Fibroid embolization "fails" more in young women

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Namibia illegally sterilized HIV-infected women

Reuters – 2 hrs 39 mins ago WINDHOEK (Reuters) - A Namibian court on Monday ruled state hospitals illegally sterilized three HIV-positive women, opening the door for suits from other women who claim they were coerced into the procedure because they were infected with the virus that causes AIDS.

The court ruled the three were sterilized without being adequately informed, but in this case found no grounds to link the procedure to their HIV status.

"There should be unhurried counseling in a language that is clearly understood by the patient," Windhoek High Court Judge Elton Hoff said. "I am not convinced that informed consent was given".

Women who were sterilized say they were forced into the procedure to slow down the spread of HIV and AIDS in the southern African country.

"These three cases represent only the tip of the iceberg because numerous HIV positive women have come forward alleging they were similarly subjected to coerced sterilization at public hospitals in Namibia," said Nicole Fritz of the Southern Africa Litigation Centre.

The women said they were presented forms for sterilization just before and after delivering babies through caesarian sections without being told what they were signing.

According to U.N. data, Namibia has one of the higher rates of HIV infection in the world with HIV prevalence of about 17 percent among pregnant women.

(Reporting by Servaas van den Bosch; Editing by Jon Herskovitz and Angus MacSwan)

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Namibia illegally sterilized HIV-infected women

Reuters – 2 hrs 39 mins ago WINDHOEK (Reuters) - A Namibian court on Monday ruled state hospitals illegally sterilized three HIV-positive women, opening the door for suits from other women who claim they were coerced into the procedure because they were infected with the virus that causes AIDS.

The court ruled the three were sterilized without being adequately informed, but in this case found no grounds to link the procedure to their HIV status.

"There should be unhurried counseling in a language that is clearly understood by the patient," Windhoek High Court Judge Elton Hoff said. "I am not convinced that informed consent was given".

Women who were sterilized say they were forced into the procedure to slow down the spread of HIV and AIDS in the southern African country.

"These three cases represent only the tip of the iceberg because numerous HIV positive women have come forward alleging they were similarly subjected to coerced sterilization at public hospitals in Namibia," said Nicole Fritz of the Southern Africa Litigation Centre.

The women said they were presented forms for sterilization just before and after delivering babies through caesarian sections without being told what they were signing.

According to U.N. data, Namibia has one of the higher rates of HIV infection in the world with HIV prevalence of about 17 percent among pregnant women.

(Reporting by Servaas van den Bosch; Editing by Jon Herskovitz and Angus MacSwan)

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Namibia illegally sterilised HIV-infected women

Reuters – 2 hrs 36 mins ago WINDHOEK (Reuters) - A Namibian court on Monday ruled state hospitals illegally sterilised three HIV-positive women, opening the door for suits from other women who claim they were coerced into the procedure because they were infected with the virus that causes AIDS.

The court ruled the three were sterilised without being adequately informed, but in this case found no grounds to link the procedure to their HIV status.

"There should be unhurried counseling in a language that is clearly understood by the patient," Windhoek High Court Judge Elton Hoff said. "I am not convinced that informed consent was given".

Women who were sterilised say they were forced into the procedure to slow down the spread of HIV and AIDS in the southern African country.

"These three cases represent only the tip of the iceberg because numerous HIV positive women have come forward alleging they were similarly subjected to coerced sterilisation at public hospitals in Namibia," said Nicole Fritz of the Southern Africa Litigation Centre.

The women said they were presented forms for sterilisation just before and after delivering babies through caesarian sections without being told what they were signing.

According to U.N. data, Namibia has one of the higher rates of HIV infection in the world with HIV prevalence of about 17 percent among pregnant women.

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Women with HIV too often unseen: US advocate

"A worker passes out flyers for free HIV testing outside a Walgreens pharmacy in New York on June 27. In the US, black heterosexual women made up the next largest group of new infections after gay men of all races in 2009, with about 5,400 cases according to data from the US Centers for Disease Control and Prevention. (AFP Photo/Mario Tama)" title

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Genital warts on the decline among Swedish women

Reuters – 22 hrs ago NEW YORK (Reuters Health) - Genital warts have been on the decline among women in Sweden after the country began offering subsidized HPV vaccinations to teenage girls in 2007, new research shows.

Rates of the sexually transmitted infection dropped by 17 percent among women ages 15 to 25 from 2006 to 2010, although there was no change among men over the same period.

The findings are "in all likelihood" a sign the vaccine is working, said Amy Leval of Karolinska Institutet in Stockholm, who worked on the study. But they also suggest that not enough women have been vaccinated for men to be protected indirectly - a phenomenon known as herd immunity - she told Reuters Health by email.

Genital warts are caused by human papillomavirus, or HPV, which in rare cases can also lead to cervical, penile and anal cancers. Health authorities in the U.S. recommend that all preteen girls and boys get an HPV vaccine.

A U.S. expert without ties to the research welcomed the results from Sweden, but also sounded a cautious note.

"It's exactly what we would like to see," said Dr. Michael Brady, an expert in pediatric infectious diseases at Nationwide Children's Hospital in Columbus, Ohio. "But it is a little early to suggest that we know this is a vaccine response."

It's possible that something else, such as better education or an increased media focus, could also have influenced how the disease spread during the study, Brady explained.

"In order to really document this was related to the vaccine, you have to look at those who got the vaccine and those who didn't," he said.

Leval said her work, published in the Journal of Infectious Diseases, is the first to use data from the entire population of a country to estimate the rate of genital wart infections. Such a study would not be possible in the U.S., because there are no nationwide data on the condition.

The Swedish researchers linked two national registries - one on prescription drug use and one on hospital visits - to get estimates of how many people ages 10 to 44 were treated for genital warts.

Their results are likely to be lower than the real rates because the registries don't include people who got non-drug treatments at private practices, such as having their warts frozen off.

Women were most at risk of a new infection around age 20, whereas the rate peaked a few years later in men.

Initially, there was little difference in yearly infection rates between men and women - at 399 and 387 per 100,000 people, respectively. But that began to change after 2007.

While genital warts appeared to become more common among men, the rate dropped off among women, particularly teenagers and young adults.

Leval said HPV vaccinations were recommended for Swedish women up to age 26 during the study, and partially subsidized for girls between 13 and 17.

Twenty-seven percent of girls between 17 and 19 years old were fully vaccinated, she said, and the rate of new infections dropped by a quarter in this age group.

"We see no decline among men yet, indicating no herd immunity effect here when the portion of the population vaccinated is only roughly one-third in the recommended age-groups," Leval said

She added that studies have found signs of herd immunity in men from Australia, where vaccine uptake in girls is about 80 percent.

HPV is the most common sexually transmitted infection in the U.S. According to the Centers for Disease Control and Prevention, at least half of all sexually active people will catch genital HPV at some point, although the virus usually goes away on its own without causing any symptoms.

Researchers estimate that HPV types 16 and 18 are responsible for about 7,000 cases of cancer in men every year in the U.S. and 15,000 cases in women.

Clinical studies show HPV vaccines shield boys and girls against genital warts and cancers, although the protection isn't complete. U.S. health regulators have found no serious side effects apart from soreness at the injection site.

The new results suggest genital warts are the second-most common STI in Sweden after chlamydia, said Leval. This year, the Scandinavian country has replaced its earlier on-demand vaccination strategy with "a school-based and catch-up vaccination program," she added.

SOURCE: http://bit.ly/NU1BPU Journal of Infectious Diseases, online July 18, 2012.

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AIDS experts: Women need more help in AIDS battle

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Women With HIV May Not Have Higher Cervical Cancer Risk: Study

HealthDay – 1 hr 41 mins ago MONDAY, July 23 (HealthDay News) -- Infection with HIV -- the virus that causes AIDS -- does not appear to increase a woman's risk of cervical cancer, a new study has found.

Researchers looked at more than 400 HIV-infected women and nearly 300 HIV-free women, all of whom had a normal Pap test and a negative result for tumor-inducing human papillomavirus DNA at the start of the study. Several types of human papillomavirus (HPV) are known to cause cervical cancer.

After five years of follow-up, the risk of cervical precancer was similarly low for both groups of women. None of the women developed cervical cancer, Dr. Howard Strickler and colleagues at the Albert Einstein College of Medicine at Yeshiva University in New York City said in a news release.

The study was scheduled for presentation at a Sunday media briefing at the International AIDS Conference in Washington, D.C., and appears in the July 25 issue of the Journal of the American Medical Association.

The findings suggest that the five-year risk of cervical cancer in HIV-infected women who have normal Pap tests and do not have tumor-causing HPV is similar to the risk in HIV-free women, the researchers said.

"The current investigation highlights the potential for a new era of molecular testing -- including HPV as well as other biomarkers -- to improve cervical cancer screening in HIV-infected women," the study authors concluded.

More information

The U.S. National Cancer Institute has more about cervical cancer.

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Women With HIV May Not Have Higher Cervical Cancer Risk: Study

HealthDay – 1 hr 41 mins ago MONDAY, July 23 (HealthDay News) -- Infection with HIV -- the virus that causes AIDS -- does not appear to increase a woman's risk of cervical cancer, a new study has found.

Researchers looked at more than 400 HIV-infected women and nearly 300 HIV-free women, all of whom had a normal Pap test and a negative result for tumor-inducing human papillomavirus DNA at the start of the study. Several types of human papillomavirus (HPV) are known to cause cervical cancer.

After five years of follow-up, the risk of cervical precancer was similarly low for both groups of women. None of the women developed cervical cancer, Dr. Howard Strickler and colleagues at the Albert Einstein College of Medicine at Yeshiva University in New York City said in a news release.

The study was scheduled for presentation at a Sunday media briefing at the International AIDS Conference in Washington, D.C., and appears in the July 25 issue of the Journal of the American Medical Association.

The findings suggest that the five-year risk of cervical cancer in HIV-infected women who have normal Pap tests and do not have tumor-causing HPV is similar to the risk in HIV-free women, the researchers said.

"The current investigation highlights the potential for a new era of molecular testing -- including HPV as well as other biomarkers -- to improve cervical cancer screening in HIV-infected women," the study authors concluded.

More information

The U.S. National Cancer Institute has more about cervical cancer.

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Childhood Abuse Linked to Diabetes, Heart Disease in Middle-Aged Women

HealthDay – 1 hr 23 mins ago FRIDAY, July 20 (HealthDay News) -- Middle-aged women who suffered physical abuse as children may be at increased risk for diabetes and heart disease, a new study suggests.

Researchers examined nearly 350 black and white women in the Pittsburgh area who were between 42 to 52 years old at the start of the study. About 34 percent of the women said they had been victims of some form of childhood abuse.

Compared to other women in the study, which was published online in the journal Health Psychology, those with a history of childhood physical abuse were about twice as likely to have high blood pressure, high blood sugar, a larger waistline and poor cholesterol levels.

Collectively, these health issues are known as metabolic syndrome. Previous research suggests that people with metabolic syndrome are at increased risk for heart disease and type 2 diabetes.

The link between childhood physical abuse and metabolic syndrome was separate from traditional risk factors for the syndrome, such as smoking, lack of physical activity, menopause, alcohol use and depression. This persistent association suggests that abuse plays a unique role in women's cardiovascular health, the researchers said.

"Our research shows us that childhood abuse can have long-lasting consequences -- even decades later -- on women's health, and is related to more health problems down the road," study co-author Aimee Midei, a graduate student in psychology at the University of Pittsburgh, said in a journal news release.

"It's possible that women with histories of physical abuse engage in unhealthy eating behaviors or have poor stress regulation," Midei said. "It appears that psychology plays a role in physical health even when we're talking about traumatic incidents that happened when these women were children."

Although the study found an association between childhood physical abuse and an increased occurrence of metabolic syndrome later in life, it did not prove a cause-and-effect relationship. The study also found no association between childhood sexual and emotional abuse and metabolic syndrome.

More information

The American Academy of Family Physicians has more about metabolic syndrome.

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Leaky bladder affects young women too

Reuters – 2 hrs 20 mins ago NEW YORK (Reuters Health) - Bladder control problems may be seen as a problem of older people, but a good percentage of college-age women have symptoms too, a study published Monday suggests.

In a survey of 1,000 young Australian women, researchers found that 13 percent said they'd had urinary incontinence in the past month. That meant problems like leaking urine when they exercised, or often having to rush to the bathroom to avert an accident.

"The traditional belief has been that incontinence really occurs as a consequence of pregnancy and aging," senior researcher Susan R. Davis, of Monash University in Melbourne, said in an email.

"What prompted us to undertake this study was the fact that nobody had actually looked at incontinence in younger women who had never been pregnant," said Davis, whose work was supported by Australian state and federal funds.

The study "contributes significantly to current knowledge about urinary incontinence in young women," said Mary K. Townsend, an epidemiologist at Brigham and Women's Hospital and Harvard Medical School in Boston.

Townsend, who was not involved in the research, has studied the prevalence of urinary incontinence and possible risk factors for it.

"Overall, a key message from this study is that urinary incontinence is a significant problem for women of all ages," Townsend said in an email.

But, she noted, the 13 percent figure could be either an underestimate or overestimate.

That's because the study participants, who were about 22 years old on average, were recruited from college campuses and health clinics. So they may not be representative of all young women.

"It will be important for future studies to confirm these results in a larger, population-based sample of young women," Townsend said.

LINK TO BIRTH CONTROL USE

The study, which appears in the Annals of Internal Medicine, also tried to weed out the possible risk factors for urinary incontinence in young, never-pregnant women.

It turned out that women were sexually active and not using birth control pills had the highest risk: about 22 percent had urinary problems in the past month.

That compared with rates of around 10 percent among women who had either never had sex or were sexually active and on the Pill.

The link to sexual activity might be related to urinary tract infections, Townsend speculated. Sexually active women have a higher rate of UTI, and those infections can trigger incontinence.

But the reasons for the birth control finding are not clear.

Townsend said past studies have come to conflicting conclusions on whether birth control pills are related to higher or lower risks of urinary incontinence -- or whether there's a relationship at all.

She and Davis both said more research is needed to see whether birth control pills, themselves, have any effect on bladder control problems.

There was no strong evidence that overweight young women had an increased risk of incontinence. And that's in contrast to what's been seen among older women.

But Davis said that may be because of numbers: only 15 percent of the study participants were overweight. And as a group, they were fairly healthy and physically active.

"This leaves open the possibility that the rate of incontinence we observed may in fact be an underestimate of the rate in a less healthy group of young women," Davis said.

Both she and Townsend said that young women who find their urinary symptoms troublesome should seek help. In this study, women with symptoms scored lower on a measure of mood and psychological well-being.

"I think the most important take-home message is that if young women experience urinary incontinence they should not feel embarrassed to seek help," Davis said.

There are different options for combating the symptoms, she noted.

Sometimes all you need are lifestyle changes -- like cutting back on caffeine and alcohol, and limiting how much fluid you drink at night.

Another option is "bladder training," which involves tactics like going to the bathroom at fixed times, even if you don't feel like you need to go. That often includes Kegel exercises to strengthen the pelvic muscles that control urination.

Depending on the type of incontinence, medications -- like oxybutynin (Ditropan), solifenacin (Vesicare), tolterodine (Detrol) -- may also help. But research shows that they work for only a minority of women, and they can have side effects like dry mouth, constipation and blurred vision.

SOURCE: http://bit.ly/PdxBlf Annals of Internal Medicine, July 17, 2012.

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Incontinence Affects Young Childless Women, Too

HealthDay – 2 hrs 2 mins ago TUESDAY, July 17 (HealthDay News) -- Urinary incontinence is often thought of as a problem that occurs after childbirth or in old age, but a new study finds that many young women who have never given birth have the bothersome condition, too.

Researchers in Australia surveyed more than 1,000 women aged 16 to 30 who had never been pregnant and found that one in eight, or nearly 13 percent, reported having urinary incontinence.

Urinary incontinence means leaking urine during certain activities such as running or sneezing, or being unable to hold urine with a full bladder.

Previous research has found the rates are higher among women who've had children. But this study shows that urinary incontinence can affect women of all ages, regardless of pregnancy history, and that the condition may be underdiagnosed and undertreated in younger women, experts said.

"Although incontinence is more prevalent as women age and with an increasing number of pregnancies, incontinence can affect women of all ages," said Dr. Jill Rabin, professor of obstetrics and gynecology at Hofstra North Shore-LIJ School of Medicine, who was not involved with the study.

The study, by Tessa O'Halloran and colleagues at Monash University, in Melbourne, is published in the July 17 issue of Annals of Internal Medicine.

The women who answered the survey came from eight medical clinics and three university campuses in Australia. They were asked to complete a questionnaire about an important issue in women's health, but were not told it was about urinary incontinence prior to filling it out. About 63 percent of those who took surveys returned them.

Commenting on the study, Dr. Elizabeth Kavaler, a urology specialist at Lenox Hill Hospital in New York City, pointed out that because people who have a problem may be more likely to answer a survey about it, that may mean the study overestimates the number of young women with incontinence.

On the other hand, Rabin noted, the women in the study were mostly normal weight, healthy and active, which may make the incontinence rate a conservative estimate.

There are two types of incontinence -- stress and urge incontinence, which have different causes, experts explained. In the study, about 6 percent of women reported stress incontinence, 4.5 percent reported urge incontinence, and about 2 percent reported both.

Stress incontinence is often caused by a weakening of the pelvic floor muscles that hold the bladder in place. Pregnancy and vaginal deliveries can weaken or damage pelvic floor muscles. But other factors, such as obesity or being overweight, are also associated with stress incontinence, although this study did not find an association between weight and incontinence.

Urge incontinence, or feeling the urge to go but not making it to the bathroom, usually has a neurological cause, in that the brain doesn't have sufficient control over the bladder. Neurological conditions such as multiple sclerosis, dementia or simply advancing age can contribute to urge incontinence, Kavaler noted.

It's well known that some younger women can experience what is essentially premature aging of that bladder control, and can experience urge incontinence earlier in life.

To alleviate stress incontinence, Kegel exercises, which strengthen the pelvic floor muscles, may help. Women should squeeze their pelvic muscles as if they are stopping the flow of urine for five seconds, then release for five seconds. Repeat that about five times, Rabin advised. Take a break, and then increase your Kegel set up to 10 times in a day.

"Over time, it thickens the muscle that supports the bladder, vagina and rectum and stabilizes it," Rabin said.

If Kegel exercises aren't helping, see your doctor. "There are young women who have urinary control issues, there are treatments, and they should seek help and talk to their doctor about it," Kavaler said.

Rabin pointed out that some women will resort to restricting fluid intake to alleviate incontinence, but that's a bad idea, she said. Dehydration can contribute to urinary tract infections and constipation, which can also stress the pelvic floor muscles during bowel movements.

The study did not receive university or outside funding.

More information

The U.S. National Kidney and Urologic Diseases Information Clearinghouse has more on urinary incontinence.

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Higher Doses of Vitamin D Prevent Fractures in Older Women

HealthDay – 4 mins 43 secs ago WEDNESDAY, July 4 (HealthDay News) -- In the latest study to look at the effect of vitamin D on fracture risk, Swiss researchers found that taking more than 800 international units (IU) of vitamin D daily could reduce the risk of hip fractures in older women by 30 percent.

"Vitamin D supplementation is effective in fracture reduction, including hip fractures," said study author Dr. Heike Bischoff-Ferrari, from the Center on Aging and Mobility at the University of Zurich and Wald City Hospital, also in Zurich.

"However, dose matters, as we saw this benefit only at the highest intake level of greater than 800 IU per day, and no dose below 792 IU per day reduced fracture risk," she said.

If everyone took more than 800 IU of vitamin D daily, the impact on public health could be enormous because hip fractures are the most severe and frequent fractures among the elderly, according to Bischoff-Ferrari.

Results of the study are published in the July 5 issue of the New England Journal of Medicine.

Vitamin D is important for bone health, according to Dr. Anna Lasak, clinical director of the department of rehabilitation and the women's physical medicine and rehabilitation program at Montefiore Medical Center, in New York City. The body makes vitamin D when exposed to sunlight. Sunscreen blocks this effect.

Vitamin D is also found in fatty fish, eggs and some mushrooms, she said. It's also added to dairy products, some cereals and some breads, according to Lasak. But, she said, it can be difficult, especially for elderly people, to get enough vitamin D from these sources. In addition, elderly people may have digestive issues that can cause their bodies to absorb even less vitamin D.

A number of studies have been done looking at vitamin D and bone health, and the studies have often come up with conflicting findings, with some showing benefits, while others found no benefits. In mid-June, the U.S. Preventive Services Task Force recommended that postmenopausal women should not take low-dose vitamin D supplements (400 IU) because there was no evidence of benefit. The task force, however, said there wasn't yet enough clear evidence on higher doses of vitamin D to make a recommendation one way or the other.

The current study is a pooled analysis of 11 double-blind, randomized controlled trials of vitamin D supplementation with or without calcium compared to a placebo or calcium supplementation alone.

The studies included more than 31,000 people. All of the participants in the studies were over 65, with an average age of 76. Most (91 percent) of the volunteers in the studies were women.

They found that people taking less than 800 IU daily showed no statistically significant drop in fracture risk. However, those taking over 800 IU reduced the risk of hip fracture by 30 percent and the risk of non spine-related fractures by 14 percent, according to the study.

"Our data strongly support a daily vitamin D supplement of 800 IU per day in adults age 65 and older to lower their risk of fracture, including those living at home and those living in nursing homes, including men and women, and the younger and the old," Bischoff-Ferrari said.

Lasak said 800 IU is a safe level of vitamin D intake for just about anyone. But, she said, it's better for older folks to have their vitamin D levels measured first. Some may not need additional vitamin D, but many actually need more than 800 IU a day.

"Most people do have a deficiency," she said. While 800 IU is a safe limit, that may not be enough, she said. No one should exceed levels of 4,000 IU, Lasak added. That's the upper safe limit of this nutrient.

She said it's also important to ensure that you're getting enough calcium. The recommendation is for between 1,000 and 1,200 milligrams (mg) a day, with older people needing more, she said. Lasak recommended getting the bulk of your calcium from foods, rather than a supplement, because some studies have suggested possible harm from higher levels of calcium intake from supplements.

Bischoff-Ferrari said the current analysis also suggested that higher levels of calcium supplementation (more than 1,000 mg) may reduce vitamin D's benefit.

More information

Learn more about vitamin D and bone health from the National Osteoporosis Foundation.

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Shorter Arms May Explain Why Women Need Glasses Sooner Than Men

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Eating disorder behaviors and weight concerns are common in women over 50

ScienceDaily (June 21, 2012) — Eating disorders are commonly seen as an issue faced by teenagers and young women, but a new study reveals that age is no barrier to disordered eating. In women aged 50 and over, 3.5% report binge eating, nearly 8% report purging, and more than 70% are trying to lose weight. The study published in the International Journal of Eating Disorders revealed that 62% of women claimed that their weight or shape negatively impacted on their life.

See Also:Health & MedicineDiet and Weight LossMenopauseObesityMind & BrainEating DisordersGender DifferenceDieting and Weight ControlLiving WellReferenceEating disorderBulimia nervosaMenopauseOverweight

The researchers, led by Dr Cynthia Bulik, Director of the University of North Carolina Eating Disorders Program, reached 1,849 women from across the USA participating in the Gender and Body Image Study (GABI) with a survey titled, 'Body Image in Women 50 and Over -- Tell Us What You Think and Feel.'

"We know very little about how women aged 50 and above feel about their bodies," said Bulik. "An unfortunate assumption is that they 'grow out of' body dissatisfaction and eating disorders, but no one has really bothered to ask. Since most research focuses on younger women, our goal was to capture the concerns of women in this age range to inform future research and service planning."

The average age of the participants was 59, while 92% were white. More than a quarter, 27%, were obese, 29% were overweight, 42% were normal weight and 2% were underweight.

Results revealed that eating disorder symptoms were common. About 8% of women reported purging in the last five years and 3.5% reported binge eating in the last month. These behaviors were most prevalent in women in their early 50s, but also occurred in women over 75.

When it came to weight issues, 36% of the women reported spending at least half their time in the last five years dieting, 41% checked their body daily and 40% weighed themselves a couple of times a week or more.

62% of women claimed that their weight or shape negatively impacted their life, 79% said that it affected their self-perception and 64% said that they thought about it daily.

The women reported resorting to a variety of unhealthy methods to change their body, including diet pills (7.5%), excessive exercise (7%), diuretics (2.5%), laxatives (2%) and vomiting (1%).

Two-thirds, 66%, were unhappy with their overall appearance and this was highest when it came to their stomach, 84%, and shape, 73%.

"The bottom line is that eating disorders and weight and shape concerns don't discriminate on the basis of age," concluded Bulik. "Healthcare providers should remain alert for eating disorder symptoms and weight and shape concerns that may adversely influence women's physical and psychological wellbeing as they mature."

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U.S. women in 20s less likely to get pregnant or have abortion

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Eating Disorders Hitting Women Over 50, Study Finds

HealthDay – 4 hrs ago THURSDAY, June 21 (HealthDay News) -- Although eating disorders are typically thought of as a problem among teenage girls, many women over 50 practice unhealthy eating behaviors, a new study indicates.

The researchers found that almost 4 percent report binge eating, nearly 8 percent report purging, more than 70 percent diet to lose weight and 62 percent say their weight or shape adversely impacts their lives, according to the report published June 21 in the International Journal of Eating Disorders.

"Everyone -- especially health-care providers -- needs to erase stereotypes about who experiences disordered eating. Women well into their 50s and beyond still report struggling with weight dissatisfaction and a palette of unhealthy behaviors aimed at weight control," said lead researcher Cynthia Bulik, director of the University of North Carolina Eating Disorders Program.

"Our '70 is the new 50' society may be placing additional appearance pressures on women that perpetuate disordered eating practices well into older adulthood," she added.

These messages cause dissatisfaction and lead women toward extreme measures to achieve these "societally concocted ideals," Bulik said.

For the study, Bulik's team collected data on more than 1,800 U.S. women who took part in the Gender and Body Image Study.

Among these women, about 27 percent were obese, 29 percent were overweight, 42 percent were normal weight and 2 percent were underweight, the study authors noted.

About 8 percent of women said they purged in the last five years and 3.5 percent said they had binged in the past month, the investigators found. Most of these women were in their early 50s, but there were also women over 75, the authors said.

In addition, 36 percent of the women said they spent at least half their time in the last five years dieting, 41 percent said they checked their body size or shape daily and 40 percent weighed themselves at least twice a week.

Moreover, 62 percent said their weight or shape had a negative impact on their life, 79 percent said it affected their image of themselves and 64 percent said they thought about it daily.

Many women resorted to unhealthy ways to lose weight, including diet pills (7.5 percent), excessive exercise (7 percent), diuretics (2.5 percent), laxatives (2 percent) and vomiting (1 percent), the researchers found.

In all, 66 percent didn't like their overall appearance. Their dissatisfaction was highest with their stomach (84 percent) and shape (73 percent).

"We simply cannot ignore disordered eating and weight dissatisfaction in women over 50," Bulik said.

"But, we have no idea how to tailor interventions for women over 50 so treatment can be appropriate to their developmental stage in life. That is a critical next step," she said.

Eating disorders can have dire consequences, Bulik noted.

"Anorexia nervosa has the highest mortality rate of any psychiatric illness. Although we do not have clear data on differences in mortality across the age spectrum, we do know that the body becomes less resilient to the physical insults from starvation, binge eating and purging as it ages. So these disorders in older women may lead to even more medical complications because the body bounces back less easily as it ages," she said.

Bulik said there are signs to look out for that may indicate someone has an eating disorder. These include: precipitous weight loss or low weight; withdrawing from family, partner and friends; evidence of binge eating or purging; extremely low self-esteem and body esteem; not eating with the family; avoiding events where there is food.

"Partners can be so helpful, but often do not know what to do. Inform yourself about eating disorders and don't expect the problem just to go away. These are not just passing phases, these are serious and potentially life-threatening disorders that require treatment," she said.

Commenting on the study, Dr. Edith Rubenstein, an attending psychiatrist at Lenox Hill Hospital in New York City, said: "This is an unrecognized problem. It had been thought the problem was much smaller."

But, she added, "All of these weight and shape concerns are taking up a lot of mental space in women in this age group, surprisingly."

There is a growing older population of women who are heavier, which may be contributing to this anxiety about weight and shape, Rubenstein said. These are serious problems that need attention, she explained.

"If you have excessive concerns about weight and shape, if you are obsessing about weight and shape, if you are engaging in unhealthy behaviors like bingeing and purging, you should seek medical attention," Rubenstein advised.

More information

For more on eating disorders, visit the U.S. National Library of Medicine.

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Fertility Treatment Tied to Higher Relapse Rate in Women With MS

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Some 8,000 French women have faulty breast implants removed

"Jean-Claude Mas, the founder of the PIP breast implant company, leaves inside a gendarmerie car the Appeal Court, after asking a judge to release him from jail pending appeal in March 2012 in the southern French city of Aix-en-Provence. French health authorities said that nearly 8,000 French women had followed a government recommendation to have faulty breast implants removed. (AFP Photo/Boris Horvat)" title

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Once-Obese Women Still Face Stigma, Study Finds

HealthDay – 4 hrs ago WEDNESDAY, May 30 (HealthDay News) -- Even after they shed their excess pounds, formerly obese women still have to contend with "anti-fat prejudice," according to a new study.

Researchers asked young women and men to read about women who had either lost 70 pounds of excess weight or had stayed the same weight (weight-stable), and who were either currently obese or currently thin.

The participants were then asked about some of the women's attributes, including their attractiveness.

"We were surprised to find that currently thin women were viewed differently depending on their weight history," study leader Janet Latner, of the University of Hawaii at Manoa, said in a news release from the University of Manchester, in England. "Those who had been obese in the past were perceived as less attractive than those who had always been thin, despite having identical height and weight."

The participants also showed greater bias against obese people after they had read about women who had lost weight, compared to after reading about weight-stable women -- regardless of whether the weight-stable women were thin or obese.

The findings, published May 29 in the journal Obesity, suggest that the stigma of obesity is so powerful that it can continue even after an obese person has lost weight.

The researchers said they were particularly troubled by the finding that participants' negative attitudes towards obese people increased when they were falsely told that body weight is easily controlled.

"The message we often hear from society is that weight is highly controllable, but the best science in the obesity field at the moment suggests that one's physiology and genetics, as well as the food environment, are the really big players in one's weight status and weight loss," study co-author Kerry O'Brien, from the University of Manchester School of Psychological Sciences and Monash University in Melbourne, in Australia, noted in the news release.

"Weight status actually appears rather uncontrollable, regardless of one's willpower, knowledge and dedication. Yet many people who are perceived as 'fat' are struggling in vain to lose weight in order to escape this painful social stigma. We need to rethink our approaches to, and views of, weight and obesity," O'Brien noted.

More information

The U.S. National Institute of Diabetes and Digestive and Kidney Diseases offers advice about choosing a safe and effective weight-loss program.

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