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Health Alert: Many Parents Have Leftover Meds at Home. A recent survey of 2,000 parents of children under the age of 18 revealed that half have leftover or expired medications in the home. To reduce the risk for prescription drug misuse by kids and teens, experts recommend properly disposing of unused medications.
University of Michigan, October 2022

Diet: Polyphenol Intake Linked to Better Cardiovascular Health in Adolescents. Polyphenols are micronutrients with antioxidant properties found abundantly in whole foods such as fruits, vegetables, red wine, and cocoa.
Examinations of 1,326 teenagers revealed an association between higher polyphenol levels in urine samples and better cardiovascular health.                                                                  Scientific Reports, October 2022

Exercise: Digital Nudges Can Encourage More Exercise. In a recent experiment, researchers observed that
“digital nudges” such as text messages, app alerts, or emails in the form of motivational messages had a positive effect on increasing physical activity levels among normally sedentary individuals.
Journal of Association of Information Systems, October 2022

Chiropractic: Manual Therapies Benefit Patients with a Lateral Ankle Sprain. A systematic review of data from three randomized-controlled studies concluded that a combination of manual therapies and specific exercises is more effective for improving range of motion, pain, and function in patients with an acute lateral ankle sprain than specific exercises alone. Doctors of chiropractic often use such an approach when managing an acute lateral ankle sprain patient.                  Journal of Clinical Medicine, August 2022

Mental Attitude: Video Gaming Associated with Higher Cognitive Performance. A study that included 2,000 children revealed that those who play video games for three or more hours a day scored higher on cognitive, impulse control, and working memory assessments than kids who do not play video games. The National Institute on Drug Abuse’s Dr. Nora Volkow adds, “This study adds to our growing understanding of the associations between playing video games and brain development… Numerous studies have linked video gaming to behavior and mental health problems. This study suggests that there may also be cognitive benefits associated with this popular pastime, which are worthy of further investigation.”            JAMA Network Open, October 2022

Wellness/Prevention: Caregivers Need to Take Care of Themselves. The American Heart Association offers the
following recommendations for caregivers to better manage their own health and wellbeing: indulge in something calming and relaxing on a daily basis, such as walking or yoga; set aside time just for yourself daily; and pay attention to your emotional health and seek counseling and support if needed.
American Heart Association, October 2022

Quote: “If everyone is thinking alike, then somebody isn’t thinking.” ~ George S. Patton

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Health Alert: Late Bedtimes May Increase Diabetes Risk. For one week, investigators monitored 51 people without heart disease or diabetes who categorized themselves as either early birds or night owls and found that not only did the early birds have better fat metabolism at both rest and during exercise, but they were also less likely to become insulin resistant over time.                                                          Experimental Physiology, September 2022

Diet: Coffee Preparation for Longevity. While the current research suggests that moderate coffee intake may offer health benefits, it’s unclear if coffee preparation plays a role. In a study that looked that the coffee habits of over 450,000 adults, researchers found the best outcomes came from coffee prepared from ground beans, while decaf and instant coffee products only conferred about half the benefits to the drinker.
European Journal of Preventive Cardiology, September 2022

Exercise: HIIT Recommended for Cancer Patients. High-intensity interval training (HIIT) is a form of exercise that involves short intervals of near-maximal effort—such as sprinting or stair climbing—separated by intervals of moderate-intensity exercise—such as jogging or fast walking. A review of seven systematic reviews concluded that HIIT is an effective form of exercise for cancer patients and cancer survivors due to its ability to improve cardiorespiratory fitness and quality of life, its high adherence, and safety.
Scandinavian Journal of Medicine & Science in Sports, November 2022

Chiropractic: Manual Therapy Combo Benefits Migraine Patients. Among a group of 75 migraine headache patients, those treated with a combination of soft tissue and articular manual therapies experienced greater improvements in migraine pain and duration than those who received either soft tissue or articular manual therapy alone. Doctors of chiropractic often use these and other manual therapies when managing patients with a history of migraine headaches. Journal of Clinical Medicine, August 2022

Mental Attitude: Education May Reduce Prenatal Depression Risk. According to a study that included 750
pregnant women, the more education an expectant mother has on pregnancy, the lower her risk for prenatal depression, which may also reduce the risk for postpartum depression.
Journal of Affective Disorders, November 2022

Wellness/Prevention: Healthy Living Can Lengthen Life…Even for Former Smokers. Researchers analyzed data on nearly 160,000 former smokers and found that those who exercised, ate a healthy diet, and limited their drinking had a 27% lower risk of early death in the following two decades than former smokers with an unhealthy lifestyle.                                      JAMA Network Open, September 2022

Quote: “If you do not know how to ask the right question, you discover nothing.” ~ W. Edwards Deming

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Health Alert: Air Pollution Linked to Worse Outcomes for Stroke Survivors. Past research has established a link between increased exposure to air pollution and an elevated risk for stroke. According to an analysis of data from the UK Biobank study on middle-aged adults who experienced a first-time stroke, those living in areas with higher levels of air pollution also had a greater chance of developing post-stroke cardiovascular disease or even dying in the following decade. Neurology, September 2022

Diet: The Benefits of One Serving of Fermented Vegetables a Day. In a recent study that included 31
women, researchers found that consuming one serving of fermented vegetables a day for six weeks can lead to positive improvements in gut biodiversity, as well as an increase in immune-boosting Faecalibacterium prausnitzii bacteria and a reduction Ruminococcus torques bacteria, which can negatively affect the gut barrier.
PLOS ONE, October 2022

Exercise: The Effect of a Single Bout of Aerobic Exercise. In an experiment that included 20 healthy adults,
researchers observed that a single session of aerobic exercise improved motor sequence learning. The findings suggest that engaging in a short bout of aerobic exercise may help individuals learning activities like dancing or playing the piano. International Journal of Clinical and Health Psychology, January 2023

Chiropractic: Internal Hip Rotation Linked to Low Back Pain in Tennis Players. Examinations of 113 elite
male high school tennis players (35 of whom had low back pain) revealed an association between restricted internal hip rotation range of motion and low back pain. The finding illustrates how abnormal movement in one part of the body can affect an adjacent region. Doctors of chiropractic are trained to evaluate the whole patient and not just focus on the area of chief complaint as issues elsewhere in the body may need to be addressed to achieve a satisfactory outcome.                       Journal of Sport Rehabilitation, August 2022

Mental Attitude: Nightmares in Middle- and Old-Age May Signal Dementia. Among a group of 3,200 adults in mid-life and old age, researchers observed that those who have nightmares on a weekly basis (or more frequently) are four times more likely to experience cognitive decline in middle age and two times more likely to develop dementia in their later years.                                                                                           eClinical Medicine, September 2022

Wellness/Prevention: Weight Loss and Knee Arthritis. A study that included over 9,000 middle-aged and older adults found that losing excess weight not only reduces the risk for developing knee arthritis, but it can also slow the progression of individuals who have already developed the condition.
Arthritis & Rheumatology, September 2022

Quote: “The surest way to fail is not to determine to succeed.” ~ Richard Brinsley Sheridan

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Health Alert: Many Atrial Fibrillation Patients Have Sleep Apnea. Past research has identified sleep apnea as a risk factor for atrial fibrillation, but how common is sleep apnea in atrial fibrillation patients? In a recent study, 185 atrial fibrillation patients completed sleep apnea testing and 93% tested positive for the condition— 52.3% primary sleep apnea, 44.8% mixed apnea, and 2.9% pure central apnea. Because managing sleep apnea can slow atrial fibrillation progression, the finding suggests screening atrial fibrillation patients for the sleep disorder.                                                                              American Journal of Cardiology, November 2022

Diet: Healthy Food Labeling. The Food and Drug Administration (FDA) notes that salmon can’t be labeled as
a “healthy” food under current federal regulations due to it high levels of fat, but that may soon change. A proposed FDA rule will allow foods that are part of a healthy diet pattern (fruit, vegetables, dairy, grains, and lean proteins) to be labeled as healthy provided they are also low in saturated fat, sodium, and added sugars.
Food and Drug Administration, September 2022

Exercise: Walk in Nature. Among a group of 37 adults under treatment for major depressive disorder, those who walked for an hour in a natural setting experienced a greater reduction in negative emotions than participants who strolled in an urban environment.                                                                                  Journal of Affective Disorders, December 2022

Chiropractic: Spinal Manipulation Reduces the Odds of Receiving a Benzodiazepine Prescription. An analysis of electronic health record data of 9,206 patients with radicular low back pain revealed that those who received chiropractic care for their condition were significantly less likely to be prescribed benzodiazepine—a drug commonly used to manage the radicular low back pain—during the following year.                BMJ Open, June 2022

Mental Attitude: Fermented Soybeans May Lower Dementia Risk. While a recent study that looked at diet
and health data concerning nearly 40,000 Japanese adults showed no association between total soy intake and dementia risk, researchers did observe that a high intake of the fermented soybean food product known as natto is linked to a 22% lower risk for dementia.                                                                   European Journal of Nutrition, December 2022

Wellness/Prevention: Helping Your Overweight Child Lose Weight. To help an overweight or obese child lose weight, the National Institute of Diabetes and Digestive and Kidney Disorders recommends looking for the following characteristics in a weight-management program: has many experts on staff, such as doctors, psychologists, and dietitians; monitors a child’s health and weight before and during the program; offers different options based on a child’s age and abilities; and offers after-program resources to help maintain a
healthy weight.

National Institute of Diabetes and Digestive and Kidney Disorders, September 2022

Quote: “It is right to be contented with what we have, never with what we are.” ~ James Mackintosh

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Health Alert: DRF May Signal Future Cognitive Issues. According to a study that compared the long-term outcomes of 1,046 seniors with a history of distal radius fracture (DRF) and 1,044 without a history of DRF, such a fracture is associated with a 56% increased risk for cognitive decline. The researchers conclude that extra attention should be paid to the cognitive health of older adults who sustain a DRF.
Osteoporosis International, November 2022

Diet: Mom’s Ultra-Processed Food Intake May Affect Her Child… An analysis of data on nearly 20,000 mother-child pairs revealed that a high maternal intake of ultra-processed foods during pregnancy is linked to a 26% increased risk for childhood obesity in her offspring.                                BMJ, October 2022

Exercise: Active Kids More Likely to Be Active Adults. Following an analysis of data from the Childhood Determinants of Adult Health study, researchers report that children who exercise, play sports, and maintain a healthy weight in childhood and adolescence are more likely to have above-average fitness as adults than their peers who are less active growing up.                                                                                Medicine and Science in Sports and Exercise, November 2022

Chiropractic: Manual Therapy Before Exercise for Chronic Neck Pain? In a study that included 58 chronic
neck pain patients with mobility deficits in the upper cervical spine, researchers found that mobility of the upper cervical region should be restored using manual therapies before the introduction of stabilization exercises to strengthen the deep cervical spine flexor musculature. Doctors of chiropractic are trained in the application of manual therapies and routinely use them in conjunction with specific exercises in the management of conditions like chronic neck pain.                                               Life (Basel, Switzerland), May 2022

Mental Attitude: Suicide Rates Increased in 2021. The Centers for Disease Control and Prevention reports that the suicide rate in the United States increased in 2021 much as it had between 2000 and 2018, despite a drop in 2019 and 2020. Mental health experts hope the national rollout of the 988 suicide and crisis lifeline can help reverse course.                    Vital Statistics Rapid Release, September 2022

Wellness/Prevention: Tackling Itchy Skin. The American Academy of Dermatology offers the following tips to relieve itchy skin: apply a cold, wet cloth or ice pack to the itchy area for five to ten minutes or until the itch stops; take an oatmeal bath to help provide relief; use skin moisturizers that contain no additives, fragrances, or perfumes; apply topical anesthetics that contain pramoxine; apply cooling agents such as menthol or calamine or refrigerate your moisturizer to help achieve a cooling effect; and avoid scratching as it can irritate your skin
and lead to infection.                                                              American Academy of Dermatology, October 2022

Quote: “Strength lies in differences, not in similarities.” ~ Stephen Covey

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Health Alert: Cancers on the Rise among Young Adults. Researchers report that successive generations are developing cancer earlier in life than their predecessors, such as cancer of the breast, colon, esophagus, kidney, liver, and pancreas. Investigators attribute this change to trends over time associated with worsening diet quality, increased sedentary time, increased obesity prevalence, environmental exposures, and alteration of the gut microbiome.
Nature Reviews Clinical Oncology, September 2022

Diet: You Can Reduce Your Hunger By Front-Loading Calories in the Morning. An experiment involving 16 men and 14 women found that participants felt more satiated throughout the day when they consumed a large breakfast (reducing their risk for snacking) than when dinner was their most calorie-rich meal.
Cell Metabolism, September 2022

Exercise: More Physical Activity, Less Social Media. In a recent study that included 642 adults, researchers observed that participants who replaced 30 minutes a day of social media use with physical activity of any intensity for just two weeks had improved satisfaction with their life that was not observed in those who maintained their usual physical activity levels and social media usage.                                                                    Journal of Public Health, September 2022

Chiropractic: Keep the Wrist Neutral When Using Power Tools. According to a recent study, using power tools
with a non-neutral wrist position can increase pressure on the median nerve, elevating one’s risk for carpal tunnel syndrome. The findings highlight the importance of avoiding prolonged flexed and extended wrist postures when carrying out work and leisure activities.
International Journal of Occupational Safety and Ergonomics, September 2022

Mental Attitude: Digital Self Harm? A survey of nearly 5,000 adolescents revealed that 9% had anonymously posted negative comments about themselves on their social media posts. Further analysis show that such individuals were five times more likely to have contemplated suicide. Researcher Dr. Robin Kowalski explains, “People who commit suicide feel that the world would be better off without them, [and] that they are a burden to others… Putting negative information about oneself online and potentially receiving validation for that is a way to confirm that one doesn’t belong in this world.”                          Child and Adolescent Mental Health, July 2022

Wellness/Prevention: Feel Refreshed in the Morning. The National Sleep Foundation recommends the following
to help you feel alert in the morning without needing a caffeine boost: avoid alcohol before bedtime, which can affect sleep; set a sleep schedule by waking and going to sleep at the same time every day; set your alarm for the time you actually need to wake up; open your curtains to let in natural sunlight as soon as you wake; exercise on a daily basis; and eat a nutritious and balanced breakfast. National Sleep Foundation, September 2022

Quote: “If you fell down yesterday, stand up today.” ~ H. G. Wells

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Health Alert: Air Pollution’s Effect on Blood Proteins. In a recent experiment, researchers observed that exposure to diesel exhaust stimulated adverse changes in the concentration of 90 proteins in blood plasma that are associated with inflammation, cellular repair, clotting, heart disease, and immune function.
European Respiratory Society, September 2022

Diet: Peanuts May Aid Weight Loss. Compared with participants on a low-fat diet, those who consumed a reduced-calorie diet that included 35 grams of peanuts eaten before two meals each day experienced greater improvements in blood pressure, weight loss, and fasting glucose levels. The researchers note that peanuts have a high satiety value, which may have helped participants feel fuller for longer, keeping their calorie intake low.
Nutrients, August 2022

Exercise: Exercise Can Help Schoolchildren Perform Better in School. A recent study found that children who
exercised regularly for six months experienced improved academic performance, especially their verbal ability. Lead
researcher Dr. Francisco Ortega adds, “If your children do not perform well academically, do not punish them … or withdraw them from an after-school sports activity, do just the opposite.” JAMA Network Open, August 2022

Chiropractic: Back Pain Risk Factors in Kids. Interviews with 401 fifth grade students revealed that 182 experienced back pain within the previous three months. Further analysis show that the following are risk factors among students in this age group for developing back pain: watching television more than six hours a day; lifting heavy objects with poor posture; using a non-standard, two strap backpack; and incorrectly wearing a two-strap backpack.                                                                International Journal of Environmental Research and Public Health, July 2022

Mental Attitude: Lifestyle Traits That Can Reduce Dementia Risk in Type 2 Diabetics. Individuals with type 2
diabetes are at an elevated risk for dementia; however, a recent study found that diabetics can substantially reduce their risk for the condition by not smoking, avoiding excessive alcohol consumption, getting regular exercise; eating a healthy diet; getting adequate sleep; avoiding prolonged sedentary behavior; and maintaining a healthy social life.
Neurology, September 2022

Wellness/Prevention: Can You Slow Hair Loss? The American Academy of Dermatology offers the following tips
for slowing hair loss: use caution when washing, drying, and styling your hair; be aware that some medications can trigger hair loss, so consult your healthcare provider for alternative choices; and keep in mind that hair loss can be temporary due to factors such as just having given birth, illness, or stress.
American Academy of Dermatology, September 2022

Quote: “Time ripens all things; no man is born wise.” ~ Miguel de Cervantes Saavedra

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Health Alert: Fine Particulate Air Pollution Linked to Gestational Diabetes. Fine particulate matter is a mixture
of dust, dirt, soot, smoke, and liquid droplets in the air, most commonly from gasoline combustion and the burning of wood and coal. A recent study found that increased exposure to fine particulate matter air pollution during the second trimester of pregnancy is associated with higher blood glucose levels and a greater risk for gestational diabetes.                                Environmental Research, November 2022

Diet: Ultra-Processed Food Linked to Colorectal Cancer in Men. According to an analysis of data on over
200,000 adults, a high intake of pre-cooked and instant meals—particularly processed meat products—is associated with an elevated risk for colorectal cancer in men, but not women.        BMJ, August 2022

Exercise: Urban COPD Patients May Be at Fitness Disadvantage. A study that included 404 patients with mild to-severe chronic obstructive pulmonary disorder (COPD) identified an association between living in a more densely
populated areas and fewer steps taken per day, more time spent engaged in sedentary activities, and less exercise capacity—all of which may lead to worse outcomes for COPD patients. Environmental Research, November 2022

Chiropractic: Posterior Shoulder Instability Management. Posterior shoulder instability is a shoulder injury that’s more common among young men who engaged in high-contact sports. A comprehensive review concluded
that in most cases, patients with posterior shoulder instability should utilize non-surgical care options for at least six months before considering a surgical procedure. The review notes that care should concentrate on proprioceptive and strengthening exercises of the subscapularis muscle and other dynamic stabilizers of the shoulder, as well as managing any co-occurring shoulder conditions, such as scapular dyskinesis. Doctors of chiropractic are trained in the diagnosis and management of several musculoskeletal conditions, including posterior shoulder instability.
StatPearls, July 2022

Mental Attitude: Lifestyle Factors for Preserving Cognitive Function. The current research supports the
following lifestyle behaviors for preserving cognitive function as one ages: don’t smoke, avoid excessive alcohol consumption, and get regular exercise.                                                            Applied Neuropsychology, Adult, November 2022

Wellness/Prevention: How to Floss Properly. The American Dental Association offers the following instructions
on how to floss: use a piece of floss about 18 inches long; wrapped at each end around a finger; hold the floss taut
between your fingers; gently and slowly slide the floss between each tooth; carefully shape the floss into a C at the gum line, and slide it between the gum and tooth; be sure to press the floss firmly against the tooth, carefully sliding the floss up and down against all sides of the tooth; repeat with the next tooth.
American Dental Association, September 2022

Quote: “All that counts in life is intention.” ~ Andrea Bocelli

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Influenza, Atrial Fibrillation, and Worse Hospitalization Outcomes. Using data from the National
Inpatient Sample, researchers report that individuals who are hospitalized for influenza and who have a history of atrial fibrillation have an elevated risk for acute respiratory failure, mechanical ventilation, acute kidney injury, cardiogenic shock, and in-hospital mortality.                                                              International Journal of Cardiology, Heart & Vascular, August 2022

Diet: Fish Oil and Vitamin D During Pregnancy Lowers Risk of Croup in Children. Croup is a viral respiratory
condition that causes a cough, a hoarse voice, and difficulty breathing. A study that included 736 mother-child pairs revealed an association between taking either a daily 2,800 IU vitamin D supplement or 2.4 g dose of fish oil during pregnancy and a reduced risk for croup by age three in their offspring.
European Respiratory Society, September 2022

Exercise: People in Their 80s Should Walk 10 Minutes Each Day. Researchers report that those in a group of 7,047 octogenarians who walked for at least ten minutes each day were 40% less likely to die in the following five years.   European Society of Cardiology, August 2022 

Chiropractic: Neck and Low Back Pain Are Common in Future Dentists. Among a group of 73 dental students whom researchers monitored during their time in dental school, 61.6% developed neck pain and 49.3% experienced low back pain. Interestingly, the risk for low back pain leveled off by their second year, while the risk for neck pain increased throughout their time in dental school. Past research has attributed working for prolonged periods of time in awkward postures as a significant risk factor for musculoskeletal pain in dental students and dentists.
International Journal of Environmental Research and Public Health, July 2022

Mental Attitude: Blood Type May Influence Stroke Risk. Following a review of health histories of nearly 17,000
people, researchers report that individuals with type A blood are 16% more likely suffer a stroke before age 60 than those with other blood types. On the other hand, the risk is lowest for those with type O blood. The researchers explain that type O blood contains fewer proteins that are known to contribute to clot formation, which is necessary for a stroke to occur.        Neurology, August 2022

Wellness/Prevention: Safe, Healthy Habits for Kids. The American Academy of Pediatrics recommends that
parents help their children adopt these habits to stay both safe and healthy as they grow up: put away their toys and clean up their messes; allow parents to help them brush their teeth twice daily; wash their hands after using the bathroom and before and after they eat; help parents clear the table after meals; be kind to animals, and always ask permission before petting an unfamiliar pet; be kind to other kids; and to talk to parents or other adults they trust if they feel scared or need help.                                          American Academy of Pediatrics, September 2022

Quote: “Don’t think about your errors or failures; otherwise, you’ll never do a thing.” ~ Bill Murray

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Health Alert: Button Batteries Are an Increasing Hazard to Kids. Researchers report that two times more
children made a trip to the emergency room after accidentally eating a button battery between 2010 and 2019 than during the preceding two decades. When swallowed, button batteries generate an electric current, which can trigger a harmful reaction that can cause serious injury, even death.            Pediatrics, August 2022

Diet: Breastfeeding Offers Heart Protection for Mom. The American Heart Association reports that women who
breastfeed at least one child have a 15% lower risk of heart disease and a 12% reduced risk for stroke later in life than women who do not breastfeed.                                            American Heart Association, August 2022

Exercise: Exercise and Heart Failure Risk. An analysis of health records on more than 94,000 adults revealed that
engaging in more than 150 minutes of moderate-intensity physical activity (or 75 minutes of high-intensity physical
activity) a week can reduce the risk for heart failure by more than 60%. Study author Dr. Frederick explains, “There
are many potential ways that regular physical activity may reduce the risk of developing heart failure… For example,
physical activity helps prevent weight gain and related cardiometabolic conditions, such as high blood pressure and
Type 2 diabetes, all of which are risk factors for heart failure. Regular physical exercise may also strengthen the
heart muscle, which, in turn, may prevent heart failure from developing.”                                                                              Circulation, August 2022

Chiropractic: Ankle Proprioception and Chronic Low Back Pain in the Elderly. Proprioception is the body’s
ability to sense where its various parts are in relation to one another for purposes of movement and balance. Examinations of older adults with and without chronic low back pain revealed that those with chronic low back pain were more likely to have impaired ankle proprioception. The findings suggest a possible link between abnormal motion of the ankle and pain in the lower back. This highlights the importance of examining the whole patient— something doctors of chiropractic are trained to do—to address all potential contributing causes for the patient’s
chief complaint.                                                                  Neuroscience Letters, August 2022

Mental Attitude: Family History of Mental Illness Increases Risk for Postpartum Depression. Following a
review of data from 26 studies, researchers report that women with a family history of a psychiatric illness are at twice the risk for developing postpartum depression.                                    JAMA Psychiatry, August 2022

Wellness/Prevention: Know the Signs of Sport-Related Concussion. Each year, more than 173,000 children and teens receive treatment for concussions or other traumatic brain injuries, often related to sports collisions. If a player is suspected to have sustained a concussion, it’s imperative to remove them from play and other activities and to have them evaluated by a healthcare professional as soon as possible. Ochsner Health, August 2022

Quote: “You don’t stop laughing because you grow older. You grow older because you stop laughing.”
~ Maurice Chevalier

Your Napa Chiropractor Dr. Joseph T. Megna