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Women's Health Advisor, Jan 2006

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Women's Health Advisor, Jan 2006 WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY HELPING WOMEN OVER 50 MAKE INFORMED HEALTH DECISIONSTM January 2006 Volume 10 / Number 1 When Alcohol Becomes Troublesome Alcohol abuse in later life is an unrecognized problem—some women may not even realize they are drinking at unhealthy levels IN THIS ISSUE For some women, older age is a happy, fulfill- them at risk for illnesses and accidents, espe- 2 Frontline ing period—for others, it’s a lonely experi- cially falls,” says Dr. Millman. “For older peo- ence. The loss of a spouse or friends may ple who are at home and lonely, drinking • Aspirin may cut deaths in women with heart disease leave women feeling isolated and depressed. allays those feelings of loneliness; it passes • Exercise can add years to These feelings can intensify if there are phys- the time.” life expectancy ical limitations and family members are scat- “Women may be separated, divorced, or • Omega-3 fats in fish can tered across the country. Some women may widowed. Women who are alone at home reduce the risk of dry eye try to medicate depression or isolation with may have a tendency to drink too much due syndrome • Glucosamine and an accessible and inexpensive drug: alcohol. to lack of social constraints. Or, they have a chrondroitin help knee The National Institute on Alcohol Abuse partner who drinks, and it becomes a shared osteoarthritis pain and Alcoholism (NIAAA) reports that around unhealthy behavior, which may lead to vio- one-third of American women consume lence,” notes Denise Russo, PhD, program 3 Health News alcohol regularly. Around 2.3 percent director in the NIAAA’s Division of How big a threat is avian (upwards of 2.5 million women) meet the Metabolism and Health Effects. “Sleep prob- influenza? criteria for alcohol abuse, according to the lems become more common in older age, and NIAAA. Figures are hard to come by for some women may use alcohol as a sleep aid. 4 Solutions women aged 65 and older. Because alcohol Depression can also lead to unhealthy behav- What you need to know problems are often iors, and one of them is before going into the unrecognized LIGHT DRINKING IS <1 “DRINK” PER DAY: drinking. And we know hospital for surgery among older that alcohol impacts women, they go women harder than men 6 Mind and Body untreated. at lower levels of con- Ways to stay younger as you More women are sumption,” says Russo. get older staying healthy and For women, light living longer than drinking is defined as 8 FYI 12 oz beer = 5 oz wine = 1.5 oz distilled spirits ever before (see One drink = 12 grams of ethanol having one drink or News from the Society for page 6). For those less per day. Women’s Health Research: (Source: National Institute on Alcohol Abuse and Alcoholism) Women react to pain who choose to differently than men drink alcohol, the NIAAA says the pattern of Bigger impact consumption and amount consumed influence Alcohol becomes more concentrated in a 8 Ask Dr. Etingin whether alcohol has a helpful or harmful woman’s body due to smaller body size, • Comparing aspirin and effect on conditions that increase with age, lower weight, and higher percentage of warfarin for atrial fibrillation including heart disease, breast cancer, osteo- body fat; women also produce less of a • Why your bone scan may porosis, and dementia. stomach enzyme called alcohol dehydrogenase produce puzzling results (ADH) that breaks down alcohol, so more Drinking alone gets into the bloodstream. “Evidence is now Because of the stigma for women associated accumulating that women develop problems with heavy alcohol use, women often drink at such as fatty liver, hypertension, gastric home and drink alone, observes Robert bleeding, and peptic ulcers, and cirrhosis at a Millman, MD, director of the alcohol and faster rate than men at lower levels of con- drug abuse service at the Weill Cornell sumption,” notes Dr. Millman. Medical Center. “Most older women drink Alcohol is processed and eliminated more privately. Even though they may start later, slowly in older age, elderly people are often they may escalate their alcohol use, putting Continued on page 7 FRONTLINE Women’s Health Aspirin may cut deaths in women with heart disease ® A long-term study shows that aspirin may significantly reduce death rates in post- Advisor ASPIRIN menopausal women with heart disease. The study, presented at the American Heart Editor-in-Chief Association scientific sessions in November 2005 in Dallas, was conducted among Orli R. Etingin, M.D. Director, Iris Cantor Women’s Health 8,928 women with heart disease aged 50-79; 46 percent of the women were taking daily doses of Center; Vice Chairman, Dept. of either 81 mg or 325 mg of aspirin. During six and a half years of follow-up observation, all Medicine; Professor of Clinical Medicine, Weill Medical College of women taking aspirin had a 25 percent lower death rate from heart disease and a 17 percent reduc- Cornell University tion in death from all causes. However, the study was not a randomized trial, so the results do not Editor Rita Baron-Faust definitively prove aspirin was responsible for the cuts in death rates, and because the reduction in Copy Editor deaths was the same for both doses of aspirin, there’s no way to determine what the optimal dose Barbara Merchant is. Experts say randomized clinical trials are needed. Higher doses of aspirin are associated with Contributing Writers gastric bleeding and other side effects. Peggy Eastman, Washington Correspondent; Sheila Sobell Editorial Support Exercise can add three years to life expectancy Weill Cornell Public Affairs If you engage in regular exercise, even just 30 minutes of brisk walking a day, you can Group Director add as much as three years to your life expectancy free of heart disease, according to David Eltz two studies in the November 14, 2005 Archives of Internal Medicine. One study, from ADVISORY BOARD Cardiology the Netherlands, analyzed more than 40 years worth of data from 4,121 people taking part in the Erica Jones, M.D. landmark Framingham Heart Study. Participants were grouped according to whether they had low, Dermatology medium, or high activity levels. Compared to those who engaged in low levels of activity, life Richard Granstein, M.D. Diane S. Berson, M.D. expectancy for the medium activity group was 1.5 years longer and 3.5 years longer for those with Endocrinology high activity levels—years spent mostly free from heart disease. A second, smaller study from the Carol Levy, M.D. University of Florida of 492 sedentary men and women examined the type of walking program Gastroenterology Ira Jacobson, M.D. that would produce the biggest improvements in heart health. The results: Walking moderately or Ellen Scherl, M.D. briskly for 30 minutes five or more days a week, or walking briskly 3-4 days a week, improved Gerontology cardiorespiratory fitness the most. Walking at a fast pace five or more days a week improved Veronica Lofaso, M.D. cholesterol levels. Gynecology Margaret Polaneczky, M.D. Internal Medicine Fish with omega-3 fats reduce dry eye risk Shari Midoneck, M.D. If you eat plenty of cold-water fish rich in omega-3 fats, you may be able to reduce Neurology Nancy Nealon, M.D. your risk of dry eye syndrome. Women with dry eye syndrome do not produce tears in Nutrition sufficient quantities to lubricate the eye. The most common remedy, artificial tears, pro- Barbara Heller, R.D. vides only temporary relief. Researchers from Brigham and Women’s Hospital in Boston note that Oncology inflammation is thought to play a role in dry eye, and omega-3 fats appear to have antiinflammatory Anne Moore, M.D. Psychiatry properties. The researchers looked at data from 32,470 women taking part in the Women’s Health Minna Fyer, M.D. Study, and found that those who had the greatest intake of omega-3 fats were at 17 percent lower Radiology risk of dry eye syndrome than women with the lowest intake. Tuna especially seemed to protect Ruth Rosenblatt, M.D. against dry eye, with women eating more than five 4-oz servings a week reducing their risk of dry Rheumatology Linda Russell, M.D. eye by 68 percent, compared to women who ate one or fewer servings of tuna per week. No other Sexuality types of fish or seafood were associated with lower dry eye risk in the study in the October 2005 Barbara Bartlik, M.D. American Journal of Clinical Nutrition. The study did not address the issue of mercury in tuna. Sports Medicine Lisa Callahan, M.D. Glucosamine, chondroitin ease knee osteoarthritis Weill Medical College of Results from two major clinical trials, one conducted in the U.S. and the other in Cornell University Europe, show the supplements glucosamine and chondroitin can reduce pain in people Women's Health Advisor® (ISSN: 1524- with knee osteoarthritis (OA). The U.S. study, the Glucosamine/Chondroitin Arthritis 881X) is published monthly for $39 per year by Belvoir Media Group, LLC, 800 Intervention Trial (GAIT), funded by the National Institutes of Health, involved almost 1,600 peo- Connecticut Avenue, Norwalk, CT ple over age 40 with moderate to severe knee OA pain. The GAIT trial found that patients with 06854-1631. Robert Englander, Chairman and CEO; Timothy H. Cole, severe knee pain randomized to take 1,500 mg glucosamine hydrochloride had a more than 65 per- Executive Vice President, Editorial cent reduction in pain, but those taking a combination of glucosamine and 800 mg of chondroitin Director; Philip L. Penny, Chief Operating Officer; Greg King, Executive Vice President, Marketing Director; Marvin Cweibel, sulfate had an almost 80 percent reduction in pain.
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