September 27, 2016

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Chill Out: Stress Can Override Benefits Of Healthful Eating

A new study suggests stress can diminish the benefits of more healthful food choices.

Hanna Barczyk for NPR

Eating well has many known benefits. But a good diet may not be able to counteract all the ill effects of stress on our bodies.

A new study, published in Molecular Psychiatry, suggests stress can override the benefits of making better food choices.

To evaluate the interactions between diet and stress, researchers recruited 58 women who completed surveys to assess the kinds of stress they were experiencing. The women also participated in what researchers call a “meal challenge,” where they were each given two different types of meals to eat, on different days.

One meal was high in saturated fat, the type of fat linked to cardiovascular disease. The other meal was high in a plant-based oil, which is considered more healthful.

“When women were not stressed and they got the healthier meal, their inflammatory responses were lower than when they had the high saturated fat meal,” explains study author Janice Kiecolt-Glaser, director of the Institute for Behavioral Medicine Research at the Ohio State University. She says this was not a big surprise.

But here’s the part that may seem counterintuitive: “If a woman was stressed on a day when she got the healthy meal, she looked like she was eating the saturated fat meal in terms of her [inflammation] responses,” Kiecolt-Glaser explained.

In other words, the more healthful meal was no better in terms of its impact on inflammation. “The stress seemed to boost inflammation,” Kiecolt-Glaser explained.

The kinds of stressful events the women experienced weren’t life-threatening. Rather, they’re the sorts of events that make us feel overwhelmed or out of control, such as a child care scramble or caring for an elderly, sick parent.

The researchers measured several markers of inflammation in the body, including C-reactive protein, or CRP.

Over a lifetime, higher inflammation levels are linked to an increased risk of a range of diseases, including “cardiovascular disease, Type 2 diabetes, arthritis, some cancers,” Kiecolt-Glaser explains. “It’s an ugly list of possibilities.”

The findings add to the evidence that stress is a powerful player when it comes to influencing our health. Kiecolt-Glaser’s prior research has shown that people who are stressed heal wounds more slowly. She has also demonstrated that stress can promote weight gain by altering metabolism and slowing down calorie-burning.

Kiecolt-Glaser says there’s still a lot that’s unknown. For instance, in this new study, she’s not sure how the inflammation levels of stressed-out women would have been influenced by an ultra-healthful meal — say, an avocado with greens on a piece of whole-grain toast. She points out that both of the meals the women ate for this study were very high in calories and had about 60 grams of fat.

Now, if you’re looking for the upside in this line of research, rest assured: There are a whole range of strategies that have been shown to help manage stress.

“Close, personal relationships are perhaps the world’s greatest stress reducer,” Kiecolt-Glaser says. Studies of mindfulness meditation and yoga have also been shown to be effective.

And as we’ve reported, even doing nice things for others can help keep stress in check.

When I was reporting this story, I asked stressed-out Georgetown University law students what they do to manage stress. They pointed to a range of activities — from salsa dancing to listening to hip-hop to going to the gym. “I really enjoy exercising when I’m stressed. It gives you an outlet to distract you,” Marina Smith told me.

And it seems these students are on to some good strategies, says Aric Prather, an assistant professor at the University of California, San Francisco School of Medicine, who studies how lifestyle choices influence health. “Exercise and social connectedness,” he says, “are effective in improving people’s well-being and their ability to cope with stress.”

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92 Percent Of The World's Population Breathes Substandard Air, WHO Says

Smog blankets Cairo, Egypt, in 2012. Hassan Ammar/AP hide caption

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Hassan Ammar/AP

The World Health Organization says 92 percent of the world’s population breathes air containing pollutants exceeding WHO limits, in new research released Tuesday.

The new WHO air-quality model, which uses satellite data and ground measurements, “represents the most detailed outdoor (or ambient) air pollution-related health data, by country, ever reported by WHO,” according to a press release from the organization. The report used information from nearly 3,000 places from around the world, doubling the amount of data from the last assessment of this kind.

The WHO research measured particulate matter in the air, such as “sulphates, nitrates, ammonia, sodium chloride, black carbon, mineral dust and water.” It did not account for known pollutants such as nitrogen oxides or ozone — meaning that these are likely conservative figures.

The pollution levels had a staggering impact on health, according to the report, which said: “In 2012, one out of every nine deaths was the result of air pollution-related conditions.” The number of deaths attributable to both indoor and outdoor air pollution totaled approximately 6.5 million worldwide, of which 3 million deaths were blamed on outdoor air pollution — the focus of this report.

“Air pollution continues take a toll on the health of the most vulnerable populations — women, children and the older adults,” Dr. Flavia Bustreo, assistant director general at WHO, said in a press release. “For people to be healthy, they must breathe clean air from their first breath to their last.”

WHO added that lower and middle income countries, where about 87 percent of the deaths occur, bore the brunt of the health impact.

China had the most deaths attributable to air quality in 2012, at 1,032,833, followed by 621,138 in India and 140,851 in Russia. The U.S. had 38,043.

Here is the report’s breakdown by region:

“The WHO Western Pacific and South East Asia regions bear most of the burden with 1.1 million and 799 000 deaths, respectively. In other regions, about 211 000 deaths occurred in Sub-Saharan Africa, 194 000 in the Eastern Mediterranean region, 190 000 in Europe, and 93 000 in the Americas. The remaining deaths occur in high-income countries of Europe (289 000), the Americas (44 000), Western Pacific (44 000), and Eastern Mediterranean (10 000).”

The researchers said that much of the outdoor air pollution comes from sources like “inefficient modes of transport, household fuel and waste burning, coal-fired power plants, and industrial activities.” The model also includes sources not caused by humans, such as sand storms.

Maria Neria, director of WHO’s public health and the environment department, told the Guardian that this improved data on air pollution should be seen as a call to action:

“Countries are confronted with the reality of better data. Now we have the figures of how many citizens are dying from air pollution. What we are learning is, this is very bad. Now there are no excuses for not taking action.”

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