Dr Art Hister – Smoking and Pregnancy

For any woman who is pregnant right now (or even one thinking of getting pregnant one day) and who is still smoking, here’s a very encouraging piece of news.

A study that looked at 50,000 pregnancies concluded that if a woman gave up smoking soon after she conceived, she had the same chance of a giving birth to a normal-weight baby as a woman who has never smoked.

And the reason that matters is that low birth-weight is a major marker for lots of other health problems. Not to mention that smoking is also related to other key problems during the pregnancy and during labour, as well as in the post-partum period. And, that smoking by a parent, either the mom or the dad, and worst of all by both, is linked to some pretty negative health measures in children forced to live in a smoky environment.

Anyway, the bottom line from this study is pretty simple and should hit home hard to any woman still smoking after conception: quit smoking early in your pregnancy, and there is no harm to the baby.

Dr Art Hister – Fish Oil and Pregnancy

Some studies have shown that if pregnant women eat more fish, their babies may end up with slightly higher IQs at the age of 7 than the babies of moms who don’t eat as much fish during pregnancy.

And in our rush (I was going to say “in our arrogance” but that was simply too arrogant on my part) to believe that we understand stuff long before we actually know what we’re talking about, a lot of experts have recommended that pregnant women and prospective moms increase their intake of fish in order to get higher levels of fish oil products in their blood streams.

Well, there are certainly lots of good reasons to eat more (safe) fish, especially by moms, but making your baby smarter as a result is not one of them.

Not, that is, if you believe – and I do – a recent study published in the Journal of the American Medical Association which enrolled 2000 pregnant women, half of whom got fish oil supplements and half of whom got a placebo of vegetable oil.

When the babies were evaluated at12 months they found no cognitive score differences in the babies when they were evaluated at 18 months, Why? 3 potential reasons.

  1. Fish oils supplements don’t actually improve cognitive scores
  2. The women in this study were already getting enough fish oil in their regular diet so taking supplements would not have shown any benefit
  3. Maybe vegetable oil supplements – the placebo – increases cognitive scores as much as fish oil so the researchers were not able to detect a measurable difference.

Whatever. Bottom line: fish is good for you and supplements are, well, no one knows really. So eat lots of (safe) fish.

Dr Art Hister – You Are What Your Mom Ate – or Not

One of the more intriguing pathways being followed by some researchers the last few years is the one that follows along the theory that lots of the health outcomes that we experience as mature adults are actually a function or a result of what happened to us not only 20 or 30 years earlier, that is, in adolescence or early adulthood, but rather that many of the health conditions we develop in midlife and our senior years are actually a consequence of what happened to us in early childhood, even infancy, and perhaps even in utero.

For example, it’s now very well established that the odds of developing osteoporosis in adulthood are highly related to the exercise we do – or that we don’t do – when we’re much younger. The same relationship – what we do or don’t do as kids or even younger leading to disease much later in life – holds for some cancers (breast cancer in adults, for example, has been linked to exercise in our young years, as the risk of melanoma is related to sun exposure in childhood, and others), some cases of high blood pressure and heart disease and strokes, and so on.

Well, according to a fascinating recent study just published in the Proceedings of the National Academy of Sciences, some cases of dementia in adulthood may even be traced to what happened to our moms while we were still in utero.

In this study, the researchers conclude that people who’d been exposed to severe prenatal malnutrition in the Netherlands during World War II (that is, their moms were literally starving while pregnant with them) had significantly higher odds of suffering early cognitive decline in adulthood compared to those who’d not been similarly exposed to malnutrition in utero, that is, people who’d been fetuses carried by moms suffering severe malnutrition during the war were at higher risks of cognitive deficits in midlife than their peers who had been carried by moms who had enough to eat while pregnant.

Just another clear indication why a village raises a child, because when a pregnant woman doesn’t get enough good food to eat, we all pay the costs eventually.