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The Mediterranean diet and mindfulness practice during pregnancy can improve child neurodevelopmental outcomes – News-Medical.Net

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In a recent study published in JAMA Network Open, researchers investigated whether lifestyle interventions such as Mediterranean diet abidance and mindfulness-based stress reduction (MBSR) during pregnancy could effectively improve pediatric neurodevelopment at two years of age.

Study: Effect of a Mediterranean Diet or Mindfulness-Based Stress Reduction During Pregnancy on Child Neurodevelopment. Image Credit: ElizavetaGalitckaia/Shutterstock.com

Background

Maternal lifestyle and maternal stress are known modifiable risk factors for fetal neurodevelopment. Studies have reported that unhealthy dietary habits, including increased consumption of fats, and obesity among mothers, can negatively impact neurodevelopment in their children. At the same time, elevated maternal stress levels alter fetal brain structural growth and worsen postnatal neurodevelopment.

The pathophysiological mechanisms underlying these relationships are unclear; however, the hypothalamus-pituitary-adrenal axis (HPA) is reportedly involved. Interventions promoting healthy dietary patterns and stress reduction may restore HPA functions and improve fetal neurodevelopment.

About the study

In the present study, researchers evaluated the impacts of stress reduction and dietary interventions among pregnant females on neurodevelopment in their children aged two years.

The study included the Improving Mothers for a Better Prenatal Care Trial Barcelona (IMPACT BCN) parallel-group randomized controlled trial (RCT) participants, who were enrolled between February 2017 and October 2019 and followed up until childbirth (until 1 March 2020).

The trial was carried out at an educational facility in Barcelona. In total, 1,221 singleton pregnancies (between gestational weeks 19 and 23) with an increased risk of small-for-gestational-age (SGA) newborn delivery were randomly divided into three groups in a 1:1:1 ratio: the dietary intervention group, the Mindfulness-Based Stress Reduction (MBSR) program group, and the regular care group.

The dietary intervention group participants were provided group- and individual-level educational classes and walnuts and extra virgin-type olive oil complimentary every month.

The MBSR group participants underwent an eight-week stress-lowering program tailored to pregnant individuals, and the regular care group received pregnancy care as per standard protocols.

The MBSR program comprised eight weeks of weekly group classes (20 to 25 females per group) of 2.5 hours, one full-day session, and everyday practice at home. The sessions comprised didactic presentations, 45.0-minute mindfulness meditation practices, body awareness, group discussions, and mindful yoga. 

The IMPACT study’s primary endpoint was the proportion of SGA newborns, and the secondary endpoint was adverse perinatal outcomes. The third edition of the Bayley Scales of Infant and Toddler Development Scale (Bayley-III) was used for postnatal evaluation.

All individuals visited the university hospital after completing the intervention (between gestational weeks 34 and 36), to fill out perinatal data-related questionnaires and provide urinary samples for analysis.

The present study outcomes were scores for the motor, language, cognitive, motor, adaptive behavior, and social-emotional Bayley-III domains, evaluated by two trained physiologists. The outcome measure was neurodevelopment at 2.0 years, based on Bayley-III scores.

The relationships between Bayley-III scores, biomarkers, and questionnaire information were also assessed. Linear regression models were used for data analysis between July and November 2022.

Mediterranean dietary evaluations were performed using food frequency questionnaires (FFQs). Stress reduction was assessed using the Perceived Stress Scale (PSS), the State-Trait Anxiety Inventory (STAI) questionnaires, the World Health Organization’s Five Well-being Index (WHO-5), and the Five Facet Mindfulness Questionnaire.

Maternal mindfulness was assessed using the Five Facet Mindfulness Questionnaire (FFMQ). In addition, maternal 24.0-hour urinary cortisol and cortisone levels were monitored among participants who did not consume corticosteroids.

Results

In total, 626 pediatric individuals [333 (53%) males and 293 (47%) females] participated in the study, among whom the mean age was 25 months. Baseline characteristics were identical among the intervention groups. High adherence was observed among 177 individuals (72%) in the dietary intervention group and 137 (66%) in the MBSR group.

In comparison to regular care group children, those from the dietary intervention group showed higher Bayley-III scores for the socioemotional (mean 109 versus 103) and cognitive (mean 124 versus 119) domains, whereas the MBSR group children showed higher socio-emotional domain scores (mean 108 versus 103), than regular care group children. Similar differences were observed after data adjustments for the mothers’ socioeconomic status and the fetuses’ genders.

Adaptive, motor, and language scores were comparable in the study groups. The IMPACT BCN trial showed a significant decrease in SGA rates (14% with SGA in the dietary intervention group and 16% in the MBSR group compared to 22% in the non-intervention group).

However, non-significant differences were observed in Bayley-III scorings between SGA and non-SGA newborns. The dietary intervention scores showed significantly positive relationships with the language and cognitive domains.

Increased docosahexaenoic acid intake significantly improved language scores, whereas higher trans-fat intake was inversely correlated with language and social-emotional domain scores.

Maternal stress and anxiety levels in the pregnancy period showed significantly negative relationships with domains of Bayley-III. Higher WHO-5 scores were related to higher Bayley-III scores for the language, social-emotional, and adaptive behaviour domains. The 24.0-hour urinary cortisol and cortisone levels were significantly and positively related to the language Bayley-III domain.

Based on the study findings, maternal lifestyle interventions such as MBSR and Mediterranean diets during pregnancy can significantly improve child neurodevelopmental outcomes at two years of age.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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