Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Posts Tagged ‘autism’

Untreated Fever During Pregnancy More Than Doubles Autism Risk

Thursday, May 24th, 2012

Researchers from the UC Davis MIND Institute have linked untreated fever during a mother’s pregnancy with increased risk of autism or developmental delays in her child. In a large study including detailed information on participants, they found that women who reported fever had 2.12 times higher odds of having a child with autism and 2.5 times higher odds of having a child with developmental delay than women who reported no fever during pregnancy, or those who took anti-fever medication.

The study involved more than 1,100 women and their babies.

“If someone has fever during pregnancy they should take it seriously,” says lead study author Ousseny Zerbo, now a postdoctoral researcher with Kaiser Permanente, adding that this means taking over-the-counter anti-fever medication, and seeking medical attention if the fever persists. “Particularly during pregnancy, a lot of people don’t want to take any medication,” Zerbo says.

But treating fever also treats the acute inflammation that accompanies it, and this could be the connection between fever and autism risk. Another recent study based on the same data found that mothers who were obese or had diabetes – conditions associated with chronic inflammation in the body – were also more likely to have children with autism.

Both studies were based on data from the Childhood Autism Risk from Genetics and the Environment (CHARGE) study, which collected information on a large group of California children ages 2 to 5.

Infection with bacteria or viruses triggers a healing response that releases inflammatory elements from white blood cells into the bloodstream. Called cytokines, these elements are able to cross the placenta, and could impact a developing baby’s brain. “I think we need to do a lot more study regarding inflammation during pregnancy,” says Zerbo.

The study was published online May 23 in the Journal of Autism and Developmental Disorders.

 

Ten Toxics That Could Contribute to Autism

Friday, April 27th, 2012

Autism spectrum disorder and other neurodevelopmental problems now affect 400,000 to 600,000 of the 4 million children born in the U.S. each year. The jury is still out on precisely what causes ASD, but evidence increasingly points to a combination of genetics and environmental factors.

An editorial this week in the journal Environmental Health Perspectives, authored by Philip Landrigan, M.D., director of the Children’s Environmental Health Center at Mount Sinai School of Medicine, points to 10 chemicals that experts suspect contribute to ASD and learning disabilities. They are:

• Lead – no longer used in gasoline or paint, but still present in water and soil in many places

• Methylmercury – an organic form of the heavy metal mercury, which makes its way into the food chain through fish

• PCBs – banned in the U.S. in 1979, they were once used in paint, plastics and rubber products and can still be found in older electrical equipment

• Organophosphate pesticides – organic phosphorous-containing compounds toxic to the central nervous system

• Organochlorine pesticides – compounds such as DDT, used extensively in the 1940s-1960s in agriculture and mosquito control

• Endocrine disruptors – chemicals, including BPA used in consumer plastics, that interfere with the body’s hormonal system

• Automotive exhaust

• Polycyclic aromatic hydrocarbons – atmospheric pollutants that come from the incomplete burning of materials like wood, oil, garbage or coal

• Brominated flame retardants – chemical flame retardants widely used in furniture and other consumer products

• Perfluorinated compounds – used to make materials (like Teflon) stick- and stain-resistant

The editorial appeared with four papers calling for increased research into the environmental causes of ASD. One linking smoking during pregnancy with Asperger’s disorder, two showing that PCBs disrupt early brain development, and one suggesting more research is needed into the link between pesticide exposure and autism.

“A large number of the chemicals in widest use have not undergone even minimal assessment of potential toxicity and this is of great concern,” said Landrigan in his editorial. According to the National Academy of Sciences, three percent of disorders such as ASD and ADHD are caused by toxic exposures, and another 25 percent by interactions between genetics and the environment. Landrigan says further research is needed to pinpoint the exact environmental causes and potentially prevent some of these cases.

 

Obesity in Pregnancy Linked to Autism in Kids

Monday, April 9th, 2012

Moms who struggle with diabetes, hypertension or obesity while pregnant are more likely to have children with autism spectrum disorders (ASD) or developmental delays, a new study has revealed.

The findings come on the heels of a well-publicized report by the national Centers for Disease Control, which revealed that autism and ASD diagnoses continue to rise, with one in 88 children in the United States now affected.

In this new study, researchers from the MIND Institute at UC Davis and the Vanderbilt University School of Medicine looked at California children, ages 2 to 5, enrolled in a population-based study from 2003 to 2010. Of the group, 500 had ASD, 200 had developmental delays and 300 were developing typically. The researchers reviewed medical records for the children’s mothers during pregnancy, asked the mothers about a history or diagnosis of diabetes or hypertension, and noted the women’s body-mass indexes (BMIs), a measure of weight related to height.

Women who were obese before pregnancy had a 60 percent higher chance of having a child with ASD, and twice the risk of having a child with a developmental delay. Those with high blood pressure or diabetes before or during pregnancy were also more likely to have children with ASD or delays, but the increase wasn’t statistically significant.

Diabetes during pregnancy has previously been associated with developmental problems in children, but not consistently linked with ASD.

Obesity is a significant risk factor for hypertension and diabetes, and all three conditions impact the body’s ability to regulate blood sugar (glucose). Exposing a developing fetus to too much glucose can trigger a condition called fetal hypoxia (increased metabolism leading to lack of oxygen), as well as iron deficiency – both of which can profoundly impact development of the brain.

The authors point out that nearly 60 percent of U.S. women of childbearing age are overweight, one-third are obese, and 16 percent are at risk of diabetes.  “Our findings raise concerns that these maternal conditions may be associated with neurodevelopmental problems in children and therefore could have serious public health implications,” they note.

The study appears in the April 9 issue of the medical journal Pediatrics.

CDC Says Autism Spectrum Diagnoses Up 23 Percent

Thursday, March 29th, 2012

A study released today by the U.S. Centers for Disease Control and Prevention (CDC) estimates that one in every 88 children in the U.S. has been diagnosed with an autism spectrum disorder (ASD). This marks a 23 percent increase since the agency’s last report in 2009.

Based on 2008 surveillance in 14 different communities, the report included these findings:

Rates of diagnosis have risen. Nationwide 11.3 of every 1,000 8-year-old children in the current sample have been identified as having ASD. In the 2009 report, based on data gathered in 2006 the rate was just 9 of every 1,000. The rate has increased 78 percent since data were gathered in 2002, when there were 6.6 ASD diagnoses per 1,000 children. ASD rates in the current report ranged from one in 210 children in Alabama to one in 47 in Utah. The greatest increases in diagnosis were among Hispanic and black children.

Boys are diagnosed more often. Overall, one in every 54 boys in the current sample were diagnosed with ASDs, making the disorder five times more prevalent among boys than among girls.

Children are being diagnosed earlier. Early diagnosis is considered essential, as those diagnosed earliest respond best to treatment. Among children with ASD born in 2000, 18 percent were diagnosed by age 3, compared with just 12 percent of those born in 1994. Still, 40 percent of children in the current study weren’t diagnosed until after age 4.

Experts agree that some of the increase in ASD rates is due to changes in the way children are identified, diagnosed, and treated – though how much of the upsurge this accounts for remains unclear. “One thing the data tells us with certainty – there are more children and families that need help,” CDC Director Thomas Frieden, M.D., M.P.H., said in a statement as the report was released. “We must continue to track autism spectrum disorders because this is the information communities need to guide improvements in services to help children.”

Advice to parents, meanwhile, remains the same.

• Act quickly if you are concerned about your child’s development.

• Talk with your child’s doctor about your concerns.

• Call your local early-intervention program or school district for an assessment.

• Remember that you do not need a diagnosis in order to access services for your child.

Find more information about the study, and other aspects of ASD, at www.CDC.gov/autism. Tools to help families track their child’s development are available at www.CDC.gov/actearly.

Low Birthweight Linked With Increased Autism Rates

Monday, October 17th, 2011

milestone-homePremature infants born with low birthweight are five times more likely to have autism spectrum disorders (ASD) than children born at normal weights, according to a study published today in the journal Pediatrics. While just 1% of U.S. children in general are diagnosed with ASD according to most estimates, University of Pennsylvania School of Nursing researchers found that 5% of premature infants they followed developed ASD.

This is the first study to establish a link between low birthweight and autism, and the research is remarkable because the 862 children, all born in the 1980s in New Jersey, were followed for 21 years. Previous research has established links between low birthweight and a range of motor and cognitive problems, and experts expressed concern that these problems could mask ASD in some of these children.

The next step in the current study, funded by the National Institute of Mental Health, is for researchers to examine brain ultrasounds take of these children as newborns, to determine whether brain hemorrhage – a complication of premature birth – is linked to autism.

Detecting autism as early in life as possible is considered essential, as early intervention improves long-term outcome for these children both in school and at home.

Watch for signs of normal development in your baby, toddler or preschooler with the help of this handy guide from the U.S. Centers for Disease Control and Prevention (CDC). It’s called, “Learn the Signs, Act Early.”

Autism Changes the Brain’s Molecular Structure

Friday, May 27th, 2011

UCLA/Geschwind lab UCLA scientists measured the expression levels of more than 20,000 genes in tissue samples from autistic and healthy brains. When the samples were grouped by expression patterns, most autistic brains (red bar at top, left) showed a striking overlap.

UCLA/Geschwind lab UCLA scientists measured the expression levels of more than 20,000 genes in tissue samples from autistic and healthy brains. When the samples were grouped by expression patterns, most autistic brains (red bar at top, left) showed a striking overlap.

A new UCLA study has pinpointed how autism impacts the brain at the molecular level, leading to striking differences between an autistic brain and a healthy one. And though causes of the disorder appear highly individual, common patterns emerging in this study offer a tiny glimmer of hope.

Researchers examined brain tissue samples (obtained after death) from 19 autism patients and 17 healthy volunteers. They found three prominent patterns.

While the frontal (responsible for judgment, creativity, emotions and speech) and temporal (devoted to hearing, language and processing sounds) lobes of healthy brains behave differently and are easy to tell apart at the genetic level, those two regions in most of the autistic brains examined were strikingly similar. Most of the features that distinguish the two regions seemed to have disappeared.

The autistic brains also showed a drop in the levels of genes responsible for neuron function and communication.

Finally, the autistic brains had higher levels of the genes involved in immune function and inflammatory response.

Study first author Irina Voineagu, a UCLA postdoctoral fellow in neurology, says that the study did not include any patients with Aspergers Syndrome, and that interestingly, the few autistic patients whose brains did not show genetic changes were at the higher-functioning end of the spectrum.

One of the biggest challenges to those hoping to find treatment or a cure for autism is that its causes seem to be different in virtually every patient. “At the DNA sequence level, we know that there are different causes for different people,” says Voineagu. But this study suggests that at the RNA level (RNA regulates proteins that perform specific tasks within cells), there are common patterns. “If there is some commonality,” Voineagu explains, “it would be easier to define therapy.”

The study was published online May 25 in Nature.

Teen Volunteer Has a New Take On Autism

Tuesday, March 8th, 2011
From left, Adam Faze, Ashli Marino, Marlee Galper, Becca Madnick, Erin Orbach and Rachel Lohmann volunteer with the Inspired Teens program at Vista Del Mar.

From left, Adam Faze, Ashli Marino, Marlee Galper, Becca Madnick, Erin Orbach and Rachel Lohmann volunteer with the Inspired Teens program at Vista Del Mar.

Marlee Galper didn’t know a thing about autism, but two summers ago she agreed to help out at a Westside day camp for teens with the disorder. It changed her life.

“I didn’t really know what autism was at all,” says Galper, who is now a senior in high school. “I didn’t know what to expect. I was just jumping into it. I had no idea that some of them couldn’t talk, and that some of them would be really hyper and not be able to focus.”

The staff at the Vista Inspire Program, one of the many offerings at Vista Del Mar Child and Family Services, were ready with plenty of tips and advice to help get the teen volunteers ready for whatever might come up. The program brings children with autism and other special needs together with therapeutic dance, drama, voice, music and musical theater experiences.

And Galper says she found the experience exciting, even transformative, like Alice in Wonderland falling down the rabbit hole. “It steps you into a whole other world,” she says of working with kids on the autism spectrum. “You meet all of these amazing people who have all of these out-of-the-box ideas. It opens your eyes to so many new ways of dealing with problems.”

Unfortunately, fear of the unknown shapes many people’s ideas about children with autism. “I feel like people almost think autism is scary,” says Galper. But though they might not speak, Galper says these children do communicate, sometimes with their whole bodies, sometimes even through songs. “They’re not scary at all,” she says. Read on …

Asthma, Autism and Vehicle Exhaust

Wednesday, January 26th, 2011

Kiana Coronado Ziadie (center), who struggles with asthma, accepts an award from First Lady Michelle Obama with Harmony Project Founder Margaret Martin (left).

Kiana Coronado Ziadie (center), who struggles with asthma, accepts an award from First Lady Michelle Obama with Harmony Project Founder Margaret Martin (left).

Kiana Coronado Ziadie lives in an apartment near the Los Angeles River. An overpass at the end of the block lifts the 101 Freeway over both the river and her street.

The day I visit, the eighth grader doesn’t want to talk and she doesn’t want her picture taken, even with her cool new blue hairdo. She hasn’t been feeling well. Asthma and a virus that’s going around have her huddled beneath a blanket on the couch.

Between phone calls to nail down an appointment with the pediatrician and showing off a photo of Kiana at the White House, Kiana’s mother, Diana Machado, tells me she and her three daughters, Kiana, Sarah and Daniela, have lived in this apartment since June. Before that, they lived in Hancock Park and the girls were born at Cedars Sinai Medical Cener. All three girls have asthma, but Kiana’s is by far the worst. Her first attack, when she was 2, hospitalized her for two weeks. “With her, I have to use medication every day,” says Machado, showing me a list of at least six medicines Kiana takes regularly, including antihistamine pills, an inhaler and a nebulizer. Kiana is also allergic to dust and animal dander, and has an epi pen so she can inject herself if she has a particularly bad reaction.

More than 2.7 million children in L.A. County have asthma, and the government reported in January that the national rate is now 8.2%. Studies increasingly point to pollution from freeways as an aggravator, if not a cause, of childhood asthma. And that isn’t the only problem experts think they can pin on vehicular exhaust.

The latest is a December study examining the possible link between vehicle exhaust and autism. The CDC says autism rates jumped 57% between 2002 and 2006, but can’t explain the increase. Heather Volk, Ph.D., lead author of the study that suggests an air pollution-autism connection, says nearness to freeways was a natural way to pinpoint families breathing high levels of airborne toxins. “Within 300 meters (1,000 feet) of a freeway, those levels are quite high,” says Volk, who holds appointments in the Community, Health Outcomes & Intervention Research Program at The Saban Research Institute of Children’s Hospital Los Angeles, the Zilkha Neurogenetic Institute and the Department of Preventative Medicine at USC. Click to read on …

In the Air: In Utero

Thursday, December 30th, 2010

Before They Are Even Breathing, Air Pollution Can Hurt Babies’ Health

Victoria Niklas, M.D., takes care of some of the area’s sickest newborns at the NICCU at Childrens Hospital Los Angeles. Grace was born early because her mother had preeclampsia.

Victoria Niklas, M.D., takes care of some of the area’s sickest newborns at the NICCU at Childrens Hospital Los Angeles. Grace was born early because her mother had preeclampsia.

 

It was back in the late 1980s, as an OB-GYN in South Los Angeles, that Robin Johnson, M.D., says she first understood how important a mother’s breathing can be to her unborn baby. One of her patients had asthma so bad it landed her in the hospital three to four times a month.

“She eventually delivered, and delivered early,” Johnson says, though the baby was almost at term. What surprised the doctor was that, though the mother was of normal stature and not really sickly, “she ended up having this little four-pound baby.”

Today, Johnson teaches at USC’s Keck School of Medicine and is a fellow with the Reach the Decision Makers Training Program, created by the National Center of Excellence in Women’s Health at UC San Francisco. Her project: To convince the U.S. Environmental Protection Agency (EPA) to look at birth outcomes when setting environmental policy. The agency says they do consider birth outcomes in the “science assessment phase” of National Ambient Air Quality Standard reviews, but confirms that birth outcomes aren’t taken into account when analyzing costs and benefits of setting a new National Ambient Air Quality Standard. 

“Women and children are always the last variable that is thought about,” Johnson says. “It’s up to us to say, Hey, wait a minute, we’re where it starts! When you talk about the chicken and the egg, we’re both.”

Around 150,000 babies are born in L.A. County every year, and when they are born to mothers breathing polluted air they are up to 30% more likely to be premature or underweight, studies over the past decade show. Research out last month from a team at USC, UC Davis and Childrens Hospital L.A. also found they could have double the risk of autism. Click to read more about air pollution in utero …

What Have You Heard About Autism?

Thursday, April 8th, 2010

sa-autismAutism – or Autism Spectrum Disorder (ASD), as it’s more commonly called these days – is much discussed in the media and among parents. To help anyone out there looking for info about this puzzling topic, the American Academy of Pediatrics has launched its Sound Advice On Autism web site.

This series of audio interviews with developmental and behavioral pediatricians, a pediatric neurologist, autism researchers, and even the father of a child with autism offers up answers to a range of basic questions about the disorder.

In talking about how the spectrum has broadened over the years, pediatric neurologist Max Wiznitzer, M.D., explains that initially children diagnosed with autism tended to have significant social impairment and IQs below 70. Today, children with less-severe social deficits and normal intelligence are included on the spectrum. “So, now we’re including children who perhaps are more socially awkward rather than socially aloof or socially unavailable,” he says. This means more children are falling within the spectrum. Wiznitzer also discusses various theories about cause of autism, such as genetics, environmental exposure and the immune system.

Behavioral pediatrician Susan Levy, M.D., discusses “red flags” that might indicate a child is on the spectrum.

In infants and toddlers these include:

  • No babbling by 12 months
  • No gesturing, which includes pointing or waving bye-bye by 12 months
  • No single words by 16 months
  • No two-word phrases by 24 months

In older children:

  • Not responding to his name
  • Appearing deaf at times
  • Not smiling socially
  • Preferring to play alone; lack of interest in interacting with other children
  • Poor eye contact
  • Getting stuck on things over and over; doing the same activities repeatedly
  • Upset by minor changes in routine or plans
  • Obsessive interests
  • Unusual motor actions, such as flapping their hands or rocking their body
  • Any loss of any language or social skills at any age

Levy also gives step-by-step instructions for parents who have received an autism diagnosis, so they and their children can get the help and support they need.

Susan Hyman, M.D., a developmental and behavioral pediatrician who chairs the AAP Autism Subcommittee, discusses complimentary and alternative treatments, and how to approach these systematically.

 

Check out the site, and give these experts a listen …