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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

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Health Alert: Legalization of Pot Linked to Increase in Car Crash Injuries and Deaths. According to a recent
study, states that have legalized recreational marijuana have seen an increase in the rates for car crashes with injuries (6%) and fatal crashes (4%) that has not been observed in states that did not legalize the drug. Lead researcher Dr. Charles Farmer adds, “It’s becoming more and more clear that the legalization of marijuana doesn’t come without cost. But marijuana legalization is still a novelty, and there’s hope that these early trends can be turned around.”
Journal of Studies on Alcohol and Drugs, July 2022

Diet: Keto and Mediterranean Diets Good for Glucose Control. According to a recent study, both the ketogenic and Mediterranean diet are effective for improving glucose control and improving high-density lipoprotein (the good cholesterol) levels; however, participants found that the Mediterranean eating pattern was easier to sustain on a longterm basis. American Journal of Clinical Nutrition, May 2022

Exercise: Exercise May Improve Thinking Speed. A study that included 758 participants found that women with
higher cardiorespiratory fitness performed better on thinking speed assessments than their sedentary peers. However, no such observation was noted in men.                                                  Neurology, July 2022

Chiropractic: Early Chiropractic Care Reduces Opioid Use for Patients with Low Back Pain. A review of insurance claims for around 41,000 adults with back pain revealed that those who sought chiropractic care initially were 12% less likely to receive a subsequent opioid prescription and 46% less likely to use opioids in the long term. Because only 6% of the patients in this study sought chiropractic care first, the findings suggest that encouraging patients to consult with a chiropractor for new-onset back pain could significantly reduce long-term opioid use and misuse.                                           Journal of Chiropractic Medicine, June 2022

Mental Attitude: Childhood Loneliness May Lead to Drinking Problems in Adulthood. Interviews with more
than 300 college students found that those who experienced loneliness before age twelve were more likely to report
higher present day stress levels and problematic drinking behaviors.                                                                                  Addictive Behaviors Reports, July 2022

Wellness/Prevention: Special Brain Scans May Aid in Early Parkinson’s Disease. With the aid of a new technology called quantitative magnetic resonance imaging (qMRI), researchers are now able to detect changes to a part of the brain called the striatum, which helps the body move voluntarily and is known to deteriorate with Parkinson’s disease. When qMRI becomes clinically available, it will help doctors detect Parkinson’s in its earliest stages.                                                           Science Advances, July 2022

Quote: “Listen once in a while. It’s amazing what you can hear.” ~ Russell Baker

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Underactive Thyroid May Increase Dementia Risk. A review of the medical records of over
15,000 older adults revealed that a history of hypothyroidism is associated with an 80% elevated risk for dementia, and the risk is even greater among those on hormone-replacement medications.                                                                          Neurology, July 2022

Diet: Inflammatory Diet Linked to Frailty. Frailty is a condition characterized by weakness, slowness, physical
inactivity, self-reported exhaustion, and unintentional weight loss that is associated with an increased risk for poor health outcomes. Using data from the Framingham Heart Study Offspring study, researchers have observed an association between a pro-inflammatory diet—an eating pattern characterized by a high intake of sugar, polysaturated vegetable oils, trans fats, dairy products, feed lot-raised meat, red meat, processed meat, alcohol, refined grains, and artificial food additives—and an elevated risk for frailty.
American Journal of Clinical Nutrition, July 2022

Exercise: Active Teens Sleep Better and Have Healthier Hearts. Assessments of 352 adolescents revealed that those who regularly engage in physical activity not only experience better quality sleep, but they also have better cardiovascular function than their sedentary peers.                                           Sleep & Breathing, August 2022

Chiropractic: Manual Therapies and Tinnitus. Following a study that showed that manual therapies are an effective intervention for patients with suspected cervicogenic somatosensory tinnitus, researchers conclude that in the absence of ENT (ear, nose, and throat) pathologies, patients seeking care for ringing in the ears should be examined for musculoskeletal dysfunction in the head and neck. Doctors of chiropractic commonly use manual therapies to manage patients with musculoskeletal disorders.                                    HNO, August 2022

Mental Attitude: People Appreciate Hearing from You. A recent series of experiments found that individuals who reach out to acquaintances, friends, and family generally underestimate the impact their gesture would have on others, especially when the recipient has no reason to expect it.
Journal of Personality and Social Psychology, July 2022

Wellness/Prevention: Achieve Healthier Skin. The American Academy of Dermatology recommends the following skin care routine to keep your skin young and healthy looking: wear sunscreen daily; don’t smoke; inspect your skin regularly for signs of skin cancer; determine your skin type, and use products formulated for that type; use mild warm water and a gentle cleanser when washing your face; wash your face before bed, when you wake, and if your face is sweaty; and find ways to manage stress, such as exercising.
American Academy of Dermatology, July 2022

Quote: “The beginning of wisdom is the definition of terms.” ~ Socrates

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Health Alert: The Cost of Forever Chemicals… Perfluoroalkyl and polyfluoroalkyl substances (PFAS) are
chemicals used to imbue heat-, oil-, stain-, grease-, and water-resistant properties to products such as food containers, clothes, and furniture and have been linked to several poor health outcomes. Because these chemicals linger in the body, they’re known as forever chemicals. According to a recent study, these chemicals may cost the United States health care system an estimated $63 billion dollars a year in medical costs and productivity losses due to the top conditions linked to PFAS exposure, including hypothyroidism and childhood obesity. Senior author Dr. Leonardo Trasande writes, “Our results strongly support the recent decision by the Environmental Protection Agency to lower the safe allowable level of these substances in water… Based on our estimates, the cost of
eradicating contamination and replacing this class of chemical with safer alternatives is ultimately justified when considering the tremendous economic and medical risks of allowing them to persist in the environment.”
Exposure and Health, July 2022

Diet: Most Don’t Eat Enough Fruit and Vegetables. An analysis of data on eating patterns from health and nutrition surveys conducted between 1988 and 2018 found that more than half of all participants failed to meet recommendations of 1.5-2 servings of fruit and 2-3 servings of vegetables per day.
Journal of Renal Nutrition, July 2022

Exercise: Walking Suggestion for PAD Patients. New research suggests that for patients with peripheral artery
disease (PAD), walking at a pace that induces leg discomfort results in better long-term walking performance than
strolling at a comfortable pace or not walking at all.          Journal of the American Heart Association, July 2022

Chiropractic: Manual Therapy Combo Benefits Cervicogenic Dizziness Patients. For individuals with dizziness caused by dysfunction in the cervical spine, researchers report that the combination of functional massage and manipulative therapy—treatments provided in a chiropractic setting—is an effective intervention for improving
mechanosensitivity of the cervical muscles, neck-related disability, and dizziness symptoms.                                               Life (Basel), July 2022

Mental Attitude: Anxiety Triggers. Healthline reports that the following are common triggers of anxiety: jobrelated stress; travel, drug or medication withdrawal, medication side effects, trauma, phobias, chronic pain or illness; depression, and caffeine.                                                                                  Healthline, July 2022

Wellness/Prevention: University Students Could Benefits from Less Phone Use. Questionnaires completed by 400 college students revealed that using a cellphone for six or more hours a day is linked to an elevated risk for eye
strain, neck pain, back pain, weight gain, depression, loneliness, and mood disorders.
International Journal of Environmental Research and Public Health, July 2022

Quote: “Good company in a journey makes the way seem shorter.” ~ Izaak Walton

Your Napa Chiropractor Dr. Joseph T. Megna