Monday June 18, 2018

Childhood Cancer Survivors More Likely to Experience Sleep Problems as Adults

Addressing disrupted sleep in these survivors may improve long-term psychological functioning

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“Childhood Cancer Survivors More Likely to Experience Sleep Problems as Adults
Childhood Cancer Survivors More Likely to Experience Sleep Problems as Adults. Pixabay
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Childhood cancer survivors are more likely to experience sleep problems and daytime sleepiness as adults which may result in greater likelihood of persistent or worsened emotional distress, preliminary results of a study suggests.

The findings, presented during the SLEEP 2018 meeting in Baltimore, suggested that cancer survivors were more likely than siblings to report sleep problems as adults.

The researchers also found that survivors were 31 per cent more likely to report daytime sleepiness and 26 per cent more likely to have poor “sleep efficiency”.

“Our results indicate that for survivors of childhood cancer who reported sleep problems, there is a greater likelihood of worsening or persistent psychological distress,” said lead author Lauren Daniel, Assistant Professor at Rutgers University-Camden in New Jersey.

“Thus, addressing disrupted sleep in these survivors may improve long-term psychological functioning,” Daniel added.

Representational image.
Representational image. Pixabay

According to the researchers, sleep disorders are related to emotional and physical health in the general population, but research in survivors of childhood cancer is limited.

This study characterised sleep behaviours in adults who had survived childhood cancer and examined associations among sleep, cancer diagnoses, treatment exposures, and emotional functioning.

For the study, researchers examined 1,933 childhood cancer survivors. Participants had a mean age of 35 years and a mean time since diagnosis of 23.5 years. The study also involved 380 siblings with a mean age of 33 years.

Also Read: Sports Drinks Not Viable Over Water, Says Expert

Both groups completed sleep quality, fatigue and sleepiness measures.

Emotional functioning was assessed about eight years before and two years after the sleep survey.

“Sleep is quite amenable to behavioural interventions. Efforts that improve sleep may improve both health and quality of life in long-term childhood cancer survivors,” said Daniel. (IANS)

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California Cuts Coffee Off From Cancer Causing Chemicals

The state’s action rejects that ruling.

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A posted Proposition 65 warning sign is seen on display at a coffee shop in Burbank, Calif., March 30, 2018.
A posted Proposition 65 warning sign is seen on display at a coffee shop in Burbank, Calif., March 30, 2018. VOA

California officials, having concluded coffee drinking is not a risky pastime, are proposing a regulation that will essentially tell consumers of America’s favorite beverage they can drink up without fear.

The unprecedented action Friday by the Office of Environmental Health Hazard Assessment to propose a regulation to clear coffee of the stigma that it could pose a toxic risk followed a review of more than 1,000 studies published this week by the World Health Organization that found inadequate evidence that coffee causes cancer.

The state agency implements a law passed by voters in 1986 that requires warnings of chemicals known to cause cancer and birth defects. One of those chemicals is acrylamide, which is found in many things and is a byproduct of coffee roasting and brewing present in every cup of joe.

Win for coffee industry

If the regulation is adopted, it would be a huge win for the coffee industry, which faces potentially massive civil penalties after recently losing an 8-year-old lawsuit in Los Angeles Superior Court that could require scary warnings on all coffee packaging sold in California.

Judge Elihu Berle found that Starbucks and other coffee roasters and retailers had failed to show that benefits from drinking coffee outweighed any cancer risks. He had previously ruled the companies hadn’t shown the threat from the chemical was insignificant.

The state’s action rejects that ruling.

“The proposed regulation would state that drinking coffee does not pose a significant cancer risk, despite the presence of chemicals created during the roasting and brewing process that are listed under Proposition 65 as known carcinogens,” the agency said in a statement. “The proposed regulation is based on extensive scientific evidence that drinking coffee has not been shown to increase the risk of cancer and may reduce the risk of some types of cancer.”

A barista pours steamed milk into a cup of coffee at a cafe in Los Angeles, Sept. 22, 2017. State health officials proposed a regulation change Friday that would declare coffee doesn't present a significant cancer risk, countering a California court ruling.
A barista pours steamed milk into a cup of coffee at a cafe in Los Angeles, Sept. 22, 2017. State health officials proposed a regulation change Friday that would declare coffee doesn’t present a significant cancer risk, countering a California court ruling. VOA

Unprecedented move

Attorney Raphael Metzger, who won the court case on behalf of The Council for Education and Research on Toxics, said he was shocked the agency would move to nullify the court decision and undermine its own report more than a decade ago that drinking even small amounts of coffee resulted in a significant cancer risk.

“The takeaway is that the state is proposing a rule contrary to its own scientific conclusion. That’s unprecedented and bad,” Metzger said. “The whole thing stinks to high hell.”

The National Coffee Association had no comment on the proposed change. In the past, the organization has said coffee has health benefits and that the lawsuit made a mockery of the state law intended to protect people from toxics.

Scientific evidence on coffee has gone back and forth over many years, but concerns have eased recently about possible dangers, with some studies finding health benefits.

Big Coffee didn’t deny that acrylamide was found in the coffee, but argued it was only found at low levels and was outweighed by other benefits such as antioxidants that reduce cancer risk.

Coffee beans
Coffee beans, Pixabay

Congress

The state agency’s action comes about a week after bipartisan bills were introduced in both houses of Congress to require science-based criteria for labels on food and other products. One of the sponsors, Rep. Kurt Schrader, D-Oregon, alluded to the California coffee lawsuit as an example of misleading warnings.

“When we have mandatory cancer warnings on a cup of coffee, something has gone seriously wrong with the process,” Schrader said in a news release. “We now have so many warnings unrelated to the actual health risk posed to consumers, that most people just ignore them.”

The lawsuit against Starbucks and 90 companies was brought by the tiny nonprofit under a law that allows private citizens, advocacy groups and attorneys to sue on behalf of the state and collect a portion of civil penalties for failure to provide warnings.

The Safe Drinking Water and Toxic Enforcement Act, better known as Proposition 65, requires warning labels for about 900 chemicals known to cause cancer or birth defects.

Also read: What Does Your Coffee Say About You?

The law has been credited with reducing cancer-causing chemicals, but it has been criticized for leading to quick settlement shakedowns and vague warnings that are often ignored. (VOA)