Category Archives: Nutrition
Tips on a Healthy Super Bowl Sunday
Super Bowl Sunday usually also means super-sized portions of unhealthy foods. Knowing this side of the annual event, gastroenterology experts from NewYork-Presbyterian are offering advice on how to get through game day as healthy as possible. "Fats, spices and carbonated beverages are likely to wreak havoc on the gastrointestinal tract, if not at the time of ingestion, then in the hours that follow," said Christine Frissora, MD, a gastroenterologist at New York-Presbyterian Hospital/Weill Cornell Medical Center in New York City. "Pass on the junk food at the Super Bowl party and your body will thank you later.” Among the “do” and “don’t” tips:
- Avoid spicy foods, which can trigger irritable bowel syndrome, indigestion and acid reflux.
- Reduce dairy intake, or try cheeses that are low in lactose, including brie, parmesan and aged cheddar.
- Beans are challenging to digest, so limit intake.
- Avoid "high fiber" snacks, which can leave you feeling bloated.
- Reduce fat intake, which can lead to indigestion.
- Make sure you provide your guests with nutritional options, such as yogurt dip, nuts, fruits, multigrain or whole-grain crackers and chips, non-spicy guacamole, baked chicken or fish, salads, fresh vegetables, and water with lemon or citrus garnishes.
Read more on nutrition.
Study: One-third of Adults with Chronic Diseases Have Trouble Paying for Both Food and Medicine
One in three U.S. adults living with chronic diseases such as diabetes, arthritis or high blood pressure have difficulty paying for both food and their needed medications—and sometimes both—according to a new study in The American Journal of Medicine. Using data collected by the 2011 National Health Interview Survey, which covered almost 10,000 people ages 20 and older, researchers determined that people who had difficult affording food were also four times more likely to skip medications because of their cost. They also found that 23 percent took their medication less often than prescribed because of the cost, 19 percent reported difficulty affording food and 11 percent said they were having trouble paying for both food and medications. "This leads to an obvious tension between 'milk' or 'med,'" said Niteesh Choudhry, MD, who worked on the study at Brigham and Women's Hospital in Boston. "If you have a fixed income, should you treat or should you eat?" The researchers recommend that patients speak to their doctors about difficulties affording medications and look food assistance programs such as the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), as well as food banks, for help with food. Read more on access to health care.
Exercise Can Help Relieve Stress of Work/Home Conflict
Increased exercise can help relieve stress over the conflict between balancing work and family life, according to a new study in the journal Human Resource Management. Utilizing a survey of 476 working adults who were asked about their exercise behavior and their confidence in handling work-family conflicts, researchers determined that people who engaged in regular exercise were also more confident in both their home and work environments. "If, for example, you go for a two-mile jog or walk 10 flights of steps at work and feel good about yourself for doing that, it will translate and carry over into other areas of life," said study author Russell Clayton, an assistant professor of management at Saint Leo University in Florida. "We found that [participants] who exercised felt good about themselves, that they felt that they could accomplish tough tasks, and that carried over into work and family life," Clayton added. Read more on physical activity.
FDA Looking to Revise Nutrition Fact Labels
The U.S. Food and Drug Administration (FDA) is looking to revise nutrition fact labels for the first time in more than two decades. The changes should reflect our improved understanding of nutrition, according to nutritionists. "The food environment has changed and our dietary guidance has changed," said Michael Taylor, the FDA's deputy commissioner for foods. "It's important to keep this updated so what is iconic doesn't become a relic." For example, there is now more of a focus on calories and better understanding of the different types of fats. Nutrition experts also have called for more prominent calorie counts, as well as information on added sugar and the percentage of whole wheat in the food. The FDA has sent its proposed guidelines to the White House. Read more on nutrition.
Study: ERs Need to do More to Cut Unnecessary Antibiotic Prescriptions
Despite growing concerns over antibiotic resistance, emergency departments are not decreasing their inappropriate use of antibiotics, according to a new study in the journal Antimicrobial Agents and Chemotherapy. Researchers analyzed data from 2001 to 2010, finding no decrease in emergency department use of antibiotics for adults with respiratory infections caused by viruses, which are not affected by antibiotics. There are approximately 126 million emergency department visits for acute respiratory infections each year in the United States. Halting excessive and unnecessary antibiotic prescriptions in emergency departments is especially critical because many uninsured people also look to them for primary care. "The observed lack of change...is concerning," study co-author Henry Wang, MD, vice chair for research in the department of emergency medicine at the University of Alabama at Birmingham. "This may indicate that efforts to curtail inappropriate antibiotic use have not been effective or have not yet been implemented in all medical settings." Read more on prescription drugs.
CDC: Strategies on Reducing Sodium Levels in Restaurants
A new report from the U.S. Centers for Disease Control and Prevention (CDC) includes strategies on how health departments and restaurants can work together to lower the amount of sodium in foods. The report, “From Menu to Mouth: Opportunities for Sodium Reduction in Restaurants,” appears in the CDC journal Preventing Chronic Disease. While the U. S. Dietary Guidelines recommend the general population limit sodium to under 2,300 mg a day, meals from fast food restaurants contain an average of 1,848 mg of sodium per 1,000 calories and foods from dine-in restaurants contain 2,090 mg of sodium per 1,000 calories. The strategies include:
- Health department dietitians help restaurants analyze the sodium content of their foods and recommend lower-sodium ingredients.
- Restaurants clearly post nutrition information, including sodium content, at the order counter and on menus or offer lower-sodium items at lower cost.
- Health departments and restaurants explain to food service staff why lower sodium foods are healthier and how to prepare them.
“The bottom line is that it’s both possible and life-saving to reduce sodium, and this can be done by reducing, replacing and reformulating,” said CDC Director Tom Frieden, MD, MPH. “When restaurants rethink how they prepare food and the ingredients they choose to use, healthier options become routine for customers.” Read more on the CDC.
Arab Countries at Risk of Halting Progress in Life Expectancy, Child Mortality
If left unaddressed, the increasing problems of chronic disease, diet-related risk factors and road injury deaths could hamper the progress that countries in the Arab world have made in life expectancy and child mortality over the past two decades, according to a new study in The Lancet. The Institute for Health Metrics and Evaluation (IHME)-led study analyzed data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), finding that all 22 nations of the Arab League saw life expectancy increase for women from 1990 to 2010, and all but one saw increases for men (Kuwait, which was already at 76.8 in 1990 and dipped to only 76.1). However, societal changes linked to income levels are also bringing with them new issues. For example, higher-income countries where food is more abundant are seeing poorer diets and decreased physical activity. “The Arab countries are in transition from places where infectious diseases are the main cause of concern to places where heart disease, cancer, and diabetes are the main worries,” said IHME Director Christopher Murray, MD. “Right now, in the low-income countries, they are suffering from a double burden of non-communicable and infectious diseases. And that causes an incredible strain on their health systems.” Read more on global health.
Study: Cutting Fast Food Not Enough—Education Nutrition Also Needed to Combat Childhood Obesity
Cutting back or even cutting out fast food alone is not enough to combat the childhood obesity epidemic, with increased focus on the rest of diet also necessary, including proper education on nutrition, according to a new study in the American Journal of Clinical Nutrition. The study was supported by the Robert Wood Johnson Foundation. Researchers analyzed data from the U.S. National Health and Nutrition Examination Survey, looking at information on nearly 4,500 U.S. kids ages 2 to 18 from 2007 to 2010. The study found that nearly 40 percent of kids consumed up to 30 percent of their total calories from fast food, with 10 percent consuming more than 30 percent. They also found that kids who ate more fast food also tended to make unhealthy eating choices outside of fast food restaurants. "The fact that fast-food diners—especially adolescents—tend to choose nutrient-poor foods outside of the fast-food meal demonstrates the need for better nutrition education and a focus on the whole diet to meet health needs," said Connie Diekman, director of university nutrition at Washington University in St. Louis. Read more on nutrition.
FDA Approves First Post-natal Test to Diagnose Development Delays, Intellectual Disabilities
The U.S. Food and Drug Administration (FDA) has granted approval for the marketing of a first-of-its-kind test to help diagnose developmental delays and intellectual disabilities in children. The post-natal blood test analyzes the entire genome in search of chromosomal variations of different types, sizes, and genome locations; disabilities such as Down syndrome and DiGeorge syndrome are linked to chromosomal variations. “This new tool may help in the identification of possible causes of a child’s developmental delay or intellectual disability, allowing health care providers and parents to intervene with appropriate care and support for the child,” said Alberto Gutierrez, PhD, director of the Office of In Vitro Diagnostics and Radiological Health in the FDA’s Center for Devices and Radiological Health. Read more on mental health.
USDA: Americans Are Eating Healthier
A new report from the U.S. Department of Agriculture finds that American diets improved between 2005 and 2010. The report, which relied on responses to the National Health Examination and Nutrition Survey, found that American adults are making better use of available nutrition information; consuming fewer calories coming from fat and saturated fat; consuming less cholesterol; and eating more fiber. Daily calorie intake declined by 78 calories per day between 2005 and 2010. The report also found declines in calories from total fat (3.3 percent), saturated fat (5.9 percent), and intake of cholesterol (7.9 percent). Overall fiber intake increased by 1.2 grams per day (7.5 percent). Read more on nutrition.
ACEP Emergency Care Report Card Gives Public Health a ‘C’
Public health and injury prevention received a “C” grade in the new "America's Emergency Care Environment: A State-by-State Report Card." The nation overall received a “D” in the American College of Emergency Physicians report, which looks at the conditions and policies under which emergency care is being delivered, not the quality of the care. Public health and prevention was one of five categories of 136 total measures used to grade the quality of emergency care, along with access to emergency care; quality and patient safety; medical liability and environment; and disaster preparedness. Read more on access to health care.
Mental Health Problems in Middle Aged and Older Adults May be Underreported
A new study by researchers at the Johns Hopkins School of Public Health and published in JAMA Psychiatry finds than the number of people in middle and old age with mental health disorders may be higher than previously thought. The study was based on a survey of just over 1,000 adults who were part of a long-term longitudinal study. The participants were asked questions about mental health disorders and then were also given an assessment for the disorders by health professionals. The survey found that while the responders underreported mental health issues, they were fairly accurate when reporting physical health problems. Read more on mental health.
New Interventions Needed to Reduce Underage Drinking
Strategies recommended by the Surgeon General to reduce underage drinking have shown promise when put into practice, according to scientists at the National Institute on Alcohol Abuse and Alcoholism (NIAAA). The approaches include nighttime restrictions on young drivers and strict license suspension policies; partnerships between college campuses and the community; and routine screening by doctors to identify and counsel underage drinkers. However, Ralph Hingson, SCD, director of NIAAA's Division of Epidemiology and Prevention Research says that “while progress has been made in addressing underage drinking, the consequences still remain unacceptably high. We must continue research to develop new interventions and implement existing strategies that have been shown to be effective.” According to Hingson, new research areas could include more studies of the effects of alcohol on the developing brain, legal penalties for providing alcohol to minors and parent-family alcohol interventions. Preliminary NIAAA research also shows that interventions aimed at strengthening family relationships in the middle-school years can have a lasting effect on students’ drinking behavior. Underage drinking is linked to 5,000 injury deaths per year, poor academic performance, potential damage to the developing brain, and risky sexual behavior. Read more on alcohol.
North America Sees First Death from H5N1 Bird Flu
North America has seen its first fatal case of H5N1 bird flu after a passenger on a Dec. 27 flight from Beijing to Canada first became ill. Canada’s health minister has stated it was an isolated case and the general public is at little risk. The victim, who died in Alberta, had only visited Beijing while in China, and not been to any farms or markets, which raises additional concerns. "This is the first evidence of this particular virus circulating in Beijing. Chinese authorities are going to be very interested. We've contacted them already," said Gregory Taylor, MD. According to the World Health Organization, as of mid-December there were 648 laboratory-confirmed human cases of H5N1 flu, with 384 leading to death. Read more on infectious disease.
Study: Full-service Restaurants Need Standard Definitions for ‘Health Choice’ Tags
Full-service restaurants should adopt standard definitions for ''healthy choice'' tags and for entrees, especially those that target vulnerable age groups, according to a new study in the Journal of Nutrition Education and Behavior. The study found that despite popular belief, food from full-service restaurants is not always healthier and higher in quality than food from fast-food restaurants, and can ever have much higher calorie, fat and sodium levels. The push to adopt these standards is especially significant because about one-third of all calories purchased in the United States are from food prepared away from home. "The need to educate customers about the nutritional content of restaurant foods is acute because consumers increasingly eat away from home, restaurants serve large portions of energy-dense and high-sodium foods, and obesity and the prevalence of other diet-related diseases are high," said lead researcher Amy Auchincloss, PhD, MPH, of the Drexel University School of Public Health. Read more on nutrition.
Racial Disparities in Deaths After Heart Bypass Surgery Linked to Hospital Quality
Racial disparities in the death risk after heart bypass surgery are linked to hospital quality, according to a new study in the journal JAMA Surgery. Researchers analyzed the records of more than 170,000 Medicare patients who had heart bypass surgery and found that nonwhite patients had a 33 percent higher death rate after the surgery. In hospitals with the highest rates of nonwhite patients, the death rate was 4.8 percent for nonwhite patients and 3.8 percent for white patients. The disparity is explained in part because nonwhite patients have less access to high-quality hospitals with lower death rates, as well as by factors such as regional variations in hospital quality, how close patients live to high-quality hospitals and race-based referral decisions. Read more on health disparities.
Survey: Half of U.S. Adult Smokers Plan to Quit for New Year
More than half of adult smokers in the United States made quitting tobacco a New Year’s resolution for 2014, according to a new survey from Legacy, a national public health nonprofit. These findings are especially significant today, on the eighth day of the new year, as the eighth day of a quit attempt is when a smoker is most vulnerable to a relapse. This month also marks the 50th anniversary of the first Surgeon General’s report on tobacco. Among the survey’s other findings:
- 41 percent planned to quit smoking "cold turkey" for New Years, which is largely ineffective for the majority of smokers
- 12 percent planned to switch to electronic cigarettes, an unregulated product whose safety risks remain unknown
- 37 percent plan to quit to save money
- 31.7 percent want to quit because they don’t want their clothes and hair to smell
Read more on tobacco.
ACS: Cancer Death Rates Fell 20 Percent Over Two Decades
The combined cancer death rate for men and women fell 20 percent in the two decades from 1991 to 2010, with better prevention, screening and treatment critical to continuing this positive trend, according to a new report from the American Cancer Society. The drop translates to approximately 1,350,400 fewer deaths. The report estimates that the United States will see a total of 1,665,540 new cancer cases and 585,720 deaths from cancer in 2014. From 2006 to 2010, cancer death rates decreased by 1.8 percent annually in men and by 1.4 percent in women. Lung, colon, prostate and breast cancers are the most common causes of cancer death, with lung cancer accounting for approximately one in four deaths. Read more on cancer.
‘Green’ Labels for Healthy, ‘Red’ for Unhealthy Foods Improve Nutritional Selections
The “stop” and “go” colors of traffic signals may be able to improve healthy eating choices in cafeterias, according to a new study in the American Journal of Preventive Medicine. A redesign of the cafeteria at Massachusetts General Hospital combined better locations for health food items with red, yellow and green labels marking the nutritional quality of different foods, with junk foods being red. Over two years, green-labeled items sold at a 12 percent higher rate and sales of red-labeled items dropped by 20 percent. "Our current results show that the significant changes in the purchase patterns...did not fade away as cafeteria patrons became used to them," said study lead author Anne Thorndike, MD, of the division of general medicine at the Boston hospital. "This is good evidence that these changes in healthy choices persist over time." To learn more about the study and concept, go to "Traffic-Light Labels and Choice Architecture: Promoting Healthy Food Choices" at RWJF.org. Read more on nutrition.
Study: Newly Insured Visit Emergency Departments More Often
While some experts have speculated that expanded insurance under the Affordable Care Act would decrease the rate of emergency department visits, a new study in the journal Science indicates that newly insured people actually visit the departments significantly more than people who were uninsured. The study of 25,000 Medicaid lottery participants in Oregon in 2008 found that people who received expanded coverage increased their visits by 40 percent—or 0.41 visits—over a period of 18 months. The visits encompassed all manner of health issues, included issues that could have been treated by a primary care physician and would have been covered by the insurance. Read more on access to health care.
Electronic Media Use During Family Meals Tied to Poorer Nutrition and Communication
The use of electronic devices—including television, music with headphones and texting—by teens during meals is linked to less nutritious food and poorer family communication, according to a new study in the Journal of the Academy of Nutrition and Dietetics. In a survey of more than 1,800 parents, researchers asked how often adolescent children used a variety of electronics during family meals, whether they had any rules regarding their use and whether they felt family meals were important; the children were asked questions about family communication, such as how often they discussed their problems with their parents. The study found that two thirds of the teens watched television or movies some of the time, with one quarter watching frequently. Other electronic activities were less common, occurring 18 to 28 percent of the time. About 75 percent of the families had limits on mealtime media. "There is no magic number of how many (family meals) to have, not all food at meals has to be 100% healthy and having electronic media at meals is not all bad (e.g., an occasional movie night with dinner) if it facilitates family time," said lead author Jayne A. Fulkerson. "But, parents can take small steps to have quality time with their children by reducing media use at mealtimes." Read more on nutrition.
Smoking Adds $17 Billion to Post-Surgery Costs Each Year
Smoking-related complications following surgery—for both current and former smokers—add an estimated $17 billion in direct U.S. medical costs each year, according to a new study in JAMA Surgery. The study, led by David Warner, MD, of the Mayo Clinic, looked at surgical patients between April 2008 and December 2009. While the costs for initial hospitalizations was relatively consistent for current smokers, former smokers and people who never smoked, post-surgery costs were an estimated $400 higher for current smokers and $273 higher for former smokers. Read more on tobacco.
FDA Proposes New Rules for Proving Effectiveness, Safety of Antibacterial Soaps
A new proposed rule from the U.S. Food and Drug Administration (FDA) would require manufacturers of antibacterial hand soaps and body washes to prove not only that their products are more effective than normal soap when it comes to preventing illness and infections, but that they are also safe for daily long-term use. Products that can’t meet these standards would need to be reworked before coming to market. The regulatory move comes as research suggests that not only are antibacterial products not helpful, but they could also be harmful in the long term, leading to bacterial resistance and hormonal problems. Hand sanitizers, wipes and other antibacterial products used in health care settings would not fall under the new regulations. “Antibacterial soaps and body washes are used widely and frequently by consumers in everyday home, work, school, and public settings, where the risk of infection is relatively low,” said Janet Woodcock, MD, director of the FDA’s Center for Drug Evaluation and Research (CDER). “Due to consumers’ extensive exposure to the ingredients in antibacterial soaps, we believe there should be a clearly demonstrated benefit from using antibacterial soap to balance any potential risk.” Read more on infectious disease.
NIH, NFL to Research Ways to Diagnose, Treat Traumatic Brain Injuries
New research projects from the U.S. National Institutes of Health (NIH) will explore methods to diagnose and treat chronic traumatic encephalopathy, or CTE, in football players and others who experience head injuries and concussions. Current science only allows health care professionals to diagnose the traumatic brain injuries after death. "This is a public health problem," said Walter Koroshetz, deputy director of the NIH's National Institute of Neurological Disorders and Stroke. "We don't know the mechanics of the head injuries that lead to this, the number and severity that is required to get this. We don't know whether certain people based on their genes are more susceptible or not. There are a lot of questions to be answered." The National Football League will cover $12 million of the $14 million in research costs. Earlier this year the league agreed to pay as much as $765 million to former players who accused the league of covering up and downplaying the risks of brain injury. Read more on mental health.
Studies: Multivitamins, Supplements Don’t Improve Overall Wellness
Daily multivitamins and mineral supplements don’t prevent heart problems or memory loss, and are also not linked to longer lives, according to three new studies in the journal Annals of Internal Medicine. The researchers said the findings indicate that U.S. consumers should stop taking the dietary supplements, which are part of a multibillion-dollar U.S. industry. "We believe that it's clear that vitamins are not working," said Eliseo Guallar, MD, a professor of epidemiology at the Johns Hopkins Bloomberg School of Public Health, adding “"The probability of a meaningful effect is so small that it's not worth doing study after study and spending research dollars on these questions." Read more on nutrition.
CDC: Measles Remains a Threat to U.S. Health Security
Fifty years after the creation of the measles vaccine, the disease continues to be a very real public health threat both in the United States and globally, according to the U.S. Centers for Disease Control and Prevention (CDC). While a recent study in JAMA Pediatrics confirmed U.S. measles elimination starting in 2000 and sustained through 2011, international travel means people from countries where the disease persists could still bring it to the United States. Approximately 158,000 globally died from measles in 2011, with an average of 430 children dying each day. These facts illustrate the need to be vigilant in reporting suspected cases to public health departments. “The steady arrival of measles in the United States is a constant reminder that deadly diseases are testing our health security every day,” said CDC Director Tom Frieden, MD, MPH. “Someday, it won’t be only measles at the international arrival gate; so, detecting diseases before they arrive is a wise investment in U.S. health security.” Read more on infectious disease.
HHS: $55.5M to Strengthen Training of U.S. Health Professionals, Especially in Nursing
The U.S. Department of Health and Human Services has announced the planned investment of millions to strengthen training for health professionals and add more professionals to the U.S. health care workforce, with a clear emphasis on nursing workforce development. About $45.4 million of the $55.5 million in FY 2013 will go toward nursing, including adding to the number of nurse faculty ($22.1 million), improving nurse diversity ($5.2 million), promoting interprofessional collaborative practice ($6.7 million) and supporting nursing education ($9.2 million). The more than 270 grants will also deal with overall public health, behavioral health and dentistry. Read more on nursing.
Switching to a Healthy Diet Adds About $1.50 Daily to Food Costs
Switching to a healthier may lighten your wallet a bit, but not so much that it isn’t worth it, according to a new study in the journal BMJ Open. Looking at 27 studies in 10 countries, researchers found that a diet that emphasizes fruits, vegetables, nuts and fish will add about $1.50 per day, or $550 per year, to an individual’s food budget. Healthy proteins such as boneless, skinless chicken breast were behind most of the additional costs. While this difference could be an issue for low-income families, middle-class families shouldn’t see much of a problem in making the healthy switch, according to study author Mayuree Rao, a junior research fellow in the department of epidemiology at the Harvard School of Public Health. "$1.50 is about the price of a cup of coffee and really just a drop in the bucket when you consider the billions of dollars spent every year on diet-related chronic diseases." Read more on nutrition.
CDC Releases ‘Winnable Battles Progress Report 2010-2015’
The U.S. Centers for Disease Control and Prevention (CDC) has released its Winnable Battles Progress Report 2010-2015, which details the progress made in key areas where CDC has determined that progress is possible. The individual reports detail what’s been accomplished, and what still needs to be accomplished, to reach these goals by 2015. They include healthcare-associated infections; tobacco; nutrition, physical activity and obesity; food safety; motor vehicle safety; teen pregnancy; and HIV prevention. “By implementing the programs with the greatest potential impact, we are addressing Americans’ biggest health challenges while we try to get the most health bang for precious resources,” said CDC Director Tom Frieden, MD, MPH. Read more on the CDC.
Study: One-third of Kids’ Calories from Schools, Stores, Fast Food Restaurants are ‘Empty Calories’
In the battle to improve nutrition for kids, parents need to look beyond just fast food restaurants and take a closer look at food from grocery stores and at schools. A new study in the Journal of the Academy of Nutrition and Dietetics found that roughly a third of the calories consumed from each of these three sources constituted “empty calories” coming from added sugar or solid fat. The 2010 Dietary Guidelines for Americans recommends between 8 and 19 percent of calories should be “empty” for both kids and adults; excessive empty calories can lead to weight gain and obesity. While all three sources offered high counts of empty calories, they did so for different reasons, demonstrating the need to tailor health efforts to meet their particular obstacles. "Our study found that 20 percent of pizza and 22 percent of high-fat milk consumed by kids are provided by schools, and 72 percent of sugar-sweetened beverages like sodas, fruit drinks, sports drinks and energy drinks consumed by kids are obtained from grocery stores," said study author Jennifer M. Poti, a doctoral candidate in nutritional epidemiology at the University of North Carolina at Chapel Hill. Read more on nutrition.
American Headache Society: New Guidelines on Treating Migraines, Limiting Unnecessary Treatments
The American Headache Society has issued new guidelines on how physicians can better treat patients with migraines while limiting unnecessary or even risky treatments. For example, because of their serious long-term risks, opiod painkillers such as OxyContin and Vicodin, as well as the barbiturate butalbital, should not be the first treatments prescribed. Also, CT scans should only be limited to non-emergency situations when possible, as MRIs are both able to diagnose more conditions and do not expose patients to radiation. "Our aim is to encourage doctors and patients to think carefully about medical care that can be harmful or unnecessary," said Elizabeth Loder, MD, president of the American Headache Society. "We didn't approach this with cost uppermost in mind. The goal is to help address the problems of low-value care." Approximately 12 percent of Americans are estimated to suffer from migraines. Read more on migraines.