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WEDNESDAY, May 20, 2015 (HealthDay News) -- Undergoing chemotherapy before surgery may help women battling advanced ovarian cancer, a new study finds.

The British study was led by Sean Kehoe, professor of gynecological cancer at the University of Birmingham, and included 550 patients. About half underwent the standard treatment of surgery followed by six cycles of chemotherapy, while the other half had three cycles of chemotherapy before their surgery.

The risk of complications and death within 28 days after surgery was lower among those who had chemotherapy before surgery, Kehoe's team found. They also had fewer side effects, spent less time in the hospital, and experienced a better quality of life, the findings showed.

The study was funded by Cancer Research U.K. and was published May 19 in The Lancet.

"Whether to have chemotherapy before major surgery for ovarian cancer has always been a dilemma for women and their surgeons," Peter Johnson, chief clinician at Cancer Research U.K., said in a news release from the organization.

"Thanks to this study, we can say that having chemotherapy first makes the surgery safer, the stay in hospital shorter, and women's quality of life better," he said.

Study lead author Kehoe agreed. "The trial showed that shrinking the tumor [with chemotherapy] before surgery reduced side effects and hospital stay -- meaning improved quality of life, without compromising survival, which is better for patients," he said in the news release.

According to the American Cancer Society, ovarian cancer remains one of the deadliest cancer types. The society estimates that in 2015, more than 21,000 American women will be diagnosed with the disease, and more than 14,000 women will die from it. Ovarian cancer is the fifth biggest cancer killer of women overall, the group says.

-- Robert PreidtMedicalNews
Copyright © 2015 HealthDay. All rights reserved.SOURCE: Cancer Research U.K., news release, May 19, 2015

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Digestion and metabolism are not one and the same, but they certainly need to work together for optimal workout benefits. Digestion involves the breaking down of food and distributing nutrients throughout the body while at the same time getting rid of the any waste.

Metabolism is when your body uses the energy and nutrients from the digestion process to aid workouts and also to process food in everyday life.

For your metabolism to work properly, the digestive system needs to be feeding it the right nutrients for exercise. Likewise, if your metabolism isn't so great, the digestive system ends up storing excess calories as fat, so both need to be working in tandem for your body to completely benefit. After only 10 minutes of exercise, your bloodstream contains more metabolites than when you started, and consistent exercise stimulates long-term changes in metabolism.

What to eat

During weight training, the digestive system competes with the muscles for all that blood flow that's occurring during a workout. Whichever one has the heavier load wins this epic showdown, so it's important to have a specific eating schedule that favours your muscles since they need the blood supply a lot more than the digestive system (he is a bit greedy it seems).

Melbourne-based PT and elite athlete Sheena-Lauren Steinert recommends watching what you eat pre-workout.

"My number-one rule before working out is to have something in your belly.

"An active body is a raging fire and food is like its coal. If there is no coal, your body will use what it has, which can sometimes mean hard-earned muscle from your last workout!"

While some science says carbs pre-workout increase workout intensity and duration, offsetting any fat burn impediment, Steinert advises clients to skip them pre-workout. Small meals high in protein and low in carbs encourage the body to use its own fat stores for fuel, she says.

Exercise that support digestion

Along with diet, workouts that strengthen abdominal muscles support optimal digestive organ function. Try a yoga exercise, surya namaskar, to increase heart rate and strengthen your core.

Do a set of 12 Surya Namaskar poses early to mid-morning. Poses such as Hastauttanasana (raised arms pose), Hasta Padasana (hand to foot pose) and Bhujangasana (cobra pose) benefit the stomach muscles and posture.

For diet, Steinert says great pre-workout foods include scrambled eggs (three egg whites and one egg yolk, diced tomato and onion), half a banana with one tablespoon of peanut butter (100 per cent roasted peanuts), or a protein shake made with water.

 

MedicationsSupplements and Vitamins home > neurology center > neurology a-z list > mediterranean diet may boost thinking and memory article

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MONDAY, May 11, 2015 (HealthDay News) -- Adding more olive oil or nuts to a Mediterranean diet -- one rich in fruits, vegetables, fish and whole grains and low in red meat -- may help keep your mind sharper as you age, a new study suggests.

The Spanish researchers found that seniors following such diets had greater improvements in thinking and memory than people who were simply advised to eat a lower-fat diet.

"You can delay the onset of age-related mental decline with a healthy diet rich in foods with a high antioxidant power, such as virgin olive oil and nuts," said lead researcher Dr. Emilio Ros, director of the lipid clinic at the Hospital Clinic in Barcelona.

"Because the average age of participants was 67 when the trial began, one can say that it is never too late to change your diet to maintain or even improve brain function," he said.

The report was published online May 11 in the journal JAMA Internal Medicine.

Dr. Sam Gandy, director of the Center for Cognitive Health at Mount Sinai Hospital in New York City, said, "The general heart-healthy and brain-healthy effects of eating less beef and more chicken, fish, fruits and vegetables has been validated to the point that I now recommend this general Mediterranean diet to all my patients."

Both olive oil and nuts have been associated with mental benefit in other studies, he added. "So, these findings are not so much a surprise as a reminder that there is more to the Mediterranean diet than meat, fruits and vegetables, and that calling out specific recommendations to include olive oil and nuts is probably worthwhile," Gandy said.

For the study, Ros and colleagues collected data on nearly 450 older adults between 2003 and 2009. Their average age was 67. All of the participants were at high risk for heart disease, but had no reported problems with memory or thinking.

Participants were randomly assigned to add a liter (about 33 ounces) of extra virgin olive oil per week to their Mediterranean diet, or to supplement their Mediterranean diet with 30 grams (roughly 1 ounce) per day of a mixture of walnuts, hazelnuts and almonds. Others followed a low-fat diet.

Mental changes over time were assessed with a battery of memory, attention and thinking tests. Complete data on almost 350 patients was available for analysis, the researchers said. The participants followed the diets for four years, on average, according to the study.

In both groups following a Mediterranean diet, the researchers saw improvements in tests of memory and thinking compared to the group on the low-fat diet, the study showed.

Samantha Heller, a senior clinical nutritionist at New York University Medical Center in New York City, explained that "healthy fats from foods like nuts and olive oil play crucial roles in brain function and health."

How might a Mediterranean diet that includes extra olive oil or nuts help? One way might be by protecting the nerve cells in the brain, suggested Heller, who was not involved with the study.

Every one of the nerve cells in the human brain is surrounded by an ultra-thin layer of fat and protein called the myelin sheath, she explained. The myelin sheath protects the nerve structure and helps nerve cell interaction. The brain gets its fats to make and maintain the myelin sheath from the foods people eat. The healthier the foods and fats, the healthier the brain, Heller said.

Oleic acid is one of the most prevalent fats in the myelin sheath, Heller said. "Olive oil, almonds, pecans, macadamias, peanuts and avocados are all good sources of this fat. Omega-3 fatty acids are also important for brain health and are found in fish, walnuts and soy foods. These healthy fats have been shown to improve mental function and brain health and reduce the risk of Alzheimer's disease," she said.

Heller suggested cooking with olive oil instead of butter, snacking on a handful of almonds instead of a bag of chips, and adding vegetables to pasta in place of meatballs.

MedicalNews
Copyright © 2015 HealthDay. All rights reserved.SOURCES: Emilio Ros, M.D., Ph.D.,director, lipid clinic, Hospital Clnic, Barcelona, Spain; Sam Gandy, M.D., Ph.D., director, Center for Cognitive Health, Mount Sinai Hospital, New York City; Samantha Heller, M.S., R.D., senior clinical nutritionist, New York University Medical Center, New York City; May 11, 2015, JAMA Internal Medicine

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