Tag Archives: cancer

Effective Help for obese Children-Start Early (Article)

Finding a way to reduce the number of over-nourished children is one of the great challenges for our society today. Health experts are fairly certain that by eliminating obesity among children, we will greatly be able to reduce the number of today’s children who go on to become diabetic, have heart disease, and cancers. We urgently need a way to help a lot of obese children.

New research reveals that early intervention for obese children has a reasonable chance of success. Investigators found that intensive education for families with obese 6-9 year olds had a 44% chance of lowering the obese child’s BMI. If the same intervention was done for the obese 10-13 year olds, only 20% of these children were successful at lowering their BMI. The news was even worse for the obese 14-16 year olds, with a success rate of only 8%. Could it be that, as a general rule, the earlier an intervention is begun, the more effective it will be? This fact is certainly true when it comes to the treatment of autism, the treatment of inborn errors of metabolism that some children inherit, and the prevention of problems seen in children who experience psycho-social deprivation to name a few. It is beginning to look like the smart thing for society to do is to spend its biggest resources at prevention when children are very young as opposed to spending money later in their lives when intervention is much less likely to be successful. This recent study certainly gives us something to think about. Until next time.

Smo Notes:

1. Response of severely obese children and adolescents to behavioral treatment. Danielsson PKowalski JEkblom ÖMarcus C.     Arch Pediatr Adolesc Med. 2012 Dec;166(12):1103-8. doi: 10.1001/2013.jamapediatrics.319.

The China Study (Book Review Pedcast)

 

Feeding your children the healthiest diet possible is the goal of every parent but exactly what is a healthy diet? Answering that question is the reason that we at the DocSmo.com blog thought a book review of a major new book on nutrition might be helpful to parents.  The China Study, by T. Colin Campbell, PhD and Thomas M. Campbell II, MD, is a cumulative work based on the findings from  careers in nutritional research and medicine.  A myriad of research is discussed in the book but the core conclusions are derived from a longitudinal (20 year) study called “The China Study” in which researchers from Cornell University, Oxford University, and the Chinese Academy of Preventative Medicine collected data from 65 counties in 24 provinces in China, comparing diet, lifestyle, and disease characteristics in this huge population.  (The New York Times called this data “The Grand Prix” of epidemiological studies when the results were first published in the early 1990s.) The father and son team of Drs. Campbell digest the China study data and a wealth of other scientific observations. Their main conclusion is that populations consuming the most animal-based foods are afflicted with the most chronic Western diseases. The China Study therefore advocates for a diet that consists exclusively of whole plant-based foods as well as discussing the science behind this conclusion, barriers to its introduction in the American diet, and lifestyle tips for readers ready to transition to this nutritional mindset and lifestyle.

Similar to many books on nutrition, the authors start with an overview of the problems related to childhood and adult obesity and chronic disease in the United States. This highlights the general confusion that many feel with an overwhelming amount of  health and nutrition information. This book may provide a useful guide for providing better nutrition for their children. Their goal is to clarify confusion by referencing sound scientific data, instead of providing the latest sensation in rapid weight-loss. They seek to demonstrate a strong connection between eating animal protein and the high incidence of chronic disease plaguing Western societies; cancer, diabetes, and coronary heart disease.  The authors continue with manageable chapters about the nutrition science and mechanisms of disease.  The authors believe that the consumption of animal protein trigger breast and prostate cancers, cause obesity that is at the root of adult onset diabetes, and contributes to diseases of the heart and blood vessels.  The book  highlights the correlation between nutrition and disease, citing a wealth of scientific evidence.

In our opinion, the useful sections in the book are right in the middle, where the authors list eight principles of how to rethink nutrition and provide an eating guide for parents and children. Aside from eliminating all animal products and minimizing added vegetable oils such as peanut or olive oil, he encourages plants and whole grains. The authors are especially harsh on added supplements, believing that a sound diet should provide individuals with everything they need, except for a nod to vitamin D for children and adults who spend the majority of their time indoors and vitamin B12. The last third of the book discusses with the barriers to adopting this way of eating, exposing some startling realities of powerful lobbying groups and their influence on formulating government dietary recommendations.

Overall, this book highlights the important relationship between nutrition and chronic disease. If the authors are right, our health and the future health of our children depend on us adopting a plant-based diet, now.  It promotes a whole-grain, plant-based diet in order to avoid chronic disease, and reverse them once they have developed.  This book presents sound scientific data based on decades of biochemical research and explains the science behind the studies in a clear and manageable way. As the authors say, they take us where the data leads.  To be clear, this book is not a weight-loss solution or another fad diet.  It is a scholarly look at decades of research illuminating the connection between poor nutrition and incidence of chronic diseases. Despite its length and complexity, we would highly recommend this book to anyone interested in diet as it relates to your children’s long-term health. The authors believe that not only can diseases like cancer, heart disease, and adult onset diabetes be prevented in our children with a plant-based “vegan” diet, but that these diseases can be REVERSED with food after they have developed.  The Dr. Campbell father/son team challenge traditional nutrition teaching which advocates a diet rich in animal based protein and dairy foods, vitamin and mineral supplements, and often diets with an imbalanced nutrient profile such as the “Atkins” diet.  The authors claim that a completely plant based diet is the key to prevention of heart disease, cancer, and diabetes.  Time will tell us if they are right.  Pass the broccoli, please. We give this book 4 out of 5 DocSmo stars.  Until next time.

Written collaboratively by Angela Solis and Paul Smolen M.D.

HPV news… prevention works (Article)

The HPV vaccine has gained much attention in recent news, but there are many questions as to what it actually does and if it actually works. Experts at the CDC are now recommending that all children get vaccinated with the HPV vaccine long before they are sexually active.  I hear many parents question the wisdom of this vaccine until they understand how deadly HPV viruses can be. HPV, or human papilloma virus, is the most common STD in America. The infections affect people of all ages: teenage girls, boys, men, women, and even babies.  Fourteen million people become infected with HPV each year and are therefore put at greater risk for cervical cancer and head and neck cancers. Though every year, 19,000 women develop cervical cancer, and 8,000 men develop penile or head and neck cancers that are directly linked to the HPVs, many parents do not fully recognize the real danger of HPV infections.

The first HPV vaccine was approved for use in girls and young women in 2007 and recent data indicate its value.  Statistics gathered by the CDC shows that the HPV vaccine is incredibly effective, and therefore invaluable to protect our teenagers’ current and future health. Among girls ages 14 through 19 who were studied, the HPV infection rate has dropped by 56% in the past four years, even while vaccine rates are low. In the CDC sample population studied, just 5.1% of teenage girls became infected, compared to a pre vaccine rate of 11.5%. Imagine how low infection rates will be when far more children are vaccinated! If your teen hasn’t been vaccinated already, please don’t wait. The HPV vaccine has proven to be safe and effective defense against HPV. The inconvenience of simply getting a few injections is nothing in comparison to the devastating consequences of cancer.

Parents need to keep in mind that the HPV vaccine is a powerful tool to prevent cancers but only works if it is given before a person is infected, hence the young recommended age.  Remember this Doc Smo pearl: “Prevention trumps treatment, every time.”  Lets pass on a HPV free world to the next generation in the same way we were given a world without smallpox.  I hope you agree that a few shots is a small price to pay to avoid all that future pain and suffering.

Smo Notes:

  1. http://www.pediatricnews.com/news/infectious-diseases/single-article/cdc-study-finds-56-drop-in-hpv-infections/ad015e9f23f95a9ec437f9ee17cc0de1.html

Written collaboratively by Keri Register and Paul Smolen MD

HPV Vaccines: “Prevention Trumps Treatment” (Pedcast)

Transcript:

-Welcome
-Your host here, Dr Paul Smolen, here to continue your free pediatric education with information parents can use from gestation to graduation.
-What I like about pediatrics is that it is a preventative specialty.
-It is much easier to prevent an illness than treat one, especially cancer.
-You heard me right, cancer.
-I remember the microbiology lecture in med school where the Professor said emphatically, “No human cancers are caused by viruses”
-What a frightening thought… a virus that you could catch that might give you cancer, spread around like the common cold!
-Time has proven that this statement was wrong, wrong, wrong…there are actually many viruses that are known about that can cause cancer which is our topic of discussion today.
-So sit back and turn up the volume so you don’t miss any of today’s, DocSmo.com

Cancer seems to be a genetic disease. It is the genes in the cell that control all aspects of a cell’s function… including its rate of reproduction.
-Sometimes when things go bad, the genes that say to the cell, divide and grow, are stuck in the on position, leading to uncontrolled growth. These out of control dividing cells are called cancer cells.
-They just can’t stop dividing and multiplying. They begin to crowd out all of their neighbors and eventually spread beyond the tumor.
-So how do these bad genes get into cells? Good question.
-We know that carcinogens such as chemicals and radiation, can damage our genes but how about if the genes are inserted into our chromosomes when we get a viral infection?
-Interesting possibility

-The answer turns out to be a big yes.
-Here are the viral infections that we know of today that can directly or indirectly cause cancer:
Hepatitis B and C
HIV
Epstein Barr virus that causes mononucleosis
And finally, a group of viruses called HPV viruses
-If you have children who you have been dragging to the pediatrician, you will recognize a few of these infections as vaccines that are recommended at their visits… the Hepatitis B vaccine that is recommended to be given to newborns and the HPV vaccines recommended for preteens.
-These two vaccines are both safe and extremely effective. If every child were to be vaccinated at the appropriate time with these vaccines, it is thought by experts that essentially all liver cancer caused by Hep B would be eliminated and 70% of abnormal pap smears and cervical cancers caused by HPV wouldn’t happen.
-Remember this DocSmo pearl, “Prevention trumps treatment”.

-In my November 2011 Pediatrics journal, there is an article looking at the HPV vaccine rates for girls 13-17, during the 2008-9 in the US.… at that time, only about 20% of these girls had completed the HPV series of 3 shots. Hopefully we are doing better now.
-In Australia of all places, the government has made a big effort to vaccinate all of their teen girls.
-And it is working. Recent evidence, just a few years after they started making the HPV shots a priority, found that rates of very abnormal PAP smears ( early cervical cancers) have fallen dramatically, by 38% in just a few years.
-The Australians are going to reap tremendous benefits from their efforts to vaccinate because far fewer of their children are going to get cervical cancer. remember, “Prevention trumps treatment”.
-You may be aware that in October of 2011, the Center for Disease control is now recommending HPV vaccines for the boys… this is going to hopefully hasten the day when these cancer viruses disappear altogether. We’ve done it before… anyone seen a case of polio or smallpox recently?

-So the next time your pediatrician suggests one of those shots be given to your son or daughter, even if they squawk, even if frightens you or them, even if it is expensive, even if you would rather get home sooner and not wait for the nurse to get the shot….do it.
-You will be glad you did.
-The “experts” seem to almost always be right when it comes to infectious disease recommendations. They have a great track record so when they do something, I listen, and you should too.

-That wraps up our discussion today. I hope you found it informative and relevant.

-The pediatric blog known as DocSmo.com is beginning to catch on and you can help.
-If you like what you hear, go ahead and write a review on iTunes and subscribe to the fresh new content I put on weekly. Like us on Face book, or follow us on twitter.
-As always, your comments are welcome and I will try and respond personally
-This is Dr Paul Smolen, your pedcast host, broadcasting from Studio 1E, hoping you won’t hesitate to take your little tot for their next shot.

Until Next time

Smo Notes

http://www.racgp.org.au/afp/200912/200912heley.pdf

http://jnci.oxfordjournals.org/content/102/5/325.full

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60551-5/fulltext#article_upsell