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Vitamin D plus Calcium Reduces the Risk of Falls

In a systematic review examining evidence related to the relationship between vitamin D and the risk of falls, the authors identified 26 eligible trials of moderate quality that included data from 45,782 subjects (majority elderly and female), and found that vitamin D use was associated with a statistically significant reduction in the risk of falls (OR=0.86 for suffering at least one fall), particularly in those who were vitamin D deficient at baseline and in whom calcium was co-administered. These results suggest vitamin D plus calcium may reduce the risk of falls, particularly in elderly women.

Reference:

"The Effect of Vitamin D on Falls: A Systematic Review and Meta-Analysis," Murad MH, Elamin KB, et al, J Clin Endocrinol Metab, 2011 July 27; [Epub ahead of print]. (Address: Knowledge and Encounter Research Unit (M.H.M., N.O.A.E., M.B.E., A.A.A., M.M.F., J.P.A., R.J.M., M.A.L., P.J.E., V.M.M.), and Division of Preventive, Occupational, and Aerospace Medicine (M.H.M., D.D.H.), Mayo Clinic, Rochester, Minnesota 55905, USA).

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Probiotic Administration is Well Tolerated in Very Low Birthweight Preterm Infants

In a study involving 743 preterm (mean gestational age: 29.5 weeks) neonates of very low birth weight (mean birth weight: 1056 g), of which 73% were either exclusively or partially breast fed, administration of Lactobacillus rhamnosus GG (3 x 10(9) CFU/d, in a single oral dose, since 4th day-of-life, for 4-6 week courses) was found to be safe and well tolerated. No clinical sepsis that occurred was attributable to the LGG. The authors conclude, "Routinary supplementation of probiotic LGG in a large, 6-year VLBW infants Italian cohort proved microbiologically safe and clinically well tolerated."

Reference:

"Routine Lactobacillus rhamnosus GG administration in VLBW infants: A retrospective, 6-year cohort study," Manzoni P, Lista G, et al, Early Hum Dev, 2011 March; 87 Suppl 1: S35-8. (Address: Neonatology Unit, S. Anna Hospital, Torino, Italy).

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Hypovitaminosis D among Pregnant Women with Threatened Premature Delivery

In a study involving 93 pregnant women after the 30th week of gestation, hypovitaminosis D (defined at 25(OH)D equal to or less than 20 ng/mL) was quite prevalent (found in 89.5% of subjects), and vitamin D deficiency (defined at 25(OH)D less than 10 ng/mL) was found in 10 of the 93 subjects. Serum 25(OH)D levels were negatively associated with serum type 1 collagen N-terminal telopeptide and bone-specific alkaline phosphatase. Significantly lower 25(OH)D levels (11.2 ng/mL) were found in mothers with threatened premature delivery, as compared to mothers with normal delivery (15.6 ng/mL). The authors conclude, "...the present data suggest a high prevalence of hypovitaminosis D in perinatal pregnant Japanese women throughout the year, which seems to affect bone metabolism and to be associated with threatened premature delivery."

Reference:

"High prevalence of hypovitaminosis D in pregnant Japanese women with threatened premature delivery," Shibata M, Suzuki A, et al, J Bone Mineral Metab, 2011 March 8; [Epub ahead of print]. (Address: Division of Endocrinology and Metabolism, Department of Internal Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan).

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Acupuncture for the Treatment of Insomnia in Patients with Traumatic Brain Injury

In a randomized study involving 24 adult survivors of traumatic brain injury, treatment with acupuncture was found to be as effective as treatment with medication in improving sleep, and subjects in the acupuncture group were found to have improved cognition, as compared to subjects in the medication group. The authors conclude, "Acupuncture has a beneficial effect on perception of sleep or sleep quality and on cognition in our small sample of patients with TBI. Further studies of this treatment modality are warranted to validate these findings and to explore factors that contribute to treatment efficacy."

Reference:

"Acupuncture for Treatment of Insomnia in Patients With Traumatic Brain Injury: A Pilot Intervention Study," Zollman FS, Larson EB, et al, J Head Trauma Rehabil, 2011 March 7; [Epub ahead of print]. (Address: Departments of Physical Medicine and Rehabilitation & Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA).

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Olive Leaf Extract in Patients with Stage 1 Hypertension

In a randomized, double-blind, parallel, active-controlled clinical study involving patients with stage 1 hypertension, treatment with olive leaf extract (olea europaea L., EFLA (R) 943), at a dose of 500 mg, twice daily, for a period of 8 weeks, was found to be associated with a significant reduction in systolic as well as diastolic blood pressure, as compared to baseline. The group that did not receive olive leaf extract were treated with the standard drug, Captopril (12.5 mg, twice daily, and titrated to 25 mg twice daily as needed). At baseline, mean systolic blood pressure was 149.3 mm Hg in the olive leaf extract group and 148.4 mm Hg in the Captopril group, and mean diastolic blood pressure was 93.9 mmHg in the olive leaf group and 93.8 mmHg in the Captopril group. After 8 weeks of treatment, both groups experienced significant reductions in both systolic as well as diastolic blood pressure, with no significant different in amount of reduction between the 2 groups ( -11.5 and -13.7 mmHg reductions in systolic BP and -4.8 and -6.4 mm Hg reductions in diastolic BP in the olive leaf and Captopril groups, respectively). In addition, a significant reduction in triglycerides was found in the olive leaf group and not the Captopril group. The authors conclude, "Olive (Olea europaea) leaf extract, at the dosage regimen of 500mg twice daily, was similarly effective in lowering systolic and diastolic blood pressures in subjects with stage-1 hypertension as Captopril, given at its effective dose of 12.5-25mg twice daily."

Reference:

"Olive (Olea europaea) leaf extract effective in patients with stage-1 hypertension: Comparison with Captopril," Susalit E, Agus N, et al, Phytomedicine, 2011 Feb 15; 18(4): 251-8. (Address: Nephrology & Hypertension Division, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Indonesia).

 
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Metformin Use by Diabetics May be Linked to Low Vitamin B12 Status

In a cross-sectional study involving 144 diabetic patients treated with Metformin (glucophage), serum vitamin B12 levels were found to be low (< 125 pmol/L) in 6.9% of patients and possibly low (125-250 pmol/L) in 36.8% of patients. Serum vitamin B12 levels were found to be positively associated with estimated intake of vitamin B12 and negatively associated with age and duration of Metformin use. These results suggest that vitamin B12 supplementation may be needed by diabetic patients taking the anti-diabetic drug, Metformin.

Reference:

"Vitamin B12 in metformin-treated diabetic patients: a cross-sectional study in Brazil," Nervo M, Lubini A, et al, Rev Assoc Med Bras, 2011 Jan-Feb; 57(1): 46-9. (Address: Internal Medicine Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil).

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Carnitine and Fatigue in Patients with Chronic Hepatitis C

In a study involving 70 patients with chronic hepatitis C, 42 patients with irritable bowel syndrome (IBS), and 44 healthy subjects, fatigue was found to be significantly more common in patients with chronic hepatitis C and IBS, as compared to controls, and plasma levels of total and free carnitine (adjusted for fat mass) were significantly lower in patients with chronic hepatitis C, as compared to controls. Fatigue scores were negatively associated with plasma carnitine levels in patients with chronic hepatitis C, and levels of free carnitine were significantly and independently associated with severity of fatigue in patients with chronic hepatitis C (OR=2.019). These results suggest that oral supplementation with carnitine "may be effective to relieve fatigue in chronic hepatitis C."

Reference:

"Plasma carnitine is associated with fatigue in chronic hepatitis C but not in the irritable bowel syndrome," Anty R, Marjoux S, et al, Aliment Pharmacol There, 2011 March 2; [Epub ahead of print]. (Address: Institut National de la Santé et de la Recherche Médicale (INSERM), U895, Nice, Cedex 3, France).

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