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Prenatal Stress May Raise Depression and Obesity Risks in Kids

The body’s stress management system, the hypothalamic pituitary adrenal (HPA) axis, releases cortisol in response to stress…reports Asian Lite News

High stress among women in pregnancy may get passed on to the foetus and raise the risk of depression and obesity among children later, finds a study.

Researchers at Washington University in St. Louis and Dartmouth College conducted a small study of 46 mothers and 40 toddlers and discovered a link between toddler hair cortisol levels — a long-term stress biomarker — and maternal prenatal depression.

Published in the American Journal of Human Biology, the study suggests that a child’s long-term stress physiology may be influenced by conditions experienced in utero.

Co-author Theresa Gildner highlighted that hair cortisol, which is less invasive than blood tests and more useful than saliva tests, can assess cumulative cortisol exposure over extended periods.

“By understanding the long-term effects of maternal stress on her offspring and when these effects are especially pronounced during pregnancy, we can better determine when interventions to support parents and reduce stress are most needed,” Gildner explained.

The body’s stress management system, the hypothalamic pituitary adrenal (HPA) axis, releases cortisol in response to stress.

Chronic stress can disrupt HPA-axis activity, leading to elevated cortisol levels and serious health problems. During pregnancy, high maternal cortisol can harm the foetus and affect development.

“Changes in offspring cortisol levels could potentially be beneficial, possibly leading toward accelerated growth and development in response to early adversity” Gildner said, adding that it may also have negative costs for the child.

This includes “lower birth weight and issues later in life, such as increased behavioural problems and elevated risk of developing cortisol-associated health conditions, such as depression, anxiety, digestive problems and weight gain.”

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High Mortality Risk for Anorexia Nervosa Patients with Psychiatric Conditions

The researchers said they measured empathy “as perceived by patients rather than self-reported by physicians” – a metric they said was in contrast to most other research, which deployed “physician self-reported measures of empathy”…reports Asian Lite News

Empathetic doctors are better at relieving back pain than indifferent or aloof practitioners, according to research by US-based scientists. 

A team from Johns Hopkins University and the University of North Texas found patients ended up with “significantly better and clinically relevant outcomes pertaining to pain, function, and health-related quality of life” after seeing “very empathic” physicians, compared to others who saw “slightly empathetic” doctors.

The study, which looked at almost 1,500 people being treated for chronic low back pain and was published by the American Medical Association, found doctor empathy to be “more strongly associated with favourable outcomes” than even “nonpharmacological treatments, opioid therapy, and lumbar spine surgery”.

The researchers said they measured empathy “as perceived by patients rather than self-reported by physicians” – a metric they said was in contrast to most other research, which deployed “physician self-reported measures of empathy”.

They hinted that the findings could have wider implications for treatments, describing “the patient-physician relationship” as “fundamental to the practice of medicine”.

According to the Harvard Medical School, patients are more likely to stick with treatments and self-care plans if recommended to them by an empathetic medic.

In a paper published in January by the journal Annals of Internal Medicine and based on a review of randomised trials, UK-based doctors said they found “practitioners who deliver enhanced empathy” to typically “improve patient satisfaction with care”.

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