Strong evidence suggests women may not need mammograms if they receive a thorough clinical breast examination every year. A large and long study in The British Medical Journal published Tuesday is one of the few randomized, controlled evaluations of mammography in recent history. It examined Canadian women assigned to have regular mammograms plus breast exams or to have breast exams alone. Researchers found that death rates from breast cancer and from all causes were the same in both groups. It is definitely time to re-evaluate guidelines by looking at the screening issue from all angles. The more information the better.
Women who spend less time sitting live a longer, healthier life. And it seems to make an especially big difference for non-Hispanic women of color. This message comes from a new study based on 92,234 women followed for 12 years in the Women’s Health Initiative. Women who sat the least—4 hours a day or less—were about 20% less likely to die for any reason, 38% less likely to die of heart disease, and 42% less likely to die of cancer than women who sat the most—11 hours a day or more. The difference for black women was much bigger, with the most active 37% less likely to die of any cause, and the difference for Asians, Native Americans, and Pacific Islanders was even bigger—45% less likely. In terms of cancer, greater activity made a bigger difference for women under 70, who were one-third less likely to die of cancer than the very inactive women.
So, the numbers all add up—moving every day as much as you can is critical, probably more so than a fitness routine after a long day sitting at your desk. And if you have a desk job? Stick to your fitness routine, but take frequent little breaks just to get up and move around the office.
If everyone ate an extra apple a day, we might save as many lives as statin drugs save for everyone over age 50, say British researchers. No, it doesn’t mean that if you take a statin you should toss out your pills and eat more apples instead. But it does show that even simple changes in diet could do wonders before you have to use costly drugs. The researchers at Oxford University used a mathematical model to show that this simple step toward getting your recommended five fruits and vegetables a day could prevent or delay some 8,500 heart attacks and strokes every year in Britain.
At a time when achieving new heart disease guidelines might mean having nearly a third of all adults take statins, it’s good to remember we could do as much by changing our diets—and by remembering your mother was right when she said, “An apple a day keeps the doctor away.” Thanks, Mom.
This week we wrote about what women of the sexual revolution should know about menopause and HPV reactivation for More.com. Here's an excerpt:
A study released early in 2013 of women 35 to 60 years old found that HPV in women at or after menopause may represent an infection acquired years ago. Think of it like chickenpox—that virus can lie dormant in the bodies of people who were infected as children, then come raging back as shingles later in life when the immune system weakens. It’s the same with HPV. The reactivation risk may increase around age 50."
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JoAnn V. Pinkerton, MD, NCMP