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Sticking to a normal daily rhythm -- being active during the day and sleeping at night -- can have more benefits than you might expect.A new study found that it is linked to improvements in mood and cognitive functioning as well as a decreased likelihood of developing major depression and bipolar disorder.The study, published Tuesday in the journal The Lancet Psychiatry, looked at disruptions in the circadian rhythms -- or daily sleep-wake cycles -- of over 91,000 adults in the United Kingdom. It measured these disruptions using a device called an accelerometer that is worn on the wrist and measures one's daily activity levels. The participants were taken from the UK Biobank, a large cohort of over half a million UK adults ages 37 to 73.The researchers found that individuals with more circadian rhythm disruptions -- defined as increased activity at night, decreased activity during the day or both -- were significantly more likely to have symptoms consistent with bipolar disorder or major depression. They were also more likely to have decreased feelings of well-being and to have reduced cognitive functioning, based on a computer-generated reaction time test.For all participants, activity levels were measured over a seven-day period in either 2013 or 2014, and mental health proxies such as mood and cognitive functioning were measured using an online mental health questionnaire that participants filled out in 2016 or 2017."It's widely known that a good night's sleep is a good thing for well-being and health. That's not a big surprise," said?Dr. Daniel Smith, professor of psychiatry at the University of Glasgow and a leading author on the study. "But I think what's less well-known and what comes out of this work is that not only is a good night's sleep important, but having a regular rhythm of being active in daylight and inactive in darkness over time is important for mental well-being."The findings were found to be consistent even when controlling for a number of influential factors including age, sex, lifestyle, education and body mass index, according to Smith."I think one of the striking things that we found was just the consistency in the direction of our association across everything we looked at in terms of mental health," Smith said.Daily circadian rhythm is controlled by a collection of neurons in an area of the brain called the hypothalamus. The hypothalamus helps regulate a number of important behavioral and physiological functions such as body temperature, eating and drinking habits, emotional well-being and sleep, according to the?National Institute of General Medical Sciences.The findings are consistent with research indicating a link between sleep disruptions and mood disorders. A 2009 study, for example, showed that men who worked night shifts for four years or more were more likely to have anxiety and depression than those who work during the day.However, the new study is the first to use objective measurements of daily activity and is among the largest of its kind, according to?Aiden Doherty, senior research fellow at the University of Oxford, who was not involved in the research."This study is the first large-scale investigation of the association of objectively measured circadian rhythmicity with various mental health, well-being, personality and cognitive outcomes, with an unprecedented sample size of more than 90 000 participants," Doherty wrote in an email."Previous studies have been very small (in just a few hundred people), or relied on self-report measures (asking people what they think they do). ... However, this study used objective device-based measures in over 90,000 participants; and then linked this information to standard measures of mood disorders, subjective well-being, and cognitive function," he added.The findings have significant public health consequences, particularly for those who live in urban areas, where circadian rhythms are often disrupted due to artificial light, according to Smith."By 2030, two-thirds of the world's population will be living in cities, and we know that living in an urban environment can be pretty toxic to your circadian system because of all the artificial light that you're exposed to," Smith said."So we need to think about ways to help people tune in to their natural rhythms of activity and sleeping more effectively. Hopefully, that will protect a lot of people from mood disorders."For those who struggle to maintain a consistent circadian rhythm, certain strategies -- such as avoiding technology at night -- have proven to be an important part of good sleep hygiene."Not using your phone late at night and having a regular pattern of sleeping is really important," Smith said. "But equally important is a pattern of exposing yourself to sunshine and daylight in the morning and doing activity in the morning or midday so you can actually sleep properly."Based on the observational nature of the study, the researchers were unable to show causality, meaning it is unclear whether the sleep disturbances caused the mental health problems or vice versa."It's a cross-sectional study, so we can't say anything about cause and effect or what came first, the mood disorder or the circadian disruption," said Kristen Knutson, associate professor of neurology at Northwestern's Feinberg School of Medicine, who was not involved in the study."And it's likely they affect each other in a circular fashion," she added.The researchers also looked exclusively at adults between age 37 and 73, meaning the results may not apply to younger individuals, whose circadian rhythms are known to be different than those of older adults, according to Smith."The circadian system changes throughout life. If you've got kids, you know that very young kids tend to be nocturnal," Smith said. "My suspicion is that we might observe even more pronounced effects in younger samples, but that hasn't been done yet, to my knowledge."But the study adds more credence to the idea that sleep hygiene -- including maintaining a consistent pattern of sleep and wake cycles -- may be an important component of good mental health, according to Smith."It's an exciting time for this kind of research because it's beginning to have some real-world applications," Smith said. "And from my point of view as a psychiatrist, I think it's probably under-recognized in psychiatry how important healthy circadian function is, but it's an area that we're trying to develop." 6496
The AARP launched new ads, demanding Congress take action to help older Americans to find affordable medication.It’s a problem David Mitchell is experiencing. He is fighting blood cancer, and treatment does not come cheap.“The drugs I use right now that are keeping me alive, keeping the cancer at bay, cost 0,000 a year,” he says. “That’s retail price.”Mitchell pays for expensive, supplemental insurance so he can afford his medicine, but the sticker shock for cancer medication became an awakening.“The experience as a cancer patient brought me face-to-face with a fundamental truth, and that is drugs don’t work if people can’t afford them,” Mitchell says. “And all over the country, people are struggling with high-drug costs. They’re cutting pills in half, they’re skipping doses, they go into debt, they declare bankruptcy.”David started an organization called Patients for Affordable Drugs. He’s on a mission to lower prescription prices. This week, he’s getting help from one of the largest nonprofits in the country.AARP launched a new campaign to pressure Congress not to make any changes to a bill they passed earlier this year that lowered drug costs for seniors.“AARP is saying absolutely not. This is wrong. We’re going to protect that deal that reduced costs for Medicare beneficiaries, and we’re not gonna give Pharma a billion bailout,” Mitchell says.Healthcare was a top issue during the midterm elections, and Mitchell hopes the new ads will put pressure on the new Congress to do more.“In the midterm elections, politicians ran on a promise to lower drug prices, and we believe that voters can Congress a mandate to do it,” Mitchell says. 1678

Tense moments were peacefully diffused right in our headquarters parking lot. This afternoon, a woman drove her car into our parking lot. One of our employees saw she was armed with a shotgun. pic.twitter.com/iRAvVNg8f6— San Diego Police Department (@SanDiegoPD) October 21, 2020 293
Thanks to an iconic pop music superstar, the world's loneliest elephant has a new home and on Monday started his new life at an elephant sanctuary.According to the Los Angeles Times, Cher was first alerted to Kaavan in 2016, who was living in dire conditions at a zoo in Pakistan on Twitter.USA Today reported Kaavan - now 36 - was gifted to Pakistan by the Sri Lankan government when he was 1 in 1985 and lost his only elephant companion Saheli in 2012.According to Cher's charity, Free the Wild, in July, a Pakistani High Court decided to relocate Kaavan to a different sanctuary, and the Marghazar Zoo was closed. The Islamabad Wildlife Management Board then determined that Kaavan be moved to an elephant sanctuary in Cambodia.On Monday, through the Eric S. Margolis Foundation, who donated the Kaavan’s flight, the elephant was transported from Pakistan to Cambodia. According to the animal welfare organization, Four Paws, the flight went smoothly, and Kaavan even slept during the trip. 1001
The 52nd Annual Country Music Association Awards were held Wednesday at Bridgestone Arena in Nashville, Tennessee.The following is a list of this year's nominees and winners. 182
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