ReportWire

Tag: Alcohol and Alcoholism

  • Many Close Relatives of People with Alcohol Use Disorder Experience Similar Cognitive Weaknesses, Manifesting as Social and Emotional Struggles

    Many Close Relatives of People with Alcohol Use Disorder Experience Similar Cognitive Weaknesses, Manifesting as Social and Emotional Struggles

    [ad_1]

    Many people with a family history of alcohol use disorder (AUD) struggle with certain cognition issues that often accompany AUD itself, even if they don’t themselves drink dangerously, according to a novel study. The findings suggest that these issues may be markers of vulnerability for the condition. A family history of AUD—having one or more first-degree relatives with the disorder—increases the risk of developing it, owing to genetic and environmental factors. Differences in cognitive functioning, especially in executive function (EF) and social cognition (SC), may predispose people to AUD and be amplified by chronic drinking. EF involves mental flexibility, inhibiting responses, and working memory, among other processes. SC facilitates social interactions through theory of mind (understanding others’ mental states), emotion recognition, and empathy. Research on healthy people with a family history of AUD has identified EF and SC differences in their neural networks, though little is known about SC processes in this population or whether those neural differences also manifest behaviorally. A better understanding of EF and SC as vulnerability markers may help identify people at risk for AUD. For the study in Alcohol: Clinical & Experimental Research, investigators in France explored behavioral SC in people without AUD who have first-degree relatives with the disorder and assessed the cognitive impact of SC and EF difficulties.

    Researchers worked with 120 adults, of whom 60 had a father or sibling with AUD but did not themselves drink dangerously. The two groups—with and without a family history of AUD—were matched for age, sex, and education level. The participants were assessed for intellectual functioning, psychiatric conditions, problematic drinking, nicotine dependence, depressive symptoms, anxiety, and childhood trauma. They underwent neuropsychological tasks evaluating their EF and theory of mind (a key component of SC) and self-reported impulsivity, alexithymia (“emotional blindness”), and empathy. The investigators used statistical analysis to compare the EF and SC profiles of participants with and without family histories of AUD as groups and individually.

    In tests, the participants with family histories of AUD showed lower resistance to interference—or difficulties suppressing automatic responses and impaired attentional control—EF issues. They also demonstrated weaknesses in theory of mind. (Other differences between groups dissipated after controlling for age, anxiety, and depressive symptoms.) Some participants with AUD relatives had mainly EF difficulties, others predominantly theory of mind. Individual analyses showed EF or SC weaknesses in 53% of people with a family history of AUD; of these, six out of ten struggled with one outcome, the others with more. Those with impaired theory of mind revealed diminished emotional arousal, fantasy, empathy, and perspective-taking. Overall, the findings suggest that EF and SC may drive AUD vulnerability through separate cognitive mechanisms. The participants with close AUD relatives had higher rates of past suicide attempts, anxiety disorders, and childhood trauma than those without such family histories; these mental health symptoms may increase the risk of heavy drinking. The variability in findings was consistent with previous studies suggesting heterogeneous cognitive manifestations in people with AUD as well as in close relatives without the disorder.

    This is the first known study to highlight SC difficulties in a behavioral task measuring theory of mind among healthy close relatives of people with AUD and extends our understanding of the breadth of socioemotional issues affecting this population. Cognitive vulnerabilities involving EF or SC appear to represent a continuum. Despite these risk factors, many people with family histories of AUD likely have protective resiliency factors. More research is needed to examine the relative roles of EF and theory of mind in the development of AUD and to identify people with higher clinical and cognitive vulnerability to AUD, facilitating prevention.

    Patterns of executive functions and theory of mind in adults with a family history of alcohol use disorder: Combined group and single-case analyses. F. Schmid, A. Henry, F. Benzerouk, S. Barrière, J. Gondrexon, A. Kaladjian, F. Gierski. (pp xxx)

    ACER-23-5740.R2

    [ad_2]

    Research Society on Alcoholism

    Source link

  • 1 in 8 older adults use cannabis products, suggesting need to screen for risks

    1 in 8 older adults use cannabis products, suggesting need to screen for risks

    [ad_1]

    Newswise — More older Americans use cannabis now than before the pandemic, with 12% saying they’ve consumed a THC-containing substance in the past year and 4% saying they do so multiple times a week, according to a new study of people aged 50 to 80. Those who drink alcohol at risky levels have a much higher rate of cannabis use.

    The new findings, published in the journal Cannabis and Cannabinoids Research by a team from the University of Michigan’s Institute for Healthcare Policy and Innovation, suggest a need for more education and screening of older adults for cannabis-related risks.

    “As the stress of the pandemic and the increased legalization of cannabis by states converged, our findings suggest cannabis use increased among older adults nationally. Older adults represent a vulnerable age group for cannabis use due to interactions with medications, risky driving, cannabis-related mental health impacts and increased possibility of falls and memory issues,” said Anne Fernandez, Ph.D., an addiction psychologist in the U-M Addiction Center and Department of Psychiatry who led the study.

    The data in the study come from the National Poll on Healthy Aging, which IHPI runs with funding from AARP and Michigan Medicine, U-M’s academic medical center. The national poll of 2,023 older adults was taken in January 2021, nine months into the official pandemic declaration and just as the first COVID-19 vaccines were being made available to the groups at the highest risk.

    The 12% overall past-year use of cannabis seen in the new study is higher than the 9.5% seen in 2019 by other researchers pre-pandemic, and far higher than the 3% seen in another study in 2006, when only 12 states had passed medical cannabis laws. The NPHA in 2017 found that 6% of older adults had used cannabis for medical purposes.

    In the new study, in addition to the 4% who said they use cannabis products four or more times a week, another 5% said they use cannabis once a month or less. The poll question asked about use of any product containing THC, the main psychoactive component of cannabis — including edibles – and used multiple common names for cannabis. It did not differentiate between medical and recreational use of cannabis.

    Older adults who said they were unemployed, those who said they were unmarried and had no partner, and those who said they drank alcohol were more likely to say they used cannabis.

    Fernandez notes an especially concerning finding: those whose alcohol use was high enough to cause physical and psychological harms were nearly eight times as likely to say they had used cannabis in the past year. But even those with low-risk alcohol drinking patterns were more than twice as likely to say they had used cannabis in the past year.

    This group of dual-substance users is one that doctors and public health officials should pay special attention to, she said.

    “Other research has shown that using both alcohol and cannabis increases the chance that a person will drive while impaired,” she explained. “They are also more likely to have physical and mental health issues, including substance use disorders. Screening for alcohol use, cannabis use, and other drug use could help more people get counseling and reduce their risk and risk to others.”

    While there were no statistical differences among older adults by age, health or mental health status, income or education, those who said they had Hispanic backgrounds were less likely than non-Hispanic older adults to say they used cannabis. Fernandez says this is consistent with other research showing lower cannabis use in the Latino community.

    She advises any older adult who chooses to use cannabis products for any reason to be open with their health care provider about it, especially if they also drink alcohol or take certain medications. Physicians, nurse practitioners and pharmacists can advise if any medications a person is taking might interact with cannabis, including ones for insomnia, depression and anxiety, opioid-containing pain medications, seizure medications, and blood thinners.

    For more about the poll methodology, see https://www.healthyagingpoll.org/survey-methods

    In addition to Fernandez, the study’s authors are U-M addiction psychologist Lara Coughlin, Ph.D., poll deputy director Erica S. Solway, Ph.D., poll manager Dianne C. Singer, poll director Jeffrey T. Kullgren, M.D., M.S., M.P.H., poll data lead Matthias Kirch, M.S. and Preeti N. Malani, M.D., former poll director and current poll senior advisor.

     

    In addition to the poll funding, Fernandez has research funding from the National Institute of Alcohol Abuse and Alcoholism (AA023869).

    Prevalence and Frequency of Cannabis Use Among Adults Ages 50–80 in the United States, Cannabis and Cannabinoid Research, DOI: 10.1089/can.2023.0056 https://doi-org.proxy.lib.umich.edu/10.1089/can.2023.0056

    [ad_2]

    Michigan Medicine – University of Michigan

    Source link

  • Smartphones, speakers detect alcohol use by voice patterns

    Smartphones, speakers detect alcohol use by voice patterns

    [ad_1]

    By Kimberly Flynn

    Newswise — PISCATAWAY, NJ—Sensors in smartphones and smart speakers could help determine a person’s level of alcohol intoxication based on the changes in their voice, according to a new study in the Journal of Studies on Alcohol and Drugs.

    Researchers at Stanford Medicine and the University of Toronto conducted a small study of 18 adults ages 21 and up. Participants were given a weight-based dose of alcohol and randomly assigned a series of tongue twisters—one before drinking, and one each hour up to seven hours after drinking.

    The participants were asked to read the tongue twister aloud, and a smartphone was placed on a table withing 1 to 2 feet to record their voices. Researchers also measured their breath alcohol concentration at the beginning of the study and every 30 minutes for up to seven hours. They used digital programs to isolate the speaker’s voices, broke them into one-second increments, and analyzed measures such as frequency and pitch.

    When checked against breath alcohol results, changes in the participants’ voice patterns as the experiment went on predicted alcohol intoxication with 98% accuracy.

    “The accuracy of our model genuinely took me by surprise,” says lead researcher Brian Suffoletto, M.D., associate professor of emergency medicine at Stanford. “While we aren’t pioneers in highlighting the changes in speech characteristics during alcohol intoxication, I firmly believe our superior accuracy stems from our application of cutting-edge advancements in signal processing, acoustic analysis, and machine learning.”

    Dr. Suffoletto says the goal of such analysis is to deliver “just-in-time interventions” to prevent injury and death resulting from motor vehicle or other accidents. The best intervention tool would be easy to use and readily available—and the near-ubiquitous nature of smartphones and smart speakers make them an obvious tool for helping alert people that they’ve become intoxicated.

    “While one solution could be to frequently check in with someone to gauge their alcohol consumption, doing so could backfire by being annoying (at best) or by prompting drinking (at worst,” he says. “So, imagine if we had a tool capable of passively sampling data from an individual as they went about their daily routines and surveil for changes that could indicate a drinking episode to know when they need help.”

    Dr. Suffoletto predicts that surveillance tools may eventually combine several sensors—for example, gait, voice, and texting behavior.

    “One primary reason is statistical: integrating test with varying sensitivities and specificities can elevate overall performance,” he says. “Additionally, we cannot always depend on users to provide continuous data inputs. An individual might not speak for hours, but they could be walking. There might be instances where they’re stationary at a bar, neither walking nor talking, yet actively texting.”

    Dr. Suffoletto says much larger studies need to be done, on people with a wide variety of ethnic backgrounds, to confirm the validity of voice patterns as an indicator of intoxication. He points out that it may also be helpful to build relationships with companies that are already collecting speech samples through smart speakers. And he sees this research as a call to action, urging the National Institutes of Health to develop data repositories for these types of digital biomarkers.

    The ultimate goal is to develop an intervention system that people are willing to use and can help prevent injuries and save lives.

    “Timing is paramount when targeting the optimal moment for receptivity and the relevance of real-time support,” he says. “For instance, as someone initiates drinking, a reminder of their consumption limits can be impactful. However, once they’re significantly intoxicated, the efficacy of such interventions diminishes.”

    —–
    Suffoletto, B., Anwar, A., Glaister, S., & Sejdic, E. Detection of alcohol intoxication using voice features: A controlled laboratory study. Journal of Studies on Alcohol and Drugs, 84, 808-813. doi:10.15288/jsad.22-00375
    —–
    To arrange an interview with Dr. Brian Suffoletto, please contact Susan Coppa at [email protected].
    —–
    The Journal of Studies on Alcohol and Drugs is published by the Center of Alcohol & Substance Use Studies at Rutgers, The State University of New Jersey. It is the oldest substance-related journal published in the United States.
    —–
    The Journal of Studies on Alcohol and Drugs considers this press release to be in the public domain. Editors may publish this press release in print or electronic form without legal restriction. Please include a byline and citation.
    —–
    To view the public domain, stock-photo database of alcohol, tobacco and other drug-related images compiled by the Journal of Studies on Alcohol and Drugs, please visit www.jsad.com/photos.


     

    [ad_2]

    Journal of Studies on Alcohol and Drugs

    Source link

  • New study finds global climate change could impact the flavor and cost of American beer

    New study finds global climate change could impact the flavor and cost of American beer

    [ad_1]

    BYLINE: Alex Hood

    Newswise — There are few things tastier than the crisp bite of a cold IPA…for now.  

    A recent study published in the journal Nature Communications found the changing global climate may be affecting the flavor and cost of beer.  

    A warmer and drier climate is expected to lower the yield of hops — the aromatic flowers of the Humulus lupulus plant that give beer its signature bitter flavor — in Europe up to 18 percent by 2050. The alpha acid content of hops is also expected to drop as crops begin to ripen earlier.

    “These climate variations may cause changes in the essential oils of particular varieties of hops,” said Herbert Bruce, assistant professor of practice for undergraduate education in Virginia Tech’s Department of Food Science and Technology and co-creator of the university’s official Fightin’ Hokies beers.  

    Bruce says that temperature and rainfall are a big part of that, which directly affect hop aroma and flavor. “It’s difficult to predict, but that could noticeably alter the aroma and flavor of beer. There’s already seasonal variation in the same variety of hops, but changes in the climate could exacerbate them.”

    According to Bruce, these changes might be more widespread in the brewing industry than consumers would think.

    “It’s important to remember that hops are a key ingredient in all beers, not just IPAs and other very bitter beers,” he said. “It’s also fairly common for American breweries to use European hops, especially noble or German hops in pilsners and other traditional lagers.”

    Bruce was quick to specify that though the exact outcome is uncertain, bitter beers likely aren’t going anywhere, as brewers can adjust the amount of hops they use to maintain bitterness. But that’s much more difficult to do with the unique aromas of different hop varieties.

    If warming temperatures cause decreased crop yields, Bruce said that price will likely be another factor affected.

    “In the U.S. most hops are grown in the northwest. If the study is correct and drier climates reduce hop yield there, it will likely cause prices to go up. This could have a disproportionate impact on smaller craft breweries, as they tend to use only one to three types of hops in their beer,” said Bruce.

    Bruce said it may take some time to see those costs impact the price of beer itself. 

    “Hops are only about four percent of the cost of a bottle of beer, so the price jump isn’t expected to be large initially. However, it’s really difficult to predict what other factors might come into play as the climate affects other areas of the economy.”

    About Bruce

    Herbert Bruce is assistant professor of practice for undergraduate education in the Virginia Tech Department of Food Science and Technology. He graduated from the Master Brewers program at UC Davis, passed the brewer’s exam from the Institute of Brewing and Distilling, London, and served as head brewer and plant manager of two microbreweries and one brewpub. He now teaches Applied Malting and Brewing Science and co-develops all of the university’s Fightin’ Hokies beers.  

    Interview

    To schedule an interview with Herbert Bruce, contact Margaret Ashburn in the media relations office at [email protected] or 540-529-0814.

    [ad_2]

    Virginia Tech

    Source link

  • Stay informed on women’s health issues in the Women’s Helth channel

    Stay informed on women’s health issues in the Women’s Helth channel

    [ad_1]

    According to a recently published article on Axios, women have higher out-of-pocket expenses for their health care than men despite having similar health insurance. Even when removing maternity care from the equation, women each year are paying $15.4 billion more out of pocket for health care. This so-called ‘Pink tax’ reflects the penalty levied on females for everything from tampons and razors—is alive and well in the U.S. healthcare system. Below are some of the latest headlines in the Women’s Health channel on Newswise. 

    A New AI Model Has Been Developed to Improve Accuracy of Breast Cancer Tumor Removal

    -University of North Carolina School of Medicine

    Social media and low self-compassion behind rise in cosmetic surgery

    -University of South Australia

    Exposure to extreme heat associated with adverse health outcomes for pregnant women

    -University of California, Irvine

    Iron supplements provided in prenatal visits improved outcomes

    -UT Southwestern Medical Center

    Study finds the placenta holds answers to many unexplained pregnancy losses

    -Yale University

    Witchcraft accusations an ‘occupational hazard’ for female workers in early modern England

    -University of Cambridge

    Substance Abuse in Pregnancy Doubles Cardiovascular Risk

    -Cedars-Sinai

    In major breakthrough, researchers close in on preeclampsia cure

    -University of Western Ontario (now Western University)

    When it comes to starting a family, timing is everything

    -University of Oxford

    Using personalized medicine to target gynecological cancers

    -University of California, Los Angeles (UCLA), Health Sciences

    Internet searches increased for self-managed abortions when Roe vs. Wade was overturned

    -University of California, Irvine

    Stem cell-derived components may treat underlying causes of PCOS

    -University of Chicago Medical Center

    High levels of particulate air pollution associated with increased breast cancer incidence

    -National Institute of Environmental Health Sciences (NIEHS)

     

    [ad_2]

    Newswise

    Source link

  • Heavy drinking, handgun-carrying linked among rural youth

    Heavy drinking, handgun-carrying linked among rural youth

    [ad_1]

    Newswise — In the rural United States, an adolescent who drinks heavily has a 43% greater probability of carrying a handgun in the following year, according to a study published this month in The Journal of Rural Health.

    “While there has been a lot of research on this correlation in urban areas, little is known about the association between alcohol use, particularly heavy drinking, and handgun carrying in rural areas,” said lead author Alice Ellyson, an acting assistant professor of pediatrics at the University of Washington School of Medicine and investigator in UW Medicine’s  Firearm Injury & Policy Research Program.

    “Our study establishes a clear link between these two behaviors in rural areas, and there are evidence-based prevention programs to address both,” she said. Heavy drinking was defined as consuming five or more alcoholic drinks in a row at least once in the previous two weeks. 

    The study involved a longitudinal sample of 2,002 youth ages 12 to 26 in 12 rural communities in seven states, including Washington. Survey responses were collected annually from 2004 to 2019 starting with children who were in fifth/sixth grades.

    The authors say their findings can inform strategies to discourage drinking and thereby decrease the likelihood of handgun-carrying among youth and young adults in rural areas. The findings, coupled with existing evidence-based approaches, might also offer key tactics to lower the homicide and suicide rates among adolescents in rural areas, the study concluded.

    The association between heavy drinking and gun-carrying also was evident (38% greater) among young adults ages 19 to 26, noted senior author Dr. Ali Rowhani-Rahbar, a professor of epidemiology at the UW School of Public Health and pediatrics at the UW School of Medicine. He is also the UW Bartley Dobb Professor for the Study and Prevention of Violence and the interim director of the UW Medicine’s Firearm Injury & Policy Research Program at the University of Washington School of Medicine.

    The study did not break out the differences between male and female respondents nor did it address the respondents’ likelihood of firing the handgun, Rowhani-Rahbar said.

    He added that a major strength of the study was its longitudinal design, which allowed for the examination of handgun carrying after alcohol use.

    Understanding youth behaviors associated with carrying a firearm has significant safety implications. In 2020, suicide and homicide were among the leading causes of death among U.S. individuals ages 12-26 years. About 91% of homicides and 52% of suicides among this age group involved a firearm, the study noted.

    Recent evidence suggests that rural adolescents may start carrying a handgun earlier and carry with a higher frequency and duration than their urban counterparts. Handgun-carrying is associated with bullying, physical violence, and other risk factors for violence, the study notes.

    Preventing or delaying handgun-carrying among rural adolescents may be an important strategy for preventing firearm-related harm, authors noted.

    During young adulthood (ages 19-26), the association between alcohol use and heavy drinking were generally similar to adolescence.

    On this point, Ellyson said she was surprised that the association between heavy drinking and handgun-carrying was similar and sustained between adolescent and young adult respondents. She expected the association to weaken more or disappear with age.

    She identified Communities That Care as a key program for preventing these behaviors and their consequences in rural areas. The program helps communities take a broad approach to preventing problem behaviors among youth.

    “It has a good track record reducing alcohol consumption and violence in randomized controlled trials, and it is an evidence-based program designed for rural communities,” she said.

    For adolescents, the message is simple: Don’t drink alcohol or carry a handgun. Young adults, however, will need a more nuanced message, Ellyson said.

    “Both alcohol use and handgun-carrying become legal in young adulthood. We want to use a harm reduction approach for young adults who engage in both behaviors (drinking and handgun carrying) so they are done in a safe way,” she said.

    The study did not look into the why of this correlation, or whether the handgun was fired or crimes committed later. That will be for the next study, Rowhani-Rahbar said.

    An earlier study by Ellyson and colleagues found six distinct patterns of when and how often individuals in a rural area carry a handgun. In these communities, young people carry handguns at more than twice the rate of their counterparts in urban settings.  Because alcohol use is also more common among rural youth, prevention programs focusing on them are important.

    The studies were funded by the Centers for Disease Control and Prevention.

    Category: 

    Research

    [ad_2]

    University of Washington School of Medicine and UW Medicine

    Source link

  • Medicaid Expansion Associated with Increased, But Not High Quality, Screening for Alcohol Use

    Medicaid Expansion Associated with Increased, But Not High Quality, Screening for Alcohol Use

    [ad_1]

    Newswise — People living in states with expanded Medicaid access were more likely to be screened by their doctor for alcohol use compared to people who lived in states that did not expand Medicaid access, but they did not necessarily receive effective interventions. A study published in Alcohol: Clinical and Experimental Research found that living in a state with expanded Medicaid access was associated with a higher prevalence of lower-income adults’ receiving some alcohol screening at a recent checkup but not receiving higher quality screening or brief counseling. The authors suggest that expanded Medicaid access may increase screening via increased access to primary care but that policies that target healthcare provider constraints are also needed to increase high-quality, evidence-based screening and counseling around alcohol use.

    The study is the first to examine whether an increased likelihood of receiving alcohol screening and brief counseling among nonelderly low-income adults was associated with living in a state that expanded Medicaid eligibility under the Affordable Care Act (ACA). After the passage of the ACA, the federal government offered states subsidies to expand eligibility for Medicaid to include all nonelderly adults with incomes up to 138% of the federal poverty level. Researchers reviewed responses to the 2017 and 2019 National Behavioral Risk Factor Surveillance System from nearly 16,000 low-income adults aged 18 to 64 living in 14 states that expanded Medicaid eligibility before 2017 and nine states that did not.

    Researchers found that living in a state that expanded Medicaid eligibility is associated with a slightly higher prevalence of receiving general alcohol screening at a primary care checkup within the past two years. However, it found no significant associations between living in Medicaid expansion states and evidence-based interventions for alcohol misuse, including being asked about the quantity of drinking and, among respondents who drank heavily, receiving advice about what harmful drinking is or how to reduce or quit drinking.

    The study also explored the relationship between expanded access to Medicaid and alcohol interventions for people with chronic health conditions caused or worsened by moderate or heavy alcohol use, such as high blood pressure and diabetes. For these adults, living in a state with expanded Medicaid eligibility was associated with a greater prevalence of receiving more thorough alcohol screening, such as being asked how much they drink and being screened for binge drinking. Expanded access to Medicaid was not associated with an increased prevalence of receiving brief counseling about reducing or stopping drinking.

    The researchers noted that the rates of receiving screening and counseling were low across the study sample, with only 60 percent of respondents reporting being asked whether they drink and, of people who reported drinking within the last month, only half reported being asked how much they drank and a third were asked about binge drinking. Of people who reported drinking heavily, less than a third had been offered advice about what constitutes risky drinking, and less than 20 percent were advised to reduce or quit drinking. The authors suggest that healthcare provider and system barriers, such as limited training, lack of tools for screening and referral, and time constraints, may be responsible for the low rates of screening and counseling and should be addressed.

    Residence in a Medicaid-expansion state and receipt of alcohol screening and brief counseling by adults with lower incomes: Is increased access to primary care enough? A. Phillips, K. Karriker-Jaffe, K. Bensley, M. Subbaraman, J. Delk, N. Mulia. (p. x-xx)

    ACER-23-5604.R2

    [ad_2]

    Research Society on Alcoholism

    Source link

  • Racial discrimination contributes to increases in alcohol craving to cope with racial stress

    Racial discrimination contributes to increases in alcohol craving to cope with racial stress

    [ad_1]

    Newswise — Alcohol craving is associated with relapse following alcohol use disorder (AUD) treatment. A new study is the first to examine how distinct experiences of interpersonal racial discrimination contribute to elevated alcohol craving. Findings will be shared at the 46th annual scientific meeting of the Research Society on Alcohol (RSA) in Bellevue, Washington.

    “Cravings can be intense and challenging to not act on,” said Sarah L. Pedersen, associate professor of psychiatry and psychology at the University of Pittsburgh. “Research has also shown that stress increases craving for alcohol and can precipitate a lapse or relapse following AUD treatment. My team is invested in identifying influences of inequities in alcohol-related problems and, given prior research showing associations between general stress and craving, we wanted to understand how specific experiences of discrimination may increase alcohol craving.”

    Pedersen will discuss her study’s findings at the RSA meeting on Sunday, 25 June 2023.

    Data for this study were drawn from a larger ongoing alcohol administration study: 140 young adults (44% self-identified as Black or African American, 56% self-identified as White or European American) who consume alcohol at least weekly completed a survey and a 17-day assessment of acute alcohol craving as well as experienced microaggressions.

    “The Racial and Ethnic Microaggressions Scale is a 28-item self-report measure examining five domains of racial discrimination experiences during the previous six months,” explained Pedersen. “Examples include: ‘Someone told me that they don’t see color,’ ‘I was ignored at school or work because of my race,’ and ‘someone assumed I was poor because of my race.’”

    Black individuals reported higher average levels of alcohol craving across the 17-day assessment window compared to White individuals.

    Pedersen believes that experiences of interpersonal racial discrimination contribute to increases in craving alcohol to cope with racial stress. “These results have treatment implications related to promoting the development of emotion regulation skills and strategies after experiencing racial discrimination, and policy and training implications regarding the deleterious effects of exposure to interpersonal racial discrimination,” she said. Additional analyses by Pedersen’s team will integrate momentary experiences of discrimination and subsequent alcohol craving in a naturalistic environment.

    “My team uses a community-engaged approach and we have worked closely with community members to understand their needs, experiences, and ideas for research,” added Pedersen. “Our community partners are centered in our research and have been incredible contributors to this study; including the interpretation and presentation of these results.”

     

    ###

     

    Pedersen will present these findings, “Examination of interpersonal racial discrimination in relation to naturalistic alcohol craving,” during the RSA 2023 meeting in Bellevue, Washington on Sunday, 25 June 2023. More information can be found at RSoA on Twitter @RSAposts.

    [ad_2]

    Research Society on Alcoholism

    Source link

  • People with alcohol use disorder impaired after heavy drinking, despite claims of higher tolerance

    People with alcohol use disorder impaired after heavy drinking, despite claims of higher tolerance

    [ad_1]

    Newswise — While heavy drinkers can tolerate a certain amount of alcohol better than light or moderate drinkers, the concept of “holding your liquor” is more nuanced than commonly believed, according to new research from the University of Chicago.

    The researchers conducted the study with three groups of young adults in their 20s with different drinking patterns. They found that drinkers with alcohol use disorder (or AUD, traditionally known as alcoholism) displayed less impairment on fine motor and cognitive tasks than light or heavy social drinkers after consuming a standard intoxicating dose—equivalent to four to five drinks that produce breathalyzer readings of 0.08-0.09%, i.e., the threshold for drunk driving. Yet when those drinkers with AUD consumed a higher amount akin to their usual drinking habits—equivalent to seven to eight drinks and breathalyzer readings of 0.13%–they showed significant impairment on those same tasks, more than double their impairment at the standard intoxicating dose that did not return to baseline performance three hours after drinking.

    “There’s a lot of thinking that when experienced drinkers (those with AUD) consume alcohol, they are tolerant to its impairing effects,” said Andrea King, PhD, Professor of Psychiatry and Behavioral Neuroscience at UChicago and senior author of the study. “We supported that a bit, but with a lot of nuances. When they drank alcohol in our study at a dose similar to their usual drinking pattern, we saw significant impairments on both the fine motor and cognitive tests that was even more impairment than a light drinker gets at the intoxicating dose.”

    A study of different drinking patterns

    The new paper, published this week in Alcohol: Clinical and Experimental Research, is part of the Chicago Social Drinking Project, an ongoing research study started by King in 2004 that examines the effects of common substances like alcohol, caffeine, and antihistamines on mood, performance, and behavior in people with a wide range of alcohol drinking patterns. For the latest research, they worked with three groups of participants based on their binge drinking patterns, i.e., consuming five or more drinks for a man or four or more for a woman. The groups were light drinkers who do not binge drink, heavy social drinkers who binge drink several times a month, and drinkers who meet the criteria for AUD and binge drink frequently, at least one third or more days in a typical month.

    In a clinical setting, the research team told participants they would be receiving a drink containing either alcohol, a stimulant, a sedative, or a placebo. The alcoholic beverage was a flavored drink mix in water with 190-proof alcohol at 16% volume based on body weight, which was equivalent to four to five drinks, a high dose considered enough to intoxicate a typical drinker (female participants received a dose that was 85% of that for males to adjust for sex differences in metabolism). The participants consumed the drink over a 15-minute period.

    At 30, 60, 120, and 180 minutes after drinking the beverage, the participants took a breathalyzer test and completed two performance tasks. The first was a fine motor task that asked them to retrieve, rotate, and insert a grooved metal peg into 25 randomly slotted holes on a 4×4” metal board; participants were scored on how long it took to fill all 25 holes. The second test was paper and pencil task to test cognitive skill, in which the participants had 90 seconds to input symbols from a key pair onto a numbered grid and were scored on how many correct symbols they provided.

    At the 30- and 180-minute intervals, participants were also asked to report how impaired they felt, from “not at all” to “extremely.” The AUD and heavy social drinkers both reported feeling less impaired than the light drinkers. While they did show less overall alcohol impairment on the motor and cognitive tests, at the 30-minute interval they had similar slowing on the fine motor test as the light drinkers. They also recovered quicker to their baseline levels, supporting the notion that they had more tolerance and can “hold their liquor” better than people who don’t drink as much.

    However, people with AUD do not often stop drinking at four or five drinks and engage in high intensity drinking.  Thus, a subset of the drinkers with AUD in the study participated in a separate session where they drank a beverage more consistent with their regular drinking habits, equivalent to about seven or eight drinks. At this higher dose of alcohol, they showed more than double the amount of mental and motor impairment than after they had the standard intoxicating dose. They also never got back to their baseline level of performance, even after three hours. Their level of impairment even exceeded that of the light drinkers who consumed the standard dose, suggesting that the physical effects of the alcohol add up the more someone drinks, experienced or not.

    “I was surprised at how much impairment that group had to that larger dose, because while it’s 50% more than the first dose, we’re seeing more than double the impairment,” King said. 

    The double-edged sword of intoxication

    King’s group has conducted other research showing that heavy social drinkers and those with AUD are more sensitive to the pleasurable effects of alcohol, and want to drink more alcohol than their lighter drinking counterparts, compounding the issue. “They’re having the desire or craving to drink more and more, even though it’s impairing them. It’s really a double-edged sword,” she said.

    Annual deaths caused by drunk driving have fallen significantly after the national minimum drinking age was set at 21 in 1984 and the public awareness campaigns that followed. Despite these successes, the Centers for Disease Control and Prevention reports that more than 140,000 people die from excessive alcohol use in the U.S. each year, and 30% of traffic fatalities still involve alcohol intoxication. King says that a more nuanced understanding of the effects of intoxication could begin to prevent more harm.

    “It’s costly to our society for so many reasons, that’s why this study is just so important to understand more,” she said. “I’m hoping we can educate people who are experienced high-intensity drinkers who think that they’re holding their liquor or that they’re tolerant and won’t experience accidents or injury from drinking.  Their experience with alcohol only goes so far, and excessive drinkers account for most of the burden of alcohol-related accidents and injury in society. This is preventable with education and treatment.”

    The study, “Holding your liquor: Comparison of alcohol-induced psychomotor impairment in drinkers with and without alcohol use disorder,” was supported by the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse. Additional authors include Nathan Didier, Ashley Vena, Abigayle Feather, and Jon Grant from the University of Chicago.

    [ad_2]

    University of Chicago Medical Center

    Source link

  • Genetic Risk Information May Help People Avoid Alcohol Addiction

    Genetic Risk Information May Help People Avoid Alcohol Addiction

    [ad_1]

    Newswise — Today’s substance use prevention efforts ignore individual genetic risk, but Rutgers research suggests DNA test results may eventually enhance prevention and treatment and improve outcomes. 

    Investigators recruited 325 college students, provided them with varying levels of information about alcohol use disorder and how genetics affect addiction risk and asked them how they would react to learning they had high, medium and low genetic tendencies toward alcoholism.

    The results provided two significant supports for eventually using real genetic risk scores in actual addiction prevention efforts. First, participants understood what those scores indicated; they recognized that higher genetic risk scores meant a higher likelihood of developing alcohol problems. Second, most participants said they would drink less and take other steps to prevent addiction if actual scores showed high risk. 

    “There are a lot of steps between the discovery of addiction-related genes and the effective use of genetic information in prevention and treatment,” said Danielle Dick, director of the Rutgers Addiction Research Center and senior author of the study published in the American Journal of Medical Genetics. “This trial paves the way for studies using real genetic data and for integrating genetic information into prevention and intervention efforts.”

    Adoption and twin studies indicate addiction risk is roughly half genetic, Dick said, but there’s no single addiction gene that’s either present or absent. Instead, there are thousands of interacting genes, so each person’s genetic risk falls somewhere on a continuum.

    Risk isn’t distributed evenly along that continuum: It’s distributed in a bell curve. A small number of people have high or low genetic risk (at the tail ends of the curve), but most people fall in the middle of the curve, she said. Knowing one’s level of genetic risk can help people make the best choices for their health and well-being. Individuals at higher genetic risk are more likely to develop problems with alcohol use, so they can take precautionary steps with their substance use.

    Despite the relative complexity of the risk calculation, study participants formed relatively accurate impressions of the risk for addiction associated with various genetic results. Future research will investigate whether other populations understand risk scores as well as the college students in this trial.

    Another important finding was that individuals reported they would experience moderate distress if they learned they were at high genetic risk for addiction. This suggests that providers should be mindful of how to return high-risk genetic results and consider accompanying this information with counseling. Encouragingly, as individuals received increasing levels of genetic risk, they also reported greater intentions to seek additional information, such as talking with a healthcare provider and engaging in harm reduction practices.   

    “Overall, the results strongly encourage the notion that real genetic risk scores may prove helpful in preventing and treating alcohol addiction,” Dick said. “Comprehension of test results was high. Psychological distress remained at manageable levels. The vast majority of individuals indicated that they’d take action to reduce their risk if they learned they were at elevated genetic risk, and, fortunately, there was no indication that people would interpret low-risk scores as an invitation to take fewer precautions.”

    Dick emphasized we still know little about how real-world genetic information will affect real-world behavior. Most known addiction genes were discovered in the past few years, and many more remain to be discovered. No commercial genetic testing service provides information about addiction risk, so very few people have ever received genuine information about their genetic tendency toward addiction. What’s more, stated intentions often differ from subsequent actions.

    “There was a hope that compelling information about elevated genetic risk would get people to change behavior, but we haven’t seen that happen for other aspects of health,” Dick said. “Initial studies suggest that receiving genetic feedback for heart disease, lung cancer, and diabetes does not get people to change their behavior. Getting people to alter their behavior is hard. Providing them with good risk information is just the first step. We then need to connect individuals to resources and support to help them reduce risk. That’s what my team is currently working on — helping people understand their addiction risk and how they can reduce that risk and avoid developing problems.”

    [ad_2]

    Rutgers University-New Brunswick

    Source link

  • Johns Hopkins Center for Gun Violence Solutions Hosting Panel Discussion On Alcohol Misuse and Gun Violence June 1 at Noon

    Johns Hopkins Center for Gun Violence Solutions Hosting Panel Discussion On Alcohol Misuse and Gun Violence June 1 at Noon

    [ad_1]

    The Johns Hopkins Center for Gun Violence Solutions, based at the Johns Hopkins Bloomberg School of Public Health, is hosting an online panel on Thursday, June 1 at noon EDT, to discuss a new report highlighting the dangerous intersection of alcohol misuse and gun violence. The report, “Alcohol Misuse and Gun Violence: An Evidence Based Approach,” was released earlier this month by the Consortium for Risk-Based Firearm Policy, a group of leading experts that advances evidence-based gun violence prevention policies, and the Center for Gun Violence Solutions. Alcohol misuse is a risk factor for all forms of gun violence, including homicides and suicides. The report includes policy recommendations aimed at reducing this risk. The panelists—experts in gun violence and public health—will discuss the report’s policy recommendations and research cited in the report. The briefing will be moderated by Silvia Villarreal, MPP director of research translation at the Johns Hopkins Center for Gun Violence Solutions, with opening remarks from Josh Horwitz, JD, co-director of the Center for Gun Violence Solutions.

    ***Register for the Briefing*** 

    Panelists include: 

    • Rose Kagawa, PhD, MPH, University of California, Davis
      • Assistant professor, Department of Emergency Medicine.
      • Faculty member, the Violence Prevention Research Program.
    • Michelle Spencer, MS, Johns Hopkins Bloomberg School of Public Health
      • Associate director, the Bloomberg American Health Initiative.
      • Deputy Director of Equity and Community Partnerships, Johns Hopkins Center for Gun Violence Solutions.
      • Associate scientist, Department of Health Policy and Management. 
    • Jeff Swanson, PhD, MA, Duke University
      • Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine.
      • Faculty affiliate, Wilson Center for Science and Justice at Duke Law School, the Center for Firearms Law at Duke Law School, and the Center for Child and Family Policy at Duke Sanford School of Public Policy.


    WHEN:
    Thursday, June 1, 2023, at 12:00 p.m. – 1:00 p.m. EDT


    REGISTER:
    Media must register in advance here.

    # # #

    [ad_2]

    Johns Hopkins Bloomberg School of Public Health

    Source link

  • Penn Medicine to Open New Crisis Response Center as Part of a Unified Mental Health Care Hub at Hospital of the University of Pennsylvania – Cedar Avenue

    Penn Medicine to Open New Crisis Response Center as Part of a Unified Mental Health Care Hub at Hospital of the University of Pennsylvania – Cedar Avenue

    [ad_1]

    Newswise — PHILADELPHIA—Penn Medicine is launching a new community mental health hub at the Hospital of the University of Pennsylvania — Cedar Avenue (HUP Cedar), co-locating inpatient and outpatient psychiatric care with a new crisis response center (CRC) at the facility. The multi-year plan will put crucial psychiatric and substance use care in easy reach for West and Southwest Philadelphia residents, at a time when both mental illness and drug and alcohol dependence are surging in the city.

    The project will begin with moving inpatient psychiatric and drug and alcohol detoxification units from Penn Presbyterian Medical Center to HUP Cedar in July, followed by the opening of a new crisis response center at the facility later in the summer which is expected to provide an estimated 4,000 patient visits each year. The steps will create two comprehensive, fully integrated mental health hubs at Penn Medicine facilities in Philadelphia, offering emergency mental health services and inpatient and outpatient care at both HUP Cedar and Pennsylvania Hospital, which has operated a CRC since 1999. Together, Pennsylvania Hospital and HUP Cedar will have 73 licensed inpatient psychiatric beds and 16 beds for substance use treatment. Additional space at HUP Cedar will allow for expansion of coordinated services to further care for West and Southwest Philadelphia communities over the next five years.

    “The COVID-19 pandemic accelerated the mental health crisis across the nation. As COVID recedes, we have a moral imperative to tackle this suffering in our communities,” said Kevin B. Mahoney, chief executive officer of the University of Pennsylvania Health System (UPHS). “Providing easy access to care when people are in crisis changes – and saves – lives. We are committed to the investment and innovation needed to close the gaps in access to care and reverse the toll of mental health and substance use in Philadelphia.”

    As one of the nation’s largest cities, Philadelphia’s mental health struggles are a microcosm of broader trends: A Pew Research Center survey from late 2022 reported that 41 percent of Americans — and nearly 60 percent of young adults — have experienced high levels of psychological distress at least once since the early stages of the pandemic. At the same time, more than two-thirds of Americans live in areas without sufficient psychiatrists and other mental health professionals. In Philadelphia, more than 20 percent of the city’s residents are coping with a diagnosed depressive disorder and substance use-related deaths have climbed to record levels.

    Similar to the CRC at Pennsylvania Hospital, the HUP Cedar CRC — which will replace the CRC previously operated on the site by Mercy Philadelphia Hospital until its closure in March of 2020 — will be licensed as a crisis intervention walk-in facility and will serve as a discreet psychiatric emergency room, providing triage, evaluation, treatment and social services support for acute substance use and serious psychiatric conditions such as bipolar disorder, major depression, anxiety disorders, and schizophrenia.

    The co-location of the inpatient psychiatric units with emergency care provided through the CRC will enable a seamless transition of care for patients, eliminating the wait time and additional steps required to transfer patients to inpatient units at other facilities — a common occurrence in a city where emergency psychiatric resources remain in short supply.

    “We know that a lack of quality mental health support and crisis response services has a traumatic ripple effect across families and entire communities. When patients and families are coping with a mental health crisis, the last thing they need to think about is how to navigate a complex system,” said UPHS Chief Operating Officer Michele Volpe. “By putting all our services together, we can help keep patients safer, get them into treatment faster, and better support families as they begin to navigate supporting their loved ones during their hospitalization and recovery.”

    Staff at both CRC locations will be connected via a real-time data system providing details on bed availability in order to ensure patients can be placed as quickly as possible and that each location has the right staffing resources. Penn Presbyterian will continue to provide select outpatient psychiatric care as well treatment for substance use disorders after the transition of inpatient services to HUP Cedar.

    HUP Cedar is part of the PHMC Public Health Campus on Cedar, which opened in March 2021, transitioning the building from the former Mercy Philadelphia Hospital into a campus offering emergency and inpatient care as well as primary care and community-driven social supports.

    Penn Medicine will invest $5.76M toward the opening of the CRC at HUP Cedar as part of the mental health hub project. The CRC reopening has also received funding from the Independence Blue Cross Foundation, and the City of Philadelphia Department of Behavioral Health earmarked $4.1 million in HealthChoices reinvestment funds.

    In addition to Penn Medicine’s adult mental health services on the site, Children’s Hospital of Philadelphia plans to open an inpatient pediatric behavioral health facility, the CHOP Behavioral Health & Crisis Center, on the site, as well. The 46-bed acute inpatient psychiatric facility and 24/7 walk-in crisis center will create a safe, inclusive and restorative setting for children and adolescents.

    The second phase of the new mental health hub plan will also increase care capacity at Penn Presbyterian Medical Center (PPMC), by converting the vacated psychiatric beds to medical surgical units. Those steps will help to improve patient movement across the hospital, reducing emergency department wait times and providing additional capacity for post-surgery recovery.

    The new services at HUP Cedar are part of Penn Medicine’s wraparound commitment to bringing more mental health care support to the community across each of its mission areas. Penn Integrated Care (PIC), a program, which embeds mental health professionals in primary care practices, launched in 2018. More than 230,000 patients in 24 Penn Medicine primary clinics have access to PIC services. To date, 35,000 patients have been treated directly by PIC clinicians or connected to specialty care in the community.

    Beginning this summer, the health system will add a new path for training fellows in drug and alcohol use treatment. That program, for physicians specializing in family medicine, primary care, and emergency medicine, among other disciplines, aims to ensure that providers in multiple settings are equipped to help patients take steps toward recovery and provides a much-needed addition to the existing fellowship in Addiction Psychiatry at Penn Medicine and the Corporal Michael J. Crescenz Veterans Affairs Medical Center (CMC VAMC) in Philadelphia.

    In addition, a new consultation service provides psychiatric care to patients hospitalized for complex medical needs at the Hospital of the University of Pennsylvania, Pennsylvania Hospital, and Penn Presbyterian Medical Center. Future plans include potential opening of a medical-psychiatric unit to ensure that patients with these complex needs are cared for in dedicated spaces.

    “Expanding our resources to care for mental health needs in Philadelphia is a core part of our mission,” said Hospital of the University of Pennsylvania CEO Regina Cunningham, PhD, RN. “No matter where people live in the city, we aspire to provide them with support in convenient settings, and work to erase both the stigmas and access problems that stand in the way of helping people get help.”

    [ad_2]

    Perelman School of Medicine at the University of Pennsylvania

    Source link

  • Increasing availability of non-alcoholic drinks may reduce amount of alcohol purchased online

    Increasing availability of non-alcoholic drinks may reduce amount of alcohol purchased online

    [ad_1]

    Newswise — Increasing the proportion of non-alcoholic drinks on sale in online supermarkets could reduce the amount of alcohol people purchase, suggests a study published today led by researchers at the University of Cambridge.

    The team used a simulated supermarket that presented shoppers with varying proportions of alcoholic and non-alcoholic drinks and asked them to select drinks to purchase for their next online shop. They found that shoppers who were exposed to more non-alcoholic drinks selected and purchased fewer units of alcohol. The findings are published in PLOS Medicine.

    Excessive alcohol consumption is a major risk factor for a number of diseases, including cancer, heart disease and stroke. Encouraging people to change their behaviour could therefore have significant health benefits at both an individual and population level.

    There is increasing evidence that people can be ‘nudged’ towards reducing their alcohol consumption by making small adjustments to their environment. For example, scientists at Cambridge’s Behaviour and Health Research Unit have previously shown that serving wine in smaller glasses – even while keeping the amount of wine in the glasses the same – led to people consuming less alcohol.

    A recent analysis found that reducing the proportion of unhealthy snacks available can reduce how much of these food products people consume, though the evidence included was limited in both quality and quantity. The Cambridge team wanted to see if a similar approach might work to nudge people towards consuming fewer alcoholic drinks.

    The researchers recruited 737 adults living in England and Wales, all of whom regularly purchased alcohol online, to take part in the study. Of these, just over 600 completed the study and were included in the final analysis – 60% were female and the average (mean) age was 38.

    Participants selected drinks from 64 options in a simulated online supermarket designed to look and function like a real online supermarket. Options included a range of beers, ciders, alcohol-free beer and cider alternatives, and soft drinks.

    Participants were randomly assigned to one of three groups, each of which was presented with a different proportion of alcoholic and non-alcoholic drinks. 25% of the drinks seen by Group 1 were non-alcoholic. For Group 2, this increased to 50%, and for Group 3 the proportion of non-alcoholic drinks seen rose to 75%.

    Those exposed to the highest proportion of non-alcoholic drinks (Group 3) selected fewer alcohol units, 17.5 units, compared to 29.4 units in those exposed to the lowest proportion of non-alcoholic drinks (Group 1) – equivalent to a reduction of about 41%.

    Participants were then asked to actually purchase the same drinks in an online supermarket, Tesco, the largest national supermarket in the UK. Around two-thirds of participants completed this second stage, with 422 participants going on to purchase drinks. The researchers point out that ‘cart abandonment’ – where people do not purchase items they put in their shopping cart – is common in online shopping contexts.

    The researchers found that amongst participants exposed to the highest proportion of non-alcoholic drinks, 52% of the drinks purchased were alcoholic, compared to 70% of drinks that were purchased by those exposed to the lowest proportion of non-alcoholic drinks.

    Lead author Dr Natasha Clarke said: “We created our simulated supermarket to be as close as possible to an actual online supermarket and found that increasing the proportion of non-alcoholic drinks that shoppers were exposed to made a meaningful difference to their alcohol selection. Though we’d need to confirm these findings using only a real online supermarket, they are very promising.”

    While the current market for alcohol-free beer, wine and spirits represents only a small share of the global alcohol industry, it is rapidly growing. For example, low and no-alcohol beer currently accounts for 3% of the total beer market, but this is forecast to increase by nearly 13% per year over the next 3 years and is the fastest growing drinks segment in the UK.

    Senior author Dr Gareth Hollands said: “Supermarkets typically stock a wider range of alcoholic drinks than non-alcoholic alternatives aimed at adults, but this is slowly changing. Our results suggest that if non-alcoholic options were to become the majority instead, we might expect to see substantial reductions in alcohol purchasing.”

    Importantly, the overall number of drinks that participants selected and purchased remained similar between groups, suggesting that effects were a result of shifting people’s choices. This implies overall drink sales and potentially revenues may be relatively unchanged, dependent on the pricing of non-alcoholic drinks.

    Professor Dame Theresa Marteau, Director of the Behaviour and Health Research Unit, said: “We all know that drinking too much alcohol is bad for us, but we’re often unaware of how much we are influenced by the environment around us. Making changes to this environment – from exposing people to a greater proportion of healthier options through to changing the sizes of the utensils we eat and drink from – can help us cut down on potentially unhealthy habits. Even relatively small changes can make a difference both to individuals and at a population level.”

    Although some of the non-alcoholic drink options in the current study contained no sugar and were generally lower in calories than the alcoholic options – an average of 64 calories per non-alcoholic drink versus 233 calories per alcoholic drink – many soft drinks and alcohol-free alternatives still contain large amounts of sugar and calories. The researchers argue that, given the health risks associated with sugary drink consumption, continued regulation and policies to reduce sugar content and consumption from both alcoholic and non-alcoholic drinks is needed to mitigate these risks.

    The research was funded by Wellcome and carried out at the Behaviour and Health Research Unit, University of Cambridge. Dr Clarke is now a Lecturer in Psychology at Bath Spa University. Dr Hollands is a Principal Research Fellow at UCL.

    Reference

    Clarke, N et al. Impact on alcohol selection and online purchasing of changing the proportion of available non-alcoholic versus alcoholic drinks: A randomised controlled trial. PLOS Med; 30 Mar 2023; DOI: 10.1371/journal.pmed.1004193

    [ad_2]

    University of Cambridge

    Source link

  • Upward trend in ‘deaths of despair’ linked to drop in religious participation, economist finds

    Upward trend in ‘deaths of despair’ linked to drop in religious participation, economist finds

    [ad_1]

    Newswise — Over the past 20 years, the death rate from drug poisonings in the U.S. has tripled and suicide and alcoholic liver disease death rates have increased by 30 percent — particularly among middle-aged white Americans, according to studies by the National Center for Health Statistics. 

    Further evidence shows that these dramatic changes in mortality rates within American communities actually began in the late 20th century, but researchers have been unable to pinpoint a cause for these “deaths of despair.” 

    To fill that gap in understanding, Daniel Hungerman, professor of economics at the University of Notre Dame, and his co-authors studied the connection between a sharp downturn of religious participation in the late 1980s and the swift rise in deaths of white Americans ages 45 to 54 in the early 1990s. Their findings were recently issued in a working paper by the National Bureau of Economic Research.

    While the post-1999 mortality increase has justifiably attracted a large amount of attention with the introduction of OxyContin, “this change in the early 1990s is perhaps as striking but has received little attention in prior work,” the researchers explained.  

    “It’s pretty unusual for an advanced country like America to see people start dying sooner, at a younger age,” Hungerman said. “And what we found is that there is a direct correlation between the effects of religious practice and these mortality rates from alcoholism, suicide and overdose.”

    Their study highlighted how changes in religious participation can have large consequences for the health and well-being of middle-aged, white individuals, wrote Hungerman and his co-authors. 

    “Our work provides evidence that religious participation matters,” they said.
     

    Bringing the data together, comparing

    Comparing mortality data from the Centers for Disease Control and Prevention’s Multiple Cause of Death files and religiosity survey data from the General Social Survey, the researchers identified a definite correlation between the decline in religious affiliation and church attendance and the increase in deaths of despair among middle-aged white Americans that began in the late 1980s and continued through the 1990s.

    Researchers also found that states that had experienced larger declines in religious participation in the last 15 years of the century saw larger increases in deaths of despair. Notably, the decline in religious participation was not specifically driven by males or females, nor was it initially observed for non-white Americans. 

    Hungerman and his co-authors presented evidence that this decline in religious participation was driven more by a collective resistance to formal or organized religion than by changes in personal religious beliefs or spiritual habits. 

    “What happened is that they quit going to church — they stopped affiliating with religious places,” Hungerman said. “But if you ask them, ‘Do you believe in God,’ then that is still a constant. It has more to do with the social aspect of the formal participation.”

    One explanation for the decline in religious activity is the shifting relationship between religion and politics, Hungerman theorized. “There are some indications that more progressively oriented individuals stopped affiliating with religion,” he said. “Another is an increase in education — those educational gains may have led to lower participation.” 

    The causes of the decline in religiosity and religious participation are less important than the consequences, however, Hungerman said. “We’ve accepted this decline has occurred, and now we want to show what it has caused in people’s lives.” 
     

    Historical ‘shocks’ contribute to decline

    The researchers considered two additional “shocks” occurring at different times in our history that seem to have also contributed to the decrease in faith activities and increase in mortality. One was the repeal of the blue laws in the 1960s and 1970s. These laws restricted commerce during a certain time of week, typically Sunday mornings. Unlike some blue laws of today, which limit alcohol sales on Sundays, the earlier iterations prohibited all labor on that day — which allowed more people to attend church versus working or going shopping. According to the researchers, repealing the blue laws led to a 5-10 percent negative impact on weekly attendance of religious services for middle-aged Americans and increased the rate of deaths of despair by two deaths per 100,000 people.

    The second shock occurred much later with the increase of opioid use in the 1990s, particularly following the introduction of the prescription drug OxyContin in 1996 and its subsequent abuse. 

    “With these sorts of shocks occurring, we see — for the groups affected — a coinciding change in suicides, heavy drinking and drug use,” Hungerman said. “We’re seeing these relatively smaller, earlier shocks as setting the stage for the later, larger effects (sharp mortality rate increases). We use that as another piece of evidence to help us better understand this relationship between what you’re doing on Sunday morning and your health outcomes.”
     

    Cultural influence or true despair?

    Scientists have had difficulty studying the cultural or social influences in this arena, Hungerman said. “Despite the title ‘deaths of despair,’ they have struggled to see whether or not despair actually plays any role here, or if it’s just a cultural anomaly, more generally. We think our research provides novel evidence that it does.”

    Hungerman and his co-authors noted that prior studies have indicated nonreligious organizations are unable to provide the same sense of community, closeness and social service that religious traditions have typically supplied. And while they acknowledged that their study confirmed the importance of religion alone in promoting well-being, future research can be done to see if other cultural institutions — including voluntary and community activities — could have similar large-scale effects on health and mortality.

    [ad_2]

    University of Notre Dame

    Source link

  • 2.9-million-year-old butchery site reopens case of who made first stone tools

    2.9-million-year-old butchery site reopens case of who made first stone tools

    [ad_1]

    Newswise — Along the shores of Africa’s Lake Victoria in Kenya roughly 2.9 million years ago, early human ancestors used some of the oldest stone tools ever found to butcher hippos and pound plant material, according to new research led by scientists with the Smithsonian’s National Museum of Natural History and Queens College, CUNY, as well as the National Museums of Kenya,  Liverpool John Moores University and the Cleveland Museum of Natural History.

    The study, published today, Feb. 9, in the journal Science, presents what are likely to be the oldest examples of a hugely important stone-age innovation known to scientists as the Oldowan toolkit, as well as the oldest evidence of hominins consuming very large animals. Though multiple lines of evidence suggest the artifacts are likely to be about 2.9 million years old, the artifacts can be more conservatively dated to between 2.6 and 3 million years old, said lead study author Thomas Plummer of Queens Collegeresearch associate in the scientific team of the Smithsonian’s Human Origins Program

    Excavations at the site, named Nyayanga and located on the Homa Peninsula in western Kenya, also produced a pair of massive molars belonging to the human species’ close evolutionary relative Paranthropus. The teeth are the oldest fossilized Paranthropus remains yet found, and their presence at a site loaded with stone tools raises intriguing questions about which human ancestor made those tools, said Rick Potts, senior author of the study and the National Museum of Natural History’s Peter Buck Chair of Human Origins.

    “The assumption among researchers has long been that only the genus Homo, to which humans belong, was capable of making stone tools,” Potts said. “But finding Paranthropus alongside these stone tools opens up a fascinating whodunnit.”

    Whichever hominin lineage was responsible for the tools, they were found more than 800 miles from the previously known oldest examples of Oldowan stone tools—2.6-million-year-old tools unearthed in Ledi-Geraru, Ethiopia. This greatly expands the area associated with Oldowan technology’s earliest origins. Further, the stone tools from the site in Ethiopia could not be tied to any particular function or use, leading to speculation about what the Oldowan toolkit’s earliest uses might have been.

    Through analysis of the wear patterns on the stone tools and animal bones discovered at Nyayanga, Kenya, the team behind this latest discovery shows that these stone tools were used by early human ancestors to process a wide range of materials and foods, including plants, meat and even bone marrow.

    The Oldowan toolkit includes three types of stone tools: hammerstones, cores and flakes. Hammerstones can be used for hitting other rocks to create tools or for pounding other materials. Cores typically have an angular or oval shape, and when struck at an angle with a hammerstone, the core splits off a piece, or flake, that can be used as a cutting or scraping edge or further refined using a hammerstone.

    “With these tools you can crush better than an elephant’s molar can and cut better than a lion’s canine can,” Potts said. “Oldowan technology was like suddenly evolving a brand-new set of teeth outside your body, and it opened up a new variety of foods on the African savannah to our ancestors.”

    Potts and Plummer were first drawn to the Homa Peninsula in Kenya by reports of large numbers of fossilized baboon-like monkeys named Theropithecus oswaldi, which are often found alongside evidence of human ancestors. After many visits to the peninsula, a local man named Peter Onyango working with the team suggested they check out fossils and stone tools eroding from a nearby site that was ultimately named Nyayanga after an adjacent beach.

    Beginning in 2015, a series of excavations at Nyayanga returned a trove of 330 artifacts, 1,776 animal bones and the two hominin molars identified as belonging to Paranthropus. The artifacts, Plummer said, were clearly part of the stone-age technological breakthrough that was the Oldowan toolkit.

    Compared to the only other stone tools known to have preceded them—a set of 3.3-million-year-old artifacts unearthed at a site called Lomekwi 3, just west of Lake Turkana in Kenya—Oldowan tools were a significant upgrade in sophistication. Oldowan tools were systematically produced and often fashioned using what is known as “freehand percussion,” meaning the core was held in one hand and then struck with a hammerstone being wielded by the opposing hand at just the right angle to produce a flake—a technique that requires significant dexterity and skill.

    By contrast, most of the artifacts from Lomekwi 3 were created by using large stationary rocks as anvils, with the toolmaker either banging a core against the flat anvil stone to create flakes or by setting the core down on the anvil and striking it with a hammerstone. These more rudimentary modes of fabrication resulted in larger, cruder and more haphazard-looking tools.

    Over time, the Oldowan toolkit spread all the way across Africa and even as far as modern-day Georgia and China, and it was not meaningfully replaced or amended until some 1.7 million years ago when the hand-axes of the Acheulean first appeared.

    As part of their study, the researchers conducted microscopic analysis of wear patterns on the stone tools to determine how they were used, and they examined any bones seen to exhibit potential cut marks or other kinds of damage that might have come from stone tools.

    The site featured at least three individual hippos. Two of these incomplete skeletons included bones that showed signs of butchery. The team found a deep cut mark on one hippo’s rib fragment and a series of four short, parallel cuts on the shin bone of another. Plummer said they also found antelope bones that showed evidence of hominins slicing away flesh with stone flakes or of having been crushed by hammerstones to extract marrow.

    The analysis of wear patterns on 30 of the stone tools found at the site showed that they had been used to cut, scrape and pound both animals and plants. Because fire would not be harnessed by hominins for another 2 million years or so, these stone toolmakers would have eaten everything raw, perhaps pounding the meat into something like a hippo tartare to make it easier to chew.

    Using a combination of dating techniques, including the rate of decay of radioactive elements, reversals of Earth’s magnetic field and the presence of certain fossil animals whose timing in the fossil record is well established, the research team was able to date the items recovered from Nyayanga to between 2.58 and 3 million years old.

    “This is one of the oldest if not the oldest example of Oldowan technology,” Plummer said. “This shows the toolkit was more widely distributed at an earlier date than people realized, and that it was used to process a wide variety of plant and animal tissues. We don’t know for sure what the adaptive significance was but the variety of uses suggests it was important to these hominins.”

    The discovery of teeth from the muscular-jawed Paranthropus alongside these stone tools begs the question of whether it might have been that lineage rather than the Homo genus that was the architect of the earliest Oldowan stone tools, or perhaps even that multiple lineages were making these tools at roughly the same time.

    The excavations behind this study offer a snapshot of the world humans’ ancestors inhabited and help illustrate the ways that stone technology allowed these early hominins to adapt to different environments and, ultimately, give rise to the human species.

    “East Africa wasn’t a stable cradle for our species’ ancestors,” Potts said. “It was more of a boiling cauldron of environmental change, with downpours and droughts and a diverse, ever-changing menu of foods. Oldowan stone tools could have cut and pounded through it all and helped early toolmakers adapt to new places and new opportunities, whether it’s a dead hippo or a starchy root.”

    This research was supported by funding from the Smithsonian, the Leakey Foundation, the National Science Foundation, the Wenner-Gren Foundation, the City University of New York, the Donner Foundation and the Peter Buck Fund for Human Origins Research.

    # # #

    [ad_2]

    Smithsonian Institution

    Source link

  • Transition to Telehealth during the COVID-19 Pandemic Accompanied by Increased Utilization of Alcohol Treatment

    Transition to Telehealth during the COVID-19 Pandemic Accompanied by Increased Utilization of Alcohol Treatment

    [ad_1]

    Newswise — The transition to telehealth-based care at the onset of the COVID-19 pandemic was followed by an increase in initiation of and engagement with specialty alcohol treatment, according to a study of health records at one large U.S. health system. The study, published in Alcoholism: Clinical and Experimental Research, found the greatest increases in odds of initiating treatment were among 18- to 34-year-olds, a group that has historically been less likely to seek treatment for alcohol problems. Notably, the transition to telehealth did not appear to worsen racial and ethnic disparities in treatment for alcohol problems and may have facilitated treatment for specific populations. The findings provide timely considerations for structuring post-pandemic models of health care for alcohol use problems.

    The authors analyzed data from over 50,000 health records and claims for insured adults diagnosed with alcohol use disorder at a large California health system during two periods: March to December 2019, before the onset of the COVID-19 pandemic, and March to December 2020, when care began to transition to telehealth due to the pandemic.

    Utilization of alcohol treatment increased during the first nine months of the COVID-19 pandemic for all racial/ethnic and socioeconomic groups. The proportion of people initiating treatment after diagnosis of an alcohol problem rose from 24% before the pandemic to 32% after the onset of the pandemic. The rates of people engaging in two or more treatment sessions after initiating treatment also rose—from 34% before the pandemic to 41% after the pandemic began.

    Telehealth appeared to provide particular benefits to specific age groups. Adults aged 18 to 34 years old without medical and psychiatric conditions had the highest increases in treatment initiation, by telehealth in particular. And adults aged 35-49 who initiated treatment via telehealth remained engaged in treatment during the pandemic at higher rates.

    The transition to telehealth did not appear to worsen disparities among racial and ethnic groups. Further, people living in socioeconomically disadvantaged neighborhoods had some of the greatest increases in telehealth treatment initiation during the pandemic.

    The study did not examine telehealth treatment effectiveness or the reasons for increased treatment utilization, some of which may be due to other circumstances presented by the pandemic. Additionally, the study was limited to people who remained insured by the plan throughout the study. The authors recommend further research to understand whether telehealth removed barriers to treatment and to address persistent disparities in alcohol treatment utilization by age, race, and ethnicity and for people with psychiatric and medical conditions.

    COVID-19 pandemic-related changes in utilization of telehealth and treatment overall for alcohol use problems. V. Palzes, F. Chi, V. Metz, C. Campbell, C. Corriveau, S. Sterling. (pp. xxx)

    ACER-22-5361.R1

    [ad_2]

    Research Society on Alcoholism

    Source link

  • The latest news in Opioids, Drug Abuse, and Addiction

    The latest news in Opioids, Drug Abuse, and Addiction

    [ad_1]

    Overdose deaths remain a leading cause of injury-related death in the United States. The majority of overdose deaths involve opioids. Here are some of the latest articles that have been added to the Drugs and drug abuse channel on Newswise, a free source for journalists. For the latest in addiction research, see the Addiction channel.

    Outpatient Visits Are Critical to Success of Treating Opioid-Use Disorder, Researchers Find (embargoed until 26-Oct-2022 12:05 AM EDT)

    Opioid prescribing after surgery remains the same for seniors, but doses are lower, study shows

    Opioid abuse decreases during pandemic, yet higher rates persist for sexual minorities

    Home sensors can detect opioid withdrawal signs at night

    Human Cocaine and Heroin Addiction Is Found Tied to Impairments in Specific Brain Circuit Initially Implicated in Animals

    Researchers seek to unravel the mystery of susceptibility to drug addiction

    New study reveals undercount of Cook County opioid deaths

    Artificial intelligence tools quickly detect signs of injection drug use in patients’ health records

    American adolescent substance abuse has declined — with the exception of cannabis and vaping

    Opioid addiction treatment disparities could worsen if phone telehealth option ends, study suggests

     

    [ad_2]

    Newswise

    Source link

  • Alcoholic Pancreatitis Patients with Continued Alcohol Intake May Finally Have Therapeutic Options

    Alcoholic Pancreatitis Patients with Continued Alcohol Intake May Finally Have Therapeutic Options

    [ad_1]

    Newswise — Many alcoholic pancreatitis patients continued drinking during COVID-19. University of Miami Miller School of Medicine researchers study the effects of continued alcohol intake and seek better treatment for alcohol-associated pancreatic disease.

    Researchers at the Miller School are looking for solutions to the continued effects of alcohol use, its harmful impact, and treatment. Understanding the mechanisms of alcohol abuse has gained importance, especially after the COVID-19 pandemic. Higher alcohol consumption led to an increased burden of pancreatic diseases in society.

    In a study titled “Urolithin A attenuates severity of chronic pancreatitis associated with continued alcohol intake by inhibiting PI3K/AKT/mTOR signaling,” published in the American Journal of Physiology – Gastrointestinal and Liver Physiology, researchers examine the short- and long-term consequences of this increased alcohol effect on pancreatic diseases and work together on innovative approaches to better understand how to treat pancreatitis patients with continued alcohol intake.

    Pancreatitis is inflammation of the pancreas often associated with long-term alcohol consumption, a potential risk factor for the induction of acute pancreatitis. Recurrent attacks of acute pancreatitis results in chronic pancreatitis. Each year, about 275,000 hospital stays for acute pancreatitis and 86,000 hospital stays for chronic pancreatitis occur across the U.S., according to the statistics released by the National Institute of Diabetes and Digestive and Kidney Diseases.

    Acute pancreatitis appears suddenly and can typically be resolved in days with treatment in most patients. However, acute pancreatitis can also cause severe life-threatening conditions in some cases. Recurrent episodes of acute pancreatitis instigate irreversible damage to the pancreas, causing weight loss, pain, diabetes, and even pancreatic cancer.

    Alcohol Use Spiked during COVID-19

    Total alcohol sales almost tripled in the U.S. during the COVID-19 pandemic, subsequently increasing the number of patients diagnosed with alcohol-associated pancreatitis. Excessive alcohol consumption is associated with 40-70% of pancreatitis cases. Without moderation, alcohol use harshly impacts both the liver and pancreas, causing fat accumulation and inflammation, disrupting normal function.

    With repeated episodes of binge drinking (four to five drinks in two hours), the pancreas eventually builds up scar tissues with persistent inflammation, weakening its endocrine and exocrine functions needed to digest food and regulate blood sugar levels. This chronic insult to the organ can cause excruciating pain, malnutrition, diabetes, and death.

    “We are developing novel models to study and to prevent inflammation or reverse the pancreatic damage caused due to excess alcohol intake,” said lead author Nagaraj Nagathihalli, Ph.D., associate professor of surgery in the DeWitt Daughtry Family Department of Surgery, Division of Surgical Oncology.

    Continued Alcohol Use Perpetuates Pancreatic Injury in Mice Models

    Accumulating scientific evidence suggests that continued alcohol consumption with established alcoholic pancreatitis instigates irreversible pancreatic damage due to recurrent episodes of acute pancreatitis by fostering a continuous fibro-inflammatory microenvironment within the pancreas.

    “The molecular mechanisms involved in the pathophysiology of alcoholic pancreatitis with continuous alcohol intake remains ambiguous; treatment options and preventative care strategies are restricted due to limited experimental animal models that successfully recapitulate human pancreatitis arising from prolonged or continued alcohol use after established pancreatic injury,” said Dr. Nagathihalli.

    “In this study, using an established alcoholic pancreatitis mice model, we have addressed two of the major unanswered questions with regards to the pathogenesis of pancreatitis. We’ve characterized the pancreas-specific signaling pathways in this process and determined if utilizing novel therapeutic agents can attenuate the severity of alcoholic pancreatitis progression, despite continued alcohol triggers” said first author of the study Siddharth Mehra, Ph.D., a postdoctoral fellow in the Miller School’s Department of Surgery.

    Preventing Alcohol-associated Chronic Pancreatitis May Benefit Patients with Difficulty in Alcohol Abstinence

    The microbiome has been implicated in gastrointestinal inflammation as a critical mediator of overall gut health. Urolithin A is a natural compound synthesized by gut bacteria from ingested ellagitannins, a class of hydrolyzable tannins found mainly in pomegranate, berries, and nuts. Previous work from the group has shown that Urolithin A is a potent anti-inflammatory agent in several pre-clinical disease models and exhibits anti-tumor activity in gastrointestinal cancers.

    “Our studies have demonstrated that Urolithin A is well tolerated and does not elicit any adverse toxic effects at clinically relevant doses in mice. However, despite the promising effect of Urolithin A in several malignancies and inflammatory disorders, the benefit of this microbial metabolite in the prevention of pancreatitis had not been investigated,” says Dr. Nagathihalli. The FDA recognizes Urolithin A as a “safe dietary supplement.”

    “In animal experiments, we have shown that Urolithin A can help improve the effectiveness of treating alcoholic pancreatitis despite continued alcohol intake,” said Dr. Mehra.

    Co-authors of the study include Dr. Chanjuan Shi of Duke University; Dr. Michael VanSaun of the University of Kansas; Dr. Venkatakrishna Jala of the University of Louisville; and Supriya Srinivasan, Ph.D., Samara Singh, Zhiqun Zhou, M.D., Vanessa Garrido, Ph.D., Iago Castro Silva, M.D., Tulasigeri Totiger, Ph.D., Austin Dosch, M.D., Xizi Dai, Ph.D., Rajinder Dawra, Ph.D., Jashodeep Datta, M.D., and Nipun Merchant, M.D., of the Miller School of Medicine.

    [ad_2]

    University of Miami Health System, Miller School of Medicine

    Source link

  • Increased mitochondria and lipid turnover reduces risk for liver cancer

    Increased mitochondria and lipid turnover reduces risk for liver cancer

    [ad_1]

    Newswise — Alcohol consumption and hepatitis C viral infection are known risk factors for causing hepatocellular carcinoma, the most common form of liver cancer. Apart from these, obesity-associated nonalcoholic fatty liver disease has emerged as a major contributing factor for hepatocellular carcinoma in Western societies. The mechanisms underlying obesity-induced liver cancer are not well understood.

    A new study published this week in the journal Science Advances by University of Chicago researchers showed that in a mouse model, deletion of the BNIP3 protein resulted in decreased turnover of mitochondria and lipid droplets that led to the development of fatty liver and, ultimately, liver cancer. In human liver cancer, they also showed that loss of BNIP3 expression was linked to increased lipids and worse prognosis.

    “My lab is interested in mitochondria and the turnover of mitochondria in normal physiological settings, but also in cancer. In our studies, we work on a protein called BNIP3 that functions as a mitochondrial cargo receptor,” said Kay Macleod, PhD, senior author of the paper and a professor in the Ben May Department for Cancer Research at the University of Chicago Medicine Comprehensive Cancer Center. “Normally, this protein is significantly upregulated in the liver in response to fasting in mice, where it plays a role in protecting the liver from fat accumulation; however, eliminating this protein caused fatty liver. So we studied this further to understand the underlying mechanisms of how loss of BNIP3 leads to lipid accumulation in the normal liver as well as liver cancer.”

    To understand BNIP3 involvement in the prevention of lipid accumulation and fatty liver condition, liver cancer was induced using chemical carcinogens in two sets of mice, one with BNIP3 intact and the other with BNIP3-deleted. The research team observed that tumors developed earlier and grew faster in BNIP3-deleted mice. Moreover, these tumors were full of fat, whereas tumors in BNIP3-intact mice were smaller and didn’t have lipids in them. When these tumors were followed over time, BNIP3-intact mice also developed lipid accumulation similar to that of BNIP3-deleted mice. More interestingly, BNIP3 had been silenced, suggesting that there is a selection for loss of BNIP3 in liver cancer as the disease progresses.

    These findings were consistent with human liver cancer patient data that reported a better prognosis in patients who had BNIP3 and less lipids in their tumors compared to patients who had a very high expression of genes involved in lipid synthesis. The data again suggests that BNIP3 is acting to suppress tumorigenesis in hepatocellular carcinoma by preventing lipid accumulation. Then the next question is how does BNIP3 regulate lipids?

    When BNIP3 was reintroduced using lentivirus into hepatocellular carcinoma cells that lacked BNIP3, tumor cells stopped accumulating lipids, and they didn’t multiply or grow as fast as the ones that lacked BNIP3. The researchers showed that this was happening due to BNIP3 causing turnover of lipids with mitochondria in a degradative cellular process that they call “mitolipophagy.”

    Fatty liver is a growing health issue in Western societies because of diet. “Eating too much food and eating the wrong kind of food causes extra fat to be stored in the liver. When liver cells (hepatocytes) get overburdened with lipids, they undergo death, which leads to regenerative growth of liver cells. If this process is uninterrupted, it leads to hepatocellular carcinoma,” Macleod said.

    Next, her team wondered how reduced lipid droplet turnover prevents hepatocellular carcinoma. Lipid droplets store a variety of lipids that are used to make cell membranes. If a cell is growing or multiplying, it requires a lot more membrane. BNIP3 will limit the number of phospholipids in the cell thereby limiting the lipids required for new cell generation.

    “BNIP3 is both preventing initiation of tumors and also limiting progression of tumors that are already formed by preventing them from growing faster or becoming more aggressive,” Macleod said.

    This work suggests that for a hepatocellular carcinoma to actually to form, it has to get rid of BNIP3. This implies that if there was a way to somehow prevent BNIP3 from being silenced, this could limit liver tumor growth or prevent fatty liver in the first place.

    “I think the most exciting thing is that BNIP3 does more than just promote the turnover of mitochondria. By promoting the interaction and functionality of the mitochondria, it is actually regulating other organelles in the cell,” Macleod said.

    Much attention has been paid to tumor metabolism and how to target this process in cancers. Most of that tends to focus on amino acids and glucose metabolism but not as much on lipid biology. Understanding more about how lipid metabolism is deregulated in cancer has not been as heavily researched. The researchers’ future work focuses on understanding how BNIP3 is regulated in disease conditions as well as with age. Meanwhile, they are also interested in a number of other genes that play important roles in response to nutrient stress.

    The study, “Lipid droplet turnover at the lysosome inhibits growth of hepatocellular carcinoma in a BNIP3- 3 dependent manner” was supported by NIH R01 849 CA200310 and NIH T32 CA009594. Additional authors include Damian Berardi, Althea Bock-Hughes, Alexander Terry, Lauren Drake and Grazyna Bozek from the University of Chicago.

    [ad_2]

    University of Chicago Medical Center

    Source link

  • Liver Cancer: Excessive Alcohol Use and Other Risks

    Liver Cancer: Excessive Alcohol Use and Other Risks

    [ad_1]

    Newswise — New Brunswick, N.J., October 1, 2022 – The liver is one of the most important organs in the body. It removes toxins from the blood and regulates the levels of chemicals. It excretes a product called bile which helps you digest fat. It makes clotting factors and stores sugar that the body uses for energy. Many may associate poor liver health with increased alcohol consumption but does that mean that drinking alcohol causes liver cancer? Mariam F. Eskander, MD, MPH, surgical oncologist at Rutgers Cancer Institute of New Jersey, the state’s leading cancer center only National Cancer Institute (NCI)-designated Comprehensive Cancer Center, together with RWJBarnabas Health, and assistant professor of surgery at Rutgers Robert Wood Johnson Medical School whose clinical expertise includes liver tumors, shares more information on this topic.

    Q: What is the relationship between excessive alcohol use and liver cancer?

    Heavy alcohol use is toxic to the liver. Alcohol abuse can cause irreversible damage to the liver called cirrhosis, and cirrhosis is the biggest risk factor for the development of hepatocellular carcinoma, the most common type of liver cancer. Other risk factors are chronic hepatitis B or C and nonalcoholic fatty liver disease, which can also lead to cirrhosis. Smoking is another risk factor.

    Q: What are ways to lower liver cancer risk?

    Take care of your liver! This means avoiding excessive alcohol intake, maintaining a healthy weight, and not smoking.

    Q: Are there any early signs or symptoms of liver cancer?

    Unfortunately, there are not any early signs of liver cancer. However, patients may present with abdominal pain, weight loss, nausea or vomiting, and yellowing of the skin or eyes.

    Q: Is liver cancer hereditary?

    Generally, no. There are some genetic conditions that increase the risk of developing liver cancer but they are not common. These include hereditary hemochromatosis and alpha-1 antitrypsin deficiency.

    Q: Should people who have liver cancer abstain from drinking alcoholic beverages?

    Yes, people who have liver cancer should avoid drinking alcohol. It can worsen liver function and limit treatment options. It can also increase the risk of developing another type of cancer.

    Q: What should I do if I think I’m at risk for liver cancer?

    Talk to your primary care physician about your specific risk factors and actions you can take to lower your risk. People with cirrhosis should also see a liver specialist to improve their liver health and get regular ultrasound screenings for liver cancer.

    At Rutgers Cancer Institute, the Liver Cancer and Bile Duct Cancer Program is the state’s only multidisciplinary health care group focused on liver and bile duct tumors. Learn more about our Liver Cancer and Bile Duct Cancer Program.

     

    [ad_2]

    Rutgers Cancer Institute of New Jersey

    Source link