NewsMakers
UN officially recognizes tobacco makes world poorer
The FCTC is the first global health treaty; its objective “is to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke.”
The United Nations General Assembly formally adopted the Sustainable Development Goals (SDGs), a plan to eradicate global poverty. The goals formally recognize, on a global scale, the negative impact of tobacco consumption on health, wealth, and development and commit member governments to combat the ongoing tobacco epidemic, especially through the implementation of the World Health Organization Framework Convention on Tobacco Control (FCTC).
The FCTC is the first global health treaty; its objective “is to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke.”
“It is our hope that the SDGs will raise the profile of the FCTC and provide desperately needed resources for poor countries to fully implement it,” said Laurent Huber, executive director of Action on Smoking and Health (ASH), a DC-based health organization.
ASH worked at the center of the campaign at the UN that resulted in the integration of tobacco control in the SDGs. This collaborative work with our international partners convinced the global community of the necessity of elevating the tobacco epidemic as a development priority.
The SDGs are a 15-year plan to reduce poverty across the globe. They follow on the Millennium Development Goals (MDGs), adopted in 2000 and sunsetting at the end of 2015. But the SDGs are not simply a continuation of the MDGs.
Key differences include:
- The new recognition of the growing impact of noncommunicable diseases (NCDs) on health and poverty, especially in low and middle income countries. Tobacco is the leading risk factor for NCDs.
- The SDGs apply to all UN members, including high income countries like the US. While Americans enjoy one of the highest standards of living in the world, there are still pockets of poverty among several socio-economic groups. This disparity is especially true for tobacco use, which is increasingly becoming a disease of the poor in the US.
“We have made important progress in combatting tobacco in the 50+ years since the 1964 US Surgeon General’s report made the first official connection between tobacco and disease clear,” said Dr. Alfred Munzer, chair of ASH. “However, tobacco still costs over half a million lives and over $300 billion a year, just in America. The global toll of six million lives is staggering. This is unacceptable.”
Dr. Munzer, a pulmonologist, has been advocating against tobacco use for more than 40 years and is a past president of the American Lung Association. The World Health Organization estimates that, unless urgent action is taken, tobacco will cost one billion lives this century.
The SDGs serve as a roadmap for global development, including international assistance. The inclusion of tobacco and the FCTC was a victory for public health groups over the interests of the tobacco industry, who lobbied hard to keep tobacco out of the final agreement. The FCTC has been ratified by 179 countries, but while its measures have been identified as low cost, “best buy” policies by the WHO, its implementation has been mixed, partially due to a lack of resources. One ready source of funds for tobacco control and development is tobacco taxation, the most proven method to reduce tobacco use.
“Only a small portion of the money raised through higher tobacco taxes would be needed for implementation of tobacco control measures,” added Mr. Huber. “The rest could be available for other development needs. And society would be further rewarded with lower health care costs in the future. This is a triple win.”
This strategy was confirmed by a parallel UN negotiation meeting called “Funding for Development,” which highlighted tobacco taxes as an ideal source of development resources.
The SDGs will come into force on January 1, 2016. Individual targets to track implementation and success are still in draft form, but include the reduction of prevalence of tobacco use. Several States fall short of that goal and have work to do over the next 15 years.
NewsMakers
The look and feel of your neighborhood may affect your sleep
Those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape.
Your neighborhood’s “streetscape”—the physical environment of your street—is something that you have probably never consciously thought about, despite seeing it every day. But what if the streetscape was affecting you on a subconscious level and disrupting your sleep?
This intriguing question is posed by the findings of a study led by Professor Daisuke Matsushita of the Graduate School of Human Life and Ecology at Osaka Metropolitan University. The research team used AI to analyze more than 200,000 Google Street View images to identify visual neighborhood characteristics. They then linked these characteristics to the self-reported sleep of 1,089 working adults living on the lower floors of apartments in Tokyo, who were most likely to be affected by the streetscape.
They found that those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape. Generally, people slept longer in areas with lots of greenery, such as leafy trees, on the street. Similarly, high “enclosure”—meaning many tall vertical buildings and few wide-open spaces—was also associated with longer sleep and fewer insomnia symptoms.
However, the study also made a surprising finding. The researchers found that highly walkable streetscapes, such as those with more sidewalks and traffic signs, were associated with a lowered sense of safety and shortened sleep duration.
This suggests that walkability does not always represent a reassuring environment. Instead, a possible explanation is that streets with extensive pedestrian infrastructure are often busier, more crowded, and used by more strangers, which may be perceived as less safe or less relaxing than quieter residential streets.
“This study demonstrates the potential for evaluating streetscape characteristics across large geographic areas in a cost-effective manner,” Dr. Matsushita said. “Based on the technique used in this study, cities could potentially measure perceived safety, beauty, liveliness, and enclosure as well as pollution and noise.”
“We hope that opening up this new perspective creates further possibilities for designing healthier neighborhoods,” he concludes.
The findings were published in Building and Environment.
NewsMakers
Workout or nap? Either can help your sleepless brain, study finds
People who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither.
A short workout or a nap can help protect memory after a sleepless night, a McGill University-led study has found.
Researchers found people who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither. The findings, published in Proceedings of the National Academy of Sciences (PNAS), point to practical ways to counter the effects of sleep deprivation.
“Sleep loss affects nearly every aspect of how we think and function, but many people can’t simply stop what they’re doing and get more sleep,” said senior author Marc Roig, Professor in McGill’s School of Physical and Occupational Therapy. “Our findings show that even a brief bout of exercise may help preserve one of our most important cognitive abilities.”
The study involved 54 healthy young adults who stayed awake for 30 consecutive hours under lab supervision. Participants were then assigned to one of three groups: a 20-minute cycling session, a 90-minute nap or a control condition. Three days later, researchers tested their memory for images they had viewed immediately after the intervention. Those who exercised or napped remembered significantly more images than participants who did neither.
Same result, different pathways
While the memory benefits were nearly identical, brain recordings revealed that exercise and napping helped in different ways.
Napping appeared to help the brain recharge, making it easier to take in and remember new information. Exercise, by contrast, helped the brain use its remaining resources more efficiently, without making participants feel more tired.
The findings could eventually inform fatigue-management strategies in workplaces where sleep loss is common and mistakes can have serious consequences, such as health care, transportation and emergency response.
“A nap isn’t always possible in the middle of a shift,” said first author Madhura Lotlikar, a doctoral candidate in McGill’s Department of Neurology and Neurosurgery. “Exercise is accessible, inexpensive and easy to implement. That makes it a promising tool to help people stay cognitively sharp when sleep is limited.”
The researchers emphasize that exercise cannot replace sleep, but it may help people function better when getting enough rest isn’t possible.
About the study
“Protecting episodic memory after sleep loss: Similar benefits of exercise and naps via distinct neural contributions” by Madhura Lotlikar and Marc Roig et al., was published in Proceedings of the National Academy of Sciences of the United States of America.
NewsMakers
Study links coffee consumption to metabolic health and sex hormones
Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.
Coffee is one of the world’s most widely consumed beverages, and previous research has linked its consumption to a lower risk of conditions such as type 2 diabetes and cardiovascular disease. However, the biological mechanisms behind these benefits remain unclear. A new Finnish study links habitual coffee consumption to healthier body composition and metabolic markers, while revealing distinct associations with sex hormones in men and women.
The study, conducted at the University of Oulu, analysed data from 2,264 participants aged 46 in the Northern Finland Birth Cohort 1966. Researchers examined how habitual coffee consumption was associated with circulating metabolites, cardiometabolic risk markers and sex hormones.
Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.
In both men and women, higher coffee consumption was correlated with lower circulating levels of branched-chain amino acids, biomarkers that have previously been linked to insulin resistance and an increased risk of type 2 diabetes when chronically elevated.
The strongest sex-specific associations were observed in men. Higher coffee consumption was linked to a more favourable glucose–insulin profile, higher concentrations of total and bioavailable testosterone, and increased levels of sex hormone-binding globulin (SHBG). At the same time, free testosterone and the free androgen index were modestly lower. In women, hormonal associations were more limited and were primarily characterised by higher SHBG and lower measures of free androgens.
“Coffee is consumed by millions of people every day, yet we still know surprisingly little about how it relates to our metabolism and hormones. What stood out in our findings was a distinct hormonal signature that didn’t disappear even after we took into account BMI and lifestyle factors, with several of these associations differing between men and women,” says Luca Verroest, lead author of the study and Doctoral Researcher at the University of Oulu.
The results suggest that hormonal pathways may partly explain the relationship between coffee consumption and metabolic health. However, as this was an observational study, the findings demonstrate associations rather than cause-and-effect relationships.
The study is particularly relevant in Finland, one of the world’s highest coffee-consuming countries, where annual consumption averages around 11.8 kilograms per person.
The researchers say the findings provide a foundation for future studies aimed at determining whether coffee itself drives these biological changes and identifying the compounds responsible. These questions are currently being investigated in animal models, with the long-term goal of progressing to human intervention studies. Further research will be needed before the findings could inform dietary recommendations.
The study, Associations of habitual coffee intake with testosterone and cardiometabolic markers: the Northern Finland Birth Cohort 1966 study, has been published in the European Journal of Nutrition.
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