Category: life expectancy

One drink a day shortens your life

Ah, alcohol.

Some people don’t touch it for religious reasons.

Some people drink in moderation.

Some to excess.

Alcoholic drinks are classified by how many units of alcohol they contain. A recent study suggested that drinkers who consumed over 12.5 units (100g) of alcohol were more likely to die sooner than those who did not breach this amount.

If we follow current UK guidelines, this means that we should not drink more than 6 pints of average strength beer at 4%, or these might have serious repercussions for our health.

6 pints! Some people exceed that in a single day or two!

The limits established by the UK seem lower compared to those in the other countries, but nevertheless, each country sets its own guidelines based on lifestyle and economic factors.

The crux of this research was that adults over the age of 40 would lose between one or two years of their life is they exceeded the UK guidelines.

The somewhat irony of this research was that drinking alcohol was linked with higher incidences of cardiovascular symptoms, except for heart attacks, where it was lower.

How can these be so? How can drinking lead you to develop health problems, yet not cause you heart attacks?

This is where the “blind spot” of the research falls. It may not just be the drinking that is difficult to measure empirically.

You may argue that is not so much the level of alcohol that is the problem, but the lifestyle factors associated with the level of alcohol.

For example, those who exceed the UK threshold for alcohol consumption regularly may have lifestyle concerns or health worries that cause stress on the heart. Think of someone who is depressed and drowning himelf in sorrows. It is not necessarily the alcohol that he keeps swigging down, but more the stress that the depression is taking on him.

You may also argue that those who don’t exceed this limit have less stressful lifestyles. Or perhaps they have other outlets for stress, such as sport and exercise, and hence do not feel the need to drink as much.

It is like analysing football fans. You might find that the ardent supporters are more likely to have suffered the stresses, the highs and lows of their football team. They are also likelier to be older fans. Those who have not followed football teams as passionately or for as long are likely to be younger individuals. But you cannot say the number of football games watched cuts your life expectancy.

Why do drinking limits differ from place to place? I mentioned earlier that in some countries, this is due to economic interference. But how is this so? Imagine a country like, say, Spain, which produces various kinds of wines. As a higher percentage of the country’s economy depends on sales of alcohol, it is likely that Spain will have higher recommended guidelines. And Spain does. While UK men are told not to drink above 14 units of alcohol, this limit is 35 units in Spain. A staggering 2.5 times higher than in Britain!

The UK limit is also lower than Ireland (21.2). What does Ireland export? Guinness. It has been calculated that every day 10 million glasses of Guinness are sold all across the world and 1.8 billion points of Guinness are sold.

It is difficult to measure the health effect beyond the recommended threshold because it would be unethical to make someoe drink above that limit for a long time. But the results of the study suggest that consumption for many people is best reduced and monitored.

 

Broccoli is good for your heart

“Research has shown eating broccoli, cauliflower, cabbage and brussels sprouts to be particularly beneficial for the hearts of elderly women,” The Guardian reports.

Researchers investigating the benefit of a vegetable diet in Australia found that women who consumed the highest number of vegetables displayed less thickening of the walls of a vessel that supplies blood to the brain. The blood vessel is known as the common carotid artery and it has been linked to incidences of stroke, as a blockage in the artery prevents blood getting to the brain.

 

Might it have been a case of merely the consumption of vegetables? After all, we know that vegetables are good for you. Did the consumption of broccoli specifically have health benefits?

When looking at specific types of vegetables, researchers in Australia found that cruciferous vegetables seemed to provide the most benefits. These are a range of vegetables that belong to the same cabbage “family” (Brassicaceae) and include broccoli, brussels sprouts, cabbage, cauliflower and kale.

While previous research has linked a healthy diet with plenty of fruit and vegetables to lower risk of heart attacks and stroke, this study looks at the potential effect of specific types of vegetables.

The study could not merely narrow down the benefits solely to the consumption of vegetables, particularly broccoli But after variances in other factors was taken care of, the results held true after taking account of other factors such as women’s lifestyle, medical history and other components of their diet.

Cruciferous vegetables are good for you and the evidence suggests that older women in particular should make an effort to include them in their diet.

The researchers who carried out the study came from Edith Cowan University, the University of Western Australia, Children’s Hospital at Westmead, Flinders University and Sir Charles Gairdner Hospital, all in Australia. The study was funded by Healthway Western Australian Health Promotion Foundation and the National Health and Medical Research Council of Australia. It was published in the peer-reviewed Journal of the American Heart Association, and is available to read free online.

Surprisingly enough, the Mail Online reported the study results accurately. Nevertheless, as is often the case, did not make it clear that this type of study cannot prove that one factor (cruciferous vegetables) is a direct cause of another (carotid artery wall thickness).

The Guardian headline and introduction said the study showed vegetables provided “heart benefits”, although thickening of the carotid artery is more closely linked to risk of stroke.

The new wonderfood?

Wow, pasta is in the news again. In the 1990s it was claimed that eating pasta would mean consuming large anount of calories, which then get deposited as fat.

And now the surprising media focus is now on how pasta can help you lose weight? It is incredible to think how two pieces of research can have such different results over time.

The latter fact was what was reported in newspapers such as The Daily Telegraph and the Independent.

Carbs have become a common focal point for newspapers because it is almost unavoidable that we have to consume them every day. Newspapers tend to focus on common foods such as pasta, rice and bananas because the majority of readers consume them and this makes the news relevant, newsworthy, and inclines the reader to purchase a newspaper or read a web page loaded with adverts.

The common carbohydates that feature in news are white flour, rice and potatoes. They have been criticised for causing weight gain, alongside sugar.

Pasta is a low-glycemic index food, which means the carbohydrates don’t release sugar in the bloodstream when broken down.

But the abundance of carbohydrates in daily food also means that when it is absent, it is newsworthy. Which is why when celebrities go on a zero-carb diet, like the Adkins diet, the news is jumped on.

In the cited research, researchers looked at pasta that was used as a part of an overall low-glycemic index diet, compared to a high glycemic index food.

When pasta was eaten as part of a low GI diet, it was more likely to cause weight loss than if it were eaten as part of a high GI diet.

The research is still out on that one really. But is eating a low GI diet part of the solution that it appears to be? I would suggest not.

I would suggest that those who eat a low-GI diet anyway would be more inclined to eat a high fibre type of pasta.

High fibre pasta keeps you full and you feel fuller on less calories. Thus less calories remain with the body and get deposited as fat. Excess calories end up as fat, you see.

Those who ate pasta as part of a high GI diet would be less likely to be health conscious and hence the type of pasta would be less specific, less high-fibre and more ordinary pasta, requiring one to eat more calories to feel full.

Look at it this way. Less health concious people drink norrmal tea. Health conscious people drink peppermint tea (or some other sort).

Those who drink peppermint tea as part of their daily diet would be more likely to be health conscious, while those that consume normal tea are likely not. But that doesn’t mean you should stretch research and say peppermint tea helps you lose weight.

To summarise, what I would propose is not that pasta helps you lose weight, but that high-fibre pasta means you consume less calories and hence lose weight. It has nothing to do with being used as part of a low glycemic index diet or a high glycemic index diet. But low GI diet followers are more likely to eat high fibre pasta.

This was the bit of information that was not supported by articles.

The researchers found that “when pasta is consumed in the context of low GI dietary patterns, there is no weight gain but marginally clinically significant weight loss.”

The Mail Online, England’s favourite Health Daily, of course stretched the truth by saying that one should forgetting eating courgettes and going to the gym. Who ever knew a humble common daily event like eating pasta would have such a great effect?

That was the Mail Online’s spin to it, but don’t rush to eat lots of pasta. The extra consumption of pasta would merely make you pile on the pounds again. It is unethical to report like this but in this day and age it sells articles and is inportant though, even if it is peddling mistruths!

How the dangers of e-cigarettes extend beyond DNA damage

Studies done on laboratory mice suggest that e-cigarettes can be harmful to humans, although to a lesser degree compared to the traditional tobacco they are supposed to replace. This suggests that  cigarette smokers could do themselves some good in switching to e-cigarettes, although those who have yet to pick up the habit should avoid it because it can actually do the body harm – and is not zero-risk smoking as some might view it.

E-cigarettes have been growing in use over the last few years. Because they are aerosol-based, they use compounds to deliver nicotine to the user. This means they avoid the smoke associated with traditional tobacco cigarettes. In the latter, the burning of tobacco releases carcinogens, which cause cell damage and cancer when they are inhaled. The delivery of nicotine by aerosol in e-cigarettes avoids these, although the recent study proposes that this is not enough.

The most recent research into the use of e-cigarettes suggests that they still cause cancer because they damage string DNA and the body’s ability to repair itself.

Laboratory mice were exposed to the vapour of e-cigarettes for a period that simulated normal human consumption. The vapour of e-cigarettes contains both nicotine and solvent, and while the solvent itself had no effect on the mice, the combination of solvent and nicotine had the same impact as nicotine itself.

The limitations of the study were that it was unclear the vapour inhaled by the mice was equal to the amount a human being would, or pro-rated for the difference in mass! Furthermore, the impact on mice may not be comparable to those on humans.

The research does highlight, nevertheless, that there is a potential danger in e-cigarettes. While guidelines in 2016 recommended them as a safer alternative to tobacco, they are not 100% safe. Various groups of people such as the younger generation, for whom smoking is a perceived sign of maturity, think that just because there is no burnt substance, that they are perfectly safe. Unfortunately, the easy availability of these e-cigarettes, just like nicotine gum, means that rather than getting individuals off cigarettes, they may only be building up a lifelong addiction instead.

One cigarette a day can cost a lot

According to the newspaper headlines of late, teenagers should be kept away from cigarette exposure because of this worrying statistic.

A survey of over 216,000 adults found that over 60% of them had been offered and tried a cigarette at some point, and of these, nearly 70% went on to become regular smokers. The conclusion drawn was that there are strong links between trying a cigarette ones to be sociable and going on to develop it as a habit.

This of course ended up in the newspapers with headlines such as “One cigarette is enough to get you hooked”. The Mail Online, Britain’s go-to newspaper for your important health news (and I’m being ironic here) went a step further, saying one puff from a cigarette was enough to get you hooked for life. Never mind if you had one draw of a cigarette, felt the nicotine reach your lungs, then coughed in revulsion at the bitter aftertaste and swore that you would never again try a cigarette again. The Mail Online bets you would return to the lure of the dark side, seduced by its nicotine offers.

I digress.

While we all know that any event, repeated many times becomes a habit, the statistics in this case are a little dubious.

The study was conducted by Queen Mary University (nothing dubious in itself) but among the various concerns were what you might call the high conversion rate. Nearly 70% of those who tried a cigarette once went on to smoke regularly as a habit.

I’m not sure why the 70% is worrying. In fact, I wonder why it is not 100%! Surely, if you asked a habitual smoker, “Have you smoked a cigarette before?”, the answer would be a resounding “Yes”!

Unless you have caught someone in the act of sneakily smoking his virgin cigarette. But he wouldn’t yet be a habitual smoker.

Let’s establish the facts of the matter again.

216,000 adults were surveyed.

130,000 of them (60% of the adults) had tried a cigarette before.

86,000 (40%) have never smoked before.

Of the 130,000 who had tried a cigarette before, 81,000 (70%) went on to become regular smokers.

49,000 (30%) of those who tried a cigarette before either did not go on to smoke at all or did not smoke regularly.

Another way of looking at the data would be as follows:

216,000 adults surveyed.

135,000 adults do not smoke regularly or at all. Some did try once in the past.

81,000 adults smoke regularly and these people have obviously tried a cigarette before.

Suddenly the data doesn’t look sexy anymore.

The data was an umbrella studywhich means data was pooled rather than created from scratch through surveys. As previously examined, the final outcome is also dependent on the integrity of the original source.

Bias can also creep in because the data has not been directly obtained and inferences have been drawn.

For example, the influence of e-cigarettes and vaping on the results have not been scrutinised, because some of the data may have existed before then.

Before we leave it at this, here is another example of data bias:
216,000 adults were surveyed.

130,000 of them (60% of the adults) had tried a cigarette before.

86,000 (40%) have never smoked before.

We can conclude that 100% of the 86,000 who have never smoked a cigarette in the past have never smoked a cigarette.

You can see the absurdity more when it’s spelt out more in words than in numbers.

If research is costly and expensive, in terms of money and time, then why is it wasted on these?

One reason is that it keeps academics and researchers in their jobs, if they produce findings that are financially low-cost but can stave off the question of what they actually do, and their purpose.

This kind of research is the academic version of the newspaper filler article, one that columnists generate based on the littlest of information, in order to fill the papers with “news”, that actually mask the fact that they are there to sell advertising space. And in this, columnists and researchers are at times colluding for the same purpose. Vultures who tear at the carcass of a small rodent and then serve up the bits as a trussed up main meal.

Unethical? Who cares, it seems. Just mask the flawed process and don’t make it too obvious.

Your daily sausage roll may exact its revenge on you in good time

Ever wonder why people go on a vegetarian or a vegan diet? There are many reasons I can think of.

The most common one is that people are very much against animal cruelty. People who avoid eating animal-based products are against the farming of animals, because they are convinced that animals are treated inhumanely. For example, battery hens are kept in small cages in large densities. Imagine if you and your fellow co-workers were put together in a small room, without any desks, and told to make the most of it. You’d all be up in arms about the way you were treated. The only difference between you and hens is that hens can’t protest about it.

The transition to a vegan diet is not just about not eating animals, although this can be a factor too. Vegans are against the eating of animal meat because of the way farm animals are killed. Cows, pigs and chickens, the main farm animals that are killed to provide the common English foods such as the English breakfast comprising sausages, bacon and eggs, are – in the opinion of vegans – inhumanely killed, despite the best of measures.

Do you know how a chicken is killed before it ends up deep fried in bread crumbs and served with your chips and bottle of cola? There are two main ways. The first is by electric methods. First of all, the birds are shackled to a conveyor belt by their legs, upside down. Needless to say, they don’t willingly walk to the machine and pick their positions. There is a lot of fluttering about, human exasperation, and rough handling of the birds which may result in broken bones – who cares, right? After all, the bird is going to be dead soon – before the conveyor belt brings the birds upside down into a water bath primed with an electric circuit. The moment the bird’s head touches the water, it is electrocuted to death.

The second method involves gassing to death. Birds are transported in their crates and exposed to suffocation. This method is arguably more humane, supporters say, because the birds are not manhandled. But don’t be fooled into thinking the bird’s welfare is under consideration. It is a faster, less human-intensive way of killing the birds. Sling them in the box and gas them to death. No messing around trying to catch the flapping things. Avoiding the need to shackle them also saves time.

There is a third reason often quoted for going further in being a vegan. Cows produce vast amounts of methane and if everyone stopped eating beef, it would be better for the enviroment. In this instance, it is not so much for the animal’s welfare, but more for the sake of avoiding the environmental pollution by the animal.

There may soon be another fourth reason for avoiding meat. Processed meats – which have been preserved using methods such as salting, curing, smoking or adding preservatives – have been linked with cancer.

A study involving 262,195 UK women showed links of breast cancer and processed meat. Postmenopausal women who ate processed meat had a 9% higher chance of getting breast cancer than women who ate no processed meat. Those who consumed more than 9g of processed meat had a 21% chance of getting cancer in comparison to those who avoided it altogether.

The study is significant because the sample size is large – not just 100 women, or a small negligible figure whose results may bias findings, but over 250,000 women; more than enough to be taken seriously.

The women were all between the ages of 40-69 and free of cancer when they were recruited for the study before 2010. They were followed for a period of seven years and the results examined.

Process meats are thought to possibly cause cancer because the methods involved in processing the meat may lead to the formation of cancer-causing compounds called carcinogens.

What is not so clear is whether it was the eating of processed meats in isolation that caused the development of cancer. There are other factors that should be taken into account, of course, such as alcohol, exercise, work stress, lifestyle factors and body mass index. Certain ethnicities may also be prone to developing cancer because of other dietary factors such as cooking with oil, ghee or lard.

The results also did not suggest that the findings would be equally applicable to men.

Nevertheless, it would be a good idea, if you were an older woman, to avoid eating processed meat every day. Instead the consumption could be limited to once every other day, or eating it as an occasional treat. Or cut out the meat completely – a switch to a vegetarian or a vegan diet would not only be good for your health. You would be considering the environment too.

Health umbrella reviews mask the real issues

You have to wonder why the breakfast tea doesn’t get the same level of attention. Or perhaps whether in France, the humble croissant is elevated to the same status. Or maybe the banana could soon be the star of another media show. But unfortunately it is coffee that headlines tomorrow’s fish and chips papers.

“Drinking three or four cups of coffee a day could have benefits for your health”. As we have seen previously, this kind of headline bears the hallmarks of a media health report:

1) repackaging of common information requiring little or no specialist examination;

2) use of a modal auxiliary verb (could) to conveniently justify or disclaim an

attention-grabbing headline – which, by the way, is point number three.

The health reports in the media also incorporate:

4) a statistically small group of trial participants, whose results are then blown up in proportion as if to be representative of the 7 billion people on the planet.

5) Assumptions. A media report about health could simply include assumptions.

Why dwell on coffee? For starters, it is a commonly consumed drink and so any meaningful research would potentially have bearings on millions of people. It is common media practice to focus on common food and activities because of the relevance to daily life.

But if you examine this carefully, why not tea? Why not write about tea? While conspiracy theories may be slightly far fetched, it is possible that – unless it is a speciality tea – coffees cost more, and any potential health benefits would lead people to spend more, hence generating more for the economy in the forms of tax. Perhaps this is why media writers don’t waste too much ink on researching the potential life-saving benefits of bananas, even though they are widely consumed. The research isn’t going to drive people to buy bananas in bulk, and even so, the extra revenue generated from a low priced item isn’t going to raise much extra tax.

Are there any notable similarities or differences in style across different countries? One wonders whether Parisian newspapers, on a regular basis, churn out headlines such as:

“Eating two or more croissants a day could reduce your chances of heart disease.”

“Pan aux raisins linked with dementia”.

The research done was an umbrella review to potentially examine whether further research should be undertaken into researching the effects of coffee and its role in preventing liver cancer. An umbrella review meant that no actual research was undertaken, but that existing research was examined and analysed to glean insights.

The problem with umbrella reviews is that they are very generalised, no actual research is done, and they are only brief analyses of existing research. This means that first of all, an umbrella review could arrive at a particular conclusion, but in no way should that be taken as the final conclusion.

In fact, the findings of an umbrella review are only the preliminary to more detailed investigation. If an umbrella review suggested that drinking coffee could prevent cancer, then what it is saying is more research needs to be undertaken, and the media needs to be ethically responsible by not reporting “Coffee prevents Cancer”, because there are people that look at newspapers and television as the source of their information and assume just because it has been released in the public domain, it is truth. Who could conceive that newspapers spend time and resources to publish trivial information and that television is pure rubbish?

The second problem with umbrella reviews is that the outcomes are only as good as the original sources. If someone gave you a set of grainy photos, then asked you to make a collage with them, then your collage is going to be as good as the grainy photos will allow. If the original sources were not thorough or exact in their investigation, are any subsequent findings based on these merely just a waste of time?

The third issue with umbrella reviews is that under closer scrutiny, the overall picture is distorted by over focussing on small statistical variances, or sometimes minute errors are magnified and lead one down the wrong path.

If you took a picture on your phone and then blew it up to the size of a mural covering the side of your house, the picture becomes very dotty. You might see big patchy squares. But if you started looking for that big patchy square from the image in your phone… one has to wonder what the purpose of that is.

The fourth is that because umbrella reviews are a prelude to a more thorough investigation, their end results are slightly skewed from the outset. If an umbrella review is bound to provide a few avenues for later time-consuming research then it is fundamentally biased into having to provide one in the first place. Why, in that case, have such reviews in the first place? Some may point out that the flaw in the system is that umbrella reviews are relied on by those in academia and research to warrant the continued longevity of their positions. In other words, if researchers had nothing to research, they might be out of a job, so they best find something to stick their noses in.

Have you ever read the London newspaper Metro and come across some research news such as:

“Going to bed angry can wreck your sleep” (25 Sept 2017)

It is the sort of headline that makes you think “Why bother doing the research in the first place?”

It is likely that you have read a media report of an umbrella review.

What were the findings of the original coffee review?

Drinking coffee was consistently linked with a lower risk of death from all causes and from heart disease. The largest reduction in relative risk of premature death was seen in people consuming three cups a day, compared with non-coffee drinkers.

Now, when an umbrella review mentions drinking coffee is linked with a lower risk of death, it is important to be clear about what it specifically means. And what it is stating is that those who had a lower risk of death all happened to drink coffee. It might have nothing to do with the coffee itself. It might have been that they took a break to slow down a fast-paced lifestyle, and the taking of a break gave them a lower risk of death. By that logic of association, tea could also be linked with a lower risk of death.

Coffee was also associated with a lower risk of several cancers, including prostate, endometrial, skin and liver cancer, as well as type-2 diabetes, gallstones and gout, the researchers said. The greatest benefit was seen for liver conditions such as cirrhosis of the liver.

Again, to be clear, the above link means that those who were at lower risk of those cancers happened to drink coffee. But it is not necessarily stating the coffee had anything to do with it.

And coffee is such a commonly consumed drink, that it is easy to use it to draw links to anything.

If people who died from car accidents happened to drink coffee, an umbrella review might state that drinking coffee is linked with higher incidences of car accidents.

The findings can be summarised by a health analyst:

“Does coffee prevent chronic disease and reduce mortality? We simply do not know. Should doctors recommend drinking coffee to prevent disease? Should people start drinking coffee for health reasons? The answer to both questions is ‘no’.”

We should perhaps add a further third question: Did the umbrella review produce any actionable findings, and should it have been undertaken in the first place?

Probably not.