Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.
In this week’s news: We’ll Be Looking At –
- Steroids vs. Placebo for LBP
- Sitting Time and All-Cause Mortality Risk
- And Finally, a Story about Sleep and Obesity
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #356, recorded May 4, 2012.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Steroids vs. Placebo for LBP
A study published in the April 17th issue of the Annals of Internal Medicine looked at Perineural inhibitors of tumor necrosis factor, such as etanercept, have recently generated intense interest as an alternative to epidural steroid injections for lumbosacral radiculopathy.
The study’s objective was to evaluate whether epidural steroids, etanercept, or saline better improves pain and function in adults with lumbosacral radiculopathy.
Researchers tested 84 adults with back pain of less than six months’ duration, dividing them into three groups. They received either steroids or an inactive saline solution in two injections given two weeks apart.
At the end of one month, they were assessed for pain.
There were differences in results based upon the outcome measured. For example, when comparing Primary Outcome measures, the epidural steroid group fared better than those receiving saline.
However, the largest differences were noted for functional capacity, in which etanercept fared worse than the other treatments: steroids vs. etanercept, and etanercept vs. saline.
More patients treated with epidural steroids (75%) reported 50% or greater leg pain relief and a positive global perceived effect at 1 month than those who received saline (50%) or etanercept.
The study concluded that Epidural steroid injections may provide modest short-term pain relief for some adults with lumbosacral radiculopathy, but larger studies with longer follow-up are needed to confirm their benefits.
Surf to our Show Notes for links – http://www.annals.org/content/156/8/551.abstract
Sitting Time and All-Cause Mortality Risk
A recent study in the Archives of Internal Medicine looked the effect that Sitting has on our health.
Prolonged sitting is considered detrimental to health, but evidence regarding the independent relationship of total sitting time with all-cause mortality is limited. This study aimed to determine the independent relationship of sitting time with all-cause mortality.
The study’s results found that the association between sitting and all-cause mortality appeared consistent across the sexes, age groups, body mass index categories, and physical activity levels and across healthy participants compared with participants with preexisting cardiovascular disease or diabetes mellitus.
The study concluded that prolonged sitting is a risk factor for all-cause mortality, independent of physical activity. Public health programs should focus on reducing sitting time in addition to increasing physical activity levels.
Surf to our Show Notes for links – http://archinte.ama-assn.org/cgi/content/short/172/6/494
Sleep and Obesity
A study published in the May 1st issue of the journal Sleep, looked at whether sleep duration modifies genetic and environmental influences on body mass index (BMI).
The study included a population-based sample of US twins.
The study concluded that Shorter sleep duration is associated with increased BMI and increased genetic influences on BMI, suggesting that shorter sleep duration increases expression of genetic risks for high body weight.
At the same time, longer sleep duration may suppress genetic influences on body weight. Future research aiming to identify specific genotypes for BMI may benefit by considering the moderating role of sleep duration.
Surf to our Show Notes for Links – http://www.journalsleep.org/ViewAbstract.aspx?pid=28504
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Finally, I leave you with the following quote:
“If you can’t sleep, then get up and do something instead of lying there worrying. It’s the worry that gets you, not the lack of sleep.”
– Dale Carnegie
For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.