; 163:969-78
Biology of Energy and Weight Control Involves Nerves as Well as Hormones
General Medicine
Summary and Comment
Experiments in mice indicate that the afferent vagus nerve plays a key role.
By Anthony L. Komaroff, MD
July 7, 2006
Covering:
Uno K et al., Science 2006 Jun 16; 312:1656-9
Can Fish Oil Prevent Ventricular Arrhythmias in ICD Patients?
Cardiology
Summary and Comment
No overall prevention benefit was documented in a randomized, placebo-controlled trial.
By JoAnne M. Foody, MD
July 5, 2006
Covering:
Brouwer IA et al., JAMA 2006 Jun 14; 295:2613-9
Intensive Lipid Lowering in Obese Patients
Cardiology
Summary and Comment
Insights from the REVERSAL trial
By Joel M. Gore, MD
July 5, 2006
Covering:
Nicholls SJ et al., Am J Cardiol 2006 Jun 1; 97:1553-7
Surgical Approach to Obesity Is More Effective Than Intensive Medical Therapy
General Medicine
Summary and Comment
At 2 years, bariatric surgery was more effective than lifestyle changes for moderately obese patients.
By Richard Saitz, MD, MPH, FACP, FASAM
May 23, 2006
Covering:
O’Brien PE et al., Ann Intern Med 2006 May 2; 144:625-33
Wadden TA and Tsai AG., Ann Intern Med 2006 May 2; 144:689-91
Do Energy Drinks Attenuate the Effects of Alcohol?
Psychiatry
Summary and Comment
The participants thought so, but objectively measured intoxication was as great with a drink combining the two as with alcohol alone.
By Deborah Cowley, MD
May 17, 2006
Covering:
Ferreira SE et al., Alcohol Clin Exp Res 2006 Apr; 30:598-605
Weight Loss After Roux-en-Y Gastric Bypass Surgery Improves Histologic Features of NASH
Gastroenterology
Summary and Comment
Nearly 2 years after gastric bypass surgery, 17 of 19 patients no longer had histopathologic criteria for NASH.
By Atif Zaman, MD, MPH
May 9, 2006
Covering:
Barker KB et al., Am J Gastroenterol 2006 Feb; 101:368-73
Metabolic Syndrome and Stroke Risk
Neurology
Summary and Comment
Free
Metabolic syndrome is gaining recognition as an important independent risk factor for vascular disease and stroke.
By Richard T. Benson, MD, PhD
May 4, 2006
Covering:
Najarian RM et al., Arch Intern Med 2006 Jan 9; 166:106-11
Kwon H-M et al., Stroke 2006 Feb; 37:466-70
Metabolic Benefits of Calorie Restriction
Cardiology
General Medicine
Dramatic calorie restriction in rats prolongs life; the same could be true for humans.
By Thomas L. Schwenk, MD
May 4, 2006
Covering:
Heilbronn LK et al., JAMA 2006 Apr 5; 295:1539-48
The WHI and the Postmenopausal Woman: No Magic Bullet
Take-home points from the WHI's hormone therapy, dietary modification, and calcium/vitamin D trials.
By James H. Liu, MD
May 2, 2006
Four Studies on Cardiac Health in Women
Cardiology
Summary and Comment
Studies on exercise, biomarkers, angina, and aspirin raise awareness about a broad range of issues in womens health.
By JoAnne M. Foody, MD
April 27, 2006
Covering:
Whang W et al., JAMA 2006 Mar 22/29; 295:1399-403
Mora S et al., JAMA 2006 Mar 22/29; 295:1412-9
Hemingway H et al., JAMA 2006 Mar 22/29; 295:1404-11
Becker DM et al., JAMA 2006 Mar 22/29; 295:1420-7
DeAngelis CD and Glass RM., JAMA 2006 Mar 22/29; 295:1448-50
Mechanism for the Association Between Obesity and GERD
Gastroenterology
Summary and Comment
Pressure derangements at the EGJ, which are associated with obesity, augment reflux.
By David A. Johnson, MD
April 25, 2006
Covering:
Pandolfino JE et al., Gastroenterology 2006 Mar; 130:639-49