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Health by Kathy Sena Women’s Health Update DOWNING TOO MANY SUGARY DRINKS CAN RAISE WOMEN’S RISK FOR GOUT Women who consume fructose-rich beverages, such as sugar-sweetened soft drinks and orange juice, are at an increased risk for gout, according to research presented recently at the American College of Rheumatology (ACR) Annual Scientific Meeting in Atlanta. Gout is a painful and potentially disabling form of arthritis. Initial symptoms usually consist of intense episodes of painful swelling in single joints, most often in the feet (especially the big toe). Gout occurs when excess uric acid, a normal waste product, accumulates in the body, and needle like crystals deposit in the joints. This may happen because either uric-acid production increases or, more often, the kidneys are unable to remove uric acid from the body adequately. Which leads us back to that soda on your desk… Fructose-rich, sugar-sweetened beverages may increase serum uric acid and the risk for gout. Researchers have recently noted that the prevalence and incidence of gout has been in the rise in the U.S. over the past few decades and this has coincided with a substantial increase in soft drink and fructose consumption. So they examined, over a 22-year period, the relationship between the intake of these beverages and the risk of gout in 78,906 women who were participants in the Nurses’ Health Study. They used a questionnaire to determine if participants met any of the ACR’s criteria for gout and estimated each participant’s future risk for gout after considering things such as age, total caloric intake, alcohol consumption, body mass index, menopause status, the use of hormonal replacement, the use of diuretics, history of high blood pressure, total vitamin C intake, and the daily intake of meats, seafood, dairy products and coffee. In the 22 years’ worth of data they examined, researchers noted 778 confirmed cases of gout. They also noted that increasing the intake of fructose-rich drinks was independently associated with increasing a woman’s risk of gout. When the participants in the study who consumed one serving of sugar-sweetened soft drinks a day were compared with those who had less than one serving per month, they were found to have a 1.7-fold increased risk of gout. Those who consumed two or more Researchers have recently noted that the prevalence and incidence of gout has been in the rise in the U.S. over the past few decades and this has coincided with a substantial increase in soft drink and fructose consumption. servings per day were at a 2.4-fold increased risk. (When looking at diet soft drinks, researchers found no association with an increased risk of gout.) Researchers also made these comparisons for those who drink orange juice, a common source for naturally-occurring fructose. Participants who consumed one serving of orange juice a day were at a 1.4-fold increased risk of gout and those who consumed two or more servings per day were at a 2.4-fold increased risk. “From a public-health viewpoint, we are particularly concerned about sugar-sweetened sodas, whose consumption has grown so much over the past few decades. It is possible that this increased consumption has contributed in part to the doubling frequency of gout in our society during the same period,” says Hyon Choi, M.D., a rheumatologist at the University of British Columbia and lead investigator for the study. WANT LOWER BODY FAT EAT MORE WHOLE GRAINS, CUT BACK ON REFINED GRAINS People who consume several servings of whole grains per day, while limiting daily intake of refined grains, appear to have less of a type of fat tissue thought to play a key role in triggering cardiovascular disease and type 2 diabetes, a new study suggests. Researchers at the Jean Mayer USDA Human Nutrition Researcher Center on Aging (USDA HNRCA) at Tufts University observed lower volumes of visceral adipose tissue (VAT) in people who chose to eat mostly whole grains instead of refined grains. The researchers examined diet questionnaires submitted by 2,834 men and women enrolled in The Framingham Heart Offspring and Third Generation studies. The participants then underwent scans to determine fat in their tissues. “VAT volume was approximately 10 percent lower in adults who reported eating three or more daily servings of whole grains and who limited their intake of refined grains to less than one serving per day,” says study author Nicola McKeown, Ph.D., a scientist with the Nutritional Epidemiology Program at the USDA HNRCA. “For example, a slice of 100-percent whole wheat bread or a half cup of oatmeal constituted one serving of whole grains and a slice of white bread or a half cup of white rice represented a serving of refined grains.” MEDICAL-TEST RESULTS: WHAT YOU NEED TO KNOW TO PROTECT YOUR HEALTH Whether you’re healthy or ill, there are a variety of medical tests your doctor might recommend for you. A yearly checkup often includes routine tests such as blood sugar and cholesterol levels, vision and hearing assessments, tests for heart function and others used to monitor a 10 • LONG ISLAND WOMAN • September 2011 To advertise: 516-505-0555 x1 or ads@liwomanonline.com
Feel Younger Again… End Urinary Incontinence PUT AN END TO THOSE EMBARRASSING MOMENTS Seven Minutes that Will Change Your Life The 7minute Sling A minimally invasive procedure that will restore continence and have you back doing the things you used to do. This is an easy treatment that lasts. Minimally invasive treatments for overactive bladder, leaking with coughing, sneezing or activity and during intercourse. Stop worrying where the next bathroom is. We also offer: Botox treatments for overactive bladder medical as well surgical treatments. 226 North Belle Mead Rd., East Setauket • 631-675-2810 792 Harrison Ave., Riverhead • 631-591-3120 300 Atlantic Ave., Greenport • 631-477-1885 www.7minutesling.com Good Advice End Urinary Incontinence by Scott M. Press, M.D Scott M. Press, M.D. P.C. Certified by the American Board of Urology Fellow American College of Surgeons One of the few physicians on Long Island trained to do Interstim Sacral Nerve Neuromodulation therapy. So many of my patients are young mothers with young children. They have experienced the thrill and the agony of labor, enjoyed nursing, and endured diaper changes. Now as they enter the “soccer mom” years, life enters a new phase. Moms want to get to play and enjoy sports with their kids (ie. soccer, baseball, basketball, skiing etc.), they want to get to go to the gym, run, and exercise to get back to pre-baby shape. Unfortunately for many women in this situation, urinary control problems can rear their ugly head and deprive many women of this important time. Now there is something that can be done that with a small investment of time can restore urinary control forever. Stress incontinence is urine that leaks out during laughing, coughing, sneezing or vigorous activity. It can be caused by many factors but one of the most common is childbirth. After child birth many women complain that they leak urine when they laugh or cough. This unfortunately can progress to losing urine during physical activity such as playing with the kids, working out at the gym or while being intimate. The natural response to this leaking problem is to compensate by avoiding these activities. So many women in my practice complain that they just want to be able to go to the gym and go on the elliptical machine or kick box without worrying about leaving a wet spot on their workout clothes. This can be very embarrassing. Many women tell me that when they are chasing their kids around the house or Everyone wants to be able to laugh without worrying about needing to wear a pad. advertisement at soccer, they have to consciously think about holding in the urine otherwise an embarrassing stain can result. This has the effect of making women feel old before their time. Many women stop doing the things that active young women do and become sedentary. Everyone wants to be able to laugh without worrying about needing to wear a pad. Most women who come to my office are surprised that there are minimally invasive treatments available that can restore their urine control and allow them to get back to doing the things that they loved but had to put on hold. The state of the art in treatment of stress incontinence is the vaginal tape procedure. The procedure is minimally invasive with minimal recovery time. It is done as an outpatient and is performed so easily and quickly that I call it the 7 minute sling. Patient come in the morning for the procedure and are out before noon. When they leave, they are dry immediately. Soreness and downtime is so minimal that many women do not even require pain medication. What a surprise and thrill the first time a woman coughs and nothing leaks out. Women are back to their activities in no time. Of all the procedures that I do, this is the procedure that time and again I hear changed a patient’s life. Moms are returning to the gym and chasing their children free of any worry about urinary control. They can keep up with their kids without leaving anything behind! Contact Dr. Press at 631-675-2810. 226 North Belle Mead Rd., East Setauket. www.7minutesling.com To advertise: 516-505-0555 x1 or ads@liwomanonline.com LONG ISLAND WOMAN • September 2011 • 11
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Wendie Malick

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