Rabu, 10 Julai 2013

The Star Online: Lifestyle: Health


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The Star Online: Lifestyle: Health


Singing in a choir is good for your heart

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A new study finds that singing in a choir may be good for your heart.

SINGING in a choir may have some of the same positive effects as yoga, according to a small new exploratory study that found the regular breathing patterns required can reduce the variability of your heartbeat.

When people sing in a choir their heartbeats synchronise, so that the pulse of choir members tends to increase and decrease in unison, the researchers said.

Not only is reducing the variability of your heartbeat likely good for your health, but singing can enhance the spirit of cooperation in a group because it helps regulate activity in the vagus nerve, which is linked to emotions and communication with others.

"Songs with long phrases achieve the same effect as breathing exercises in yoga," said lead author Björn Vickhoff of Sahlgrenska Academy at University of Gothenburg. "In other words, through song we can exercise a certain control over mental states."

The researchers studied the heart rates of 15 18-year-old choral singers and arranged for them to perform three different choral exercises: monotone humming, singing the Swedish hymn "Härlig är Jorden" (Lovely Is the Earth), as well as the chanting of a slow mantra.

The heart rhythm of the choir members was recorded as they performed in each case.

The study was published online July 9 in the journal Frontiers in Neuroscience.

Previous research from earlier this year finds that singing in a choir helps form social bonds, according to researchers from Nord-Trondelag Health Trust in Norway.

A prior UK study reveals that singing can trigger the release of endorphins, which boost your feelings of happiness and pleasure. – AFP Relaxnews

A set bedtime may help a child’s brain development

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A new British study finds that irregular bedtimes could disrupt healthy brain development in young children.

A NEW study finds that irregular bedtimes and a lack of a nightly routine may disrupt healthy brain development in young children.

Scientists at University College London suggest that a lack of routine can impair early development by disrupting the body clock, which can affect the brain's ability to remember and learn new information.

Results showed that the effect was most striking in three-year-olds, among whom both boys and girls scored lower on math, reading, and spatial skills tests that children of the same age who adhered to rigid bedtime schedules.

"Age three seems to be where you see the largest effect and that is a concern," said lead researcher Amanda Sacker.

"If a child is having irregular bedtimes at a young age, they're not synthesising all the information around them at that age, and they've got a harder job to do when they are older," she added. "It sets them off on a more difficult path."

Sacker and her team analysed data from 11,178 seven-year-old children from the UK Millennium Cohort Study, a long-term record of British children who are now nearing their teenage years.

While the hour that children went to bed had little or no consequence on their performance on different tests, having no set bedtime did, often leading to lower scores.

Girls who never had regular bedtimes at ages three, five, and seven had significantly lower reading, math, and special scores.

For boys, this was the case for those having non-regular bedtimes at any two of those ages.

The study was published online July 8 in the Journal of Epidemiology and Community Health.

A separate 2011 study from the University of South Australia reveals that children who go to bed earlier are less likely to be obese than those who stay up late. – AFP Relaxnews

Care for a study pill?

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Use of ADHD drugs as study aid by students raises concerns.

A UNIVERSITY of Kansas freshman took a break from shooting hoops with friends outside his dormitory to talk about what some students call "study pills".

As final exams approached last semester, he took a few doses of a prescribed stimulant. "But all they did was make me feel nervous," said the chemical engineering major. "I'm off of it now."

He still has a vial of leftover pills he used for his attention issues in high school. And that's why he asked that his name not appear in this article: He didn't want to be pressed by dormmates to supply them with an illegal focus boost for upcoming finals.

The controlled stimulants that many college students seek, if only for a momentary edge, carry familiar brand names such as Adderall, Vyvanse, Focalin and Ritalin. They're all standard drugs for treating attention deficit/hyperactivity disorder, often successfully.

Their misuse, however, is thought to be on the rise at campuses in the US – creating a potentially serious health hazard and trips to the emergency room for students not diagnosed for ADHD.

The extent of the problem is anyone's guess. Because of what experts consider a lack of reliable research, illicit dealing of ADHD drugs either is infrequent on campus or something so commonplace as to be the college crowd's best-kept secret.

"The only people who don't know about it are the parents," said University of Kentucky communications professor Alan D. DeSantis. "I'm sure the majority of my students will be using at some time during finals week. It's really built into the climate and culture of today's college life."

'Study pills'

DeSantis has analysed several years' worth of surveys of Kentucky undergraduates to conclude that at least one-third of the student body has taken ADHD medication without prescriptions. Another 8% use the drugs legally under a doctor's supervision, he said, and half of them provide pills to other students.

The incidence of use appears to be higher among Kentucky seniors and juniors than for younger students, DeSantis added.

Assessing a variety of surveys, a 2008 study published in the Journal of American Child Adolescent Psychiatry offered a not-so-precise range of 5 to 35% of college-aged people taking attention-deficit stimulants not prescribed for them.

A University of Missouri survey found a usage rate in between.

About 12% in a sample of Mizzou students admitted to using controlled stimulants or painkillers, prescribed or illegally, said Kim Dude, director of the University of Missouri's Wellness Resource Center. "Eighty-five percent of the students don't use any of that."

But she does agree with the KU freshman – don't let on if you've got attention-deficit pills.

"We urge students and their parents from the start: Don't tell anybody," Dude said. "They'll run into peer pressure to sell it or give it away" to other students.

This month, data-miners at Brigham Young University issued a study that tracked Twitter references to study pills.

Searching keywords such as "Adderall," "college" and "cramming" over a six-month period, lead researcher Carl Hanson revealed, "We don't have all the answers" on the frequency of legal use or abuse. But the study did conclude that tweets about the drug were heaviest among students in the US Northeast and South, and lightest among students in the Plains and Southwestern states (including California).

Also, the report summary stated, "Tweets about Adderall peak sharply during final exam periods."

Said Hanson: "I'm concerned about the social norm-ing thing. If students perceive (taking stimulant medication) as normal because it's talked about and tweeted a lot, they'll take the risk."

Easy to get

Katharine Beach became addicted when she was a KU student.

"It's sad how many doctors would fill prescriptions for me," said Beach, 26 and now clean.

Diagnosed with attention deficit disorder when she was 18, the medication at first helped her focus and stay awake to study. But after she started drinking heavily, Beach chose to give up booze and find a new fix.

"It's called cross-addiction," said Beach, who graduated last year with a degree in applied behavioural science.

Student health services at KU required her to jump through too many hoops before filling prescriptions. ("They're onto students who want something quick," she said.) So, relying upon private medical clinics in Lawrence, Kansas City and her psychiatrist in Colorado, Beach procured five times the recommended dosage of Adderall to keep her buzz.

"Everyone around me knew I didn't drink anymore ... but (that) something else was going on," she said. "I'm positive I would have switched to cocaine or maybe meth down the road."

Her health insurance carrier got wise and stopped funding her prescriptions. Her parents caught on after Beach maxed out their credit card. She entered treatment and works today at a University of Colorado rehabilitation centre, helping addicts.

Dealing with the consequences

Millions of Americans have taken prescribed ADHD medication – often intermittently – without experiencing negative side effects. But an under-30 generation raised on the practice might not be aware of the dangers of taking even modest dosages without a thorough diagnosis, said psychiatrist Tahir Rahman of the MU School of Medicine.

"If you're depressive or have bipolar disorder, taking a drug such as Adderall could be throwing gasoline on a fire," Rahman said.

In the US, the number of emergency room visits related to abuse of ADHD drugs rose to 31,224 in 2010 – more than double the number recorded five years earlier, according to a report released in January.

Such ER visits by people aged 18 to 25 nearly quadrupled during that time, the Substance Abuse & Mental Health Association reported.

It is not known how many of those patients were college students.

"I hear students talk about it all the time," said Kate Baxendale, a junior studying journalism at the University of Missouri-Kansas City. She and another student wrote about the problem in the university newspaper after agreeing to not identify stimulant users by name.

Baxendale has never taken Adderall, she said, but others in her dorm have sold it. "At a time like this (finals week), they can sell for US$20 (RM60) a pill," she said. The sellers ration their prescribed medication because they need some for themselves.

The university's health services do not have medical doctors to prescribe controlled stimulants, so students taking them must get the drugs elsewhere.

Colleges around the US are tightening their procedures to limit student access to stimulant medicine.

"Some campuses have stopped prescribing stimulants outright," said Stacy Andes of the American College Health Association. Others, including KU, require students to present copies of at least two diagnostic tests given by doctors or mental-health professionals.

The drugs easily can be obtained off campus in most college towns, said DeSantis of the University of Kentucky. A clinic or family practitioner may ask patients to fill out a questionnaire that asks if they have trouble focusing or completing assignments.

"For the most part, students (seeking medication) know how to answer those questions," DeSantis said.

Downing Adderall to perform better on tests raises questions beyond medical ones: Is it the educational equivalent of using steroids to cheat in sports? Are students who choose not to use stimulants, or those who can't afford them, chasing degrees at an unfair disadvantage?

Psychiatrists debate whether the drugs do much at all to help people not diagnosed with ADHD, other than to keep them awake so they can cram for tests.

Girding up for finals in a library study room at UMKC, Govinda Koirala wrinkled his nose when asked if he would ever consider a pharmaceutical boost.

"I drink coffee," said the junior studying mechanical engineering. "And the latest I stay up studying is 11.30pm," His secret to academic success? "Just relax. Sleep well. Do what's good for your mind."

Must work. Koirala is pulling a 3.91 grade-point average. – The Kansas City Star/McClatchy-Tribune Information Services

Kredit: www.thestar.com.my

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