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March 2005

Exercise may be best treatment for depression
The Mental Health Foundation in it's report "Up and Running", says exercise might well prove to be a more effective treatment for some forms of depression than pills, and GPs should be offering all patients with depression a programme of exercise to help overcome their symptoms.
The report by the charity marks the start of a year-long campaign calling for more exercise therapy for people with mild or moderate depression and comes amid growing concern about the side-effects and over-prescribing of antidepressants in the UK.
Dr Andrew McCulloch, MHF chief executive, says many patients with mild or moderate depression who ask their GPs for help are currently being denied an effective treatment option - exercise referral, and though there are some obstacles standing in the way of exercise on prescription, they're not insurmountable. McCulloch says that society needs to be educated about the benefits of exercise in treating mild or moderate depression, and GPs need to be made aware that exercise referral is available.

30 March 2005

Source

Modern life spawns twin menace to children
A decade ago, a child with type 2 diabetes would be such a rarity that the case probably would be written up in a medical journal, says pediatric endocrinologist Francine Kaufman. Today, such children fill her clinic at Children's Hospital in Los Angeles.
The twin epidemics of diabetes and obesity in children and young adults have created an international public health problem, she says. To stop it, “we need to redefine progress.”
Americans see progress “in terms of the quantity rather than the quality of our food,” she writes in Diabesity (Bantam, $27), a book whose name expresses the link between diabetes and obesity.
“We've also defined progress as the elimination of any requirement for physical activity in our jobs and for transportation, ignoring its importance for our health.
“And thanks to this brand of 'progress,' we've managed to devise a world designed to kill us.”

If there were no obesity, type 2 diabetes, the most common form of the disease, would be rare, she says. Instead, more than 18 million Americans have it. Another 41 million are pre-diabetic, with blood sugar levels higher than normal.
“This generation of children growing up may be the first to live shorter lives than their parents,” Kaufman says.
More children are seriously overweight than ever, Kaufman says, and that is leading to type 2 diabetes, which until recent years was thought to occur only in middle age or later. Because they're getting diabetes early, these children risk suffering its complications early in life, she says.
Of the estimated 18 million Americans with diabetes, 5.2 million are not diagnosed. Untreated, the disease silently damages blood vessels and organs. The Centers for Disease Control and Prevention (news - web sites) estimates that men who have diabetes before age 40 lose more than 11 years of their expected life span; women lose more than 14 years.
“Diabetes is not a little bit of a problem. It's a huge problem for the people who have it,” she says. “If they don't address it, they're destined to take layer on layer of medications and still risk losing their eyesight or limbs or having a heart attack or stroke.”

It's society's problem, too, she says. Diabetes consumes one of every seven health care dollars; it cost $92 billion in 2002. Add in lost wages and productivity, and the bill comes to $137.7 billion, she says.
Kaufman recommends specific actions, such as getting soft drinks and unhealthful snacks out of school vending machines; limiting children to two hours a day in front of a screen, whether computer or TV; increasing outdoor play time; and reinstating gym classes in schools.
But she says turning a society away from sugar, salt and fat to whole grains and lots of exercise will take education and a change of social norms: Make it socially unacceptable to offer a dinner guest a fatty meal with high-calorie dessert. Instead of lunching with the ladies, meet them for a hike.
Kaufman knows that for many people, fresh vegetables are too expensive, and people who work long hours have little time to cook healthful meals. In some communities, finding a safe place for a daily walk or for kids to play is not easy.
“Lots of people feel that anyone who is overweight or has type 2 diabetes, it's their fault, that someone chooses to live this way,” she says. “I've dealt with kids long enough and have seen what's available to them” in schools, their neighborhoods and at home.

Things are starting to change for the better, at least in some areas, Kaufman says. She cites programs to encourage walking and fitness, communities that open school gyms and running tracks to the public, and classes that teach people how to read a nutrition label and understand portion sizes.
“We're at a critical crossroads,” she says. But “if we can continue to gather evidence that these interventions make a difference, we can start to push change. This is within our reach.”

Anita Manning
21 March 2005

Source

US Study: More young teens use inhalants

Nearly one of every dozen 12- and 13-year-olds has used inhalants such as glue or shoe polish to get high, a government study says.
The data collected in 2002 and 2003 indicated inhalant use is far more prevalent than parents realize, officials said Thursday. Figures from 2003 show that a higher percentage of 12-13 year-olds used inhalants than marijuana.

“While overall drug use among young people has declined substantially over the past three years, we must not lose our focus,” said John Walters, director of the White House Office of National Drug Control Policy. “Inhalant abuse remains a dangerous and potentially deadly behavior that parents need to be aware of.”

The findings came from data collected in the National Survey on Drug Use and Health. The survey defines inhalants as “liquids, sprays, and gases that people sniff or inhale to get high or to make them feel good.” Most common inhalants are glue, shoe polish, gasoline and spray paint.
The study also found that young people who used inhalants were about five times more likely than other youths to have used other illicit drugs. They also were six times as likely to have stolen or tried to steal something valued at more than $50.

A separate study by the Partnership for a Drug-Free America found that parents significantly underestimate their children's vulnerability to inhalant use. The study said only 4 percent of parents of children in the sixth through eighth grades believe their child has used an inhalant.
But the partnership's data indicated about 22 percent of children in those grades, generally ages 12 through 14, said they had tried inhalants.

March 17, 2005

Source

Pettigrew Introduces Bill To Limit The Use Of Force In Public Schools

Legislator proposes bill emphasizing accountability in district-security standards
In response to the incidents brought forward by the Seattle/King County NAACP last year, State Representative Eric Pettrigrew (D-37) has introduced legislation that, if passed, will establish firm procedures for the use of force and physical restraints -- including handcuffs -- against students in Washington state public schools.
“Yes, schools have a responsibility to protect children — as well as teachers and other school staff — from young people who are being violent or threatening to be violent,” said Pettigrew. “What I’m saying with this measure is that I want — and everyone should want — the adults who deal with our children and our neighbor’s children to be held accountable for their actions.”
The bill (HB 1892) encourages schools and districts to consider school discipline and security models in which counselors and prevention/intervention specialists, along with school building administrators and other school security personnel, if employed, and school resource officers, if present, are trained and work as teams of experts in diffusing anger, de-escalating conflict, and reducing violent behavior within their schools.

The bill limits the use of physical restraint to what it termed as “reasonable force” only when: (1) the person’s behavior poses a threat of imminent, serious, physical harm to self or to others; and (2) school personnel must believe that non-physical intervention would not be effective in removing the imminent threat of harm. In addition, the bill prohibits the use of physical restraint as a means of punishment or As a disciplinary response to destruction of school property, disruption of school or classroom order, noncompliance with a school rule or staff directive, or communication of a verbal threat that does not constitute a threat of imminent, serious, physical harm.
The legislation limits — with very few and very clearly defined exceptions — the use of physical restraint in our public schools,” he said. “One exception would be if the physical restraint is consistent with a student’s individual education plan. Also, the proposal does not prohibit commissioned law-enforcement officers — including school-resource officers and judicial authorities — from exercising their authority or executing their responsibilities, which might include the physical detainment of a student.”

Pettigrew, D-Seattle, has worked on the legislation with parents and school officials.
“The point of this legislation is to preserve a safe learning environment for all students — and for all teachers and other school staff,” he explained. “We know that a safe learning environment requires the establishment and enforcement of appropriate and accountable policies for student discipline.
“A school’s culture and climate will determine the quality of interaction between students, school-staff, volunteers, and, of course, parents,” he added. “The school environment greatly affects the level of disciplinary activity that goes on inside a school. Sometimes, a district’s board of directors might determine that it’s appropriate to employ school-security personnel in order to preserve a safe learning environment.”
Pettigrew’s legislation directs individual schools and school districts to consider models for school discipline and security. These models in turn would direct the work and training of school counselors and prevention or intervention specialists, school administrators, and other security personnel.
“My proposal is aimed at building a framework for appropriate training of adults with whom we trust our children for hundreds of hours every year,” the Seattle lawmaker said. “Our goal is simple: School-staff should work as a team in diffusing anger, de-escalating conflict, and reducing violent behavior in our schools.
In every school, according to terms of Pettigrew’s bill, the principal must meet at least once a year with school staff — including any school-security officers or school-resource officers who work there — to develop or review the building’s disciplinary standards and uniform enforcement of these standards.
“My legislation simply calls on our schools to establish firm, accountable procedures for the use of force and physical restraints in dealing with unruly students.”
Pettigrew’s bill is scheduled for a public hearing on Weds., Feb. 16, 2005 at 8 a.m. in Hearing Room B at the John L O'Brian Building in Olympia. The community is encouraged to call or write their legislators in support of this bill.

The Seattle Medium

Originally posted 2/16/2005

Source

Some herbs may help ease children's ills
Certain herbal supplements show promise for treating children's colds, skin allergies and sleep problems, according to a new research review.
On the other hand, the study found, some of the most popular botanical products, including echinacea, garlic and cranberry supplements, do not have the evidence to back them up.
But even with herbs that have some supporting evidence, parents should be careful about giving the products to their children, cautioned Dr. Gail Mahady, a researcher at the University of Illinois at Chicago and the study's lead author.
“They need to recognize that treatment of any disease with an herbal medicine is really drug therapy, not dietary supplementation,” she told Reuters Health.

Among the herbs that Mahady and her co-investigators found promising was Andrographis paniculata, a plant long used in traditional Chinese and Indian medicine for treating the common cold, flu and other infections. In one clinical trial, children given the herb daily for three months had roughly half as many colds during the third month as children given a placebo. Other herbs with at least some research evidence to support them included evening primrose oil, valerian root and ivy leaf, according to findings published in the Journal of Pediatrics.
Many herbal products have not been well studied, particularly for use among children. But the new review shows there are botanicals on the market that may well aid in childhood illness, according to Mahady.
Those are the products that researchers should be “actively investigating,” she said.

Evening primrose oil is derived from an American wildflower and is rich in essential fatty acids. Three clinical trials have looked at the botanical's effectiveness for children's atopic eczema, an allergic condition that causes patches of skin to become inflamed, dry and extremely itchy. Overall, according to Mahady and her colleagues, the research suggests evening primrose oil may help with the condition.
Valerian is an herbal sedative, and only one clinical trial has assessed the effects of the extract in children, according to the review. But that small study found that the herb improved sleep patterns among boys with learning deficits and hyperactivity.
Extracts of ivy leaf are used to treat upper respiratory problems, and Mahady and her colleagues found some evidence that the herb may help improve breathing difficulties in children with asthma or chronic bronchitis.
In contrast, Mahady said, the evidence for the popular cold fighter echinacea is mixed, and cranberry juice and supplements have not been proven to help prevent or treat children's urinary tract infections. Similarly, there's no evidence that garlic can improve cholesterol levels among children with a strong family history of high cholesterol.
Like drugs, herbal products come with safety concerns, Mahady pointed out. Echinacea, for example, can trigger allergic reactions in children who already have allergies. Mahady said that, in general, parents of children with asthma or other allergies should be particularly careful about giving them herbal supplements, as plants are a common allergy trigger.
Getting the advice of a doctor, pharmacist or other health professional before using an herb, Mahady said, “will only be beneficial to the child.”

Journal of Pediatrics

Amy Norton
16 March 2005

Source

Teens need adult help in decision-making

Dangers: Brains under construction
Modern science is proving what parents have suspected for years: Teenagers' brains aren't like those of adults.
Teens who routinely get sidetracked and forget to take out the trash or who show other lapses in judgment that lead to household mayhem may be doing more than just tweaking an adult authority figure.
Far from being hard-wired at puberty, teen brains are still growing, affecting everything from risk perception to their ability to plan and control impulses, health experts say.
“We used to believe that children's brain development occurred very much early on during uterine growth and within the first six years of life,” said Vaughn Rickert, professor of population and family health at Columbia University's Mailman School of Public Health.
“What we have discovered in the last two to three years is that adolescent brains do change, and there is a wave of growth that does occur during the adolescent years.“
Just as kids go through a growth spurt where they shoot up in height and fill out into more adult-like proportions, the brain has its own timetable, which varies among teens. Changes in the brain's frontal lobes, largely responsible for controlling impulses and measuring risk and reward, are among the most dramatic, according to brain scans performed on teens at the National Institutes of Health.
“It appears that reasoning and problem-solving skills are among the last abilities to mature in the brain,“ Rickert said.
The research may have implications for a wide range of social and health-related concerns, including why teens can't seem to get enough sleep.
The route to full adult abstraction from child-like concrete thinking may be bumpy at best, but there are things adults can do to make the transition as healthy for kids as possible.
The first is identifying what constitutes “normal” teenage behavior, which comes in three stages: early, middle and late adolescence, said Dr. Barbara Staggers, director of adolescent medicine at the Children's Hospital & Research Center at Oakland, Calif.

Early adolescents tend to deal with situations on instinct and hang out with same-sex friends, she said. They may be monosyllabic and giggle a lot, especially when under stress.
Teens in the earliest phase may perceive the social risk of not going along on a joyride or joining a gang as higher than the physical risk, making them vulnerable to peer pressure, Staggers said.
“These are kids you have to repeat and role-play with so when something happens they can” respond appropriately, she said, suggesting parents ask, “'How are you going to say no to me? How do you not get into a situation where you feel like you have to do something?'... The fact that they don't think about consequences puts them at risk.”

Middle adolescence: Teens in the middle stage are trying to separate from adults, and can present the biggest challenges by pushing their buttons with all manner of rebelliousness, Staggers said. “This is the age group you want to duck and cover.”
But turning away from them when they get confrontational is a mistake, she said. “They can give you the beginning of a plan and the end of a plan but the middle makes no sense. They want to be a lawyer, but they're getting C's and D's.”
“What you have to do is present options and opportunities and help them through the decision-making process,” Staggers said. “Getting them to make good decisions is critical.”

By late adolescence, kids are less concerned about fitting in with peers and more able to plan and follow through, she said. What they lack is experience from which to draw life lessons.
Parents should make sure they're treating each child based on his or her needs, said Dr. Andrea Marks, president of the Society for Adolescent Medicine and a New York-based teen-medicine specialist.
“One of the most important things for an adult or parent is to tune in to the individuality of the child, to try to get to know the child's interests, temperament, strengths, weaknesses,” Marks said. “Very often a parent will have two children and they're extremely different but the parent wants one to be like the other.”

Health and cars
Safety is a natural concern as kids test the waters of adulthood. Accidents and unintentional injuries were the leading causes of death for kids age 15 to 19 in 2001, followed by suicide and homicide, according to the most recent statistics from the Centers for Disease Control and Prevention.
The risk for car crashes is higher among those 16 to 19 than any other age group, and auto wrecks account for two out of five deaths among U.S. teens, the CDC says. More than 4,700 kids ages 16 to 19 died of car-crash injuries in 2001.
And it's not just teenage boys driving the problem. Teen girls have been catching up to their male counterparts in terms of accident rates, said Jeanne Salvatore, vice president of consumer affairs for the Insurance Information Institute, a trade group.
“Unfortunately, what we're seeing is not that teenage boys are getting better, but young girls are getting worse,” she said, noting she doesn't know if that's been reflected in the rates yet.
Adults can help teens by rewarding them when they show good judgment, Staggers said. “We are very good at socially punishing kids. We're not good at giving rewards.”
A study from Tufts University published in the February edition of the Journal of Early Adolescence suggests a model for positive youth development that highlights “the five C's:” Competence, confidence, connection, character, caring and compassion. The report says adults need to develop a vocabulary to discuss positive youth development as more than the absence of problem behaviors.

Kristen Gerencher
14 March 2005

Source

Tattoos. They're everywhere and impossible to miss — especially at local high schools.
Distinctive marks once found on sailors, prisoners and roughnecks, tattoos are now mainstream enough for teenagers. An estimated 15 percent of children from ages 13 through 18 have some sort of tattoo, an expert says.
The legal age for getting a tattoo or piercing in Florida is 18, but younger teens can get them legally with a signed, notarized form from a parent. Some studios will tattoo teens to reduce the chance they get hepatitis or infections from amateur tattoos.
Some studios will not touch teenagers unless they are 18 or older, even with consent.
“There are too many problems,'' says Blake Russell, manager of the Blue Devil Tattoo Gallery on Seventh Avenue in Ybor City.
Russell won't tattoo anyone younger than 18.
“It's too permanent,'' he says. “They're minors, and they don't need to get tattoos.''
Myrna Armstrong, a nursing professor at Texas Tech University, has been studying tattoos since 1994. Until about 20 years ago, tattoos often identified their owners as unsavory. Any teen wearing one was perceived to be a poor student.
But Armstrong's research indicates that tattoos and bad grades don't necessarily go hand in hand. Sixty percent of those tattooed in a study of 23 high schools around the United States a decade ago were “A'' and “B'' students, she says. Not surprisingly, they tend to be bigger risk takers.
“This isn't something being done by a deviant group,'' Armstrong said Tuesday. “It's broad; it's mainstream.''
Tattooing and body piercing are ways for teens to give themselves a stronger sense of self, Armstrong says.
“It makes them feel special,'' she says. “They think their particular design gives them self-identity.''
The increase in teens with tattoos matches that among their older counterparts. One in five college students has a tattoo, Armstrong says. Among older adults, the rate is one in seven people.

Designs More Creative
Not only has the number of tattooed teenagers increased, but the designs are growing more creative than the standard butterfly or rosebud.
William Prescott, a senior at Robinson High School, has a tattoo on his back in memory of his dad.
“I wanted something permanent to honor my dad, and what's better than a tattoo?'' said Prescott.
Other designs come from bands and hobbies.
Chrystal Campbell, a 17-year- old junior at Robinson, has four tattoos. One, of pinup model Bettie Page, is on her right shoulder. Campbell has a star above each ankle and the logo of her favorite band, A Perfect Circle, on the back of her neck. Each has different significance.
“I incorporate them with my life,'' Campbell says. “Pinup girls are my hobby ... and music is a big part of my life also.''
 
Critical Feedback
Not every design that teenagers want is a good idea. Tampa tattoo artist Carol Schaefer has been tattooing for 28 years and will not hesitate to give a customer critical feedback.
“I'll tell them to rethink it; they may not want it in six months, or mom and dad may not approve,'' Schaefer says. “But you can't always talk them out of it.''
At one time, parents universally objected to the idea of tattoos. “Now they're letting their teens get tattoos and piercings for good report cards,'' Schaefer says.
“If they want it and they're good [students], how can you say no?''
Jenni Graff has a heart surrounded by tribal markings on the small of her back. The 17- year-old Robinson junior got hers when she was 16.
She had expected her parents to say no, since they told her brother he'd have to wait until he was 18. But her father relented and her mother, Vicki, agreed to go with her to Moniques Tattooing & Body Piercing in Ybor City.
Once they got there, mom was talked into getting one as well. She picked a long-stem rose with a butterfly. The tattoo is on her shoulder.
Jenni's friends were agog at the fact she was able to get her parents' approval. Vicki said she didn't tell her parents that their granddaughter was tattooed with her approval.
“I call it our mother-daughter bonding experience,'' Vicki says. “Not too many mothers and daughters can say they got tattoos together.''

Leslie Hatton
11 March 2005

Source

A victory for children
A student nutrition bill passed recently by the Kentucky Legislature wasn't everything it could have been, but it is a good compromise that will improve our children's health — while also ending some of the hypocrisy that exists in some schools.
In biology and health classes, we teach the importance of diet. At lunch time, we give students fried foods, junk-food snacks and soft drinks. Little wonder Kentucky's collective health is atrocious. We're among the national leaders in obesity, juvenile diabetes, heart disease and rotten teeth, not to mention smoking rates.
It's taken four years to get the state Senate to follow the House's leadership in recognizing the need for a school nutrition law. The compromise bill, which passed the House 63-23 and the Senate 23-7, now goes to Gov. Ernie Fletcher for his signature. Among other things it:

  • Bans the sale of soft drinks to elementary school pupils during the school day, although it allows sales after hours and at extracurricular events. The state Board of Education would regulate drinks sold in machines in middle and high schools.
  • Limits the sale of retail fast food, such as pizza made by a retailer, to one day a week, although schools can still serve deep-fried items.
  • Requires local site-based decision-making councils to develop “wellness policies'' that would include physical activity for elementary schoolchildren each day. Up to 30 minutes of exercise could be counted as part of the instructional day.
  • Requires school food service directors to be certified.
  • Calls on the state school board set nutritional standards for items sold in vending machines and in a la carte lines in all schools.
  • Requires schools to report to parents once a year on nutrition standards and physical activity.

Previous nutrition bills had outlined specific requirements for food and drinks sold in vending machines. Some school officials had objected to changes in vending machine contracts and the physical activity requirements, bemoaning the loss of local control and potential loss of money. We hope they come around and see that this is about more than money.
This bill doesn't finish the campaign to improve our children's health. Gov. Fletcher must still sign the bill, schools must make a commitment to implementing the new rules, and the state must still set the nutritional standards.
And, above all, parents must take their cue from the schools and implement healthy habits where the real responsibility lies — at home.

14 March 2005
Source

Witnessing violence can harm child's body, mind
Children who witness violence in their community or at home face increased risks of both emotional problems and physical illness, researchers report.
As reported in the March issue of the Journal of Pediatrics, researchers at the University of Michigan interviewed the mothers and teachers of 160 children from low-income, single-mother families enrolled in Head Start programs in two Michigan counties.
They found that 65 percent of the 4-to-6-year-olds had been exposed to at least one incident of violence in their communities. These incidents ranged from shootings, stabbings and rapes, to beatings and chasings.
The study also found that 47 percent of the children had been exposed to at least once violent incident within their own families, such as domestic violence or child maltreatment.
Those experiences had consequences: According to the researchers, 90 percent of children exposed to violence experienced traumatic stress reactions, including nightmares, bed-wetting, or thumb-sucking, while 20 percent were at high risk for developing post-traumatic stress disorder.
Nearly a third of the children in the study had allergies, asthma or attention deficit hyperactivity disorder. These health problems were much more likely in children who'd experienced violence within the family, the study found.
Children who had gastrointestinal problems or asthma were nearly four times as likely to be diagnosed with post-traumatic stress disorder than children who did not have those particular health problems, the researchers added.
The Michigan team said it's unclear whether post-traumatic stress causes illness or vice-versa. And they added that the overall health and substance abuse habits of mothers were also big factors in predicting child health problems.
Clinical interventions to increase the health and safety of such single mothers may improve their ability to care for their children, the study authors suggested. Treating affected children for traumatic stress symptoms may also go a long way to improve their health and well-being, they said.

Journal of Pediatrics

10 March 2005
Source

TV, Computers a 'Full-Time' Activity for U.S. Youth
Using computers, watching television and listening to music are nearly a full-time activity for most U.S. children, with the average 8- to 18-year-old taking in 6 1/2 hours a day, a report published on Wednesday said.
The study by the Kaiser Family Foundation was one of the few national efforts to attempt to verify how much time children spend with television and other media. It was based on classroom questionnaires given to more than 2,000 U.S. schoolchildren in the third to 12th grades.
Just over half said their families had no rules on watching television. Sixty-eight percent said they had a television in their bedroom, half had a VCR or DVD player and 31 percent had a computer in the bedroom.
The youngest children watched the most television, with 8- to 10-year olds watching more than four hours a day on average, including videos. Overall the children watched three hours and 51 minutes of television on average.
However, the study found that children who reported spending the most time with their parents were also the ones who reported watching the most television. “Perhaps that's how kids and their parents spend time together,” said the report, available on the Internet at http://www.kff.org/entmedia/7251.cfm.
There was also a link between heavy use of video games and low grades, and this held true to a lesser degree for watching television or listening to music.
Fears that electronic media would rob children of more old-fashioned skills seem unfounded, the report finds.
“In a typical day, nearly three out of four (73 percent) of young people report reading for pleasure,” the report reads.
“On average, 8- to 18-year-olds spend about three-quarters of an hour a day reading,” it added.
“Interestingly, those young people who spend the most time watching TV (the 20 percent who watch more than five hours a day) don't report spending any less time reading than other young people do; and those who spend the most time playing console video games spend more time reading than those who play fewer video games.”
Children were also multitasking. The report found that 26 percent used two or more media at the same time, for example, using the computer and television together.
Over a seven-day week the children spent 6 1/2 hours a day with “media” such as television, video games, music and computers, two hours with their parents, just over an hour a day in physical exercise or play, 50 minutes doing homework and half an hour doing chores.

10 March 2005
Source

Girls as young as five say they wish they were slimmer
Girls as young as five are unhappy with their bodies and wish they were slimmer, according to a new study.
Among those aged between five and eight, 46.9 per cent said they wanted to be thinner and 45.7 per cent said they would diet if they put on weight.
The study of 81 girls, carried out by Flinders University in South Australia and published in the British Journal of Developmental Psychology, found 28.6 per cent of five-year-olds and 71.4 per cent of seven-year-olds wished they were thinner.
After being shown pictures of a girl before and after putting on weight, 35.7 per cent thought eating habits would be the reason for the change and 28.6 per cent suggested she should go on a diet.
Most of the girls believed being thin would make them more likeable, although few said they discussed their bodies with friends.
Their perception of their peers’ body dissatisfaction was linked to their own level of body dissatisfaction. “It is therefore possible that peer transmissions of ideals about appearance could also occur through comments when trying on clothes, or about pop stars when watching television,” the report said.
Hayley Dohnt, who helped carry out the study, said: “Previously, research has focused on adolescence as the likely time for the emergence of body dissatisfaction. However, clear evidence has accumulated that a substantial number of pre-adolescent girls are dissatisfied with their bodies and wish to be thinner.
”Previous research has also focused on parental influence as the most salient source of information for young children. However, the major life event which occurs over the five- to seven-year age range, when body dissatisfaction begins, is the commencement of schooling.
“Peer influence, which has been ... assumed as more or less irrelevant for young children, may in fact be particularly salient for this age group.”

Source: British Journal of Developmental Psychology

8 March 2005
Source

Do children 'grow out of asthma'?
A third of children who supposedly outgrew their asthma have seen it come back by the time they reached their mid-20s.
Researchers on Monday reported that kids with some common allergies, such as a sensitivity to house dust mites, and those with poor lung function, seem to be more likely to redevelop asthma as adults.
“While we cannot definitively explain why some individuals experience asthma relapse and others do not, we found that persistence of asthma and asthma relapse are significantly increased in children with house dust mite sensitivity,” said study leader Malcolm Sears of McMaster University in Hamilton, Canada.
“This is likely due to persistent inflammation and genetic factors,” Sears added in a statement.
Study details
Sears and colleagues studied more than 1000 children born in New Zealand between 1972 and 1973, testing them at ages 9, 11, 13, 15, 18, 21 and 26.
About 20% of them had asthma diagnosed by a doctor at some point in childhood, and of these, 38% were free of symptoms by the age of 18, the researchers found.
But by the age of 26, 35% said their symptoms came back.
The patients who relapsed more often had allergies to house dust mites, grass, cats, dogs, and mold, the researchers said.
“By not smoking and avoiding occupations that increase the likelihood of developing asthma, patients can help protect themselves from asthma relapse,” Sears said.
“This study demonstrates the role that specific risk factors have on asthma remission,” added Dr Paul Kvale, President of the American College of Chest Physicians.

8 March 2005
Source

Becoming an adult takes longer these days
It takes longer to become an adult these days, and the passage to adulthood is more ambiguous and complicated than in the past, according to a Case Western Reserve University sociologist and researchers from the Network on Transitions to Adulthood and Public Policy funded by the John D. and Catherine T. MacArthur Foundation.
“Although pinpointing the onset of adulthood is not easy, it's most certainly not the magic legal ages of 18 or 21,” according to Richard Settersten Jr., chair of Case's department of sociology, co-director of the university's Schubert Center for Child Develoment and co-editor of the new book, On the Frontier of Adulthood: Theory, Research and Public Policy (University of Chicago Press, 2005). Settersten, with Frank Furstenberg Jr. of the University of Pennsylvania and Rubén Rumbaut from the University of California, Irvine, explore this new and often misunderstood period of life.
Caught between adolescence and adulthood, Settersten and his colleagues say young people are navigating a new life phase. And to reach adulthood, they need greater help getting there from their families or other support systems.
“Adulthood no longer begins when adolescence ends,” Settersten said, especially where the “big five” traditional markers of adulthood are concerned-leaving home, finishing school, starting a job, getting married and having children. In prior generations, these transitions were completed by the mid-20s.
Today, this set of transitions is often not completed until well into the early or late 30s for many people. And what we might think about as a neat “three-box model” of life-with education up front, work in the middle and retirement or leisure at the end-is crumbling.
This model of life, the study indicates, underlies the organization of many social institutions and policies, despite the fact that these old scripts of life no longer match the realities of the world today or how the lives of current generations of young people will unfold.
In some ways, the road to adulthood now more closely resembles that of agricultural times than it does the last few decades, where at the turn of the last century, it took young people a long time to reach self-sufficiency while working on family farms.
Now other social institutions, especially educational ones, have replaced the farm in allowing youth to cultivate the skills needed to be self-sufficient. The four-year college, in particular, serves to “bridge” adolescence and adulthood by providing shelter, planned activities, health care, adult and peer support, and entertainment.
For young people who do not attend residential colleges, other institutions may serve as important bridges-community colleges, the military, national service and work organizations. But these settings, Settersten and his colleagues say, need to be “re-architected to provide stronger scaffolding for vulnerable groups of young people who do not have strong family supports in place.” The Network is now conducting several large-scale demonstration projects to explore how this can be done.

Transitioning to Adulthood
According to Settersten, one of the new hallmarks of successful movement through early adulthood may be interdependence rather than independence.
“A brand new challenge to understanding this period is how individuals develop a sense of autonomy amidst increasingly long periods of dependence on others, without strong or clear scripts to guide them, and when the institutions through which they move are based on models of early adulthood that no longer reflect the realities of the modern world,” he said.
Because this is a period of “sink or swim” for American kids, those who manage to swim often do so only because they receive a great deal of family support or have other informal safety nets to prop them up as they make their way.
“These circumstances put young people in a position where they now are more attached to their parents than ever before,” Settersten noted.
The book's contributors find that sizable costs associated with childrearing now occur between 18 and 34, in both money and time, and that these percentages have increased dramatically in the last 30 years.
“When middle-class families are making such tremendous levels of investments in their children through their 30s, we must especially ask about the fate of young people who come from struggling or fragmented families that simply cannot assist their children in these ways,” Settersten says. “Worse still, we must ask about the fate of young people who have been in the foster care, special education or juvenile justice systems and are abruptly cut off from state support when they hit ‘eligibility cliffs' of 18 or 21. These groups are completely on their own without any safely nets whatsoever.”
On the Frontier of Adulthood is the result of more than four years of collaborative research. Instead of asking the question, “What is wrong with young people today?” which so often seems to underlie media portrayals, Settersten says that he and his colleagues have instead been trying to understand “How have changing social and economic conditions combined to create a new life period, what new capacities and skills do young people now need to navigate this period successfully and how do institutions and policies need to be revamped to smooth entry into and through adult life?”
Contrary to popular perceptions, Settersten and his colleagues do not find that young people are unwilling to take on adult roles. “If anything,” he says, “the opposite may be occurring, as young people now seem very aware of how difficult it is to become ‘independent' or ‘autonomous' against current economic and social conditions, and they seem hesitant to make commitments they cannot honor or that they think may fail.”

3 March 2005
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View Richard Settersten's new book titled On the Frontier of Adulthood: Theory, Research and Public Policy here

Gene may be a cause of dyslexia
Researchers at Cardiff University have discovered a gene which they believe is likely to be one of the causes of dyslexia in children. It is hoped the discovery will lead to better understand of the brain disorder which disrupts reading and writing.
It is believed to be the first time a single gene linked to the condition has been identified.
The team analysed 300 families from Wales and the west of England who had at least one child with dyslexia.
They isolated the gene by comparing these results with those from families who do not suffer from the condition, which affects around 5% of the UK population.
The research will now focus on how the gene, called KIAA0319, works within the brain to disrupt reading and writing skills. The research has been carried out by a team from the Department of Psychological Medicine at Wales College of Medicine, who described their findings as a major breakthrough.
They are looking for new volunteers to take part in their research.
Professor Julie Williams, who led the team, told BBC Wales: “We have known for a number of years there is a gene on chromosome six that confers susceptibility to develop dyslexia.
“We along with other groups throughout the world have been chasing this gene.
“We found a number of DNA variants in children we tested with dyslexia and compared them with children without dyslexia. “We found there were a lot of differences coming from just one single gene.”

Ruth Madoc
She added: “There will probably be a number of genes as well as environmental factors that contribute to dyslexia.
“We need to find out how this gene functions and how it actually contributes to dyslexia.
“Perhaps it may also tell us how it contributes to the way we process language normally, which is one of the major puzzles for neuroscience today.”
Actress Ruth Madoc, most famous for her role in Hi-He-Hi and more latterly in Little Britain, was diagnosed with dyslexia when she was still a girl.
She said the condition caused her problems at the start of her career because she would find herself in auditions when she had to read from a script unprepared.
She said: “I would fall down at that - it would be very difficult for me.”
She said her parents “never let it be a stumbling block in any way” but she welcomed the research findings at Cardiff.
“Any knowledge would take away the stigma that dyslexia has,” she said.

4 March 2005
Source

Virtual gaming 'eases child pain'
Hospitals should give child patients virtual reality computer games as well as painkillers, a study suggests. An Adelaide hospital team found that immersion in a virtual world of monsters and aliens helped alleviate pain in children with severe burns.
Seven children aged five to 18 were asked to play a virtual reality game while their dressing was being changed.
When playing the game on top of having painkillers, they recorded a much lower pain score, BMC Pediatrics reported.
Adelaide Women's and Children's Hospital used a game with a special headset housing two small computer screens and a special sensor allowing the child to interact and immerse themselves in a “virtual” world where they could shoot monsters.
All of the children had also been given their usual painkiller.
The children were then asked to rate how much pain they had experienced using a visual scale of cartoon faces - ranging from smiling to grimacing.
Compared with when their dressings were changed under the cover of painkiller drugs alone, the children reported much less pain when they were allowed to also play the computer game.
The average pain score with drugs alone was 4.1 out of 10, compared to 1.3 out of 10 with drugs and use of the computer game.

Distraction
By relocating themselves to “another world”, the children paid less attention to the painful stimuli, said the researchers.
“Provided a number of different games were available to cater for different age groups, it could be widely applied,” they said.
Liz McArthur, clinical nurse specialist in pain management at Liverpool's Alder Hey Hospital, said: “Play and distraction interferes with the transmission of pain.
“Also, what causes children a lot of distress is the memories and anxiety they experience with painful situations. So distraction helps with that too.
“And it doesn't have to be expensive. For example, we ask some of our children to imagine themselves in a different place.”
Dr Ann Goldman, consultant in palliative care at London's Great Ormond St Hospital, said: “It does depend on the age of the child.
“We have a lot of quite young children where we use other things, such as blowing bubbles while a cannula is being placed.
“It helps concentrate their minds and when they blow out it also relaxes their body.”
She said other research shows enhancing a person's natural coping style is most helpful.
For example, some people deal with pain by ignoring it and pretending they are somewhere else, while others find it more helpful to focus on the pain, she said.
Pain is detected by nerve endings which send information to the brain, via the spinal cord, which perceives pain.
This transmission is complex and can be blocked, dampened or heightened by things like drugs, level of consciousness and emotions.

3 March 2005
Source

Graphic Ads speed up decline in youth smoking
New study findings suggest that adolescents are indeed influenced by antismoking ads on television that use graphic images about death and disease and expose the tobacco industry's marketing practices.
Such “truth” ads have been instrumental in decreasing the prevalence of smoking among young people in the US, researchers report.
“This study showed that the campaign was associated with substantial declines in youth smoking and has accelerated recent declines in youth smoking prevalence,” write Dr. Matthew C. Farrelly and his colleagues in the American Journal of Public Health.
The “truth” campaign was initiated in February 2000 by the American Legacy Foundation as a result of the Master Settlement Agreement between the tobacco industry and 46 states. Rather than relying on overt antismoking messages, the campaign uses “hard-hitting ads that show at-risk youths rejecting tobacco and that reveal deceptive tobacco industry marketing tactics,” the researchers write.
To gauge the effect of the campaign, Farrelly and his team analyzed responses from about 50,000 junior and senior high students who were asked about their frequency of smoking during the past 30 days. All of the study participants were involved in the Monitoring the Future survey and were surveyed each spring from 1997 through 2002.
In 1997, 28 percent of the young people — including 19 percent of 8th graders, 29.8 percent of 10th graders and 36.5 percent of 12th graders — reported having smoked during the past 30 days.
By 1999, shortly before the start of the “truth” campaign, the overall proportion of youth smokers dropped to 25.3 percent, and by 2002, two years after the campaign was launched, smoking prevalence was down to 18 percent, the investigators report.
The truth campaign alone accounted for 22 percent of the drop in teen smoking between 1999 and 2002 and helped accelerate the decline between 2000 and 2002, according to Farrelly and his team.
“We found that youth smoking rates declined faster in the two years after the launch of the 'truth' campaign and that smoking rates declined faster in areas of the country where youth were exposed to a greater number of truth commercials,” Farrelly told Reuters Health.
Farrelly is a program director at RTI International's Center for Health Promotion Research, a non-profit organization based in North Carolina.
“As a result of the truth campaign, there were 300,000 fewer young smokers by 2002 than there would have been had the campaign never existed,” Farrelly said.
Eighth graders, in particular, showed the greatest decline in smoking — a 45 percent drop from 1997 to 2002, the report indicates. In contrast, smoking among twelfth graders decreased by 27 percent during the same period.
The campaign did not seem to affect other risky behaviors among the youth, such as alcohol drinking during the past month or binge drinking during the past two weeks — a finding that suggests that “'truth' campaign exposure is not spuriously correlated with other prevention efforts,” the researchers write.
Based on the success of the truth ads, similar campaigns may be effective in reducing the prevalence of other risky behaviors, according to Farrelly.
“I do think that many of the basic concepts underlying the campaign's approach (if not the ads themselves) are very relevant to other prevention campaigns,” he said.
Meanwhile, it's unclear if the antismoking campaign will continue. “The primary source of funding for the campaign has come from the Master Settlement Agreement between states and major tobacco companies,” Farrelly explained. “This source of funding has run out and unless the American Legacy Foundation is able to secure additional funding, the campaign's future is uncertain despite its success.”

SOURCE: American Journal of Public Health, March 2005.

Charnicia E. Huggins
1 March 2005

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Drug 'doubles mental health risk'
Smoking cannabis virtually doubles the risk of developing mental illnesses such as schizophrenia, researchers say. The New Zealand scientists said their study suggested this was probably due to chemical changes in the brain which resulted from smoking the drug.
The study, published in the journal Addiction, followed over 1,000 people born in 1977 for 25 years.
UK mental health campaigners said it was more evidence of a “drug-induced mental health crisis”.
The researchers, from the University of Otago, interviewed people taking part in the Christchurch Health and Development Study about their cannabis use at the ages of 18, 21 and 25.
They were also interviewed about various aspects of their mental health.
The scientists found psychotic symptoms were more common among cannabis users.
They analysed their findings to take into account of the possibility that their illness encouraged people to use more cannabis, rather than the drug contributing to their condition.
But the researchers said the link was not likely to be due to people with mental illness having a greater wish to smoke cannabis.
Instead, they said cannabis may increase the chances of a person suffering psychosis by causing chemical changes to the brain.
The researchers also took into account factors such as family history, current mental disorders, and illicit substance abuse.

'Growing evidence'
The scientists, led by Professor David Fergusson, said it was likely cannabis use increased the chances of a person suffering psychosis by causing chemical changes to the brain.
Writing in Addiction, he added: “Even when all factors were taken into account, there was a clear increase in rates of psychotic symptoms after the start of regular use.
“These findings add to the growing body of evidence from different sources, all of which suggest that heavy use of cannabis may lead to increased risk of psychotic symptoms and disease in susceptible individuals.”
Paul Corry, of the mental health charity Rethink, said: “This is the latest in long line of international research over the last 12 months that shows we are facing a drug-induced mental health crisis.
“Rethink is renewing its call to the Health Select Committee to investigate the latest research into the link between cannabis use and severe mental illness.
“We need action from the Department of Health and we need it now if we are to avoid the risk of tens of thousands of young people developing a severe mental illness in the future.”
The Department of Health has said it will review all academic and clinical studies linking cannabis use to mental health problems.

Source: Addiction

1 March 2005
Source

'Left-neglect' blindspot found in hyperactive children
Hyperactive children may stop noticing things on their left side — causing them to be misdiagnosed as dyslexic, research revealed today.
The phenomenon of “left neglect” is more widespread in children than previously thought, the researchers said.
They found that children with Attention Deficit Hyperactivity Disorder (ADHD) might simply stop noticing things to their left — especially when doing boring or non-stimulating tasks.
Because of the tendency to miss the start of words, reading just the letters to the right hand side, youngsters could be mistakenly thought to have dyslexia, the study found.
ADHD affects up to 7 per cent of school-age children in the UK and the condition can prove hard to diagnose.
The latest research was carried out by Dr Tom Manly and colleagues at the Medical Research Council Cognition and Brain Sciences Unit in Cambridge. The study, published in the Journal of Child Psychology and Psychiatry, said that “left neglect” was well-known in adults who had suffered a right-sided brain injury.
The researchers said that this meant they could act as if half the world had simply disappeared. They found that some children with ADHD, who had no brain damage and were of perfectly normal intelligence, showed “left neglect” quite as severe as that seen in some adults with substantial damage to the right side of their brain.
The studies showed that most children’s awareness of things to their left, but not their right, significantly declined if they had to perform a boring task for about 40 minutes. The research also found that even perfectly healthy children could begin to lose some awareness of information on the left if they were bored.
“All children lose information disproportionately from the left, but children with ADHD appear to reach this point more quickly and to a greater extent than other children unless they are given stimulant medication,” Dr Manly said.
“One boy with ADHD we worked with tended to ignore the first letters in words, reading ‘train’ as ‘rain’ and ‘float’ as ‘oat’.”

Source: Journal of Child Psychology and Psychiatry

1 March 2005
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