Popular electric brain stimulation method detrimental to IQ scores


Popular electric brain stimulation method detrimental to IQ scores
Flavio Frohlich, PhD of the UNC School of Medicine. Credit: Max Englund (UNC School of Medicine)

Using a weak electric current in an attempt to boost brainpower or treat conditions has become popular among scientists and do-it-yourselfers, but a new University of North Carolina School of Medicine study shows that using the most common form of electric brain stimulation had a statistically significant detrimental effect on IQ scores.

Published in the journal Behavioural Brain Research, the study adds to the increasing amount of literature showing that – tDCS – has mixed results when it comes to cognitive enhancement.

“It would be wonderful if we could use tDCS to enhance cognition because then we could potentially use it to treat cognitive impairment in psychiatric illnesses,” said Flavio Frohlich, PhD, study senior author and assistant professor of psychiatry, cell biology and physiology, biomedical engineering, and neurology. “So, this study is bad news. Yet, the finding makes sense. It means that some of the most sophisticated things the can do, in terms of cognition, can’t necessarily be altered with just a constant electric current.”

Frohlich, though, said that using less common alternating current stimulation – so-called tACS – could be a better approach, one that he has been investigating. Earlier this year, Frohlich’s lab found that tACS significantly boosted creativity, likely because he used it to target the brain’s natural electrical alpha oscillations, which have been implicated in creative thought.

With tDCS, scientists don’t target these brain waves, which represent neuronal patterns of communication throughout regions of the brain. Instead, they use tDCS to target brain structures, such particular regions of the cortex.

The tDCS boom started in 2000, when German scientists published a paper showing that tDCS could change the excitability of neurons in the – the brain region that controls voluntary body movement. Since then, there’s been an explosion of tDCS studies to try to make neurons more active or less active and therefore change outcomes for a variety of brain functions, such as working memory and cognitive acuity, and for illnesses, such as depression and schizophrenia.

But Frohlich said that some of the studies that have made waves were poorly designed. Some studies were not properly double-blinded or properly placebo controlled. Other studies were very small – less than 10 people.

A recent meta-analysis of a large number of tDCS papers showed that tDCS is far from a magic pill for cognitive enhancement or brain-related health conditions.

“Aside from stimulating the motor cortex, which has very exciting implications for stroke rehabilitation, I think the jury is still out on tDCS,” said Frohlich, who is a member of the UNC Neuroscience Center.

In the Behavioural Brain Research study, Frohlich’s team – including graduate student Kristin Sellers, the paper’s first author – recruited 40 healthy adults, each of whom took the standard WAIS-IV intelligence test, which is the most common and well-validated test of IQ. It includes tests for verbal comprehension, perceptional reasoning, working memory, and processing speed.

A week later, Frohlich’s team divided the participants into two groups. Electrodes were placed on each side of each participant’s scalp, under which sat the frontal cortex. Duke University collaborator and co-author Angel Peterchev, PhD, created imaging simulations to ensure Frohlich’s team targeted the same parts of the cortex that previous tDCS studies had targeted.

Then the placebo group received sham stimulation – a brief electrical current, which led participants to think they had been receiving the full tDCS. The other participants received the standard tDCS for twenty minutes – a weak electrical current of 2 millioamperes.

All participants then retook the IQ tests. Frohlich expected that most, if not all, IQ scores would improve because of the practice effect, but that tDCS would not markedly improve scores.

Frohlich’s team did find that all scores improved. Surprisingly, though, the participants who did not receive tDCS saw their IQ scores increase by ten points, whereas participants who received tDCS saw their IQ scores increase by just shy of six points, on average.

When Frohlich and colleagues analyzed the test scores, they saw that the scores for three of the four main kinds of cognitive tests were very similar between the two groups of participants. But the scores for perceptual reasoning were much lower among people who underwent tDCS.

Perceptual reasoning tests fluid intelligence, which is defined as the ability to think logically and apply innovative problem solving to new problems.

Within the category of , the researchers saw the biggest differences in the subcategory of matrix reasoning – when participants viewed two groups of symbols and had to find the one symbol missing from the other group.

Frohlich emphasized, “Our findings do not preclude the possibility that other tDCS paradigms may be less harmful or even beneficial. However, it is time to make sure that everybody uses gold standard, placebo-controlled, double-blind study designs. Also, our study demonstrates the importance of more research on how stimulation interacts with brain activity.”

Frohlich stressed that the scientific community should be careful not to create simplistic storylines about tDCS being a ‘magic pill’ for many brain-related conditions. “There could be dangerous consequences, especially if tDCS is used daily,” he said. “Ours was an acute study. We don’t know what the long-term effects are. There is so much more we need to understand before tDCS is ready for home use without medical supervision”

Frohlich added, “I think our study demonstrates that we need to think of smarter ways to engage the brain to really target the specific brain dynamics involved in what we want to improve, such as cognition for people with depression or schizophrenia. I think tACS is an option, as well as more sophisticated modalities we’ve yet to develop.”

How Meditation Changes Your Brain: A Neuroscientist Explains


Do you struggle, like me, with monkey-mind? Is your brain also a little unsettled, restless, capricious, whimsical, fanciful, inconstant, confused, indecisive, or uncontrollable? That’s the definition of “monkey mind” I’ve been given!

If you need more motivation to take up this transformative practice, neuroscience research has shown that meditation and mindfulness training can cause neuroplastic changes to the gray matter of your brain.

A group of Harvard neuroscientists interested in mindfulness meditation have reported that brain structures change after only eight weeks of meditation practice.

Sara Lazar, Ph.D., the study’s senior author, said in a press release,

“Although the practice of meditation is associated with a sense of peacefulness and physical relaxation, practitioners have long claimed that meditation also provides cognitive and psychological benefits that persist throughout the day.”

To test their idea the neuroscientists enrolled 16 people in an eight-week mindfulness-based stress reduction course. The course promised to improve participants’ mindfulness and well-being, and reduce their levels of stress.

Everyone received audio recordings containing 45-minute guided mindfulness exercises (body scan, yoga, and sitting meditation) that they were instructed to practice daily at home. And to facilitate the integration of mindfulness into daily life, they were also taught to practice mindfulness informally in everyday activities such as eating, walking, washing the dishes, taking a shower, and so on. On average, the meditation group participants spent an average of 27 minutes a day practicing some form of mindfulness.

Magnetic resonance images (MRI scans) of everyone’s brains were taken before and after they completed the meditation training, and a control group of people who didn’t do any mindfulness training also had their brains scanned.

After completing the mindfulness course, all participants reported significant improvement in measures of mindfulness, such as “acting with awareness” and “non-judging.”

What was startling was that the MRI scans showed that mindfulness groups increased gray matter concentration within the left hippocampus, the posterior cingulate cortex, the temporo-parietal junction, and the cerebellum. Brain regions involved in learning and memory, emotion regulation, sense of self, and perspective taking!

Britta Hölzel, the lead author on the paper says,

“It is fascinating to see the brain’s plasticity and that, by practicing meditation, we can play an active role in changing the brain and can increase our well-being and quality of life.”

Sarah Lazar also noted,

“This study demonstrates that changes in brain structure may underlie some of these reported improvements and that people are not just feeling better because they are spending time relaxing.”

Dress To Impress For New Perspective, Says Study; The Psychology Behind The Power Suit


Formal clothes can change the way you think, according to a new study published in the Social Psychological & Personality Science.

Power suit

Researchers from Columbia University in New York and California State University, Northridge arrived at their conclusion after conducting five separate experiments designed to measure the relationship between a student’s clothes and their cognitive style. This style refers to the way the brain thinks and processes information; there’s abstract processing and concrete processing. Abstract processing, researchers wrote, “consists of superordinate, holistic, and broad mental representations, whereas concrete processing includes more subordinate and narrow mental representations.”

Why include formal clothes? Prior research has shown social distance (instances where you’re not familiar with others) in the form of politeness increases abstract thinking — and formal clothes are associated with social distance. So in each experiment, researchers were curious to see if undergraduate students were more abstract thinkers in polite, formal clothes.

The first two experiments recruited undergraduate students to rate their personal and peers’ style on a scale of “very much less formal” to “very much more formal.” In the first study, respondents also completed a 10-item behavioral identification form, which requires participants to read through several behaviors and the different ways the behavior might be identified. Respondents eventually chose the identification that best described the behavior to them. In study two, however, respondents completed a category inclusiveness task, in which they decided if provided exemplars (examples) belonged in a certain category.

“People thinking more abstractly are more likely to consider weak exemplars as good fits to categories, [such as] a camel being an appropriate example of a vehicle,” researchers wrote.

While participants were tasked with similar cognitive tests in studies three and four, they were also asked to bring (and then randomly assigned to wear) two sets of clothes: one set would be appropriate to wear to a job interview, the other appropriate to wear to class. The research method changed a bit for study five, but was essentially a smattering of methods used in the previous experiments. Though the fifth experiment did finally ask participants to consider social closeness and feelings of power in certain clothes.

The results showed sudents in formal clothes were, in fact, thinking more abstractly; they experienced higher identification, category inclusiveness, and feelings of power. In each experiment, researchers found “overall significant power–abstract processing relationship.”

“No matter how often you wear formal clothing, if you are wearing formal clothing, then you are likely in a context that’s not the intimate, comfortable, and more socially close setting with no dress code,” Michael Slepian, study co-author and professor of management at Columbia Business School, told The Atlantic “Thus, whether you wear formal clothing every workday, or only every wedding, my prediction is that we would find a similar influence because the clothing still feels formal in both situations.”

Slepian added he could predict this effect to strengthen “if formal clothing is only reserved for the most formal of situations.”

This isn’t the first study to suggest what we wear can influence both our own and others’ perception. Color matching, for example, is considered a mistake, while women in leadership roles are favored less when they wear proactive clothing over something more conservative.

Source: Rutchick, A.M., et al. The Cognitive Consequences of Formal Clothing. Social Psychological & Personality Science, 2015.

Rumor Has It: The Psychology Of Why We Still Believe In Debunked Myths


A myth is a nearly impossible thing to fully dislodge from the hearts and minds of the public.

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They persist unfettered by accuracy or logic, like a meme equivalent of the common cold. It doesn’t take everyone believing in any particular myth or rumor to wreak havoc, only enough of us.  Though some myths and urban legends are relatively harmless, like sewer alligators in New York, others have warped the landscape of our society, leaving us to flail widely against nonexistent bogeymen. Rates of the almost-vanquished disease measles have increased on the word of a since-disbarred doctor, and sorely needed climate change legislation has stalled as politicians recite debunked arguments on the Congress floor.

These examples and more have led social scientists to try to understand how and why we continue to believe in the unbelievable; and in the case of MIT researcher Adam Berinsky, to find out just how to convince us otherwise. His latest study, “Rumors, Truths, and Reality: A Study of Political Misinformation,” set to be published in the British Journal of Political Science, has come to some rather unconventional conclusions. Namely that repeating a myth, even if in the course of debunking it, can only reinforce our belief in it. And that the best way to steer people towards rejecting a politically motivated myth is by recruiting a credible but idealogically opposed source to do it for you.

Using the real-life myth that the Affordable Care Act (ACA) contained provisions for so-called “death panels” that would deny health care to seniors depending on their level of productivity, Berinsky devised two experiments in 2010. In the first, he presented subjects news stories with different types of corrections of the myth, alongside articles that simply repeated the myth with no corrections.  He then polled them to find out how many of each group rejected the myth immediately after reading their article, following up with them a week later to ask again.

One version of the article debunked the ACA myth by citing nonpartisan sources such as the American Medical Association; another debunked it by accurately quoting a Democrat who drafted the legislation; while yet another quoted a Republican who drafted it. People who were exposed to an article which quoted a Republican rejected the myth to a greater degree than any of the other groups, though as Berinsky predicted, these levels dropped between the two surveys. The effect was particularly significant among those Berinsky identified as attentive participants, who rejected the ACA myth at a 69 percent clip when reading a Republican-debunked article as opposed to a 60 percent rejection rate for those who read articles citing a nonpartisan or Democratic source.

“Most importantly, the Republican correction is the most powerful treatment for both Republican and Democratic identifiers,” Berinsky wrote in his paper, ”[I]t is the informational content of the identity of the politician making the correction that matters.”

Berinsky speculates that seeing a Republican debunk a myth that might be advantageous to their political party was jarring enough for the participants to take stock and reevaluate their own position. “In particular, corrections acquire credibility when politicians make statements that run counter to their personal and political interests,” he wrote.

These considerations matter because, despite what we might think, the degree to which any of us form our beliefs is heavily influenced by our past experiences and social affiliations, myths included.  That’s why, as Berinsky reports, debunking a myth that touches upon our personal convictions can backfire and leave us on the defensive, more eager to believe the myth than ever before. “For instance, conservatives who received information that Iraq did not possess weapons of mass destruction were more likely to believe Iraq had those weapons than were respondents who did not receive the correct information,” he wrote.

The other important finding of Berinsky’s study is that reminding people of a myth can also backfire by reinforcing the idea in their minds, making it easier to misremember it as true. Sure enough, in the second experiment, Berinsky’s subjects were more likely to accept the “death panel” myth when asked to recall the entirety of the article they read, including the myth, as opposed to recalling an irrelevant detail of the story. This held true even for those who were fed both the myth and its correction. “Simply asking subjects to repeat the rumor to themselves without any indication that it is true increases their willingness to believe the existence of death panels, even weeks after they read the initial story,” he wrote.

Despite his somewhat disheartening findings, Berinsky feels that his results can help guide us towards effectively plugging up the rumor mill. While the repetition of a myth can spread its belief, Berinsky suspects that corrections can work that way too. And rather than pretending that people can simply be swayed by a rote recitation of facts by objective sources, what Berinsky’s study indicates is that our identity shapes why we believe what we believe.

By playing to that sense of identity and finding those who are willing to stand for accuracy, even when they might disagree with us philosophically, we can create a more honest engagement with the public.

Telemedicine Is The Future Of Health Care: On-Call Docs To Examine, Diagnose, And Treat Patients Remotely


Smartphones and tablets are used for just about everything, from monitoring your bank account to ordering a cab, so it would only make sense that health care become part of this technological advancement. Telemedicine is the union between technology and health, and many believe it is the future of health care in the U.S.

On Monday, at the American Telemedicine Association’s trade show in Los Angeles, American Well, a telemedicine provider, announced “Telehealth 2.0” — a broad sweeping list of telemedicine products and services. These include live “video visits” on your phone and the web, real-time patient data, and the ability for doctors to review and accept/decline visits on their mobile phone.

“We [want to] take telehealth that was used as a convenience measure for patients and put it in the hands of physicians,” said American Well CEO Roy Schoenberg, as reported by Forbes.

American Well’s move has further strengthened the prediction telemedicine is not a passing phase but here to stay. The technology needed for telemedicine as well as the demand for its services has been around for decades, but it’s not until fairly recently that this idea of “virtual check-ups” began to be taken seriously by health professionals.

Telemedicine is highly convenient, a factor that is helping in its rise in popularity. American Well’s new app for physicians will include integrations with Apple’s biometrics to allow patients health records available at the touch of a finger. American Well also has an app which matches patients with doctors within two minutes. According to Forbes, American Well foresees doctors eventually easily shifting between their virtual and physical waiting room patients, a skill which will allow them to see more patients than ever before. Allowing doctors to deal with minor health concerns, such as flus and colds in a virtual setting would theoretically make more space in actual waiting rooms for more seriously ill patients.

Beyond the cold and flu, Schoenberg explains, telemedicine has potential to treat more complex conditions, such as cancer and heart disease. Large hospital systems like the Cleveland Clinic and Massachusetts General are currently using American Well technology to treat patients, he said.

Wired reported that UnitedHealthcare, Oscar, WellPoint, and some BlueCross BlueSheild plans have adopted telemedicine programs in recent years.

While telemedicine does sound exciting, it’s not without its hurdles. For example, making access to a doctor that easy may lead to patient-overuse, a problem which could overwhelm the already inundated health care system. There’s also the fact that old habits die hard and although it may be possible to have a virtual doctor’s appointment, for now, doctors and patients alike may prefer the old-fashioned face-to-face check-up.

Regardless of these hurdles, it’s clear that telemedicine is here to stay and bound to only become more popular. And while there is a long way to go before we’re all able to have 24/7 medical help at the touch of our fingers, this latest announcement from American Well is certainly a step in that direction.

Telomeres Tell The Future: Scientists Could Use Aging Biomarker As Way To Detect Early Cancer


Looking at the length of telomeres — the protective caps on the end of chromosomes that protect the DNA inside — scientists from Northwestern University and Harvard University have developed a technique that could one day result in a diagnostic test for cancer years ahead of time.

chromosomes

Mounting evidence is finding telomeres are responsible for more than just chronological aging. As cells divide and multiply, the telomeres lose some length to make up for the added chromosomes. But in that normal shortening they can activate destructive bodily processes, which may lead to disease. New evidence suggests the rate at which they shorten is also important for understanding future development of cancer.

Publishing in the journal EBioMedicine, researchers found distinct patterns in people’s telomeres in the lead up to formal diagnosis. Initially, people with cancer seemed to be 15 years older, chronologically, than people without cancer — an indication their telomeres were quickly wasting away. But then three or four years before diagnosis, that shortening stopped.

“We saw the inflection point at which rapid telomere shortening stabilizes,” said the study’s lead author Dr. Lifang Hou in a statement. “We found cancer has hijacked the telomere shortening in order to flourish in the body.”

In total, Hou and her colleagues tracked 792 people over a period of 13 years, from 1999 to 2012. By the end of the study, 135 people had developed various types of cancer. Their findings suggest blood telomere length, or BTL, may be able to tip off scientists and doctors about risks people may face later on.

“We were able to take advantage of the fact that the same people came in for follow-up visits multiple times,” Hou told Medical Daily. “For example, if someone comes in in 2010 and reports that they were diagnosed with cancer, we can go back to their visit in 2002 and flag them as ‘developing cancer.'”

The team hopes to use that information in developing a method of stopping the cancer cells from eating away at people’s BTL. And to do that, future tests would need to figure out how, exactly, the hijacking happens. Hou and her colleagues are expanding their research to see how women and people of other ethnicities get affected by the same processes. “In addition, we are also currently working on studies of traditional cancer risk factors (e.g., obesity/physical activity) and how they interact with telomeres to increase cancer risk.”

Recently, other research has offered its own interpretation of telomere-mediated disease. Astudy published in the journal Nature Genetics found genetic causes made some people’s telomeres longer than others. These varying lengths predisposed subjects to pathological disease, including several cancers and idiopathic pulmonary fibrosis.

The latest study builds on this kind of research to home in on cancer specifically, Hou says. Cancer treatment can lead to telomere shortening in addition to the cancer itself. “This likely explains why the previous studies have been so inconsistent.” Without a definite timeline for when telomeres begin to shorten in response to cancer cell activity, scientists are left without any causal information.

“Long-term, it would be great to see this research turned into a way to detect cancer earlier than we do now.”

Source: Hou L, Joyce B, Gao T, et al. Blood Telomere Length Attrition and Cancer Development in the Normative Aging Study Cohort. EBioMedicine. 2015.

Vitamin D Toxicity Extremely Rare


Study finds little evidence for concern over clinical toxicity..

Vitamin D toxicity is extremely rare, says a new study.

Supplementation of the vitamin/hormone has been increasing in the last few years, but there’s been little consensus on whether overdosing on vitamin D is possible. Existing evidence for vitamin D toxicity, primarily hypercalcemia, has been based almost exclusively on case reports.

But after looking at 25(OH)D levels in more than 20,000 individuals, researchers found that though levels of vitamin D higher than 50 ng/mL were far more common in 2011 than in 2002, there was not an increase in acute clinical toxicity.

In fact, only one patient presented with clinical toxicity, with levels of 364 ng/mL, according to the study, which was published in the May edition ofMayo Clinic Proceedings.

But there may still be downsides to high levels of supplementation, according to lead author Daniel Dudenkov, MD, of the Mayo Clinic, and colleagues.

“Even if 25(OH)D values above 50 ng/mL, or even above 100 ng/mL, are unlikely to cause acute toxicity, achieving 25(OH)D values of 50 ng/mL has not been found to be beneficial, especially for the general population,” they wrote. “On the contrary, several studies have found an association between 25(OH)D concentrations above 30 to 60 ng/mL and an increased risk of all-cause mortality, cardiovascular disease, cancers, and falls and fractures.”

Data for the current analysis were taken from the Rochester Epidemiology Project in Minnesota, where the participants were overwhelmingly white (90% in 2002, and 86% in 2010) and had limited exposure to the sun during winter months. Vitamin D levels were measured in a laboratory, but researchers weren’t able to determine if high levels were due to supplements prescribed by doctors or from participants taking supplements on their own.

Of the individuals in the study, 1,714 (8.4%) had vitamin D levels above 50 ng/mL; 123 (0.6%) and 37 (0.2%) had levels above 80 and 100 ng/mL, respectively.

Levels weren’t related to the risk of hypercalcemia. In a review of the medical records, four people were found to have hypercalcemia with levels of 50 ng/mL or higher, but only one case involved clinical toxicity.

Michael Holick, MD, PhD, at Boston University, wrote in an accompanying editorial that there are widespread concerns from physicians around the world that too much vitamin D can increase the risk for kidney stones and cardiovascular complications.

“The concept that vitamin D is one of the most toxic fat-soluble vitamins has been instilled in the psyche of health regulators and the medical community,” he wrote.

But such concerns are unfounded, he argued.

“The evidence is clear that vitamin D toxicity is one of the rarest medical conditions and is typically due to intentional or inadvertent intake of extremely high doses of vitamin D (usually in the range of >50,000-100,000 IU/d for months to years),” Holick wrote.

Are Expensive, High-Tech Wearables for Babies Taking Advantage of Parents?


In a recent perspective piece published in the BMJ, pediatrician Dr. David King argues that expensive wearable monitors designed for babies are implying benefits that they can’t back up.

Mimo

A recent CNN Money piece, boldly titled “Connected babies = more sleep for you,” highlights the buzz surrounding these devices. The piece describes the$199 high-tech, Bluetooth-connected Mimo onesiefrom Rest Devices that monitors breathing, body movements, and sleep. According to Rest co-founder Dulcie Madden, Mimo gives parents peace of mind about their baby.

There are a number of other devices on the market that offer similar functionality, like Owlet’s smart sock, which will cost $250, or Sproutling’s baby band, which is currently sold out. Owlet describes its value to parents this way:

At Owlet, we are focusing on what matters most to you. We have spent thousands of hours honing our algorithms and utilizing the most advanced health monitoring technology so that you can have one less thing to worry about.

And according to Sproutling,

Get notified [by Sproutling] if something out of the ordinary happens. If there’s a significant change in your baby’s heart rate or skin temperature, or if your newborn rolls over while sleeping, you’ll be alerted immediately.

OwletSproutlingNone of these devices makes specific claims about specific outcomes, such as a reduction in sudden infant death syndrome. That is left to parents to infer from the descriptions of these devices, like those above, that frame them as constantly on watch for concerning changes in breathing, heart rate, and so on.

King points out that there is no published data that suggests any benefit in any metric from these devices. He also recalls that using apnea monitors to prevent SIDS was the rage about 20 years ago — until studies showed no benefit and professional bodies like the American Academy of Pediatrics recommended against home cardiorespiratory monitoring.

I can certainly empathize with parents who buy these devices; intuitively, it seems like monitoring my child more closely must be a good thing. Frankly, as I reviewed these products, I found myself on the fence about whether the parent side of me would buy one. Anything that could help me keep my child safe seems like a no-brainer.

The physician side of me, on the other hand, is less conflicted — I wouldn’t recommend them to a parent. That said, if a parent came to me asking about a device, we’d have a discussion — I don’t think the risks are high enough where I’d outright recommend against it.

There are several points I’d highlight in that conversation. While some aspects of these monitors (like for sleep training) seem fairly benign and potentially helpful, I’m concerned about the continuous monitoring of heart rate, respiratory rate, and temperature. In an ABC News article on Owlet, Dr. Chris Retajczyk, a California neonatologist, expresses that concern like this

For example, heart rate. There’s a huge variation in newborns, from slow heart rate to very high heart rate,” says Retajczyk. “So if the parents see these trends, does that become worrisome when in reality it’s quite normal?

I’d also caution parents that there’s no data to support claims that these devices will really sound an alarm if something bad is about to happen. And there’s the risk that these devices will provide false reassurance when a child is actually sick, preventing a call to the pediatrician that a parent may otherwise have made.

Then there’s the issue of what to do with the data being captured. Unlike say a blood pressure monitor in a hypertensive adult or an AliveCor in someone with palpitations, these devices are capturing a lot of physiologic data in healthy infants. While use of activity tracking in sleep training (the most commonly cited use case) at least seems intuitively plausible to me, a lot of the other data is information we just don’t know how to use in this context (continuous monitoring of healthy infants) and could expose kids to unneeded downstream testing.

That said, I’m encouraged that at least one of these companies is pursuing clinical evaluation. Although we contacted all three companies, Owlet is the only one that responded. The company described two specific, very interesting studies underway:

  • Seattle Children’s: Evaluation of the device in children with congenital heart disease, specifically monitoring children in the period between staged corrective surgeries, during which mortality risks are particularly high
  • University of Arizona: Prospective study comparing frequency of desaturation events in healthy infants, preterm infants, infants with Down’s Syndrome, and infants at risk for autism

Owlet should be commended for supporting clinical testing of its products — these kinds of studies will help physicians figure out how to guide parents in effective use of these devices. That commitment should be something we highlight to set the company apart in what will surely be a crowded space. And the studies’ findings could very well change the discussion I have with parents about these devices.

At the end of the day, it’s up to individual parents to make a decision as to whether they think these products will be helpful or harmful for their own children. But hopefully their pediatricians and family physicians will be important advisers, helping parents understand the issues so they can make informed decisions.

10 Ways to De-Junk Your Diet


10 Ways to De-Junk Your Diet

Overview

What do you picture when you think about the typical American diet? Do you see cheeseburgers, pizza, soda, cookies and cake? Unfortunately, you’d be right, even if you wanted to be wrong. Today’s food environment overflows with highly palatable, nutrient-poor foods, making it too easy to eat “sometimes” foods all of the time. The latest evidence indicates that Americans eat too many of these foods and need to cut back for the sake of their health. In particular, the recommendations advise limiting refined grains, saturated fat, added sugar and salt (and some of the top food sources for these nutrients may surprise you). Considering half of all adult Americans live with a preventable chronic condition in which diet plays a role and that two-thirds are overweight or obese, it’s time for the nation to go out with the junk and in with the foods that support a vibrant, healthy lifestyle. Nutrition experts share 10 ways to de-junk-ify your diet.

http://www.livestrong.com/slideshow/1011328-10-ways-dejunkify-diet/?utm_source=newsletter&utm_medium=email&utm_campaign=0504_ss_test

16 Surprising Facts About Bananas


16  Surprising Facts About Bananas

Bananas are one of America’s favorite fruits, with some 96 percent of consumers reporting buying bananas last year. In fact, on average, Americans eat more than 28 pounds of bananas per person, per year! That’s good news because bananas are nutrient-rich and offer other a wide variety of health benefits. For example, did you know that bananas might actually help you feel happy, or that the smell of bananas could act as an appetite suppressant? Read on to find out who invented the banana split, why bananas are 37 percent cheaper than they were in 1980, and whether it is really true that bananas (as we know them) may become extinct in our lifetimes.

http://www.livestrong.com/slideshow/1003180-16-surprising-bananas/?utm_source=newsletter&utm_medium=email&utm_campaign=0506_m