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The Physical Activity Guidelines for Americans, 2nd Edition, were published in the fall of 2018. Learn what the recommendations are here.
Exercise is Medicine ® offers many handouts on being active with a variety of medical conditions as a part of their Exercise Rx Series .
ACSM is pleased to present the scientific reviews underlying the second edition of the Physical Activity Guidelines . Health professionals, scientists, community organizations and policymakers can use the papers included in the ACSM Scientific Pronouncements: Physical Activity Guidelines for Americans, 2nd Edition to promote more active, healthier lifestyles for individuals and communities. All papers were published in Medicine & Science in Sports & Exercise .
Presented as the D.B. Dill Historical Lecture at the 2019 ACSM Annual Meeting, William Haskell, PhD, FACSM, and ACSM past president, presented a timeline of the developing science behind the Physical Activity Guidelines for Americans.
By University of Florida June 3, 2024
Orange peels may significantly benefit cardiovascular health, according to new research from the University of Florida. The study revealed that extracts from orange peels, which are typically discarded as waste, can inhibit the production of harmful chemicals linked to heart disease. These findings highlight the potential of repurposing orange peels into health-promoting ingredients and developing functional foods to improve heart health.
New research led by the University of Florida suggests that orange peels could hold a key to better cardiovascular health
According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death for men, women, and people across most racial and ethnic groups.
Recent research has shown that some gut bacteria help develop cardiovascular disease . When they feed on certain nutrients during digestion, gut bacteria produce trimethylamine N-oxide (TMAO). Levels of TMAO can help predict future cardiovascular disease, according to researchers at the Cleveland Clinic. With help from a $500,000 USDA grant, Yu Wang and her team investigated the potential of orange peel extracts — rich in beneficial phytochemicals — to reduce TMAO and trimethylamine (TMA) production. Scientists tested two types of extracts: a polar fraction and a non-polar fraction.
To get the polar fractions, scientists used polar and non-polar solvents to extract the orange peel, Wang said.
“If you imagine your salad dressing, anything in the water or vinegar part is the polar fraction; anything in the oil away from water is the non-polar fraction,” Wang said. “The solvents we used were not exactly like water and oil, but they possess similar polarity.”
Yu Wang in a lab at UF/IFAS. Credit: Courtesy, UF/IFAS photography
Results from the study showed that the orange peel non-polar fraction extract effectively inhibited the production of harmful chemicals. Researchers also identified a compound called feruloylputrescine in the orange peel polar fraction extract that also significantly inhibits the enzyme responsible for TMA production.
“This is a novel finding that highlights the previously unrecognized health potential of feruloylputrescine in reducing the risk of cardiovascular disease,” said Wang, a UF/IFAS associate professor of food science and human nutrition.
The orange peel finding is significant because 5 million tons of orange peels are produced each year in orange juice production nationwide. Nearly 95% of Florida oranges are used for juice. About half of the peels go to feed cattle. The rest goes to waste. But the Food and Drug Administration considers natural orange peel extracts safe for human consumption. So, Wang hopes to put the peels to better use.
“These findings suggest that orange peels, often discarded as waste in the citrus industry, can be repurposed into valuable health-promoting ingredients, such as diet supplements or food ingredients,” said Wang, a faculty member at the UF/IFAS Citrus Research and Education Center. “Our research paves the way for developing functional foods enriched with these bioactive compounds, providing new therapeutic strategies for heart health.”
Reference: “Discovery of a Novel Bioactive Compound in Orange Peel Polar Fraction on the Inhibition of Trimethylamine and Trimethylamine N-Oxide through Metabolomics Approaches and In Vitro and In Vivo Assays: Feruloylputrescine Inhibits Trimethylamine via Suppressing cntA/B Enzyme” by Hana Lee, Gar Yee Koh, Hanna Lee, Priscila Alves, Wallace Yokoyama and Yu Wang, 2 April 2024, Journal of Agricultural and Food Chemistry . DOI: 10.1021/acs.jafc.3c09005
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The relationship between sleep and loneliness is stronger in younger adults.
A new study to be presented at the SLEEP 2024 annual meeting found that better sleep health was associated with lower levels of loneliness, and this association was stronger among younger adults.
Results indicate that better sleep health was associated with significantly lower total loneliness, emotional loneliness and social loneliness. While better sleep health was associated with lower total and emotional loneliness across ages, this association was stronger for younger adults. However, age did not moderate the association between sleep health and social loneliness.
"Loneliness is an urgent public health crisis, and there is a pressing need for providers to better understand and treat it," said lead author and principal investigator Joseph Dzierzewski, who has a doctorate in clinical psychology and is vice president of research at the National Sleep Foundation in Washington, D.C. "Our results highlight the important role that sleep plays in understanding loneliness across the adult lifespan. Perhaps efforts to improve sleep health could have a beneficial effect on loneliness, especially for young people."
According to the American Academy of Sleep Medicine, sleep is essential to health. The AASM and the Sleep Research Society recommend that adults should sleep seven hours per night on a regular basis to promote optimal health, productivity and daytime alertness.
The study involved 2,297 adults with a mean age of 44 years; 51% were male. Participants completed an online sleep health questionnaire and loneliness scale. The researchers analyzed the results using correlation and linear regression analyses along with moderation analyses.
In 2023 an advisory from the U.S. surgeon general warned about a public health crisis of loneliness, isolation, and lack of connection. It noted that even before the onset of the COVID-19 pandemic, approximately half of U.S. adults reported experiencing measurable levels of loneliness.
According to the authors, efforts and programs that aim to reduce loneliness should include an emphasis on promoting sleep health, especially in younger adults.
"Why younger adults might experience more sleep-related benefits to loneliness than older adults is unknown and intriguing -- certainly worth further investigation," Dzierzewski said.
The research abstract was published recently in an online supplement of the journal Sleep and will be presented Monday, June 3, during SLEEP 2024 in Houston. SLEEP is the annual meeting of the Associated Professional Sleep Societies, a joint venture of the American Academy of Sleep Medicine and the Sleep Research Society.
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by New York University
Coworker and employer support are strong predictors of nurses planning to stay in their jobs, while symptoms of depression are linked to nurses planning to leave, according to a study conducted at the height of the COVID-19 pandemic by researchers at the NYU Rory Meyers College of Nursing.
The research, published in the Online Journal of Issues in Nursing , examines both pandemic-related factors and the overall work environment for nurses and can help organizational leaders improve their support for and retention of their nursing workforce.
"Coming out of the pandemic, the mental health of health care workers has been top of mind," said Amy Witkoski Stimpfel, assistant professor at NYU Rory Meyers College of Nursing and the study's senior author. "Our findings suggest that focusing on organizational support and mental health can improve nurses' well-being and increase the chances that they will stay in their jobs."
The intense working conditions during the COVID-19 pandemic exacerbated stress and burnout among nurses. Many left their jobs, stretching a workforce struggling with shortages even thinner. Inadequate nurse staffing and turnover are linked with a range of negative outcomes, including worse quality of care for patients, poor health for fellow nurses, and increased costs for health systems.
Witkoski Stimpfel and her co-author, NYU Meyers doctoral student Kathryn Leep-Lazar, wanted to understand what characteristics of a nurse's job, work environment, and mental health predict whether they intend to stay in their role. The researchers surveyed 629 U.S. nurses across 36 states during the summer of 2020—when many parts of the country were experiencing surges of COVID-19 cases and hospitalizations.
Witkoski Stimpfel and Leep-Lazar gathered information about the nurses' workplaces, including the type of setting, schedule, patients per nurse, and length of shift, as well as COVID-specific factors, such as whether nurses were caring for COVID patients and had adequate personal protective equipment (PPE). They also collected demographic information and measures of anxiety, sleep issues, and depression, comparing all of these factors with nurses' intent to stay in their jobs one year from now.
The researchers found that the strongest factor predicting whether nurses intended to remain in their roles was having support systems at work. Nurses who felt supported by their colleagues were nearly twice as likely to want to stay in their jobs compared with those who didn't feel as supported, while nurses who felt supported by their organization were 2.4 times more likely to say they would stay. Workplace support was an even stronger predictor of nurses' intentions to stay in their jobs than COVID-specific factors, including pandemic preparedness, PPE shortages, and whether nurses were directly caring for COVID-19 patients.
In contrast, symptoms of depression were associated with nurses planning to leave their jobs within the year. Nurses with mild symptoms of depression were 50% less likely to say they plan to stay in their jobs compared to those with minimal symptoms, while nurses with moderate or severe symptoms of depression were 73% less likely.
"We know that there is significant overlap between depression and occupational burnout, with both capturing feelings of fatigue and a lack of energy. It's possible that many of the nurses reporting depressive symptoms were in fact experiencing exhaustion and burnout from elevated workloads and long hours during the pandemic," added Witkoski Stimpfel.
"Considering that 60% of the nurses we surveyed reported some level of depression, organizational leaders need to be paying attention to the mental health of this critical workforce," said Leep-Lazar, the study's first author.
The researchers encourage employers to examine their mental health resources—such as employee assistance programs and therapy covered by employer-sponsored benefits—available to nurses. In addition to providing support for individual nurses, the researchers urge organizations to create healthy work environments that foster support among staff and have policies and practices that protect nurses against depression , burnout, and other poor mental health outcomes.
"The good news is that the factors we identified—workplace support and mental health —can be addressed through targeted efforts, some of which may already be in place," said Witkoski Stimpfel.
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Anti-semitic attitudes of the mass public: estimates and explanations based on a survey of the moscow oblast.
JAMES L. GIBSON, RAYMOND M. DUCH, ANTI-SEMITIC ATTITUDES OF THE MASS PUBLIC: ESTIMATES AND EXPLANATIONS BASED ON A SURVEY OF THE MOSCOW OBLAST, Public Opinion Quarterly , Volume 56, Issue 1, SPRING 1992, Pages 1–28, https://doi.org/10.1086/269293
In this article we examine anti-Semitism as expressed by a sample of residents of the Moscow Oblast (Soviet Union). Based on a survey conducted in 1920, we begin by describing anti-Jewish prejudice and support for official discrimination against Jews. We discover a surprisingly low level of expressed anti-Semitism among these Soviet respondents and virtually no support for state policies that discriminate against Jews. At the same time, many of the conventional hypotheses predicting anti-Semitism are supported in the Soviet case. Anti-Semitism is concentrated among those with lower levels of education, those whose personal financial condition is deteriorating, and those who oppose further democratization of the Soviet Union. We do not take these findings as evidence that anti-Semitism is a trivial problem in the Soviet Union but, rather, suggest that efforts to combat anti-Jewish movements would likely receive considerable support from ordinary Soviet people.
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by Victoria Litman, M.Div., J.D., LL.M.
On May 21, 2024, the Drug Enforcement Administration (DEA) published a Notice of Proposed Rulemaking (NPRM) signed by Attorney General Merrick Garland in the Federal Register. This publication kicks off a 62-day comment period on a rule that would move marijuana to Schedule 3 of the Controlled Substances Act (CSA), classifying it as a substance with “a moderate to low potential for physical and psychological dependence.” The process of rescheduling may be long and is unlikely to create a pathway to federal compliance for state-legal marijuana businesses without further federal legislation. Ultimately, Congress likely will need to clarify the division of federal and state regulatory powers over cannabis.
The CSA is a federal law that classifies substances into schedules based on their potential for medical use and risk of abuse. The cannabis plant has been in the most restrictive category, Schedule 1, since the CSA was enacted in 1970. In the 2018 Farm Bill , cannabis plants with less than .3% concentration of the major psychoactive component of marijuana, delta-9-tetrahydrocannabinol (THC), were removed from the CSA and legally defined as hemp. All other cannabis remains Schedule 1 , defined as a substance with no currently accepted medical use (CAMU), lack of safety for use under medical supervision, and a high potential for abuse.
Despite ongoing cannabis restrictions on the federal level, since 1996 many states have enacted legislation regulating and taxing medical and recreational marijuana and creating dispensaries for patients and consumers to access it. For several decades, these state-regulated businesses have existed under the shadow of federal illegality. Marijuana’s Schedule 1 status has impacted the economic feasibility of these businesses due to punitive federal taxes , significant burdens on banks willing to work with cannabis businesses, and no legal interstate commerce.
Since 2014, Congress has passed spending amendments that limit the use of federal funds for enforcement against state-compliant medical marijuana programs. From 2009-2018, several U.S. Attorneys General issued memos directing federal prosecutors to limit enforcement against all state-compliant marijuana businesses, medical and recreational. In 2018 Attorney General Jeff Sessions technically rescinded prior memos and encouraged prosecution of federally illegal marijuana activity; however, in practice there has been limited federal enforcement.
In the fall of 2022, President Biden issued a statement on marijuana reform, announcing federal pardons for some federal crimes involving marijuana and urging state governors to pardon state-level cannabis possession charges. Biden also asked the Secretary of the U.S. Department of Health and Human Services (HHS) and the Attorney General to initiate the administrative process to review the scheduling of cannabis under the CSA.
In August 2023, HHS sent an official recommendation to the DEA that it categorize marijuana under the less restrictive Schedule 3 category. The recommendation became public in early 2024 as a result of a lawsuit . Notably, the recommendation was the first statement from a federal government agency that marijuana has a currently accepted medical use and a low potential for abuse. An April 11, 2024 opinion from the Office of Legal Counsel (OLC) asserted that DEA must “accord significant deference” to HHS’ recommendation until the beginning of formal rulemaking. However, the NPRM notes that DEA has not decided how marijuana should be scheduled.
Now that the NPRM has been published, individuals and businesses may submit comments on the proposal until July 22nd. Interested persons (defined in regulations ) may request an administrative law hearing before June 20th in accordance with the requirements of the Administrative Procedure Act.
Once comments are received and after any hearing, the DEA will review all evidence and generally respond to comments when publishing the final rule. There is no set statutory time for this process but in other situations, for example telemedicine , it has taken over a year.
Once published, the DEA’s final rule will not go into effect for 30 days, during which time aggrieved parties who submitted comments and can demonstrate they have standing can challenge the final rule in court. At least one major opposition group is already fundraising for the legal effort.
The two main issues likely to be challenged are the impact of rescheduling on adherence to United Nations treaty obligations and the way HHS determined that marijuana has a CAMU. For the first time, HHS considered the existing widespread use of medical marijuana under the supervision of health care practitioners within state medical marijuana programs. The OLC’s opinion addresses these issues directly.
A letter from Democratic senators opposing rescheduling and supporting removal of marijuana from the CSA entirely explains that although rescheduling likely provides tax relief, it does not impact criminal justice and immigration issues related to cannabis criminalization. Rescheduling would not be a panacea for the challenges faced by state legal marijuana businesses and would not necessarily make marijuana easier to research .
Schedule 3 drugs must be approved by the Food and Drug Administration (FDA,) prescribed by a doctor, and distributed by a pharmacy. Thus, none of the existing state-regulated marijuana dispensaries would be able to comply without extreme cost or further regulation or legislation. Another Attorney General’s memo is expected to clarify enforcement priorities against marijuana-related businesses that are legal in the state, but federally non-compliant.
I have previously written that no matter what happens with rescheduling, Congress will need to clarify the division of federal and state regulatory powers over cannabis. Congress must specify that FDA’s jurisdiction over cannabis should be no more than that over alcohol and designate cannabis in food as “generally recognized as safe.” These, and other FDA-related fixes, already drafted as part of proposed legislation, the States Reform Act , would create legal pathways for existing state-licensed marijuana operators to be in compliance with the Federal Food, Drug, and Cosmetic Act . By doing so, Congress could reduce unnecessary spending on unfeasible federal enforcement and preserve limited federal resources to evaluate clinical research on cannabis-derived drugs . Thus, even if marijuana is moved to Schedule 3, federal legislation is necessary. The only question is how long it will take Congress to act.
Victoria Litman M.Div, J.D., LL.M. is a nonprofit tax lawyer focused on the emerging cannabis and psychedelic tax exempt sectors and an adjunct law professor. She is also an Affiliated Researcher of the Project on Psychedelics Law and Regulation (POPLAR) at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.
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Here, we'll explore a variety of healthcare-related research ideas and topic thought-starters across a range of healthcare fields, including allopathic and alternative medicine, dentistry, physical therapy, optometry, pharmacology and public health. NB - This is just the start….
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2020 Research Highlights — Human Health Advances. RSS feed. Facebook. Email us. NIH Research Matters. Bldg. 31, Rm. 5B52, MSC 2094. Bethesda, MD 20892-2094. NIH Research Matters Office of Communications and Public Liaison NIH Office of the Director. NIH findings with potential for enhancing human health include new approaches to COVID-19, a ...
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By University of Florida June 3, 2024. Orange peels may significantly benefit cardiovascular health, according to new research from the University of Florida. The study revealed that extracts from orange peels, which are typically discarded as waste, can inhibit the production of harmful chemicals linked to heart disease.
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The CSA is a federal law that classifies substances into schedules based on their potential for medical use and risk of abuse. The cannabis plant has been in the most restrictive category, Schedule 1, since the CSA was enacted in 1970. In the 2018 Farm Bill, cannabis plants with less than .3% concentration of the major psychoactive component of ...
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