Saturday, July 19, 2025
Understand Your Pain
Sunday, June 1, 2025
Pain and Chronic Pain--New!
New!
I think you might like this book – "Healing the Brain, Second Edition: Pain and Chronic Pain" by David Balog.
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Thursday, November 24, 2022
Artificial light at night may increase risk of diabetes
New study reveals that exposure to outdoor artificial light at night is associated with an increased risk of diabetes
- Date:
- November 14, 2022
- Source:
- Diabetologia
- Summary:
- A new study finds that outdoor artificial light at night (LAN) is associated with impaired blood glucose control and an increased risk of diabetes, with more than 9 million cases of the disease in Chinese adults being attributed to LAN exposure.
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- Exposure to artificial LAN at night is a ubiquitous environmental risk factor in modern societies. The intensity of urban light pollution has increased to the point that it not only affects residents of big cities, but also those in distant areas such as suburbs and forest parks that may be hundreds of kilometres from the light source. The authors note: "Despite over 80% of the world's population being exposed to light pollution at night, this problem has gained limited attention from scientists until recent years."
Earth's 24-hour day-night cycle has resulted in most organisms, including mammals, having an inbuilt circadian (roughly 24-hour) timing system which is adapted to the natural sequence of light and dark periods. Light pollution has been found to alter the circadian rhythm of insects, birds and other animals, resulting in premature death and loss of biodiversity.
Artificial LAN has also been implicated as a potential cause of metabolic dysregulation through altering the timing of food intake. Rats exposed to artificial LAN developed glucose intolerance, exhibiting elevated blood sugar and insulin. Another study found that mice exposed to nocturnal dim white light of minimal brightness for 4 weeks had increased body mass and reduced glucose tolerance compared to animals whose environment was completely dark at night, despite having roughly equivalent energy consumption and expenditure.
Associations have also been found between artificial LAN and health problems in humans. A study of night-shift workers found that those exposed to brighter LAN were more likely to have disrupted circadian rhythms, as well as a greater risk of coronary heart disease. Other research found that higher LAN exposure was associated with a 13% and 22% increase in the likelihood of being overweight and obese, respectively, while exposure to LAN in the bedroom was reported to be positively associated with the development of diabetes in elderly people.
The potential impact of outdoor artificial LAN was revealed by a study in South India which used satellite images to map light pollution and compared this with data on general health markers among adults across the region. With increasing LAN intensity, there were corresponding rises in average body mass index (BMI), systolic blood pressure and 'bad' (LDL) cholesterol levels in the exposed population.
Diabetes is a critical public health problem in China, and the onset and progression of the disease is largely governed by behavioural and environmental risk factors. The nation's rapid urbanisation and economic growth has resulted in a dramatic increase in urban lighting, and the number of people exposed to it. Those living in cities are prone to being shifted away from a natural 24-hour day-night cycle, to one of round-the-clock working and leisure time, often staying out late and being exposed to artificial LAN.
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Sunday, November 20, 2022
7-8 hours of sleep improves health
Less than five hours' sleep a night linked to higher risk of multiple diseases
- Date:
- October 19, 2022
- Source:
- University College London
- Summary:
- Getting less than five hours of sleep in mid-to-late life could be linked to an increased risk of developing at least two chronic diseases, finds a new study.
- Getting less than five hours of sleep in mid-to-late life could be linked to an increased risk of developing at least two chronic diseases, finds a new study led by UCL researchers.
The research, published in PLOS Medicine, analysed the impact of sleep duration on the health of more than 7,000 men and women at the ages of 50, 60 and 70, from the Whitehall II cohort study.
Researchers examined the relationship between how long each participant slept for, mortality and whether they had been diagnosed with two or more chronic diseases (multimorbidity) -- such as heart disease, cancer or diabetes -- over the course of 25 years.
People who reported getting five hours of sleep or less at age 50 were 20% more likely to have been diagnosed with a chronic disease and 40% more likely to be diagnosed with two or more chronic diseases over 25 years, compared to people who slept for up to seven hours.
Additionally, sleeping for five hours or less at the age of 50, 60, and 70 was linked to a 30% to 40% increased risk of multimorbidity when compared with those who slept for up to seven hours.
Researchers also found that sleep duration of five hours or less at age 50 was associated with 25% increased risk of mortality over the 25 years of follow-up -- which can mainly be explained by the fact that short sleep duration increases the risk of chronic disease(s) that in turn increase the risk of death.
Lead author, Dr Severine Sabia (UCL Institute of Epidemiology & Health, and Inserm, Université Paris Cité) said: "Multimorbidity is on the rise in high income countries and more than half of older adults now have at least two chronic diseases. This is proving to be a major challenge for public health, as multimorbidity is associated with high healthcare service use, hospitalisations and disability.
"As people get older, their sleep habits and sleep structure change. However, it is recommended to sleep for 7 to 8 hours a night -- as sleep durations above or below this have previously been associated with individual chronic diseases.
"Our findings show that short sleep duration is also associated with multimorbidity.
"To ensure a better night's sleep, it is important to promote good sleep hygiene, such as making sure the bedroom is quiet, dark and a comfortable temperature before sleeping. It's also advised to remove electronic devices and avoid large meals before bedtime. Physical activity and exposure to light during the day might also promote good sleep."
As part of the study, researchers also assessed whether sleeping for a long duration, of nine hours or more, affected health outcomes. There was no clear association between long sleep durations at age 50 and multimorbidity in healthy people.
Monday, April 18, 2022
Overlooked: Millions suffer tension, migraine headaches at work
NIH/Migraines at work overlooked, understudied.
Millions suffer tension, migraine headaches at work, in silence
Date:
February 9, 2022
Source:
University of Copenhagen - The Faculty of Health and Medical Sciences
Summary:
A new study shows that people with migraine or frequent tension headaches have a reduced work ability in particularly three areas. The researchers hope that the new knowledge may help workplaces become better at accommodating those suffering from headaches.
FULL STORY
Imagine your head pounding. And when you try to move, a door slams, or curtains are drawn it gets much worse. Ideally, you would like to crawl under your blanket in a dark and quiet room.
This is how it may feel for people suffering from migraine or frequent tension headaches. Untreated, a migraine attack may last for 4-72 hours, and tension headaches may potentially last for a week. In Denmark, it is estimated that approximately 770,000 people suffer from migraine or frequent tension headaches.
Now, for the first time, a new study from the University of Copenhagen shows specifically how migraine or frequent tension headaches affect the ability to work.
"It is especially the ability to remember, make quick decisions and do hard physical work that cause difficulties for people with these headache disorders," says Project Manager and author of the study Kirsten Nabe-Nielsen.
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She hopes that the study will help to focus on the consequences which headaches may have for working life.
"Migraine is the leading cause of functional impairment among people under the age of 50. And headaches have negative effects on sick leave and productivity. So, it would benefit workplaces to open their eyes to the untapped potential that you find here," says Kirsten Nabe-Nielsen, adding:
"Indeed, we cannot afford not to take it seriously."
If you ask the Danish working population, 24 per cent of women and 10 per cent of men suffer from migraines or frequent tension headaches.The possibilities of adapting the work during headache attacks depend on the type of work you have, says Kirsten Nabe-Nielsen, stressing:
"So also in this context, there is a significant inequality in health."While people with academic jobs will often be able to go home a little earlier, work from home or choose to postpone the tasks that demand the highest concentration, other people, such as cleaning staff or nursing staff in old people's homes, do not have the same opportunities to adjust the working hours or postpone the tasks to be solved. Instead, they may have to call in sick.
According to Kirsten Nabe-Nielsen, it takes creativity on the part of the manager and the employees to find out which solutions may be helpful:
"It is about having a good overview of the tasks that need to be solved, and then having a talk as to the best way to arrange a work day. For example, there may be tasks that can be performed later in the day, or that can be solved at a leisurely pace or in a quiet space until the pain has gone."
"I am going to lay down"Kirsten Nabe-Nielsen believes that headache disorders such as migraine and frequent headaches are an overlooked epidemic.
"We are stuck with the idea of the character Maude from the Danish TV series Matador saying 'I am going to lay down' whenever she is a bit stressed," she says, explaining:
"Most people have experienced headaches. Therefore, it may be difficult to understand how debilitating migraine and frequent headaches may be for a colleague, friend or family member. People still have the notion that it will be sufficient to swallow a pill."
Kirsten Nabe-Nielsen believes that there is a lack of knowledge in the general population about the importance of headache disorders. The same applies to the fact that taking too many painkillers to soothe the headache may actually lead to more headaches.
"Some studies show that headaches are the second-most common cause of sick leave -- surpassed only by infectious diseases. Therefore, headache disorders carry large personal and socio-economic costs," says Kirsten Nabe-Nielsen.
Associated with depressive symptoms and muscular painThe researchers have used self-reported information from more than 5,000 active Danes with different educational backgrounds -- from people with long academic educations to unskilled workers.
"It is new that we combine information about migraine and frequent headaches with the participants' use of painkillers and with their description of the ability to cope with seven different, specific requirements at work," says Kirsten Nabe-Nielsen.
The participants also answered questions about their health, depressive symptoms and pain in muscles and joints.
Here, the researchers found that depressive symptoms and pain in muscles and joints play an important role for the context between headache disorders and the ability to work.
"Our results indicate that the handling of depressive symptoms and pain in the musculoskeletal system may be an important factor in improving the ability to work among people with headache disorders," says Kirsten Nabe-Nielsen.Previous studies support the finding that headaches, muscle and joint pain coincide with depressive symptoms.
Among other things, you may see mood changes, and neck pain may be a warning sign of a migraine attack, just as frequent headache attacks may affect the mood negatively.
Under- and overmedicationThe researchers find the lowest ability to work in the group of headache sufferers who do not use painkillers at all and the group who use painkillers on a daily basis.
"This raises the question whether these two groups are undertreated and overtreated, respectively," says Kirsten Nabe-Nielsen.
According to Kirsten Nabe-Nielsen, it seems to indicate that the group taking painkillers on a daily basis may not receive a treatment that works as intended -- and they might even suffer from medication overuse headaches.
"On the other hand, when you look at the group who does not take medication at all, it seems to indicate that they are undermedicated. And maybe it has to do with the fact that they do not consider their illness to be severe enough to seek medical attention -- but that is just our guess," says Kirsten Nabe-Nielsen.
Facts: What are migraines and frequent headaches?The two most common forms of headaches are migraine and tension headache.
Migraine is characterised by bouts of moderate or severe pulsating headache accompanied by nausea, vomiting and sensitivity to light and sound. Chronic migraine occurs more than 14 days a month.
Tension headache is characterised by mild to severe pain on both sides of the head. Nausea and vomiting are usually absent. Chronic headache occurs more than 14 days a month.
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Facts: RecommendationsBased on the study, and seen in the light of other research, the researchers are making two recommendations:
People with headaches should see their doctor for advice and possible medical treatment.
Managers and employees should discuss the possibilities for adapting work during attacks, in order to reduce absenteeism, such as the opportunity to work in a room with less noise or outdoors, the opportunity to perform less physically demanding tasks or the opportunity to perform tasks that are not emotionally or cognitively demanding.
We need to think about the handling of other pain disorders (e.g., neck-shoulder pain) and mental health in order to improve the overall health-related quality of life among people with headache disorders.Story Source:
Materials provided by University of Copenhagen - The Faculty of Health and Medical Sciences. Note: Content may be edited for style and length.
Tuesday, March 15, 2022
Stress, Trauma and LGBTQ Youth
And A Thousand Moms