Showing posts with label Teens. Show all posts
Showing posts with label Teens. Show all posts

Thursday, 1 August 2013

Diets lacking omega-3s lead to anxiety, hyperactivity in teens

Main Category: Nutrition / Diet
Also Included In: Anxiety / Stress;  Pediatrics / Children's Health;  Schizophrenia
Article Date: 31 Jul 2013 - 1:00 PDT Current ratings for:
Diets lacking omega-3s lead to anxiety, hyperactivity in teens
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Diets lacking omega-3 fatty acids - found in foods like wild fish, eggs, and grass-fed livestock - can have worsened effects over consecutive generations, especially affecting teens, according to a University of Pittsburgh study.

Published in Biological Psychiatry, the Pitt team found that in a rodent model second-generation deficiencies of omega-3s caused elevated states of anxiety and hyperactivity in adolescents and affected the teens' memory and cognition.

"We have always assumed that stress at this age is the main environmental insult that contributes to developing these conditions in at-risk individuals but this study indicates that nutrition is a big factor, too," said Bita Moghaddam, lead author of the paper and professor of neuroscience in the Kenneth P. Dietrich School of Arts and Sciences. "We found that this dietary deficiency can compromise the behavioral health of adolescents, not only because their diet is deficient but because their parents' diet was deficient as well. This is of particular concern because adolescence is a very vulnerable time for developing psychiatric disorders including schizophrenia and addiction."

Performing experiments in rats in Moghaddam's laboratory, the research team examined a "second generation" of omega-3-deficient diets, mimicking present-day adolescents. Parents of many of today's teens were born in the 1960s and 1970s, a time period in which omega-3-deficient oils like corn and soy oil became prevalent, and farm animals moved from eating grass to grain. Since omega-3s are present in grass and algae, much of today's grain-fed cattle contain less of these essential fatty acids.

The Pitt team administered a set of behavioral tasks to study the learning and memory, decision making, anxiety, and hyperactivity of both adults and adolescents. Although subjects appeared to be in general good physical health, there were behavioral deficiencies in adolescents that were more pronounced in second-generation subjects with omega-3 deficiencies. Overall, these adolescents were more anxious and hyperactive, learned at a slower rate, and had impaired problem-solving abilities.

"Our study shows that, while the omega-3 deficiency influences the behavior of both adults and adolescents, the nature of this influence is different between the age groups," said Moghaddam. "We observed changes in areas of the brain responsible for decision making and habit formation."

The team is now exploring epigenetics as a potential cause. This is a process in which environmental events influence genetic information. Likewise, the team is exploring markers of inflammation in the brain since omega-3 deficiencies causes an increase of omega-6 fats, which are proinflammatory molecules in the brain and other tissues.

"It's remarkable that a relatively common dietary change can have generational effects," said Moghaddam. "It indicates that our diet does not merely affect us in the short-term but also can affect our offspring."

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our nutrition / diet section for the latest news on this subject.

Other Pitt researchers involved in the study include Gonzalo Torres (ENGR ’81), associate professor of neurobiology, and, from the Moghaddam laboratory: Corina Bondi, postdoctoral fellow; Jody Tock, laboratory technician; and Nelson Totah (A&S ’12G), now a postdoctoral fellow at Max Planck Institute for Biological Cybernetics. The team also included, from the National Institutes of Health, Stanley Rapoport, senior investigator and chief of the brain physiology and metabolism unit; Ameer Taha, visiting fellow; and Yewon Cheon, program coordinator.

“Adolescent behavior and dopamine availability are uniquely sensitive to dietary omega-3 fatty acid deficiency.” Corina O. Bondi, Ameer Y. Taha, Jody L. Tock, Nelson K.B. Totah, Yewon Cheon, Gonzalo E. Torres, Stanley I. Rapoport, Bita Moghaddam, Biological Psychiatry published online 29 July 2013, doi:10.1016/j.biopsych.2013.06.007.

This research was supported by grants from the U.S. National Institute of Health and the National Institute on Aging Intramural Research Program.

University of Pittsburgh

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Identifying teens at risk for PTSD following traumatic events

Main Category: Anxiety / Stress
Also Included In: Pediatrics / Children's Health;  Psychology / Psychiatry
Article Date: 31 Jul 2013 - 1:00 PDT Current ratings for:
Identifying teens at risk for PTSD following traumatic events
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While most children cannot be shielded from emotionally traumatic events, clinicians can target those who are most vulnerable to developing post-traumatic stress disorder (PTSD), according to a large study from Boston Children's Hospital. Findings appear online in the August issue of the Journal of the American Academy of Child & Adolescent Psychiatry, accompanied by an editorial.

Researchers led by Katie McLaughlin, PhD, of the Departments of Pediatrics and Psychiatry at Boston Children's, analyzed data on 6,483 teen-parent pairs from the National Comorbidity Survey Replication, a survey of the prevalence and correlates of mental disorders in the United States.

Overall, 61 percent of the teens (ages 13 to 17) had been exposed to at least one potentially traumatic event in their lifetime, including interpersonal violence (such as rape, physical abuse or witnessing domestic violence), injuries, natural disasters and death of a close friend or family member. Nineteen percent had experienced three or more such events.

Risk factors associated most strongly with trauma exposure included:

Lack of both biological parents in the home. Pre-existing mental disorders, particularly behavioral disorders like attention-deficit hyperactivity disorder (ADHD) and oppositional defiant disorder.

Of all teens exposed to trauma, 4.7 percent had experienced PTSD under DSM-IV diagnostic criteria. Risk factors for PTSD included:

Female gender: Of the total sample, girls had a lifetime prevalence of PTSD of 7.3 percent, and boys 2.2 percent. Events involving interpersonal violence: the lifetime prevalence of PTSD was 39 percent for teens who had been raped and 25 percent for those physically abused by a caregiver. Underlying anxiety and mood disorders (also a risk factor for exposure).

Risk factors for lack of recovery from PTSD included underlying bipolar disorder, exposure to an additional traumatic event, living in poverty and being a U.S. native.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our anxiety / stress section for the latest news on this subject.

Katie A. McLaughlin, Ph.D., Karestan C. Koenen, Ph.D., Eric D. Hill, M.S.P.H., Maria Petukhova, Ph.D., Nancy A. Sampson, B.A., Alan M. Zaslavsky, Ph.D., Ronald C. Kessler, Ph.D., Trauma Exposure and Posttraumatic Stress Disorder in a National Sample of Adolescents, Journal of the American Academy of Child & Adolescent Psychiatry, doi:10.1016/j.jaac.2013.05.011

Boston Children's Hospital

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Tuesday, 30 July 2013

Teens' kidney transplants more likely to fail

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Academic Journal
Main Category: Transplants / Organ Donations
Article Date: 30 Jul 2013 - 0:00 PDT Current ratings for:
Teens' kidney transplants more likely to fail
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Adolescents who have their first kidney transplant between 14 and 16 years of age could have a higher risk of transplant failure, according to a study published in the journal JAMA Internal Medicine.

Researchers from the University of Florida, Gainesville, analyzed 168,809 patients between 1987 and 2010. All participants had their first kidney transplant and their ages ranged up to 55.

Data was analyzed from the Organ Procurement Transplantation Network Standard Transplant Analysis and Research Database.

The study population characteristics analyzed in the study included the recipients' sex, race and insurance type, and the donors' living vs deceased status, sex, health and their combined Human Leukocyte Antigens (HLA) match information.

Results of the study showed that patients aged between 14 and 16 years had the highest risk of graft loss of all age groups.

The researchers found that graft loss started at 1 year after the transplant was carried out, and increased at 3-, 5- and 10-year points.

The study also revealed that black adolescents have an even higher risk of graft failure, compared with non-black adolescents.

The study authors say that using age at transplant as the risk factor, there was a decreasing relative hazard of graft failure in different insurance groups.

The researchers found the following range, in order of highest to lowest, for graft failure risk:

Deceased donor - government insurance groupDeceased donor - private insurance groupLiving donor - government insurance groupLiving donor - private insurance group

They add that in the death-censored analysis, this order of risk was consistent from infancy to 55 years of age.

Additionally, the results showed that among 14-year-old patients, there was an increased death risk of 175% in the deceased donor-government insurance group, compared with the living donor-private insurance group.

The researchers conclude that comprehensive programs are needed for adolescent transplant recipients, as current medical literature "does not adequately describe the risks of graft failure among kidney transplant recipients by age."

They say: "The realization that this age group is at an increased risk of graft loss as they are becoming young adults should prompt providers to give specialized care and attention to these adolescents in the transition from pediatric to adult-focused care."

The researchers conclude:

"Implementing a structured health care transition preparation program from pediatric to adult-centered care in transplant centers may improve outcomes."

Written by Honor Whiteman


Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today Visit our transplants / organ donations section for the latest news on this subject.

"Age-related kidney transplant outcomes health disparities amplified in adolescence," JAMA Internal Medicine, July 29, 2013.

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'Teens' kidney transplants more likely to fail'

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View the original article here