Health24.com | Walking linked to lower heart failure in older women

The more a middle-aged or elderly woman walks, the less likely she is to have heart failure, a large new study reveals. Heart failure is the leading cause of hospitalisation among people aged 65 and older.

In South Africa, heart disease is a major killer and causes the death of a whopping 210 people every day.  

Walking throughout the day

Researchers say the findings are a first and concern otherwise healthy, postmenopausal women 50 and 70 years of age. The study tracked the exercise habits and heart health of more than 137 000 women since the early 1990s.

“This is a big finding insomuch as most adults are able to perform walking activities throughout the day, and often do so as part of usual activities of daily living without necessarily having planned walking as part of an exercise routine,” said study lead author Michael LaMonte. He’s a research associate professor in the School of Public Health and Health Professions at the University at Buffalo in New York.

The findings were published in the online edition of the Journal of the American College of Cardiology: Heart Failure.

While more walking was better, intensity of exercise was not a major factor in lowering heart failure risks, the study found. That suggests that the amount of activity and not how much effort is required was the key for preventing heart failure in the older women studied.

More research needed

The new findings have significant public health implications, because the number of people 60 and older in the United States is expected to double by 2035, with women outnumbering men two to one.

“It wouldn’t surprise me if similar findings were reported in men,” LaMonte said, adding more research is needed to confirm this.

On average, study participants were 63 years old. All self-reported the type, duration and intensity of their physical activity. They were tracked for an average of 14 years.

During that time, about 2 500 experienced heart failure.

Image credit: iStock

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Health24.com | Lactose intolerant? Here are a few alternatives to dairy

When someone is lactose intolerant it means that they are unable to absorb lactose in dairy products due to a lactase deficiency. Lactase is an enzyme that splits the milk sugar lactose to produce glucose and galactose. 

Sophie Medlin, a lecturer in nutrition and dietetics at King’s College London, offers a simple explanation for how lactose intolerance occurs.

She wrote, “When we are babies, we all produce plenty of the lactase enzyme that allows us to absorb our mother’s milk. In populations where milk consumption has been historically low, such as Japan and China, most children will have stopped producing lactase soon after weaning and – producing almost entire populations that may be unable to absorb the lactose in milk – this we call ‘lactose intolerance’.”

If you are lactose intolerant, you may experience symptoms 30 minutes to two hours after consuming food or drinks that contain lactose. The most common symptoms include:

  • Watery or acidic diarrhoea 
  • Stomach cramps and pain
  • Bloating
  • Flatulence
  • Stomach grumbling (borborygmi)

In young children, lactose intolerance can present with weight loss and failure to thrive.

4 alternatives to dairy

If you are lactose intolerant, there are some alternatives to dairy. These include: 

1. Lactose and casein-free milk

Look for lactose-free cow’s milk, which contains a lactase enzyme that helps break down lactose into forms that lactose-intolerant people can digest.

2. Soya milk

This milk is made from soya beans and can have a chalky feel and tofu-like after taste. It is relatively low carb – if you need to keep an eye on your blood sugar levels, choose unsweetened soya milk, which has as little as 0.1g of carbs per 100ml.

3. Almond milk

This dairy-free milk is slightly sweet and has a mild almond flavour; unsweetened almond milk tastes a bit more nutty. Almond milk has around 42 to 105kJ per 100ml.

4. Goat’s milk

Goat’s milk is great in cereal, tea and coffee, and can be used for cooking and baking. It has a creamy texture with a slightly sweet and herby taste. Good news if you don’t mind the overpowering smell – goat’s milk is high in calcium, proteins, vitamins and minerals.

Consider this when buying milk alternatives

Added sugar: Always opt for the unsweetened varieties – sugar is often added to enhance the flavour and texture. Check the food label and avoid brands that list sugar as one of the first three ingredients.

Calcium: We know that cow’s milk is rich in calcium, which we need for strong bones. However, many non-dairy milks are fortified with calcium, so choose one that has at least 120mg per 100ml.

Vitamin B12: If you avoid animal products, you may risk a vitamin B12 deficiency. Opt for milk that is fortified with vitamin B12, which is necessary for a healthy brain and strong immune system.

Make your own dairy-free milk

According to Food24, it’s fairly easy to make your own dairy-free milk:

Coconut milk: Blend one cup of unsweetened, dried coconut flakes with two cups of boiling water. Leave this mixture for five hours so the flavours can develop and then strain.

Rice milk: Boil one cup of brown rice with three cups of water, one teaspoon of cinnamon and one teaspoon of honey. When the rice is cooked, blend it with four cups of water and strain with a sieve.

Oat milk: Soak one cup of oats with three cups of water for eight hours. Blend this mixture with two cups of water, and add one teaspoon of salt and one teaspoon of honey. Blend until it is smooth and strain through a sieve.

Image credit: iStock 

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Pregnancy weight gain ‘going unmeasured’

Midwives want clear advice about how much weight is healthy for women to put on during pregnancy.

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Bedside light tool could detect baby brain injury earlier

A new bedside tool can detect brain damage by measuring oxygen and energy levels using light.

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Hiding my psychosis for 10 years from the age of 12

Luke Watkin first experienced psychosis at 12 years old – he didn’t talk about it for a decade.

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3D electron microscopy uncovers the complex guts of desalination membranes

Careful sample preparation, electron tomography and quantitative analysis of 3D models provides unique insights into the inner structure of reverse osmosis membranes widely used for salt water desalination wastewater recycling and home use, according to a team of chemical engineers.

These reverse osmosis membranes are layers of material with an active aromatic polyamide layer that allows water molecules through, but screens out 99 to 99.9 percent of the salt.

“As water stresses continue to grow, better membrane filtration materials are needed to enhance water recovery, prevent fouling, and extend filtration module lifetimes while maintaining reasonable costs to ensure accessibility throughout the world,” said Enrique Gomez, professor of chemical engineering, Penn State. “Knowing what the material looks like on the inside, and understanding how this microstructure affects water transport properties, is crucial to designing next-generation membranes with longer operational lifetimes that can function under a diverse set of conditions.”

Gomez and his team looked at the internal structure of the polyamide film using high-angle annular dark field scanning transmission electron microscopy (HAADF-STEM) tomography. HAADF-STEM’s image intensity is directly proportional to the density of the material, allowing mapping of the material to nanoscale resolution.

“We found that the density of the polyamide layer is not homogeneous,” said Gomez. “But instead varies throughout the film and, in this case, is highest at the surface.”

This discovery changes the way the engineers think about how water moves through this material, because the resistance to flow is not homogeneous and is highest at the membrane surface.

HAADF-STEM allowed the researchers to construct 3D models of the membrane’s internal structure. With these models, they can analyze the structural components and determine which characteristics must remain for the membrane to function and which could be manipulated to improve membrane longevity, antifouling, and enhance water recovery.

Another characteristic revealed through HAADF-STEM was the presence, or rather absence, of previously reported enclosed voids. Researchers thought that the membranes fine structure would contain enclosed void spaces that could trap water and alter flow patterns. The 3D models show that there are few closed voids in the state-of-the-art material studied.

“Local variations in porosity, density and surface area will lead to heterogeneity in flux within membranes, such that connecting chemistry, microstructure and performance of membranes for reverse osmosis, ultrafiltration, virus and protein filtration, and gas separations will require 3D reconstructions from techniques such as electron tomography,” the researchers report in a recent issue of Proceedings of the National Academy of Sciences.

The researchers would like to push the resolution of this technique to below 1 nanometer resolution.

“We don’t know if sub nanometer pores exist in these materials and we want to be able to push our techniques to see whether these channels exist,” said Gomez. “We also want to map how flow moves through these materials to directly connect how the microstructure affects water flow, by marking or staining the membrane with special compounds that can flow through the membrane and be visualized in the electron microscope.”

Story Source:

Materials provided by Penn State. Note: Content may be edited for style and length.

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After 150 years, a breakthrough in understanding the conversion of carbon dioxide to electrofuels

Scientists have long sought ways to convert abundant CO2 to useful products such as chemicals and fuel. As early as in 1869, they were able to electrocatalytically convert CO2 to formic acid. Over the past two decades, the rise of CO2 in Earth’s atmosphere has significantly accelerated research in CO2 conversion using renewable energy resources, including solar, wind, and tidal. Because these resources are intermittent — the sun doesn’t shine every day, nor does the wind constantly blow — how to store renewable energy safely and cost-effectively is a major challenge.

Recent research in electrocatalytic CO2 conversion points the way to using CO2 as a feedstock and renewable electricity as an energy supply for the synthesis of different types of fuel and value-added chemicals such as ethylene, ethanol, and propane. But scientists still do not understand even the first step of these reactions — CO2 activation, or the transformation of the linear CO2 molecule at the catalyst surface upon accepting the first electron. Knowing the exact structure of the activated CO2 is essential because its structure dictates both the end product of the reaction and its energy cost. This reaction can start from many initial steps and go through many pathways, giving typically a mixture of products. If scientists figure out how the process works, they will be better able to selectively promote or inhibit certain pathways, which will lead to the development of a commercially viable catalyst for this technology.

Columbia Engineering researchers announced today that they solved the first piece of the puzzle?they have proved that CO2 electroreduction begins with one common intermediate, not two as was commonly thought. They applied a comprehensive suite of experimental and theoretical methods to identify the structure of the first intermediate of CO2 electroreduction: carboxylate CO2? that is attached to the surface with C and O atoms. Their breakthrough, published online today in PNAS, came by applying surface enhanced Raman scattering (SERS) instead of the more frequently used surface enhanced infrared spectroscopy (SEIRAS). The spectroscopic results were corroborated by quantum chemical modeling.

“Our findings about CO2 activation will open the door to an incredibly broad range of possibilities: if we can fully understand CO2 electroreduction, we’ll be able to reduce our dependence on fossil fuels, contributing to the mitigation of climate change,” says the paper’s lead author Irina Chernyshova, associate research scientist, department of earth and environmental engineering. “In addition, our insight into CO2 activation at the solid-water interface will enable researchers to better model the prebiotic scenarios from CO2 to complex organic molecules that may have led to the origin of life on our planet.”

They decided to use SERS rather than SEIRAS for their observations because they found that SERS has several significant advantages that enable more accurate identification of the structure of the reaction intermediate. Most importantly, the researchers were able to measure the vibrational spectra of species formed at the electrode-electrolyte interface along the entire spectral range and on an operating electrode (in operandi). Using both quantum chemical simulations and conventional electrochemical methods, the researchers were able to get the first detailed look at how CO2 is activated at the electrode-electrolyte interface.

Understanding the nature of the first reaction intermediate is a critical step toward commercialization of the electrocatalytic CO2 conversion to useful chemicals. It creates a solid foundation for moving away from the trial-and-error paradigm to rational catalyst design. “With this knowledge and computational power,” says the paper’s co-author Sathish Ponnurangam, a former graduate student and postdoc in Somasundaran’s lab who is now an assistant professor of chemical and petroleum engineering at the University of Calgary, Canada, “researchers will be able to predict more accurately the reaction on different catalysts and specify the most promising ones, which can further be synthesized and tested.”

“The Columbia Engineering experiments provide such detail that we should be able to obtain very definitive validation of the computational models,” says William Goddard, Charles and Mary Ferkel Professor of Chemistry, Materials Science, and Applied Physics at CalTech, who was not involved with the study. “I expect that together with our theory, the Columbia Engineering experiments will provide precise mechanisms to be established and that examining how the mechanisms change for different alloys, surface structures, electrolytes, additives, should enable optimization of the electrocatalysts for water spitting (solar fuels), CO2 reduction to fuels and organic feedstocks, N2 reduction to NH3 to obtain much less expensive fertilizers, all the key problems facing society to obtain the energy and food to accommodate our exploding population.”

Electrocatalysis and photocatalysis (the so-called artificial photosynthesis) are among the most promising ways to achieve effective storage for renewable energy. CO2 electroreduction has been capturing the imagination of researchers for more than 150 years because of its similarity to photosynthesis. Just as a plant converts sunlight into chemical energy, a catalyst converts electrons supplied by renewable energy into chemical energy that is stored in reduced products of CO2. In addition to its application for renewable energy, electrocatalysis technology may also enable manned Mars missions and colonies by providing fuel for the return trip and carbonaceous chemicals from the CO2 that makes up 95 percent of that planet’s atmosphere.

“We expect our findings and methodology will spur work on how to make go faster and at a lower energy cost not only electrocatalytic but also photocatalytic CO2 reduction,” says Ponisseril Somasundaran, LaVon Duddleson Krumb Professor of Mineral Engineering, Department of Earth and Environmental Engineering. “In the latter case, a catalyst reduces CO2 using direct sun light. Even though these two approaches are experimentally different they are microscopically similar?both start with activation of CO2 upon electron transfer from a catalyst surface. At this point, I believe that both these approaches will dominate the future.”

The team is now working to uncover the subsequent reaction steps?to see how CO2 is further transformed?and to develop superior catalysts based on earth-abundant elements such as Cu (copper) and Sn (tin).

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Targeting this key bacterial molecule could reduce the need for antibiotics

Stanford researchers have shown that bacteria involved in urinary tract infections (UTI) rely on a novel chemical form of the molecule cellulose to stick to bladder cells.

The finding, published in the journal of the Proceedings of the National Academy of Sciences, could lead to new ways of treating UTIs and other infections without antibiotics.

Antibiotic overuse can lead to resistance and impacts on the natural bacteria that share our bodies, called the microbiome, said study co-leader Lynette Cegelski, an associate professor of chemistry at Stanford’s School of Humanities and Sciences. “There are many ways to target disease and if you just target a specific bacterium’s virulence strategies, you could still prevent infection and also eliminate the total insult to your microbiome,” she added.

Produced by plants, algae and some bacteria, cellulose is the most abundant organic polymer on Earth. It’s also one of the best studied, since it’s used to produce everything from paper to ethanol fuel. It was thus surprising when Cegelski’s team announced earlier this year that they had discovered a chemically unique form of cellulose, called pEtN (for the chemical group phosphoethanolamine), in the bacteria E. coli.

That finding, which was published in Science, showed that pEtN cellulose is a crucial component in the bacteria’s biofilm, a slimy secretion that bacteria use to share nutrients and to protect themselves against antibiotics and the immune system attacks of their host.

In the new study, Cegelski’s group showed that pEtN also plays an important role in UTIs. UTI is one of the most common infectious diseases worldwide and E. coli is the one of the main culprits.

“Our experiments here reveal a specific function for the cellulose in which it serves a mortar-like role to enhance the adhesion strength of bacteria with bladder epithelial cells,” said study co-leader Gerald Fuller, the Fletcher Jones II Professor in the School of Engineering.

Help from an unexpected source

The discovery was the result of a chance encounter at a Stanford lunch event, where Fuller learned that Cegelski’s group was seeking a way to measure how strongly a layer of E. coli bacteria sticks to a layer of isolated bladder cells. “Oh, I can help you,” Fuller volunteered.

A few years earlier, Fuller had developed an instrument, called the Live-Cell Monolayer Rheometer (LCMR), to investigate the adhesion of contact lenses to corneal cells. “We wanted to know whether cells from your eye adhere to the underbelly of contact lenses when you take them off, and we found that indeed they do,” Fuller said.

The LCMR was designed to bring a glass plate into contact with a single thin layer of live cells and then maintain a constant pressure between them. An attached microscope allows scientists to monitor cells during experiments, and a heated bottom plate helps keep the cells alive.

The scientists realized that with a few tweaks, Fuller’s instrument could achieve what Cegelski had in mind. “For these experiments, we improved the microscopy to better visualize the contact between the bacteria and bladder cell layer during measurements,” study first author Emily Hollenbeck, a former joint-graduate student in both Cegelski and Fuller’s groups. “This was an important check to ensure we were always measuring adhesion forces between these very thin layers.”

Getting the bacteria to grow as a single layer also proved challenging, and it took Hollenbeck several tries before she was successful. “Creating uniform layers of bacteria and bladder cells was highly important for obtaining reproducible LCMR measurements,” Hollenbeck said. “It was especially challenging to create these uniform layers out of materials that are continually growing and adapting to their environment.”

Breaking the cycle of infection

Previous studies had already noted that pEtN cellulose and cell-surface fibers called curli are braided together to create E. coli biofilms. And curli have been implicated in kidney infections and sepsis. “The more severe the infections, the more likely those bacteria were making curli,” Cegelski said.

What Cegelski wanted to understand was the relative contributions of pEtN and curli to the adhesion of bacteria to host cells and how they worked together during infection. To answer these questions, her group designed a series of experiments to test the adhesion strength of the curli and the cellulose separately as well as together.

In one experiment, they attached E. coli whose biofilms contained both cellulose and curli to the top plate of the LCMR and then brought it into contact with a bottom plate containing bladder cells. The scientists then quickly sheared the top plate horizontally by a tiny amount, and the resulting level of adhesive stress gave them a quantitative measure of the bacteria’s “stickiness.”

They repeated the experiment with genetically engineered E. coli whose biofilms contained only cellulose, and again with a top plate that contained only curli and no bacteria.

What they found was that the bacteria that produced both curli and cellulose exhibited the highest adhesion strength, followed by the curli alone, and lastly the cellulose alone. “Without cellulose, the cells break away very easily from the bacteria,” Fuller said. “The cellulose acts like a glue to really help hold everything together.”

The finding suggests that an approach to treating UTIs that does not involve antibiotics may be possible. “Attacking the cellulose could be a great alternative to traditional antibiotics as preventing bacterial adhesion could help break the cycle of infection,” Hollenbeck said. “This type of treatment also avoids the ‘life-or-death’ pressure of traditional antibiotics that lead to drug resistant mutations.”

Other Stanford coauthors on the study, entitled “Phosphoethanolamine Cellulose Enhances Curli-Mediated Adhesion of Uropathogenic Escherichia coli to Bladder Epithelial Cells,” include Alex Antonoplis, Chew Chai, and Wiriya Thongsomboon.

The research was funded by the Stanford Center for Molecular Analysis and Design, the Achievement Rewards for College Scientists Foundation, and the National Science Foundation.

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Health24.com | Tennis skills decline equally in male, female pros with age

With the US Open championship that concluded on Sunday in New York City, a new study shows that male and female professional tennis players have the same rate of age-related declines in physical ability.

This was a surprising finding because men and women have different patterns of ageing, according to the researchers at the University of Exeter in England.

Decline in both genders

The researchers’ analysis of data on first-serve speed and accuracy among 100 of the world’s top male and female players revealed peaks in power (about age 26) and accuracy (about age 28), followed by declines in both.

“We know men and women age differently, and wanted to test when these differences start to emerge,” researcher Ruth Archer said in a university news release.

“We know, for example, that women live longer than men, but have poorer health later in life. And studies in other sports have suggested women’s performances begin to decline earlier than men,” she added.

Men serve faster

“However, we found remarkably similar patterns of performance decay in male and female tennis players,” Archer said.

“One possible explanation for this is that we studied a data set of ‘outliers’ – people at the upper extreme of human capabilities,” she said. “Alternatively, selection may not lead to the evolution of differences at this age as they do later in life.”

The researchers also found that men serve faster, but less accurately, than women. In both sexes, accuracy tended to increase as power declined, according to the study published recently in the journal Behavioral Ecology.

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Deaths spiked during UK heatwave

When temperatures went up in England this summer, so did deaths, Office for National Statistics data shows.

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